|
Composite drsg <= 16 sq in
|
$241.15 |
$241.15 |
$241.15 |
$6.62
|
|
Concentration infection agents any type
|
$67.60 |
$67.60 |
$67.60 |
$51.32
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,689.05 |
$2,689.05 |
$2,689.05 |
$860.00
|
|
Connect omega .5mm
|
$5,908.50 |
$5,908.50 |
$5,908.50 |
$1,260.00
|
|
Connector tis 2x10mm
|
$15,466.10 |
$15,466.10 |
$15,466.10 |
$4,024.34
|
|
Consultation pathology during surgery
|
$445.90 |
$445.90 |
$445.90 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$349.70 |
$349.70 |
$349.70 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$255.45 |
$255.45 |
$255.45 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$512.85 |
$512.85 |
$512.85 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$844.35 |
$844.35 |
$844.35 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$991.25 |
$991.25 |
$991.25 |
$176.28
|
|
Consult comp w/report rfrd material
|
$590.85 |
$590.85 |
$590.85 |
$374.40
|
|
Contrast baths charges
|
$98.15 |
$98.15 |
$98.15 |
$75.60
|
|
Contrast x-ray gallbladder
|
$581.10 |
$581.10 |
$581.10 |
$341.00
|
|
Contrast x-ray of ankle
|
$612.30 |
$612.30 |
$612.30 |
$684.00
|
|
Contrast x-ray of elbow
|
$800.15 |
$800.15 |
$800.15 |
$708.00
|
|
Contrast x-ray of hip
|
$1,058.85 |
$1,058.85 |
$1,058.85 |
$796.38
|
|
Contrast x-ray of knee joint
|
$1,218.10 |
$1,218.10 |
$1,218.10 |
$790.50
|
|
Contrast x-ray of wrist
|
$941.20 |
$941.20 |
$941.20 |
$667.50
|
|
Controller infinity pt dbs
|
$10,700.95 |
$10,700.95 |
$10,700.95 |
$4,836.44
|
|
Coombs direct
|
$79.95 |
$79.95 |
$79.95 |
$76.80
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$103,868.05 |
$103,868.05 |
$103,868.05 |
$7,849.80
|
|
Corticorelin ovine triflutal
|
$89.05 |
$89.05 |
$89.05 |
$1,462.49
|
|
Cortisol total am
|
$423.80 |
$423.80 |
$423.80 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$825.50 |
$825.50 |
$825.50 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$143.00 |
$143.00 |
$143.00 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$55.90 |
$55.90 |
$55.90 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$81,408.60 |
$81,408.60 |
$81,408.60 |
$4,180.79
|
|
Covid-19 administration immunization im inj 1st/only component
|
$129.35 |
$129.35 |
$129.35 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,043.25 |
$1,043.25 |
$1,043.25 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$1,043.25 |
$1,043.25 |
$1,043.25 |
$540.00
|
|
#coxa-coxsackie a serotype a16
|
$87.10 |
$87.10 |
$87.10 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$1,336.40 |
$1,336.40 |
$1,336.40 |
$584.50
|
|
C-peptide
|
$131.30 |
$131.30 |
$131.30 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,312.35 |
$1,312.35 |
$1,312.35 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$1,679.60 |
$1,679.60 |
$1,679.60 |
$1,330.02
|
|
C-reactive protein
|
$245.05 |
$245.05 |
$245.05 |
$69.36
|
|
C-reactive protein high sensitivity
|
$345.80 |
$345.80 |
$345.80 |
$85.50
|
|
C-reactive protein, quantitative
|
$168.35 |
$168.35 |
$168.35 |
$65.16
|
|
Creatine kinase
|
$55.25 |
$55.25 |
$55.25 |
$66.30
|
|
Creatine kinase mb
|
$301.60 |
$301.60 |
$301.60 |
$113.63
|
|
Creatinine
|
$54.60 |
$54.60 |
$54.60 |
$46.20
|
|
Creatinine 24 hour urine
|
$160.55 |
$160.55 |
$160.55 |
$57.85
|
|
Creatinine clearance urine
|
$209.30 |
$209.30 |
$209.30 |
$90.26
|
|
#creutz-prot.,western blot
|
$198.25 |
$198.25 |
$198.25 |
$163.50
|
|
Critical care each additional 30 minutes
|
$661.70 |
$661.70 |
$661.70 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$4,053.40 |
$4,053.40 |
$4,053.40 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$679.90 |
$679.90 |
$679.90 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$8,860.80 |
$8,860.80 |
$8,860.80 |
$5,760.00
|
|
Cryo fib comp path redu each
|
$1,456.65 |
$1,456.65 |
$1,456.65 |
$520.00
|
|
Cryoprecipitate each unit
|
$122.20 |
$122.20 |
$122.20 |
$144.78
|
|
Crystal identification light microscopy
|
$172.25 |
$172.25 |
$172.25 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$475.80 |
$475.80 |
$475.80 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,766.10 |
$3,766.10 |
$3,766.10 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,921.50 |
$5,921.50 |
$5,921.50 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,372.50 |
$2,372.50 |
$2,372.50 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,499.90 |
$2,499.90 |
$2,499.90 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$4,726.15 |
$4,726.15 |
$4,726.15 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,639.65 |
$2,639.65 |
$2,639.65 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$5,887.70 |
$5,887.70 |
$5,887.70 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,103.40 |
$2,103.40 |
$2,103.40 |
$1,428.68
|
|
CT angio pelvis
|
$2,387.45 |
$2,387.45 |
$2,387.45 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$3,065.40 |
$3,065.40 |
$3,065.40 |
$1,691.30
|
|
CT bone density axial
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$385.15
|
|
CT colonography dx
|
$770.90 |
$770.90 |
$770.90 |
$811.41
|
|
CT colonography dx w/dye
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$1,069.25
|
|
CT guidance for needle placement
|
$2,520.05 |
$2,520.05 |
$2,520.05 |
$1,494.00
|
|
CT guid parench tis ablat
|
$1,533.35 |
$1,533.35 |
$1,533.35 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$1,262.95 |
$1,262.95 |
$1,262.95 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,217.45 |
$1,217.45 |
$1,217.45 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,513.20 |
$1,513.20 |
$1,513.20 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$1,225.90 |
$1,225.90 |
$1,225.90 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$2,962.05 |
$2,962.05 |
$2,962.05 |
$1,818.96
|
|
CT scan for therapy guide
|
$1,093.30 |
$1,093.30 |
$1,093.30 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$6,971.90 |
$6,971.90 |
$6,971.90 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,964.40 |
$5,964.40 |
$5,964.40 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$5,537.35 |
$5,537.35 |
$5,537.35 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$3,543.80 |
$3,543.80 |
$3,543.80 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$3,011.45 |
$3,011.45 |
$3,011.45 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$150.80 |
$150.80 |
$150.80 |
$72.00
|
|
Culture afb any source
|
$642.20 |
$642.20 |
$642.20 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$156.65 |
$156.65 |
$156.65 |
$84.76
|
|
Culture anaerobic except blood
|
$575.90 |
$575.90 |
$575.90 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$78.00 |
$78.00 |
$78.00 |
$52.50
|
|
Culture body fluid
|
$573.30 |
$573.30 |
$573.30 |
$126.75
|
|
Culture fungi definitive id mold
|
$259.35 |
$259.35 |
$259.35 |
$80.00
|
|
Culture fungi definitive id yeast
|
$176.80 |
$176.80 |
$176.80 |
$80.00
|
|
Culture fungi other (except blood)
|
$544.05 |
$544.05 |
$544.05 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$345.80 |
$345.80 |
$345.80 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$234.65 |
$234.65 |
$234.65 |
$100.00
|
|
Culture mycoplasma any source
|
$55.25 |
$55.25 |
$55.25 |
$83.21
|
|
Culture screening strep group a
|
$196.95 |
$196.95 |
$196.95 |
$84.60
|
|
Culture typing immunologic
|
$54.60 |
$54.60 |
$54.60 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$282.10 |
$282.10 |
$282.10 |
$140.80
|
|
Culture urine each isolate
|
$187.20 |
$187.20 |
$187.20 |
$55.50
|
|
Cutter lead
|
$24,864.45 |
$24,864.45 |
$24,864.45 |
$6,581.45
|
|
Cyanocobalamin unsat binding capacity
|
$31.20 |
$31.20 |
$31.20 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$66.95 |
$66.95 |
$66.95 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$134.55 |
$134.55 |
$134.55 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$20.80 |
$20.80 |
$20.80 |
$1,305.02
|