|
Corneal hysteresis deter
|
$40.50 |
$40.50 |
$40.50 |
$74.41
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$540.00 |
$540.00 |
$540.00 |
$8,272.50
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,525.00 |
$9,525.00 |
$9,525.00 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$7,725.00 |
$7,725.00 |
$7,725.00 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$10,425.00 |
$10,425.00 |
$10,425.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$6,150.00 |
$6,150.00 |
$6,150.00 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,050.00 |
$7,050.00 |
$7,050.00 |
$7,914.00
|
|
Coroners autopsy (necropsy)
|
$204.75 |
$204.75 |
$204.75 |
$352.80
|
|
Cortisol acth stimulation test - sendout
|
$198.75 |
$198.75 |
$198.75 |
$146.25
|
|
Cortisol total am
|
$129.75 |
$129.75 |
$129.75 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$253.15 |
$253.15 |
$253.15 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$661.35 |
$661.35 |
$661.35 |
$3,908.16
|
|
Covid-19 administration immunization im inj 1st/only component
|
$82.50 |
$82.50 |
$82.50 |
$49.13
|
|
Covid-19 lab test non-cdc
|
$126.75 |
$126.75 |
$126.75 |
$80.50
|
|
#covid19rsv-rsv
|
$450.75 |
$450.75 |
$450.75 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$81.00 |
$81.00 |
$81.00 |
$60.00
|
|
C-peptide
|
$130.50 |
$130.50 |
$130.50 |
$97.30
|
|
Cptrized corneal topography
|
$66.00 |
$66.00 |
$66.00 |
$148.20
|
|
Cptr ophth dx img post segmt
|
$82.50 |
$82.50 |
$82.50 |
$105.00
|
|
Crbrospnl fld flw imag cistern
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$1,240.80
|
|
C-reactive protein
|
$53.25 |
$53.25 |
$53.25 |
$68.38
|
|
C-reactive protein high sensitivity
|
$102.00 |
$102.00 |
$102.00 |
$85.00
|
|
C-reactive protein, quantitative
|
$64.50 |
$64.50 |
$64.50 |
$71.06
|
|
Create passage to kidney
|
$2,315.25 |
$2,315.25 |
$2,315.25 |
$4,081.37
|
|
Creatine isoforms
|
$72.00 |
$72.00 |
$72.00 |
$30.40
|
|
Creatine kinase
|
$57.00 |
$57.00 |
$57.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$81.00 |
$81.00 |
$81.00 |
$56.80
|
|
Creatine kinase mb
|
$90.75 |
$90.75 |
$90.75 |
$114.00
|
|
Creatine - sendout
|
$28.50 |
$28.50 |
$28.50 |
$39.00
|
|
Creatinine
|
$32.25 |
$32.25 |
$32.25 |
$44.72
|
|
Creatinine 24 hour urine
|
$45.00 |
$45.00 |
$45.00 |
$58.85
|
|
Creatinine clearance urine
|
$63.00 |
$63.00 |
$63.00 |
$89.50
|
|
#creutz-prot.,western blot
|
$169.50 |
$169.50 |
$169.50 |
$166.20
|
|
Crh stimulation panel
|
$3,951.00 |
$3,951.00 |
$3,951.00 |
$1,106.24
|
|
Critical care 30-74 minutes
|
$5,140.50 |
$5,140.50 |
$5,140.50 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$925.50 |
$925.50 |
$925.50 |
$731.40
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$5,743.64 |
$5,743.64 |
$5,743.64 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$7,487.07 |
$7,487.07 |
$7,487.07 |
$5,590.35
|
|
Crutches underarm other than wood adjustable or e0114
|
$54.00 |
$54.00 |
$54.00 |
$66.64
|
|
Cryofibrinogen qualitative - sendout
|
$69.75 |
$69.75 |
$69.75 |
$52.50
|
|
Cryoprecipitate each unit
|
$164.25 |
$164.25 |
$164.25 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$87.75 |
$87.75 |
$87.75 |
$89.70
|
|
Cryptosporidium antigen
|
$72.75 |
$72.75 |
$72.75 |
$52.08
|
|
Crystal identification light microscopy
|
$60.75 |
$60.75 |
$60.75 |
$62.50
|
|
Csf leakage imaging
|
$3,396.00 |
$3,396.00 |
$3,396.00 |
$1,544.85
|
|
Csf ventriculography
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$836.76
|
|
CT 3d report other modality w/workstation
|
$367.50 |
$367.50 |
$367.50 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,272.50 |
$2,272.50 |
$2,272.50 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,965.00 |
$1,965.00 |
$1,965.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,427.50 |
$3,427.50 |
$3,427.50 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,912.50 |
$1,912.50 |
$1,912.50 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,965.00 |
$1,965.00 |
$1,965.00 |
$1,500.38
|
|
CT angio pelvis
|
$1,530.00 |
$1,530.00 |
$1,530.00 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,698.00
|
|
CT bone density axial
|
$345.00 |
$345.00 |
$345.00 |
$387.62
|
|
CT cerebral perf w cont & prcssng
|
$750.75 |
$750.75 |
$750.75 |
$803.40
|
|
CT colonography dx
|
$1,162.50 |
$1,162.50 |
$1,162.50 |
$791.00
|
|
CT colonography dx w/dye
|
$1,492.50 |
$1,492.50 |
$1,492.50 |
$1,037.00
|
|
CT colonography screening
|
$2,617.50 |
$2,617.50 |
$2,617.50 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,484.25 |
$1,484.25 |
$1,484.25 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$495.00 |
$495.00 |
$495.00 |
$1,178.52
|
|
CT guid parench tis ablat
|
$1,096.50 |
$1,096.50 |
$1,096.50 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$292.50 |
$292.50 |
$292.50 |
$171.60
|
|
CT hrt c+ strux cgen hrt ds
|
$1,237.50 |
$1,237.50 |
$1,237.50 |
$1,371.50
|
|
CT hrt w/3d image
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$435.00 |
$435.00 |
$435.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,822.50 |
$1,822.50 |
$1,822.50 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$2,107.50 |
$2,107.50 |
$2,107.50 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,747.50 |
$1,747.50 |
$1,747.50 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,552.50 |
$1,552.50 |
$1,552.50 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,965.00 |
$1,965.00 |
$1,965.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,747.50 |
$1,747.50 |
$1,747.50 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,597.50 |
$1,597.50 |
$1,597.50 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,455.00 |
$1,455.00 |
$1,455.00 |
$1,360.00
|
|
CT scan for localization
|
$909.00 |
$909.00 |
$909.00 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,472.50 |
$3,472.50 |
$3,472.50 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,692.50 |
$2,692.50 |
$2,692.50 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,627.50 |
$1,627.50 |
$1,627.50 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,312.50 |
$1,312.50 |
$1,312.50 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$652.50 |
$652.50 |
$652.50 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,747.50 |
$1,747.50 |
$1,747.50 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,597.50 |
$1,597.50 |
$1,597.50 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$1,777.50 |
$1,777.50 |
$1,777.50 |
$1,845.36
|
|
Cultr oocyte/embryo <4 days
|
$3,815.25 |
$3,815.25 |
$3,815.25 |
$1,291.35
|
|
Cultr oocyte/embryo <4 days
|
$3,637.50 |
$3,637.50 |
$3,637.50 |
$2,178.40
|
|
Culture aerobic additional method definitive id each
|
$74.25 |
$74.25 |
$74.25 |
$68.64
|
|
Culture afb any source
|
$78.75 |
$78.75 |
$78.75 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$118.50 |
$118.50 |
$118.50 |
$79.00
|
|
Culture anaerobic except blood
|
$84.00 |
$84.00 |
$84.00 |
$120.00
|
|
Culture bacteria anaerobic
|
$57.00 |
$57.00 |
$57.00 |
$84.24
|
|
Culture bacterial urine
|
$72.00 |
$72.00 |
$72.00 |
$29.12
|
|
Culture bact stool aero addl path ea
|
$52.50 |
$52.50 |
$52.50 |
$51.45
|
|
Culture body fluid
|
$73.50 |
$73.50 |
$73.50 |
$126.75
|
|
Culture fungi definitive id mold
|
$63.00 |
$63.00 |
$63.00 |
$77.28
|
