|
Cortisol total am
|
$70.40 |
$70.40 |
$129.75 |
|
|
Cosyntropin 0.25 mg solution for injection
|
$118.40 |
$118.40 |
$253.15 |
|
|
Counseling smoke cess interm >10mins
|
$21.44 |
$21.44 |
$21.44 |
|
|
Coveredge 32 lead kit 40cm 48
|
$661.35 |
$661.35 |
$6,114.88 |
|
|
Covid-19 administration immunization im inj 1st/only component
|
$32.32 |
$32.32 |
$82.50 |
|
|
Covid-19 lab test non-cdc
|
$126.75 |
$126.75 |
$126.75 |
|
|
#covid19rsv-rsv
|
$450.75 |
$450.75 |
$450.75 |
|
|
#coxa-coxsackie a serotype a16
|
$65.28 |
$65.28 |
$81.00 |
|
|
C-peptide
|
$94.40 |
$94.40 |
$130.50 |
|
|
Cptr-asst dir ms px
|
$53.12 |
$53.12 |
$53.12 |
|
|
Cptrized corneal topography
|
$66.00 |
$66.00 |
$66.00 |
|
|
Cptr ophth dx img post segmt
|
$82.50 |
$82.50 |
$82.50 |
|
|
Crbrospnl fld flw imag cistern
|
$648.64 |
$648.64 |
$1,335.00 |
|
|
C-reactive protein
|
$14.72 |
$14.72 |
$53.25 |
|
|
C-reactive protein high sensitivity
|
$32.32 |
$32.32 |
$102.00 |
|
|
C-reactive protein, quantitative
|
$64.50 |
$64.50 |
$64.50 |
|
|
Create eardrum opening
|
$132.16 |
$132.16 |
$132.16 |
|
|
Create passage to kidney
|
$2,315.25 |
$2,315.25 |
$2,315.25 |
|
|
Creatine isoforms
|
$72.00 |
$72.00 |
$72.00 |
|
|
Creatine kinase
|
$57.00 |
$57.00 |
$61.12 |
|
|
Creatine kinase isoenzymes
|
$14.08 |
$14.08 |
$81.00 |
|
|
Creatine kinase mb
|
$76.80 |
$76.80 |
$90.75 |
|
|
Creatine - sendout
|
$26.88 |
$26.88 |
$28.50 |
|
|
Creatinine
|
$32.25 |
$32.25 |
$43.20 |
|
|
Creatinine 24 hour urine
|
$45.00 |
$45.00 |
$63.04 |
|
|
Creatinine clearance urine
|
$63.00 |
$63.00 |
$86.08 |
|
|
#creutz-prot.,western blot
|
$169.50 |
$169.50 |
$463.04 |
|
|
Crh stimulation panel
|
$3,951.00 |
$3,951.00 |
$3,951.00 |
|
|
Critical care 30-74 minutes
|
$5,140.50 |
$5,140.50 |
$8,512.00 |
|
|
Critical care each additional 30 minutes
|
$773.44 |
$773.44 |
$925.50 |
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$5,743.64 |
$5,743.64 |
$5,743.64 |
|
|
Crotalidae poly immune fab
|
$7,487.07 |
$7,487.07 |
$7,487.07 |
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$586.24 |
$586.24 |
$586.24 |
|
|
Crutches underarm other than wood adjustable or e0114
|
$54.00 |
$54.00 |
$54.00 |
|
|
Cryofibrinogen qualitative - sendout
|
$8.64 |
$8.64 |
$69.75 |
|
|
Cryoprecipitate each unit
|
$54.40 |
$54.40 |
$164.25 |
|
|
Cryotherapy of acne 17340
|
$23.68 |
$23.68 |
$23.68 |
|
|
Cryptococcus abs qn - sendout
|
$87.75 |
$87.75 |
$87.75 |
|
|
Cryptosporidium antigen
|
$27.84 |
$27.84 |
$72.75 |
|
|
Crystal identification light microscopy
|
$25.60 |
$25.60 |
$60.75 |
|
|
C-Section Delivery (full care)
|
$2,090.56 |
$2,090.56 |
$2,090.56 |
|
|
Csf leakage imaging
|
$3,396.00 |
$3,396.00 |
$3,396.00 |
|
|
Csf ventriculography
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
|
|
CT 3d report other modality w/workstation
|
$367.50 |
$367.50 |
$572.16 |
|
|
Cta abdomen without & /or w/contrast
|
$829.44 |
$829.44 |
$2,272.50 |
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$884.16 |
$884.16 |
$1,890.00 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,198.08 |
$1,198.08 |
$1,380.00 |
|
|
Cta neck without &/or w/contrast
|
$780.80 |
$780.80 |
$1,965.00 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$937.92 |
$937.92 |
$3,427.50 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$737.28 |
$737.28 |
$1,912.50 |
|
|
CT Angiogram of the Head
|
$930.88 |
$930.88 |
$2,040.00 |
|
|
CT angio hrt w/3d image
|
$343.68 |
$343.68 |
$1,965.00 |
|
|
CT angio pelvis
|
$885.12 |
$885.12 |
$1,530.00 |
|
|
Cta upper extremity w &/or without contrast left
|
$786.88 |
$786.88 |
$1,380.00 |
|
|
CT bone density axial
|
$94.72 |
$94.72 |
$345.00 |
|
|
CT cerebral perf w cont & prcssng
|
$408.96 |
$408.96 |
$750.75 |
|
|
CT colonography dx
|
$1,162.50 |
$1,162.50 |
$1,162.50 |
|
|
CT colonography dx w/dye
|
$1,492.50 |
$1,492.50 |
$1,492.50 |
|
|
CT colonography screening
|
$2,617.50 |
$2,617.50 |
$2,617.50 |
|
|
CT guidance for needle placement
|
$596.16 |
$596.16 |
$1,484.25 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$495.00 |
$495.00 |
$707.20 |
|
|
CT guid parench tis ablat
|
$544.00 |
$544.00 |
$1,096.50 |
|
|
CT heart w/evaluation of calcium without contrast
|
$61.76 |
$61.76 |
$292.50 |
|
|
CT hrt c+ strux cgen hrt ds
|
$1,237.50 |
$1,237.50 |
$1,237.50 |
|
|
CT hrt w/3d image
|
$343.68 |
$343.68 |
$1,095.00 |
|
|
CT limited or localized follow-up study
|
$303.68 |
$303.68 |
$435.00 |
|
|
CT lower extremity w/contrast (both sides)
|
$1,119.36 |
$1,119.36 |
$1,822.50 |
|
|
CT lower extremity without contrast (both sides)
|
$910.08 |
$910.08 |
$1,380.00 |
|
|
CT lwr extremity w/o&w/dye
|
$835.20 |
$835.20 |
$2,107.50 |
|
|
CT neck soft tissue w/contrast
|
$731.84 |
$731.84 |
$1,747.50 |
|
|
CT neck soft tissue without contrast
|
$688.32 |
$688.32 |
$1,552.50 |
|
|
CT neck soft tissue without & w/contrast
|
$823.36 |
$823.36 |
$1,965.00 |
|
|
CT orbit/sella/fossa w/wo contrast
|
$884.16 |
$884.16 |
$1,747.50 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$738.56 |
$738.56 |
$1,597.50 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$629.12 |
$629.12 |
$1,455.00 |
|
|
CT scan for localization
|
$909.00 |
$909.00 |
$909.00 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,458.24 |
$1,458.24 |
$3,472.50 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,238.08 |
$1,238.08 |
$2,692.50 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,109.12 |
$1,109.12 |
$2,400.00 |
|
|
CT thoracic spine w/contrast
|
$728.32 |
$728.32 |
$1,627.50 |
|
|
CT thoracic spine without contrast
|
$669.12 |
$669.12 |
$1,312.50 |
|
|
CT thorax low dose for lung screening without contrast
|
$456.00 |
$456.00 |
$652.50 |
|
|
CT t-spine w /wo contrast
|
$818.88 |
$818.88 |
$1,747.50 |
|
|
CT upper extremity w/contrast (both sides)
|
$717.44 |
$717.44 |
$1,597.50 |
|
|
CT upper extremity without contrast (both sides)
|
$882.24 |
$882.24 |
$1,380.00 |
|
|
CT uppr extremity w/o&w/dye
|
$794.88 |
$794.88 |
$1,777.50 |
|
|
Cultr oocyte/embryo <4 days
|
$3,815.25 |
$3,815.25 |
$3,815.25 |
|
|
Cultr oocyte/embryo <4 days
|
$3,637.50 |
$3,637.50 |
$3,637.50 |
|
|
Culture aerobic additional method definitive id each
|
$24.00 |
$24.00 |
$74.25 |
|
|
Culture afb any source
|
$24.00 |
$24.00 |
$78.75 |
|
|
Culture anaerobic additional method definitive id each
|
$24.00 |
$24.00 |
$118.50 |
|
|
Culture anaerobic except blood
|
$52.80 |
$52.80 |
$84.00 |
|
|
Culture bacteria anaerobic
|
$57.00 |
$57.00 |
$57.00 |
|
|
Culture bacterial urine
|
$72.00 |
$72.00 |
$72.00 |
|
|
Culture bact stool aero addl path ea
|
$29.76 |
$29.76 |
$52.50 |
|
|
Culture body fluid
|
$39.04 |
$39.04 |
$73.50 |
|
|
Culture fungi definitive id mold
|
$24.00 |
$24.00 |
$63.00 |
|
|
Culture fungi definitive id yeast
|
$24.00 |
$24.00 |
$79.50 |
|
|
Culture fungi other (except blood)
|
$36.80 |
$36.80 |
$77.25 |
|
|
Culture fungi skin/hair/nail
|
$21.12 |
$21.12 |
$51.00 |
|
