|
Copper cu 64 dotatate diag
|
$3,836.00 |
$3,836.00 |
$3,836.00 |
$2,293.68
|
|
Copper intrauterine device
|
$6,869.27 |
$6,869.27 |
$6,869.27 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$17,572.81 |
$17,572.81 |
$17,572.81 |
$2,862.11
|
|
Corneal transplant
|
$48,273.71 |
$48,273.71 |
$48,273.71 |
$5,912.40
|
|
Corneal transplant
|
$41,925.46 |
$41,925.46 |
$41,925.46 |
$5,683.61
|
|
Corneal trnspl endothelial
|
$55,121.22 |
$55,121.22 |
$55,121.22 |
$5,667.08
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$26,534.42 |
$26,534.42 |
$26,534.42 |
$8,244.87
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$12,261.90 |
$12,261.90 |
$12,261.90 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$12,549.60 |
$12,549.60 |
$12,549.60 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$13,160.00 |
$13,160.00 |
$13,160.00 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$7,785.40 |
$7,785.40 |
$7,785.40 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$14,802.20 |
$14,802.20 |
$14,802.20 |
$7,950.49
|
|
Coronary thrombolysis/iv infusion 92977
|
$1,074.50 |
$1,074.50 |
$1,074.50 |
$482.09
|
|
Correction eyelid w/implant
|
$14,384.48 |
$14,384.48 |
$14,384.48 |
$3,269.14
|
|
Correction trichiasis epilation forcep 67820
|
$11,918.43 |
$11,918.43 |
$11,918.43 |
$176.00
|
|
Correction trichiasis inccision lid margin 67830
|
$30,727.79 |
$30,727.79 |
$30,727.79 |
$1,366.20
|
|
Cortisol total am
|
$317.80 |
$317.80 |
$317.80 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$534.27 |
$534.27 |
$534.27 |
$189.02
|
|
Co-treatment - group 15 mins, st
|
$167.30 |
$167.30 |
$167.30 |
$114.00
|
|
Coveredge 32 lead kit 40cm 48
|
$126,564.07 |
$126,564.07 |
$126,564.07 |
$4,395.30
|
|
Cover eye w/membrane
|
$3,536.40 |
$3,536.40 |
$3,536.40 |
$2,550.48
|
|
Covid-19 administration immunization im inj 1st/only component
|
$61.60 |
$61.60 |
$61.60 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$588.08
|
|
#covid19rsv-rsv
|
$156.10 |
$156.10 |
$156.10 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$137.20 |
$137.20 |
$137.20 |
$60.00
|
|
C-peptide
|
$237.30 |
$237.30 |
$237.30 |
$93.60
|
|
Craniofacial approach skull
|
$85,379.80 |
$85,379.80 |
$85,379.80 |
$3,241.94
|
|
Crbrospnl fld flw imag cistern
|
$3,752.00 |
$3,752.00 |
$3,752.00 |
$1,281.00
|
|
C-reactive protein
|
$191.80 |
$191.80 |
$191.80 |
$68.38
|
|
C-reactive protein high sensitivity
|
$198.10 |
$198.10 |
$198.10 |
$85.00
|
|
C-reactive protein, quantitative
|
$254.10 |
$254.10 |
$254.10 |
$62.50
|
|
Create eardrum opening
|
$10,652.35 |
$10,652.35 |
$10,652.35 |
$3,062.80
|
|
Create tear sac drain
|
$20,070.24 |
$20,070.24 |
$20,070.24 |
$4,173.97
|
|
Creatine kinase
|
$194.60 |
$194.60 |
$194.60 |
$65.60
|
|
Creatine kinase isoenzymes
|
$257.60 |
$257.60 |
$257.60 |
$54.60
|
|
Creatine kinase mb
|
$257.60 |
$257.60 |
$257.60 |
$113.63
|
|
Creatine - sendout
|
$287.70 |
$287.70 |
$287.70 |
$39.29
|
|
Creatinine
|
$116.20 |
$116.20 |
$116.20 |
$45.65
|
|
Creatinine 24 hour urine
|
$69.30 |
$69.30 |
$69.30 |
$57.60
|
|
Creatinine clearance urine
|
$250.60 |
$250.60 |
$250.60 |
$89.28
|
|
#creutz-prot.,western blot
|
$859.60 |
$859.60 |
$859.60 |
$163.50
|
|
Crisis psychotherapy 90839
|
$679.00 |
$679.00 |
$679.00 |
$313.30
|
|
Critical care 30-74 minutes
|
$3,147.90 |
$3,147.90 |
$3,147.90 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$654.50 |
$654.50 |
$654.50 |
$686.86
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$15,359.05 |
$15,359.05 |
$15,359.05 |
$4,288.58
|
|
Cryofibrinogen qualitative - sendout
|
$40.60 |
$40.60 |
$40.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$338.80 |
$338.80 |
$338.80 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$73.50 |
$73.50 |
$73.50 |
$89.70
|
|
Crystal identification light microscopy
|
$170.80 |
$170.80 |
$170.80 |
$65.50
|
|
Csf leakage imaging
|
$4,918.90 |
$4,918.90 |
$4,918.90 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$192,528.00 |
$192,528.00 |
$192,528.00 |
$535.00
|
|
Cstb gene full gene sequence
|
$634.20 |
$634.20 |
$634.20 |
$302.31
|
|
CT 3d report other modality w/workstation
|
$791.00 |
$791.00 |
$791.00 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$4,312.70 |
$4,312.70 |
$4,312.70 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,889.90 |
$3,889.90 |
$3,889.90 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,359.30 |
$3,359.30 |
$3,359.30 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,420.10 |
$5,420.10 |
$5,420.10 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,502.80 |
$3,502.80 |
$3,502.80 |
$1,912.50
|
|
CT Angiogram of the Head
|
$3,656.10 |
$3,656.10 |
$3,656.10 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$3,641.40 |
$3,641.40 |
$3,641.40 |
$1,424.40
|
|
CT angio pelvis
|
$3,382.40 |
$3,382.40 |
$3,382.40 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$3,026.10 |
$3,026.10 |
$3,026.10 |
$1,681.50
|
|
CT cerebral perf w cont & prcssng
|
$2,937.20 |
$2,937.20 |
$2,937.20 |
$1,040.00
|
|
CT guidance for needle placement
|
$2,842.00 |
$2,842.00 |
$2,842.00 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,484.70 |
$1,484.70 |
$1,484.70 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$7,770.70 |
$7,770.70 |
$7,770.70 |
$1,643.20
|
|
CT guid parench tis ablat
|
$2,307.90 |
$2,307.90 |
$2,307.90 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$539.70 |
$539.70 |
$539.70 |
$156.00
|
|
CT hrt w/3d image
|
$3,439.10 |
$3,439.10 |
$3,439.10 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$1,053.50 |
$1,053.50 |
$1,053.50 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$2,975.70 |
$2,975.70 |
$2,975.70 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$2,622.90 |
$2,622.90 |
$2,622.90 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$3,378.90 |
$3,378.90 |
$3,378.90 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$3,250.80 |
$3,250.80 |
$3,250.80 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$2,566.20 |
$2,566.20 |
$2,566.20 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$3,704.40 |
$3,704.40 |
$3,704.40 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,813.60 |
$3,813.60 |
$3,813.60 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$3,572.10 |
$3,572.10 |
$3,572.10 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$3,287.90 |
$3,287.90 |
$3,287.90 |
$1,345.05
|
|
Ctrl nosebld postir subsq 30906
|
$573.30 |
$573.30 |
$573.30 |
$444.50
|
|
CT scan for localization
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$1,205.14
|
|
CT scan for therapy guide
|
$1,496.60 |
$1,496.60 |
$1,496.60 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$7,105.70 |
$7,105.70 |
$7,105.70 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$6,049.40 |
$6,049.40 |
$6,049.40 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,802.00 |
$4,802.00 |
$4,802.00 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$2,947.00 |
$2,947.00 |
$2,947.00 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$2,811.90 |
$2,811.90 |
$2,811.90 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$781.20 |
$781.20 |
$781.20 |
$332.00
|
|
CT t-spine w /wo contrast
|
$3,208.80 |
$3,208.80 |
$3,208.80 |
$1,968.47
|
|
CT upper extremity w/contrast (both sides)
|
$2,812.60 |
$2,812.60 |
$2,812.60 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$2,563.40 |
$2,563.40 |
$2,563.40 |
$1,404.36
|
|
CT uppr extremity w/o&w/dye
|
$3,768.10 |
$3,768.10 |
$3,768.10 |
$1,845.36
|
|
Cultr oocyte/embryo <4 days
|
$441.00 |
$441.00 |
$441.00 |
$441.00
|
|
Culture aerobic additional method definitive id each
|
$128.10 |
$128.10 |
$128.10 |
$71.40
|
|
Culture afb any source
|
$323.40 |
$323.40 |
$323.40 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$186.90 |
$186.90 |
$186.90 |
$84.76
|
|
Culture anaerobic except blood
|
$356.30 |
$356.30 |
$356.30 |
$120.54
|
|
Culture bact stool aero addl path ea
|
$154.00 |
$154.00 |
$154.00 |
$52.50
|
|
Culture body fluid
|
$380.10 |
$380.10 |
$380.10 |
$126.00
|