|
Core ndl bx lng/med perq
|
$987.00 |
$987.00 |
$987.00 |
$2,678.00
|
|
Cortisol total am
|
$274.80 |
$274.80 |
$274.80 |
$120.63
|
|
Counseling smoke cess interm >10mins
|
$84.60 |
$84.60 |
$84.60 |
$55.90
|
|
#covid19rsv-rsv
|
$198.60 |
$198.60 |
$198.60 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$130.80 |
$130.80 |
$130.80 |
$60.00
|
|
C-peptide
|
$91.20 |
$91.20 |
$91.20 |
$97.30
|
|
C-reactive protein
|
$97.80 |
$97.80 |
$97.80 |
$68.38
|
|
C-reactive protein high sensitivity
|
$331.20 |
$331.20 |
$331.20 |
$85.00
|
|
C-reactive protein, quantitative
|
$182.40 |
$182.40 |
$182.40 |
$71.06
|
|
Creatine kinase
|
$111.60 |
$111.60 |
$111.60 |
$66.30
|
|
Creatine kinase isoenzymes
|
$46.80 |
$46.80 |
$46.80 |
$56.80
|
|
Creatine kinase mb
|
$187.20 |
$187.20 |
$187.20 |
$114.00
|
|
Creatinine
|
$125.40 |
$125.40 |
$125.40 |
$44.72
|
|
Creatinine 24 hour urine
|
$43.80 |
$43.80 |
$43.80 |
$58.85
|
|
Creatinine clearance urine
|
$214.80 |
$214.80 |
$214.80 |
$89.50
|
|
#creutz-prot.,western blot
|
$800.40 |
$800.40 |
$800.40 |
$166.20
|
|
Critical care 30-74 minutes
|
$2,350.20 |
$2,350.20 |
$2,350.20 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$571.20 |
$571.20 |
$571.20 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$225.60 |
$225.60 |
$225.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$139.20 |
$139.20 |
$139.20 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$256.80 |
$256.80 |
$256.80 |
$89.70
|
|
Crystal identification light microscopy
|
$132.00 |
$132.00 |
$132.00 |
$62.50
|
|
Csf leakage imaging
|
$2,916.60 |
$2,916.60 |
$2,916.60 |
$1,544.85
|
|
Csf shunt reprogram 62252
|
$358.20 |
$358.20 |
$358.20 |
$524.81
|
|
CT 3d report other modality w/workstation
|
$1,613.40 |
$1,613.40 |
$1,613.40 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,222.60 |
$3,222.60 |
$3,222.60 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,863.20 |
$2,863.20 |
$2,863.20 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,933.00 |
$3,933.00 |
$3,933.00 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$3,287.40 |
$3,287.40 |
$3,287.40 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,326.60 |
$4,326.60 |
$4,326.60 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,796.60 |
$2,796.60 |
$2,796.60 |
$1,940.00
|
|
CT Angiogram of the Head
|
$3,283.80 |
$3,283.80 |
$3,283.80 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$3,765.00 |
$3,765.00 |
$3,765.00 |
$1,500.38
|
|
CT angio pelvis
|
$2,651.40 |
$2,651.40 |
$2,651.40 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$4,648.20 |
$4,648.20 |
$4,648.20 |
$1,698.00
|
|
CT guidance for needle placement
|
$2,943.60 |
$2,943.60 |
$2,943.60 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,478.40 |
$1,478.40 |
$1,478.40 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$117.00 |
$117.00 |
$117.00 |
$171.60
|
|
CT limited or localized follow-up study
|
$988.20 |
$988.20 |
$988.20 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$3,645.00 |
$3,645.00 |
$3,645.00 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$3,130.80 |
$3,130.80 |
$3,130.80 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$3,721.20 |
$3,721.20 |
$3,721.20 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,594.40 |
$2,594.40 |
$2,594.40 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$2,038.20 |
$2,038.20 |
$2,038.20 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,908.20 |
$2,908.20 |
$2,908.20 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,613.00 |
$2,613.00 |
$2,613.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$297.00 |
$297.00 |
$297.00 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,998.20 |
$5,998.20 |
$5,998.20 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,983.00 |
$4,983.00 |
$4,983.00 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,202.40 |
$4,202.40 |
$4,202.40 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,701.80 |
$2,701.80 |
$2,701.80 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,283.00 |
$2,283.00 |
$2,283.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$176.40 |
$176.40 |
$176.40 |
$331.50
|
|
CT t-spine w /wo contrast
|
$2,973.60 |
$2,973.60 |
$2,973.60 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$4,141.20 |
$4,141.20 |
$4,141.20 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$3,004.20 |
$3,004.20 |
$3,004.20 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$4,890.00 |
$4,890.00 |
$4,890.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$63.00 |
$63.00 |
$63.00 |
$68.64
|
|
Culture afb any source
|
$262.80 |
$262.80 |
$262.80 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$174.00 |
$174.00 |
$174.00 |
$79.00
|
|
Culture anaerobic except blood
|
$169.20 |
$169.20 |
$169.20 |
$120.00
|
|
Culture bacteria anaerobic
|
$362.40 |
$362.40 |
$362.40 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$100.20 |
$100.20 |
$100.20 |
$51.45
|
|
Culture body fluid
|
$201.60 |
$201.60 |
$201.60 |
$126.75
|
|
Culture fungi definitive id mold
|
$507.00 |
$507.00 |
$507.00 |
$77.28
|
|
Culture fungi definitive id yeast
|
$98.40 |
$98.40 |
$98.40 |
$79.10
|
|
Culture fungi other (except blood)
|
$41.40 |
$41.40 |
$41.40 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$105.60 |
$105.60 |
$105.60 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$253.20 |
$253.20 |
$253.20 |
$89.70
|
|
Culture quantitative aerobic other source
|
$771.00 |
$771.00 |
$771.00 |
$90.35
|
|
Culture screening strep group a
|
$115.80 |
$115.80 |
$115.80 |
$81.00
|
|
Culture type pulse field gel
|
$337.20 |
$337.20 |
$337.20 |
$38.58
|
|
Culture typing immunologic
|
$73.20 |
$73.20 |
$73.20 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$619.80 |
$619.80 |
$619.80 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$447.60 |
$447.60 |
$447.60 |
$133.90
|
|
Culture urine each isolate
|
$120.00 |
$120.00 |
$120.00 |
$57.00
|
|
Cyclic citrullinated peptide antibody
|
$222.00 |
$222.00 |
$222.00 |
$70.72
|
|
Cyclosporine 2 hour
|
$102.00 |
$102.00 |
$102.00 |
$129.48
|
|
Cyp2c19 gene com variants
|
$1,747.80 |
$1,747.80 |
$1,747.80 |
$504.00
|
|
Cyp2d6 gene com variants
|
$2,420.40 |
$2,420.40 |
$2,420.40 |
$554.00
|
|
Cystatin c
|
$96.60 |
$96.60 |
$96.60 |
$77.50
|
|
Cystic fibrosis cftr
|
$3,022.20 |
$3,022.20 |
$3,022.20 |
$1,100.00
|
|
Cystine urine quantitative
|
$421.20 |
$421.20 |
$421.20 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$500.40 |
$500.40 |
$500.40 |
$542.10
|
|
Cytogenetics 25-99
|
$532.80 |
$532.80 |
$532.80 |
$190.00
|
|
Cytogenetics 3-5
|
$208.20 |
$208.20 |
$208.20 |
$170.27
|
|
Cytogenomic neo microra alys
|
$5,195.40 |
$5,195.40 |
$5,195.40 |
$2,020.20
|
|
Cytogenom microarray copy nmbr var
|
$5,413.20 |
$5,413.20 |
$5,413.20 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$186.60 |
$186.60 |
$186.60 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$234.60 |
$234.60 |
$234.60 |
$97.50
|
|
Cyto/molecular report
|
$156.60 |
$156.60 |
$156.60 |
$133.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$165.00 |
$165.00 |
$165.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$105.00 |
$105.00 |
$105.00 |
$91.84
|
|
Cytopathology concentration technique smears & interpretation
|
$30.60 |
$30.60 |
$30.60 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$155.40 |
$155.40 |
$155.40 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$88.80 |
$88.80 |
$88.80 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$108.00 |
$108.00 |
$108.00 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$581.40 |
$581.40 |
$581.40 |
$209.23
|