|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$19,862.40 |
$19,862.40 |
$19,862.40 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$18,138.60 |
$18,138.60 |
$18,138.60 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$19,957.80 |
$19,957.80 |
$19,957.80 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$12,093.00 |
$12,093.00 |
$12,093.00 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,368.60 |
$10,368.60 |
$10,368.60 |
$9,198.18
|
|
Coronary thrombolysis/iv infusion 92977
|
$630.60 |
$630.60 |
$630.60 |
$537.60
|
|
Cortisol acth stimulation test - sendout
|
$505.20 |
$505.20 |
$505.20 |
$143.40
|
|
Cortisol total am
|
$316.20 |
$316.20 |
$316.20 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$121.34 |
$121.34 |
$255.58 |
$218.95
|
|
Counseling smoke cess interm >10mins
|
$121.20 |
$121.20 |
$121.20 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$85.80 |
$85.80 |
$85.80 |
$64.50
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,144.80 |
$1,144.80 |
$1,144.80 |
$831.60
|
|
#covid19rsv-rsv
|
$207.60 |
$207.60 |
$207.60 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$49.20 |
$49.20 |
$49.20 |
$65.36
|
|
C-peptide
|
$303.60 |
$303.60 |
$303.60 |
$111.20
|
|
Crbrospnl fld flw imag cistern
|
$1,726.80 |
$1,726.80 |
$1,726.80 |
$1,170.64
|
|
C-reactive protein
|
$190.80 |
$190.80 |
$190.80 |
$54.43
|
|
C-reactive protein high sensitivity
|
$217.80 |
$217.80 |
$217.80 |
$91.65
|
|
C-reactive protein, quantitative
|
$148.20 |
$148.20 |
$148.20 |
$77.50
|
|
Creatine kinase
|
$130.80 |
$130.80 |
$130.80 |
$55.00
|
|
Creatine kinase isoenzymes
|
$288.60 |
$288.60 |
$288.60 |
$66.00
|
|
Creatine kinase mb
|
$226.20 |
$226.20 |
$226.20 |
$100.75
|
|
Creatine - sendout
|
$129.00 |
$129.00 |
$129.00 |
$35.10
|
|
Creatinine
|
$88.80 |
$88.80 |
$88.80 |
$40.00
|
|
Creatinine 24 hour urine
|
$119.40 |
$119.40 |
$119.40 |
$54.40
|
|
Creatinine clearance urine
|
$75.60 |
$75.60 |
$75.60 |
$73.86
|
|
#creutz-prot.,western blot
|
$493.20 |
$493.20 |
$493.20 |
$178.10
|
|
Critical care 30-74 minutes
|
$3,762.00 |
$3,762.00 |
$3,762.00 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$621.60 |
$621.60 |
$621.60 |
$663.00
|
|
Crotalidae poly immune fab
|
$3,138.28 |
$3,138.28 |
$3,138.28 |
$3,996.74
|
|
Cryofibrinogen qualitative - sendout
|
$33.00 |
$33.00 |
$33.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$198.60 |
$198.60 |
$198.60 |
$182.25
|
|
Cryptosporidium antigen
|
$121.20 |
$121.20 |
$121.20 |
$65.55
|
|
Crystal identification light microscopy
|
$156.60 |
$156.60 |
$156.60 |
$56.44
|
|
Csf leakage imaging
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$1,426.73
|
|
CT 3d report other modality w/workstation
|
$559.20 |
$559.20 |
$559.20 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$542.40 |
$542.40 |
$542.40 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$542.40 |
$542.40 |
$542.40 |
$1,728.80
|
|
CT Angiogram of the Head
|
$542.40 |
$542.40 |
$1,206.00 |
$1,951.50
|
|
CT angio hrt w/3d image
|
$542.40 |
$542.40 |
$542.40 |
$1,618.00
|
|
CT angio pelvis
|
$542.40 |
$542.40 |
$542.40 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$542.40 |
$542.40 |
$542.40 |
$1,650.60
|
|
CT bone density axial
|
$252.60 |
$252.60 |
$252.60 |
$321.75
|
|
CT colonography dx
|
$797.40 |
$797.40 |
$797.40 |
$770.90
|
|
CT colonography dx w/dye
|
$797.40 |
$797.40 |
$797.40 |
$1,009.98
|
|
CT colonography screening
|
$797.40 |
$797.40 |
$797.40 |
$1,233.01
|
|
CT guidance for needle placement
|
$542.40 |
$542.40 |
$542.40 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$617.40 |
$617.40 |
$617.40 |
$1,007.29
|
|
CT guid parench tis ablat
|
$542.40 |
$542.40 |
$542.40 |
$1,228.50
|
|
CT heart w/evaluation of calcium without contrast
|
$231.60 |
$231.60 |
$231.60 |
$176.89
|
|
CT hrt c+ strux cgen hrt ds
|
$542.40 |
$542.40 |
$542.40 |
$1,217.45
|
|
CT hrt w/3d image
|
$542.40 |
$542.40 |
$542.40 |
$1,513.20
|
|
CT limited or localized follow-up study
|
$271.20 |
$271.20 |
$271.20 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,250.00
|
|
CT scan for therapy guide
|
$542.40 |
$542.40 |
$542.40 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$542.40 |
$542.40 |
$542.40 |
$418.50
|
|
CT t-spine w /wo contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$100.80 |
$100.80 |
$100.80 |
$61.03
|
|
Culture afb any source
|
$325.20 |
$325.20 |
$325.20 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$131.40 |
$131.40 |
$131.40 |
$73.00
|
|
Culture anaerobic except blood
|
$305.40 |
$305.40 |
$305.40 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$148.20 |
$148.20 |
$148.20 |
$49.40
|
|
Culture body fluid
|
$244.80 |
$244.80 |
$244.80 |
$111.15
|
|
Culture fungi definitive id mold
|
$129.60 |
$129.60 |
$169.20 |
$70.00
|
|
Culture fungi definitive id yeast
|
$129.60 |
$129.60 |
$129.60 |
$68.00
|
|
Culture fungi other (except blood)
|
$243.00 |
$243.00 |
$243.00 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$150.00 |
$150.00 |
$150.00 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$117.00 |
$117.00 |
$117.00 |
$79.00
|
|
Culture mycoplasma any source
|
$332.40 |
$332.40 |
$332.40 |
$94.00
|
|
Culture quantitative aerobic other source
|
$231.00 |
$231.00 |
$231.00 |
$63.45
|
|
Culture screening strep group a
|
$169.80 |
$169.80 |
$169.80 |
$76.00
|
|
Culture typing immunologic
|
$76.80 |
$76.80 |
$76.80 |
$38.58
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$392.40 |
$392.40 |
$392.40 |
$392.40
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$63.00 |
$63.00 |
$63.00 |
$100.20
|
|
Culture urine each isolate
|
$117.60 |
$117.60 |
$117.60 |
$44.80
|
|
Cv line/pic reposition
|
$1,801.20 |
$1,801.20 |
$1,801.20 |
$1,681.20
|
|
Cyanocobalamin unsat binding capacity
|
$145.20 |
$145.20 |
$145.20 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$42.47 |
$42.47 |
$42.47 |
$17.58
|
|
Cyclic citrullinated peptide antibody
|
$220.20 |
$220.20 |
$220.20 |
$91.20
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1.27 |
$1.27 |
$1.27 |
$2.42
|