|
Coombs indirect qualitative each reagent red cell reference
|
$187.20 |
$187.20 |
$187.20 |
$76.70
|
|
Copper cu 64 dotatate diag
|
$1,645.80 |
$1,645.80 |
$1,645.80 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$9,375.37 |
$9,375.37 |
$9,375.37 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$7,440.55 |
$7,440.55 |
$7,440.55 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$7,440.55 |
$7,440.55 |
$7,440.55 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$7,477.60 |
$7,477.60 |
$7,477.60 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$4,434.30 |
$4,434.30 |
$4,434.30 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,044.95 |
$4,044.95 |
$4,044.95 |
$9,198.18
|
|
Cortisol acth stimulation test - sendout
|
$180.70 |
$180.70 |
$180.70 |
$143.40
|
|
Cortisol total am
|
$135.85 |
$135.85 |
$135.85 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$338.84 |
$338.84 |
$338.84 |
$218.95
|
|
Counseling smoke cess interm >10mins
|
$75.40 |
$75.40 |
$75.40 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$39.00 |
$39.00 |
$39.00 |
$64.50
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$438.75 |
$438.75 |
$438.75 |
$831.60
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$438.75 |
$438.75 |
$438.75 |
$605.80
|
|
#covid19rsv-rsv
|
$215.80 |
$215.80 |
$215.80 |
$140.80
|
|
C-peptide
|
$147.55 |
$147.55 |
$147.55 |
$111.20
|
|
C-reactive protein
|
$100.10 |
$100.10 |
$100.10 |
$54.43
|
|
C-reactive protein high sensitivity
|
$165.75 |
$165.75 |
$165.75 |
$91.65
|
|
Create eardrum opening
|
$7,813.65 |
$7,813.65 |
$7,813.65 |
$2,133.48
|
|
Creatine kinase
|
$74.75 |
$74.75 |
$74.75 |
$55.00
|
|
Creatinine
|
$41.60 |
$41.60 |
$41.60 |
$40.00
|
|
Creatinine 24 hour urine
|
$72.15 |
$72.15 |
$72.15 |
$54.40
|
|
Creatinine clearance urine
|
$98.80 |
$98.80 |
$98.80 |
$73.86
|
|
Critical care 30-74 minutes
|
$2,965.30 |
$2,965.30 |
$2,965.30 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$1,086.15 |
$1,086.15 |
$1,086.15 |
$663.00
|
|
Cryoprecipitate each unit
|
$390.00 |
$390.00 |
$390.00 |
$182.25
|
|
Crystal identification light microscopy
|
$93.60 |
$93.60 |
$93.60 |
$56.44
|
|
Cta abdomen without & /or w/contrast
|
$2,625.35 |
$2,625.35 |
$2,625.35 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,425.80 |
$2,425.80 |
$2,425.80 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,269.15 |
$2,269.15 |
$2,269.15 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$2,562.30 |
$2,562.30 |
$2,562.30 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,625.35 |
$2,625.35 |
$2,625.35 |
$1,728.80
|
|
CT Angiogram of the Head
|
$2,899.65 |
$2,899.65 |
$2,899.65 |
$1,951.50
|
|
CT angio hrt w/3d image
|
$2,016.95 |
$2,016.95 |
$2,016.95 |
$1,618.00
|
|
Cta upper extremity w &/or without contrast left
|
$3,716.05 |
$3,716.05 |
$3,716.05 |
$1,650.60
|
|
CT cerebral perf w cont & prcssng
|
$858.00 |
$858.00 |
$858.00 |
$911.95
|
|
CT guidance for needle placement
|
$1,835.60 |
$1,835.60 |
$1,835.60 |
$1,425.85
|
|
CT heart w/evaluation of calcium without contrast
|
$65.00 |
$65.00 |
$65.00 |
$176.89
|
|
CT hrt c+ strux cgen hrt ds
|
$1,344.85 |
$1,344.85 |
$1,344.85 |
$1,217.45
|
|
CT hrt w/3d image
|
$2,689.05 |
$2,689.05 |
$2,689.05 |
$1,513.20
|
|
CT lower extremity w/contrast (both sides)
|
$1,896.05 |
$1,896.05 |
$1,896.05 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,981.85 |
$1,981.85 |
$1,981.85 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$1,892.15 |
$1,892.15 |
$1,892.15 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$1,947.40 |
$1,947.40 |
$1,947.40 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$1,667.25 |
$1,667.25 |
$1,667.25 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$2,208.05 |
$2,208.05 |
$2,208.05 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,849.90 |
$1,849.90 |
$1,849.90 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,639.95 |
$1,639.95 |
$1,639.95 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,052.05 |
$2,052.05 |
$2,052.05 |
$1,250.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,472.30 |
$3,472.30 |
$3,472.30 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,012.10 |
$3,012.10 |
$3,012.10 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,868.45 |
$2,868.45 |
$2,868.45 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$1,807.65 |
$1,807.65 |
$1,807.65 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$1,436.50 |
$1,436.50 |
$1,436.50 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$356.20 |
$356.20 |
$356.20 |
$418.50
|
|
CT upper extremity w/contrast (both sides)
|
$1,942.85 |
$1,942.85 |
$1,942.85 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$1,551.55 |
$1,551.55 |
$1,551.55 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$1,892.15 |
$1,892.15 |
$1,892.15 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$35.75 |
$35.75 |
$35.75 |
$61.03
|
|
Culture afb any source
|
$57.85 |
$57.85 |
$57.85 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$267.80 |
$267.80 |
$267.80 |
$73.00
|
|
Culture anaerobic except blood
|
$131.30 |
$131.30 |
$131.30 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$53.30 |
$53.30 |
$53.30 |
$49.40
|
|
Culture body fluid
|
$116.35 |
$116.35 |
$116.35 |
$111.15
|
|
Culture fungi definitive id yeast
|
$78.65 |
$78.65 |
$78.65 |
$68.00
|
|
Culture fungi other (except blood)
|
$166.40 |
$166.40 |
$166.40 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$81.90 |
$81.90 |
$81.90 |
$74.75
|
|
Culture screening strep group a
|
$90.35 |
$90.35 |
$90.35 |
$76.00
|
|
Culture typing immunologic
|
$60.45 |
$60.45 |
$60.45 |
$38.58
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$292.50 |
$292.50 |
$292.50 |
$392.40
|
|
Culture urine each isolate
|
$76.70 |
$76.70 |
$76.70 |
$44.80
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$17.58
|
|
Cyclic citrullinated peptide antibody
|
$136.50 |
$136.50 |
$136.50 |
$91.20
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$508.64 |
$508.64 |
$508.64 |
$2.42
|
|
Cyclophosphamide 25 mg capsule
|
$35.75 |
$35.75 |
$35.75 |
$22.51
|
|
Cystatin c
|
$132.60 |
$132.60 |
$132.60 |
$83.20
|
|
Cystogram >= 3 views supervision & interpretation
|
$908.05 |
$908.05 |
$908.05 |
$487.04
|
|
Cystometrogram w/up 51727
|
$963.30 |
$963.30 |
$963.30 |
$857.38
|
|
Cystoscopy and treatment
|
$22,796.42 |
$22,796.42 |
$22,796.42 |
$3,970.98
|
|
Cystoscopy and treatment
|
$23,449.19 |
$23,449.19 |
$23,449.19 |
$4,160.10
|
|
Cystoscopy and treatment
|
$19,486.68 |
$19,486.68 |
$19,486.68 |
$4,846.99
|
|
Cystoscopy and treatment
|
$13,443.93 |
$13,443.93 |
$13,443.93 |
$4,846.99
|
|
Cystoscopy and treatment
|
$12,049.18 |
$12,049.18 |
$12,049.18 |
$2,355.42
|
|
Cystoscopy and treatment
|
$11,613.63 |
$11,613.63 |
$11,613.63 |
$2,331.55
|
|
Cystoscopy and treatment
|
$7,941.07 |
$7,941.07 |
$7,941.07 |
$2,874.36
|
|
Cystoscopy (Bladder Scope)
|
$10,104.83 |
$10,104.83 |
$10,104.83 |
$1,633.60
|
|
Cystoscopy & ureter catheter
|
$11,796.25 |
$11,796.25 |
$11,796.25 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$9,560.28 |
$9,560.28 |
$9,560.28 |
$3,276.00
|
|
Cystouretero & or pyeloscope
|
$11,474.38 |
$11,474.38 |
$11,474.38 |
$4,061.71
|
|
Cystouretero w/biopsy
|
$12,973.52 |
$12,973.52 |
$12,973.52 |
$4,447.24
|
|
Cysto/uretero w/lithotripsy
|
$21,805.73 |
$21,805.73 |
$21,805.73 |
$7,372.68
|
|
Cystouretero w/lithotripsy
|
$32,008.47 |
$32,008.47 |
$32,008.47 |
$7,372.68
|
|
Cystouretero w/stone remove
|
$12,360.37 |
$12,360.37 |
$12,360.37 |
$4,846.99
|
|
Cystourethroscop/calib/dilat stric 52281
|
$9,023.42 |
$9,023.42 |
$9,023.42 |
$2,874.36
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$12,973.52 |
$12,973.52 |
$12,973.52 |
$3,970.98
|
|
Cytomegalovirus (cmv) antibody igg
|
$122.20 |
$122.20 |
$122.20 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$126.10 |
$126.10 |
$126.10 |
$95.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$163.80 |
$163.80 |
$163.80 |
$163.43
|
