|
Control of nosebleedantersmpl 30901
|
$243.20 |
$243.20 |
$243.20 |
$336.00
|
|
Coombs direct
|
$35.20 |
$35.20 |
$35.20 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$98.40 |
$98.40 |
$98.40 |
$76.70
|
|
Coronary thrombolysis/iv infusion 92977
|
$369.20 |
$369.20 |
$369.20 |
$537.60
|
|
Cortisol total am
|
$46.40 |
$46.40 |
$46.40 |
$117.81
|
|
Co-treatment - group 15 mins, st
|
$60.00 |
$60.00 |
$60.00 |
$108.81
|
|
#covid19rsv-rsv
|
$75.60 |
$75.60 |
$75.60 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$36.80 |
$36.80 |
$36.80 |
$65.36
|
|
C-peptide
|
$139.60 |
$139.60 |
$139.60 |
$111.20
|
|
C-reactive protein
|
$54.40 |
$54.40 |
$54.40 |
$54.43
|
|
C-reactive protein high sensitivity
|
$86.00 |
$86.00 |
$86.00 |
$91.65
|
|
C-reactive protein, quantitative
|
$88.40 |
$88.40 |
$88.40 |
$77.50
|
|
Creatine kinase
|
$58.00 |
$58.00 |
$58.00 |
$55.00
|
|
Creatine kinase isoenzymes
|
$44.40 |
$44.40 |
$44.40 |
$66.00
|
|
Creatine kinase mb
|
$102.40 |
$102.40 |
$102.40 |
$100.75
|
|
Creatinine
|
$47.60 |
$47.60 |
$47.60 |
$40.00
|
|
Creatinine 24 hour urine
|
$58.00 |
$58.00 |
$58.00 |
$54.40
|
|
Creatinine clearance urine
|
$113.60 |
$113.60 |
$113.60 |
$73.86
|
|
Crisis psychotherapy 90839
|
$220.00 |
$220.00 |
$220.00 |
$326.34
|
|
Crisis psychotherapy additional 30 mins 90840
|
$49.20 |
$49.20 |
$49.20 |
$156.80
|
|
Critical care 30-74 minutes
|
$635.20 |
$635.20 |
$635.20 |
$2,540.23
|
|
Cryofibrinogen qualitative - sendout
|
$31.20 |
$31.20 |
$31.20 |
$52.50
|
|
Crystal identification light microscopy
|
$64.40 |
$64.40 |
$64.40 |
$56.44
|
|
Cta abdomen without & /or w/contrast
|
$812.40 |
$812.40 |
$812.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$836.40 |
$836.40 |
$836.40 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$916.40 |
$916.40 |
$916.40 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$906.00 |
$906.00 |
$906.00 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,528.00 |
$2,528.00 |
$2,528.00 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$898.40 |
$898.40 |
$898.40 |
$1,728.80
|
|
CT Angiogram of the Head
|
$959.20 |
$959.20 |
$959.20 |
$1,951.50
|
|
CT angio pelvis
|
$677.20 |
$677.20 |
$677.20 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$944.80 |
$944.80 |
$944.80 |
$1,650.60
|
|
CT limited or localized follow-up study
|
$556.00 |
$556.00 |
$556.00 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,018.00 |
$1,018.00 |
$1,018.00 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$894.40 |
$894.40 |
$894.40 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$1,136.80 |
$1,136.80 |
$1,136.80 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$773.60 |
$773.60 |
$773.60 |
$1,151.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,001.60 |
$1,001.60 |
$1,001.60 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$887.20 |
$887.20 |
$887.20 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$941.60 |
$941.60 |
$941.60 |
$1,250.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,579.20 |
$2,579.20 |
$2,579.20 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,354.00 |
$2,354.00 |
$2,354.00 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,987.60 |
$1,987.60 |
$1,987.60 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$1,261.60 |
$1,261.60 |
$1,261.60 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$562.00 |
$562.00 |
$562.00 |
$418.50
|
|
CT upper extremity w/contrast (both sides)
|
$1,038.40 |
$1,038.40 |
$1,038.40 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$809.20 |
$809.20 |
$809.20 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$1,087.60 |
$1,087.60 |
$1,087.60 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$58.00 |
$58.00 |
$58.00 |
$61.03
|
|
Culture afb any source
|
$123.60 |
$123.60 |
$123.60 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$22.80 |
$22.80 |
$22.80 |
$73.00
|
|
Culture anaerobic except blood
|
$98.00 |
$98.00 |
$98.00 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$26.00 |
$26.00 |
$26.00 |
$49.40
|
|
Culture body fluid
|
$154.40 |
$154.40 |
$154.40 |
$111.15
|
|
Culture fungi definitive id mold
|
$56.00 |
$56.00 |
$56.00 |
$70.00
|
|
Culture fungi definitive id yeast
|
$113.20 |
$113.20 |
$113.20 |
$68.00
|
|
Culture fungi other (except blood)
|
$82.00 |
$82.00 |
$82.00 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$123.60 |
$123.60 |
$123.60 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$80.40 |
$80.40 |
$80.40 |
$79.00
|
|
Culture screening strep group a
|
$86.80 |
$86.80 |
$86.80 |
$76.00
|
|
Culture typing immunologic
|
$20.40 |
$20.40 |
$20.40 |
$38.58
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$147.60 |
$147.60 |
$147.60 |
$100.20
|
|
Culture urine each isolate
|
$53.60 |
$53.60 |
$53.60 |
$44.80
|
|
Cyanocobalamin unsat binding capacity
|
$64.40 |
$64.40 |
$64.40 |
$64.28
|
|
Cyclic citrullinated peptide antibody
|
$95.60 |
$95.60 |
$95.60 |
$91.20
|
|
Cyclosporine 2 hour
|
$40.00 |
$40.00 |
$40.00 |
$126.10
|
|
Cystatin c
|
$38.00 |
$38.00 |
$38.00 |
$83.20
|
|
Cytogenom microarray copy nmbr var
|
$594.00 |
$594.00 |
$594.00 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$64.40 |
$64.40 |
$64.40 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$117.20 |
$117.20 |
$117.20 |
$95.00
|
|
Cyto/molecular report
|
$68.40 |
$68.40 |
$68.40 |
$91.65
|
|
Cytopathology cellular enhancement technique non-gyn
|
$47.20 |
$47.20 |
$47.20 |
$163.43
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$126.00 |
$126.00 |
$126.00 |
$205.00
|
|
Dch validity tests
|
$17.20 |
$17.20 |
$17.20 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$61.60 |
$61.60 |
$61.60 |
$53.95
|
|
Decalcification
|
$30.80 |
$30.80 |
$30.80 |
$72.15
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$223.20 |
$223.20 |
$223.20 |
$460.50
|
|
Destroy cervthor facet jnt 64633
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$2,963.07
|
|
Destroy cth facet jnt addl 64634
|
$812.00 |
$812.00 |
$812.00 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,072.00 |
$1,072.00 |
$1,072.00 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$3,101.88
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$127.60 |
$127.60 |
$127.60 |
$220.43
|
|
Dhea-s (dehydroepiand sulfate)
|
$126.00 |
$126.00 |
$126.00 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$70.40 |
$70.40 |
$70.40 |
$70.00
|
|
Diagnostic digital breast tomosynthesis bil
|
$183.20 |
$183.20 |
$183.20 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$143.60 |
$143.60 |
$143.60 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$228.80 |
$228.80 |
$228.80 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$181.60 |
$181.60 |
$181.60 |
$276.60
|
|
Digoxin total therapeutic drug level
|
$88.80 |
$88.80 |
$88.80 |
$92.95
|
|
Dna antibody native/double stranded
|
$72.80 |
$72.80 |
$72.80 |
$101.40
|
|
Dna gardnerella
|
$43.20 |
$43.20 |
$43.20 |
$67.68
|
|
Dna trichomonas
|
$43.20 |
$43.20 |
$43.20 |
$69.60
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$266.00 |
$266.00 |
$266.00 |
$463.20
|
|
Drain blood from under nail 11740
|
$200.40 |
$200.40 |
$200.40 |
$173.21
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$280.80 |
$280.80 |
$280.80 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$172.80 |
$172.80 |
$172.80 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$539.20 |
$539.20 |
$539.20 |
$515.00
|
|
Drug of abuse screen urine
|
$70.40 |
$70.40 |
$70.40 |
$58.50
|
