|
Coombs indirect titer reference
|
$213.60 |
$213.60 |
$213.60 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$1,307.40 |
$1,307.40 |
$1,307.40 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$17,650.20 |
$17,650.20 |
$17,650.20 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$16,723.80 |
$16,723.80 |
$16,723.80 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$16,723.80 |
$16,723.80 |
$16,723.80 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$11,555.40 |
$11,555.40 |
$11,555.40 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,098.40 |
$9,098.40 |
$9,098.40 |
$7,914.00
|
|
Cortisol total am
|
$190.20 |
$190.20 |
$190.20 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$392.40 |
$392.40 |
$392.40 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$169.20 |
$169.20 |
$169.20 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$42.00 |
$42.00 |
$42.00 |
$55.90
|
|
Counseling visit to discuss need for ldct g0296
|
$54.00 |
$54.00 |
$54.00 |
$98.14
|
|
Coveredge 32 lead kit 40cm 48
|
$5,911.16 |
$5,911.16 |
$5,911.16 |
$3,908.16
|
|
Covid-19 administration immunization im inj 1st/only component
|
$50.40 |
$50.40 |
$50.40 |
$49.13
|
|
Covid-19 lab test non-cdc
|
$93.00 |
$93.00 |
$93.00 |
$80.50
|
|
#covid19rsv-rsv
|
$126.00 |
$126.00 |
$126.00 |
$145.60
|
|
C-peptide
|
$195.60 |
$195.60 |
$195.60 |
$97.30
|
|
C-reactive protein
|
$102.60 |
$102.60 |
$102.60 |
$68.38
|
|
C-reactive protein high sensitivity
|
$108.60 |
$108.60 |
$108.60 |
$85.00
|
|
Creatine kinase
|
$91.20 |
$91.20 |
$91.20 |
$66.30
|
|
Creatine kinase isoenzymes
|
$36.00 |
$36.00 |
$36.00 |
$56.80
|
|
Creatine kinase mb
|
$183.00 |
$183.00 |
$183.00 |
$114.00
|
|
Creatine - sendout
|
$12.00 |
$12.00 |
$12.00 |
$39.00
|
|
Creatinine
|
$88.20 |
$88.20 |
$88.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$253.20 |
$253.20 |
$253.20 |
$58.85
|
|
Creatinine clearance urine
|
$186.00 |
$186.00 |
$186.00 |
$89.50
|
|
Critical care 30-74 minutes
|
$280.20 |
$280.20 |
$280.20 |
$2,505.60
|
|
Crotalidae poly immune fab
|
$10,873.20 |
$10,873.20 |
$10,873.20 |
$5,590.35
|
|
Cryoprecipitate each unit
|
$45.60 |
$45.60 |
$45.60 |
$144.78
|
|
Crystal identification light microscopy
|
$115.20 |
$115.20 |
$115.20 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$468.60 |
$468.60 |
$468.60 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,276.40 |
$2,276.40 |
$2,276.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,276.40 |
$2,276.40 |
$2,276.40 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,552.20 |
$4,552.20 |
$4,552.20 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,276.40 |
$2,276.40 |
$2,276.40 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,247.00 |
$5,247.00 |
$5,247.00 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,918.40 |
$2,918.40 |
$2,918.40 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,276.40 |
$2,276.40 |
$2,276.40 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,644.60 |
$1,644.60 |
$1,644.60 |
$1,500.38
|
|
CT angio pelvis
|
$2,971.80 |
$2,971.80 |
$2,971.80 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$4,552.20 |
$4,552.20 |
$4,552.20 |
$1,698.00
|
|
CT guidance for needle placement
|
$1,494.00 |
$1,494.00 |
$1,494.00 |
$1,494.00
|
|
CT guid parench tis ablat
|
$1,494.00 |
$1,494.00 |
$1,494.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$1,644.60 |
$1,644.60 |
$1,644.60 |
$171.60
|
|
CT lower extremity w/contrast (both sides)
|
$3,999.00 |
$3,999.00 |
$3,999.00 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$3,171.60 |
$3,171.60 |
$3,171.60 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$4,552.20 |
$4,552.20 |
$4,552.20 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,999.80 |
$1,999.80 |
$1,999.80 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,276.40 |
$2,276.40 |
$2,276.40 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,276.40 |
$2,276.40 |
$2,276.40 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,999.80 |
$1,999.80 |
$1,999.80 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,362.20 |
$5,362.20 |
$5,362.20 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,600.80 |
$4,600.80 |
$4,600.80 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,504.00 |
$3,504.00 |
$3,504.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,464.20 |
$2,464.20 |
$2,464.20 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,177.40 |
$2,177.40 |
$2,177.40 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$1,919.40 |
$1,919.40 |
$1,919.40 |
$331.50
|
|
CT t-spine w /wo contrast
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,999.80 |
$1,999.80 |
$1,999.80 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$2,276.40 |
$2,276.40 |
$2,276.40 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$110.40 |
$110.40 |
$110.40 |
$68.64
|
|
Culture afb any source
|
$169.20 |
$169.20 |
$169.20 |
$109.20
|
|
Culture anaerobic except blood
|
$186.00 |
$186.00 |
$186.00 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$30.60 |
$30.60 |
$30.60 |
$51.45
|
|
Culture body fluid
|
$169.20 |
$169.20 |
$169.20 |
$126.75
|
|
Culture fungi skin/hair/nail
|
$25.20 |
$25.20 |
$25.20 |
$74.88
|
|
Culture mycoplasma any source
|
$27.60 |
$27.60 |
$27.60 |
$85.26
|
|
Culture screening strep group a
|
$14.40 |
$14.40 |
$14.40 |
$81.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$25.80 |
$25.80 |
$25.80 |
$392.50
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$37.80 |
$37.80 |
$37.80 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$135.00 |
$135.00 |
$135.00 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$2,944.80 |
$2,944.80 |
$2,944.80 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$8.40 |
$8.40 |
$8.40 |
$19.49
|
|
Cyclosporine 2 hour
|
$196.20 |
$196.20 |
$196.20 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$4.80 |
$4.80 |
$4.80 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$15.60 |
$15.60 |
$15.60 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$17,211.35 |
$17,211.35 |
$17,211.35 |
$22,803.38
|
|
Cystatin c
|
$139.80 |
$139.80 |
$139.80 |
$77.50
|
|
Cystine urine quantitative
|
$443.40 |
$443.40 |
$443.40 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$280.80 |
$280.80 |
$280.80 |
$542.10
|
|
Cystoscopy (Bladder Scope)
|
$293.40 |
$293.40 |
$293.40 |
$1,493.80
|
|
Cystoscopy removal of clots
|
$376.20 |
$376.20 |
$376.20 |
$4,081.37
|
|
Cystoscopy & ureter catheter
|
$406.20 |
$406.20 |
$406.20 |
$3,786.00
|
|
Cytarabine 20 mg/ml injection solution
|
$70.20 |
$70.20 |
$70.20 |
$89.94
|
|
Cytomegalovirus (cmv) antibody igg
|
$87.00 |
$87.00 |
$87.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$108.00 |
$108.00 |
$108.00 |
$97.50
|
|
Cytopathology cellular enhancement technique non-gyn
|
$116.40 |
$116.40 |
$116.40 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$39.00 |
$39.00 |
$39.00 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$118.20 |
$118.20 |
$118.20 |
$87.50
|
|
Dacarbazine 100 mg intravenous solution
|
$55.80 |
$55.80 |
$55.80 |
$58.22
|
|
Dalbavancin 500 mg intravenous solution
|
$5,117.40 |
$5,117.40 |
$5,117.40 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$116.40 |
$116.40 |
$116.40 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$26,504.40 |
$26,504.40 |
$26,504.40 |
$21,063.03
|
|
Dch glucoscan
|
$30.00 |
$30.00 |
$30.00 |
$28.10
|
|
Dch pulmonary stress test
|
$424.80 |
$424.80 |
$424.80 |
$963.30
|
|
Dch validity tests
|
$36.00 |
$36.00 |
$36.00 |
$24.50
|