|
Contrast x-ray of hip
|
$2,101.09 |
$2,101.09 |
$2,101.09 |
$781.13
|
|
Contrast x-ray of knee joint
|
$2,160.97 |
$2,160.97 |
$2,160.97 |
$777.00
|
|
Contrast x-ray of wrist
|
$2,964.99 |
$2,964.99 |
$2,964.99 |
$655.00
|
|
Controller infinity pt dbs
|
$14,332.19 |
$14,332.19 |
$14,332.19 |
$5,123.14
|
|
Coombs direct
|
$88.55 |
$88.55 |
$88.55 |
$76.44
|
|
Coombs indirect qualitative each reagent red cell reference
|
$467.31 |
$467.31 |
$467.31 |
$102.90
|
|
Coombs indirect titer reference
|
$460.27 |
$460.27 |
$460.27 |
$155.40
|
|
Copper cu 64 dotatate diag
|
$34,957.39 |
$34,957.39 |
$34,957.39 |
$2,293.68
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$195.96 |
$195.96 |
$195.96 |
$8,244.87
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$28,894.21 |
$28,894.21 |
$28,894.21 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$26,373.23 |
$26,373.23 |
$26,373.23 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$27,634.40 |
$27,634.40 |
$27,634.40 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$21,355.99 |
$21,355.99 |
$21,355.99 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$19,180.53 |
$19,180.53 |
$19,180.53 |
$7,950.49
|
|
Cortisol total am
|
$202.73 |
$202.73 |
$202.73 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,106.29 |
$1,106.29 |
$1,106.29 |
$189.02
|
|
Co-treatment - group 15 mins, st
|
$356.11 |
$356.11 |
$356.11 |
$114.00
|
|
Counseling smoke cess interm >10mins
|
$35.03 |
$35.03 |
$35.03 |
$54.12
|
|
Counseling visit to discuss need for ldct g0296
|
$202.38 |
$202.38 |
$202.38 |
$102.38
|
|
Coveredge 32 lead kit 40cm 48
|
$11,643.23 |
$11,643.23 |
$11,643.23 |
$4,395.30
|
|
Cover wrist
|
$96.73 |
$96.73 |
$96.73 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$190.32 |
$190.32 |
$190.32 |
$49.13
|
|
Covid-19 convalescent plasma
|
$1,853.20 |
$1,853.20 |
$1,853.20 |
$590.80
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,473.08 |
$1,473.08 |
$1,473.08 |
$588.08
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$1,473.08 |
$1,473.08 |
$1,473.08 |
$540.00
|
|
#covid19rsv-rsv
|
$425.80 |
$425.80 |
$425.80 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$393.88 |
$393.88 |
$393.88 |
$60.00
|
|
C-peptide
|
$1,302.84 |
$1,302.84 |
$1,302.84 |
$93.60
|
|
Crbrospnl fld flw imag cistern
|
$4,168.22 |
$4,168.22 |
$4,168.22 |
$1,281.00
|
|
C-reactive protein
|
$47.79 |
$47.79 |
$47.79 |
$68.38
|
|
C-reactive protein high sensitivity
|
$176.67 |
$176.67 |
$176.67 |
$85.00
|
|
Creatine kinase
|
$141.01 |
$141.01 |
$141.01 |
$65.60
|
|
Creatine kinase isoenzymes
|
$169.00 |
$169.00 |
$169.00 |
$54.60
|
|
Creatine kinase mb
|
$80.46 |
$80.46 |
$80.46 |
$113.63
|
|
Creatine - sendout
|
$57.15 |
$57.15 |
$57.15 |
$39.29
|
|
Creatinine
|
$62.89 |
$62.89 |
$62.89 |
$45.65
|
|
Creatinine 24 hour urine
|
$65.24 |
$65.24 |
$65.24 |
$57.60
|
|
Creatinine clearance urine
|
$104.93 |
$104.93 |
$104.93 |
$89.28
|
|
#creutz-prot.,western blot
|
$2,952.64 |
$2,952.64 |
$2,952.64 |
$163.50
|
|
Crisis psychotherapy 90839
|
$609.35 |
$609.35 |
$609.35 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$304.62 |
$304.62 |
$304.62 |
$149.52
|
|
Critical care 30-74 minutes
|
$3,805.03 |
$3,805.03 |
$3,805.03 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$323.30 |
$323.30 |
$323.30 |
$686.86
|
|
Crotalidae poly immune fab
|
$31,535.48 |
$31,535.48 |
$31,535.48 |
$5,760.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$6,592.79 |
$6,592.79 |
$6,592.79 |
$2,522.88
|
|
Cryofibrinogen qualitative - sendout
|
$108.35 |
$108.35 |
$108.35 |
$52.50
|
|
Cryoprecipitate each unit
|
$413.31 |
$413.31 |
$413.31 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$180.59 |
$180.59 |
$180.59 |
$89.70
|
|
Cryptosporidium antigen
|
$143.36 |
$143.36 |
$143.36 |
$52.08
|
|
Crystal identification light microscopy
|
$90.89 |
$90.89 |
$90.89 |
$65.50
|
|
Csf leakage imaging
|
$5,067.86 |
$5,067.86 |
$5,067.86 |
$1,564.11
|
|
CT 3d report other modality w/workstation
|
$2,120.65 |
$2,120.65 |
$2,120.65 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$3,411.27 |
$3,411.27 |
$3,411.27 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,695.89 |
$3,695.89 |
$3,695.89 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$6,153.45 |
$6,153.45 |
$6,153.45 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$2,842.00 |
$2,842.00 |
$2,842.00 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,671.28 |
$5,671.28 |
$5,671.28 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,329.48 |
$3,329.48 |
$3,329.48 |
$1,912.50
|
|
CT Angiogram of the Head
|
$3,946.19 |
$3,946.19 |
$3,946.19 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$3,425.07 |
$3,425.07 |
$3,425.07 |
$1,424.40
|
|
CT angio pelvis
|
$3,100.09 |
$3,100.09 |
$3,100.09 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$5,157.25 |
$5,157.25 |
$5,157.25 |
$1,681.50
|
|
CT cerebral perf w cont & prcssng
|
$4,480.73 |
$4,480.73 |
$4,480.73 |
$1,040.00
|
|
CT colonography dx w/dye
|
$1,200.11 |
$1,200.11 |
$1,200.11 |
$1,052.16
|
|
CT colonography screening
|
$1,167.19 |
$1,167.19 |
$1,167.19 |
$1,079.57
|
|
CT guidance for needle placement
|
$2,842.00 |
$2,842.00 |
$2,842.00 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,536.35 |
$1,536.35 |
$1,536.35 |
$1,178.52
|
|
CT guid parench tis ablat
|
$1,632.35 |
$1,632.35 |
$1,632.35 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$131.25 |
$131.25 |
$131.25 |
$156.00
|
|
CT hrt c+ strux cgen hrt ds
|
$3,425.07 |
$3,425.07 |
$3,425.07 |
$1,371.50
|
|
CT hrt w/3d image
|
$3,425.07 |
$3,425.07 |
$3,425.07 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$1,252.15 |
$1,252.15 |
$1,252.15 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$8,708.70 |
$8,708.70 |
$8,708.70 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$8,515.41 |
$8,515.41 |
$8,515.41 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$8,927.48 |
$8,927.48 |
$8,927.48 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$3,133.01 |
$3,133.01 |
$3,133.01 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$3,058.67 |
$3,058.67 |
$3,058.67 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$3,194.61 |
$3,194.61 |
$3,194.61 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,964.15 |
$2,964.15 |
$2,964.15 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,895.12 |
$2,895.12 |
$2,895.12 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,842.00 |
$2,842.00 |
$2,842.00 |
$1,345.05
|
|
CT scan for localization
|
$1,314.80 |
$1,314.80 |
$1,314.80 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$8,935.98 |
$8,935.98 |
$8,935.98 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,455.68 |
$5,455.68 |
$5,455.68 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$5,009.63 |
$5,009.63 |
$5,009.63 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$3,823.33 |
$3,823.33 |
$3,823.33 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$3,358.16 |
$3,358.16 |
$3,358.16 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$577.50 |
$577.50 |
$577.50 |
$332.00
|
|
CT t-spine w /wo contrast
|
$4,290.63 |
$4,290.63 |
$4,290.63 |
$1,968.47
|
|
CT upper extremity w/contrast (both sides)
|
$6,792.79 |
$6,792.79 |
$6,792.79 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$5,684.02 |
$5,684.02 |
$5,684.02 |
$1,404.36
|
|
CT uppr extremity w/o&w/dye
|
$7,880.32 |
$7,880.32 |
$7,880.32 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$380.76 |
$380.76 |
$380.76 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$267.37 |
$267.37 |
$267.37 |
$71.40
|
|
Culture afb any source
|
$136.34 |
$136.34 |
$136.34 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$272.44 |
$272.44 |
$272.44 |
$84.76
|
|
Culture anaerobic except blood
|
$110.68 |
$110.68 |
$110.68 |
$120.54
|
|
Culture bacteria anaerobic
|
$99.08 |
$99.08 |
$99.08 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$115.36 |
$115.36 |
$115.36 |
$52.50
|
|
Culture body fluid
|
$137.50 |
$137.50 |
$137.50 |
$126.00
|
