|
Contrast baths charges
|
$36.80 |
$36.80 |
$36.80 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$2,859.80 |
$2,859.80 |
$2,859.80 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$4,667.15 |
$4,667.15 |
$4,667.15 |
$3,745.00
|
|
Contrast x-ray of ankle
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$684.00
|
|
Contrast x-ray of elbow
|
$1,816.35 |
$1,816.35 |
$1,816.35 |
$708.00
|
|
Contrast x-ray of hip
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$796.38
|
|
Contrast x-ray of knee joint
|
$1,816.35 |
$1,816.35 |
$1,816.35 |
$790.50
|
|
Contrast x-ray of wrist
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$667.50
|
|
Controller infinity pt dbs
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$4,836.44
|
|
Convert nephrostomy catheter
|
$1,726.75 |
$1,726.75 |
$1,726.75 |
$2,777.60
|
|
Coombs direct
|
$26.90 |
$26.90 |
$26.90 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$20.85 |
$20.85 |
$20.85 |
$107.25
|
|
Coombs indirect titer reference
|
$14.40 |
$14.40 |
$14.40 |
$156.71
|
|
Copper intrauterine device
|
$1,731.96 |
$1,731.96 |
$1,731.96 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$4,326.75 |
$4,326.75 |
$4,326.75 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
$7,988.40
|
|
Cortisol acth stimulation test - sendout
|
$383.30 |
$383.30 |
$383.30 |
$146.25
|
|
Cortisol total am
|
$185.15 |
$185.15 |
$185.15 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$274.41 |
$274.41 |
$274.41 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$59.45 |
$59.45 |
$59.45 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$44.45 |
$44.45 |
$44.45 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$4,180.79
|
|
Covid-19 administration immunization im inj 1st/only component
|
$50.00 |
$50.00 |
$50.00 |
$49.13
|
|
#covid19rsv-rsv
|
$194.95 |
$194.95 |
$194.95 |
$145.60
|
|
CPAP or BiPAP Setup (first day)
|
$866.70 |
$866.70 |
$866.70 |
$584.50
|
|
C-peptide
|
$23.00 |
$23.00 |
$23.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$790.65 |
$790.65 |
$790.65 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$2,558.95 |
$2,558.95 |
$2,558.95 |
$1,330.02
|
|
C-reactive protein
|
$218.10 |
$218.10 |
$218.10 |
$69.36
|
|
C-reactive protein high sensitivity
|
$163.95 |
$163.95 |
$163.95 |
$85.50
|
|
Creatine kinase
|
$108.30 |
$108.30 |
$108.30 |
$66.30
|
|
Creatine kinase mb
|
$161.25 |
$161.25 |
$161.25 |
$113.63
|
|
Creatinine
|
$108.30 |
$108.30 |
$108.30 |
$46.20
|
|
Creatinine 24 hour urine
|
$138.80 |
$138.80 |
$138.80 |
$57.85
|
|
Creatinine clearance urine
|
$167.40 |
$167.40 |
$167.40 |
$90.26
|
|
#creutz-prot.,western blot
|
$45.25 |
$45.25 |
$45.25 |
$163.50
|
|
Crisis psychotherapy 90839
|
$397.00 |
$397.00 |
$397.00 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$217.95 |
$217.95 |
$217.95 |
$149.52
|
|
Critical care each additional 30 minutes
|
$509.30 |
$509.30 |
$509.30 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$5,173.40 |
$5,173.40 |
$5,173.40 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$21.80 |
$21.80 |
$21.80 |
$52.50
|
|
Cryoprecipitate each unit
|
$206.55 |
$206.55 |
$206.55 |
$144.78
|
|
Crystal identification light microscopy
|
$153.00 |
$153.00 |
$153.00 |
$66.43
|
|
Csf leakage imaging
|
$3,880.20 |
$3,880.20 |
$3,880.20 |
$1,564.11
|
|
Cta lower extremity without & w/contrast (both sides)
|
$530.55 |
$530.55 |
$530.55 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,229.85 |
$2,229.85 |
$2,229.85 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,658.80 |
$2,658.80 |
$2,658.80 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,658.80 |
$2,658.80 |
$2,658.80 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,658.80 |
$2,658.80 |
$2,658.80 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,658.80 |
$2,658.80 |
$2,658.80 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,658.80 |
$2,658.80 |
$2,658.80 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$500.75 |
$500.75 |
$500.75 |
$1,428.68
|
|
CT angio pelvis
|
$2,658.80 |
$2,658.80 |
$2,658.80 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,816.20 |
$1,816.20 |
$1,816.20 |
$1,691.30
|
|
CT bone density axial
|
$220.00 |
$220.00 |
$220.00 |
$385.15
|
|
CT guidance for needle placement
|
$716.50 |
$716.50 |
$716.50 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$945.20 |
$945.20 |
$945.20 |
$1,215.06
|
|
CT heart w/evaluation of calcium without contrast
|
$245.25 |
$245.25 |
$245.25 |
$150.00
|
|
CT lwr extremity w/o&w/dye
|
$548.05 |
$548.05 |
$548.05 |
$1,818.96
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,029.70 |
$2,029.70 |
$2,029.70 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,791.20 |
$1,791.20 |
$1,791.20 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,153.85 |
$1,153.85 |
$1,153.85 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,649.25 |
$2,649.25 |
$2,649.25 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,596.55 |
$1,596.55 |
$1,596.55 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$93.60 |
$93.60 |
$93.60 |
$72.00
|
|
Culture afb any source
|
$87.45 |
$87.45 |
$87.45 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$21.00 |
$21.00 |
$21.00 |
$84.76
|
|
Culture anaerobic except blood
|
$184.60 |
$184.60 |
$184.60 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$61.60 |
$61.60 |
$61.60 |
$52.50
|
|
Culture body fluid
|
$145.05 |
$145.05 |
$145.05 |
$126.75
|
|
Culture fungi definitive id mold
|
$26.85 |
$26.85 |
$26.85 |
$80.00
|
|
Culture fungi definitive id yeast
|
$30.70 |
$30.70 |
$30.70 |
$80.00
|
|
Culture fungi other (except blood)
|
$124.25 |
$124.25 |
$124.25 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$146.35 |
$146.35 |
$146.35 |
$74.75
|
|
Culture screening strep group a
|
$47.00 |
$47.00 |
$47.00 |
$84.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$87.75 |
$87.75 |
$87.75 |
$140.80
|
|
Cutter lead
|
$1,596.55 |
$1,596.55 |
$1,596.55 |
$6,581.45
|
|
Cv line/pic reposition
|
$2,655.20 |
$2,655.20 |
$2,655.20 |
$1,681.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$34.81 |
$34.81 |
$34.81 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$139.35 |
$139.35 |
$139.35 |
$72.36
|
|
Cyclosporine 2 hour
|
$65.60 |
$65.60 |
$65.60 |
$130.40
|
|
Cylinder pump set 20cm titan zero angl
|
$2,875.00 |
$2,875.00 |
$2,875.00 |
$24,728.89
|
|
Cystatin c
|
$48.15 |
$48.15 |
$48.15 |
$77.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$2,395.65 |
$2,395.65 |
$2,395.65 |
$586.95
|
|
Cytogenetics 25-99
|
$648.60 |
$648.60 |
$648.60 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$27.30 |
$27.30 |
$27.30 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$26.70 |
$26.70 |
$26.70 |
$100.00
|
|
Cyto/molecular report
|
$150.30 |
$150.30 |
$150.30 |
$144.75
|
|
Cytopath c/v manual
|
$14.00 |
$14.00 |
$14.00 |
$36.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$179.00 |
$179.00 |
$179.00 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$73.85 |
$73.85 |
$73.85 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$119.55 |
$119.55 |
$119.55 |
$87.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$239.15 |
$239.15 |
$239.15 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$121.90 |
$121.90 |
$121.90 |
$213.85
|
|
Cytopath smear other source
|
$75.85 |
$75.85 |
$75.85 |
$92.50
|
|
Dacarbazine 100 mg intravenous solution
|
$62.41 |
$62.41 |
$62.41 |
$62.41
|
