|
Contrast x-ray of hip
|
$595.28 |
$595.28 |
$595.28 |
$676.12
|
|
Contrast x-ray of knee joint
|
$322.00 |
$322.00 |
$322.00 |
$623.50
|
|
Contrast x-ray of wrist
|
$216.72 |
$216.72 |
$216.72 |
$541.20
|
|
Conversion ext bil drg cath
|
$7,948.64 |
$7,948.64 |
$7,948.64 |
$4,270.00
|
|
Convert nephrostomy catheter
|
$5,416.88 |
$5,416.88 |
$5,416.88 |
$4,197.30
|
|
Coombs direct
|
$19.60 |
$19.60 |
$19.60 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$11.76 |
$11.76 |
$11.76 |
$76.70
|
|
Coombs indirect titer reference
|
$34.16 |
$34.16 |
$34.16 |
$122.85
|
|
Copper cu 64 dotatate diag
|
$1,088.08 |
$1,088.08 |
$1,088.08 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$1,452.64 |
$1,452.64 |
$1,452.64 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$14,278.88 |
$14,278.88 |
$14,278.88 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$13,641.60 |
$13,641.60 |
$13,641.60 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$16,386.72 |
$16,386.72 |
$16,386.72 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$7,465.92 |
$7,465.92 |
$7,465.92 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,823.04 |
$6,823.04 |
$6,823.04 |
$9,198.18
|
|
Cortisol total am
|
$112.11 |
$112.11 |
$112.11 |
$117.81
|
|
Counseling smoke cess interm >10mins
|
$28.00 |
$28.00 |
$28.00 |
$57.85
|
|
Covid-19 lab test non-cdc
|
$77.28 |
$77.28 |
$77.28 |
$52.69
|
|
#coxa-coxsackie a serotype a16
|
$68.81 |
$68.81 |
$68.81 |
$65.36
|
|
C-peptide
|
$39.76 |
$39.76 |
$39.76 |
$111.20
|
|
Crbrospnl fld flw imag cistern
|
$607.04 |
$607.04 |
$607.04 |
$1,170.64
|
|
C-reactive protein
|
$35.28 |
$35.28 |
$35.28 |
$54.43
|
|
C-reactive protein high sensitivity
|
$38.08 |
$38.08 |
$38.08 |
$91.65
|
|
C-reactive protein, quantitative
|
$37.52 |
$37.52 |
$37.52 |
$77.50
|
|
Creatine kinase
|
$8.40 |
$8.40 |
$8.40 |
$55.00
|
|
Creatine kinase mb
|
$36.96 |
$36.96 |
$36.96 |
$100.75
|
|
Creatinine
|
$8.40 |
$8.40 |
$8.40 |
$40.00
|
|
Creatinine 24 hour urine
|
$12.88 |
$12.88 |
$12.88 |
$54.40
|
|
Creatinine clearance urine
|
$36.96 |
$36.96 |
$36.96 |
$73.86
|
|
#creutz-prot.,western blot
|
$39.69 |
$39.69 |
$39.69 |
$178.10
|
|
Critical care 30-74 minutes
|
$2,493.68 |
$2,493.68 |
$2,493.68 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$110.88 |
$110.88 |
$110.88 |
$663.00
|
|
Cryoprecipitate each unit
|
$100.24 |
$100.24 |
$100.24 |
$182.25
|
|
Cryptococcus abs qn - sendout
|
$14.00 |
$14.00 |
$14.00 |
$89.70
|
|
Cryptosporidium antigen
|
$56.00 |
$56.00 |
$56.00 |
$65.55
|
|
Crystal identification light microscopy
|
$16.80 |
$16.80 |
$16.80 |
$56.44
|
|
Csf leakage imaging
|
$548.80 |
$548.80 |
$548.80 |
$1,426.73
|
|
CT 3d report other modality w/workstation
|
$154.00 |
$154.00 |
$154.00 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$924.56 |
$924.56 |
$924.56 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$990.08 |
$990.08 |
$990.08 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,550.08 |
$1,550.08 |
$1,550.08 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$911.68 |
$911.68 |
$911.68 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,823.36 |
$1,823.36 |
$1,823.36 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$964.88 |
$964.88 |
$964.88 |
$1,728.80
|
|
CT Angiogram of the Head
|
$1,498.56 |
$1,498.56 |
$1,498.56 |
$1,951.50
|
|
CT angio hrt w/3d image
|
$445.76 |
$445.76 |
$445.76 |
$1,618.00
|
|
CT angio pelvis
|
$898.80 |
$898.80 |
$898.80 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,550.08 |
$1,550.08 |
$1,550.08 |
$1,650.60
|
|
CT guidance for needle placement
|
$461.44 |
$461.44 |
$461.44 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$623.28 |
$623.28 |
$623.28 |
$1,007.29
|
|
CT guid parench tis ablat
|
$651.28 |
$651.28 |
$651.28 |
$1,228.50
|
|
CT heart w/evaluation of calcium without contrast
|
$55.44 |
$55.44 |
$55.44 |
$176.89
|
|
CT hrt w/3d image
|
$436.24 |
$436.24 |
$436.24 |
$1,513.20
|
|
CT limited or localized follow-up study
|
$276.64 |
$276.64 |
$276.64 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,471.68 |
$1,471.68 |
$1,471.68 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$1,962.24 |
$1,962.24 |
$1,962.24 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$847.28 |
$847.28 |
$847.28 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$756.56 |
$756.56 |
$756.56 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$911.68 |
$911.68 |
$911.68 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$808.08 |
$808.08 |
$808.08 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$781.76 |
$781.76 |
$781.76 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$716.24 |
$716.24 |
$716.24 |
$1,250.00
|
|
CT scan for therapy guide
|
$224.00 |
$224.00 |
$224.00 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,927.52 |
$1,927.52 |
$1,927.52 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,784.16 |
$1,784.16 |
$1,784.16 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,640.80 |
$1,640.80 |
$1,640.80 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$645.12 |
$645.12 |
$645.12 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$607.04 |
$607.04 |
$607.04 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$182.56 |
$182.56 |
$182.56 |
$418.50
|
|
CT t-spine w /wo contrast
|
$865.76 |
$865.76 |
$865.76 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$1,393.84 |
$1,393.84 |
$1,393.84 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$42.00 |
$42.00 |
$42.00 |
$61.03
|
|
Culture afb any source
|
$73.36 |
$73.36 |
$73.36 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$68.88 |
$68.88 |
$68.88 |
$73.00
|
|
Culture anaerobic except blood
|
$55.44 |
$55.44 |
$55.44 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$19.60 |
$19.60 |
$19.60 |
$49.40
|
|
Culture body fluid
|
$70.00 |
$70.00 |
$70.00 |
$111.15
|
|
Culture fungi definitive id mold
|
$84.00 |
$84.00 |
$84.00 |
$70.00
|
|
Culture fungi definitive id yeast
|
$56.56 |
$56.56 |
$56.56 |
$68.00
|
|
Culture fungi other (except blood)
|
$51.52 |
$51.52 |
$51.52 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$45.36 |
$45.36 |
$45.36 |
$74.75
|
|
Culture mycoplasma any source
|
$70.00 |
$70.00 |
$70.00 |
$94.00
|
|
Culture screening strep group a
|
$49.84 |
$49.84 |
$49.84 |
$76.00
|
|
Culture typing immunologic
|
$22.96 |
$22.96 |
$22.96 |
$38.58
|
|
Culture urine each isolate
|
$29.68 |
$29.68 |
$29.68 |
$44.80
|
|
Cyanocobalamin unsat binding capacity
|
$22.96 |
$22.96 |
$22.96 |
$64.28
|
|
Cyclic citrullinated peptide antibody
|
$9.52 |
$9.52 |
$9.52 |
$91.20
|
|
Cyclosporine 2 hour
|
$41.44 |
$41.44 |
$41.44 |
$126.10
|
|
Cyp2c19 gene com variants
|
$326.48 |
$326.48 |
$326.48 |
$583.20
|
|
Cystogram >= 3 views supervision & interpretation
|
$434.56 |
$434.56 |
$434.56 |
$487.04
|
|
Cytogenetics 25-99
|
$61.60 |
$61.60 |
$61.60 |
$188.40
|
|
Cytogenomic neo microra alys
|
$1,299.20 |
$1,299.20 |
$1,299.20 |
$2,156.05
|
|
Cytomegalovirus (cmv) antibody igg
|
$75.60 |
$75.60 |
$75.60 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$74.48 |
$74.48 |
$74.48 |
$95.00
|
|
Cyto/molecular report
|
$84.00 |
$84.00 |
$84.00 |
$91.65
|
|
Cytopath fl nongyn filter
|
$43.68 |
$43.68 |
$43.68 |
$91.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$31.36 |
$31.36 |
$31.36 |
$163.43
|