|
Conversion ext bil drg cath
|
$1,747.03 |
$1,747.03 |
$1,747.03 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$1,723.79 |
$1,723.79 |
$1,723.79 |
$2,777.60
|
|
Coombs direct
|
$92.23 |
$92.23 |
$92.23 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$28.00 |
$28.00 |
$28.00 |
$107.25
|
|
Coombs indirect titer reference
|
$448.06 |
$448.06 |
$448.06 |
$156.71
|
|
Copper cu 64 dotatate diag
|
$1,601.66 |
$1,601.66 |
$1,601.66 |
$2,820.66
|
|
Copper intrauterine device
|
$1,541.06 |
$1,541.06 |
$1,541.06 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$4,417.11 |
$4,417.11 |
$4,417.11 |
$2,904.48
|
|
Coroners autopsy (necropsy)
|
$335.22 |
$335.22 |
$335.22 |
$352.80
|
|
Cortisol acth stimulation test - sendout
|
$34.05 |
$34.05 |
$34.05 |
$146.25
|
|
Cortisol total am
|
$117.60 |
$117.60 |
$117.60 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$184.20 |
$184.20 |
$184.20 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$240.35 |
$240.35 |
$240.35 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$108.36 |
$108.36 |
$108.36 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$4,180.79 |
$4,180.79 |
$4,180.79 |
$4,180.79
|
|
Covers for upright each
|
$82.21 |
$82.21 |
$82.21 |
$82.21
|
|
Cover wrist
|
$661.92 |
$661.92 |
$661.92 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$14.78 |
$14.78 |
$14.78 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$304.81 |
$304.81 |
$304.81 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$304.81 |
$304.81 |
$304.81 |
$540.00
|
|
Covid-19 lab test non-cdc
|
$138.21 |
$138.21 |
$138.21 |
$82.40
|
|
#covid19rsv-rsv
|
$285.66 |
$285.66 |
$285.66 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$37.58 |
$37.58 |
$37.58 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$297.47 |
$297.47 |
$297.47 |
$584.50
|
|
C-peptide
|
$36.96 |
$36.96 |
$36.96 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$534.41 |
$534.41 |
$534.41 |
$777.71
|
|
Cranial cervical orthosis
|
$2,941.90 |
$2,941.90 |
$2,941.90 |
$2,616.15
|
|
Crbrospnl fld flw imag cistern
|
$4,140.98 |
$4,140.98 |
$4,140.98 |
$1,330.02
|
|
C-reactive protein
|
$35.90 |
$35.90 |
$35.90 |
$69.36
|
|
C-reactive protein high sensitivity
|
$35.90 |
$35.90 |
$35.90 |
$85.50
|
|
Creatine kinase
|
$20.83 |
$20.83 |
$20.83 |
$66.30
|
|
Creatine kinase mb
|
$72.91 |
$72.91 |
$72.91 |
$113.63
|
|
Creatinine
|
$80.86 |
$80.86 |
$80.86 |
$46.20
|
|
Creatinine 24 hour urine
|
$28.84 |
$28.84 |
$28.84 |
$57.85
|
|
Creatinine clearance urine
|
$33.04 |
$33.04 |
$33.04 |
$90.26
|
|
#creutz-prot.,western blot
|
$462.28 |
$462.28 |
$462.28 |
$163.50
|
|
Critical care each additional 30 minutes
|
$584.86 |
$584.86 |
$584.86 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,598.02 |
$1,598.02 |
$1,598.02 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$1,642.98 |
$1,642.98 |
$1,642.98 |
$144.78
|
|
Crystal identification light microscopy
|
$85.01 |
$85.01 |
$85.01 |
$66.43
|
|
Csf leakage imaging
|
$1,758.62 |
$1,758.62 |
$1,758.62 |
$1,564.11
|
|
Csf ventriculography
|
$693.56 |
$693.56 |
$693.56 |
$877.00
|
|
CT 3d report other modality w/workstation
|
$1,267.84 |
$1,267.84 |
$1,267.84 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,281.27 |
$2,281.27 |
$2,281.27 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,193.90 |
$3,193.90 |
$3,193.90 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,824.98 |
$1,824.98 |
$1,824.98 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,824.98 |
$1,824.98 |
$1,824.98 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$912.46 |
$912.46 |
$912.46 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,824.98 |
$1,824.98 |
$1,824.98 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,368.81 |
$1,368.81 |
$1,368.81 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$4,562.54 |
$4,562.54 |
$4,562.54 |
$1,428.68
|
|
CT angio pelvis
|
$1,688.90 |
$1,688.90 |
$1,688.90 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,824.98 |
$1,824.98 |
$1,824.98 |
$1,691.30
|
|
CT cerebral perf w cont & prcssng
|
$351.23 |
$351.23 |
$351.23 |
$1,040.00
|
|
CT colonography dx
|
$2,281.27 |
$2,281.27 |
$2,281.27 |
$811.41
|
|
CT colonography dx w/dye
|
$2,281.27 |
$2,281.27 |
$2,281.27 |
$1,069.25
|
|
CT colonography screening
|
$2,281.27 |
$2,281.27 |
$2,281.27 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,737.39 |
$2,737.39 |
$2,737.39 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,055.98 |
$2,055.98 |
$2,055.98 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$740.99 |
$740.99 |
$740.99 |
$2,039.76
|
|
CT guid parench tis ablat
|
$1,502.26 |
$1,502.26 |
$1,502.26 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$912.46 |
$912.46 |
$912.46 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$4,553.86 |
$4,553.86 |
$4,553.86 |
$1,395.79
|
|
CT hrt w/3d image
|
$698.60 |
$698.60 |
$698.60 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$600.99 |
$600.99 |
$600.99 |
$636.55
|
|
Ctlso a-p-l control molded
|
$4,184.49 |
$4,184.49 |
$4,184.49 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$4,599.90 |
$4,599.90 |
$4,599.90 |
$4,186.78
|
|
Ctlso axilla sling
|
$180.88 |
$180.88 |
$180.88 |
$155.04
|
|
Ctlso milwauke initial model
|
$4,262.27 |
$4,262.27 |
$4,262.27 |
$4,262.27
|
|
CT lwr extremity w/o&w/dye
|
$2,433.37 |
$2,433.37 |
$2,433.37 |
$1,818.96
|
|
CT scan for localization
|
$1,351.22 |
$1,351.22 |
$1,351.22 |
$1,216.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,281.27 |
$2,281.27 |
$2,281.27 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,824.98 |
$1,824.98 |
$1,824.98 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,368.81 |
$1,368.81 |
$1,368.81 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,081.47 |
$1,081.47 |
$1,081.47 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$2,281.22 |
$2,281.22 |
$2,281.22 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$2,055.42 |
$2,055.42 |
$2,055.42 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$316.46 |
$316.46 |
$316.46 |
$72.00
|
|
Culture afb any source
|
$52.75 |
$52.75 |
$52.75 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$398.61 |
$398.61 |
$398.61 |
$84.76
|
|
Culture anaerobic except blood
|
$50.01 |
$50.01 |
$50.01 |
$121.22
|
|
Culture bacteria anaerobic
|
$27.38 |
$27.38 |
$27.38 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$35.11 |
$35.11 |
$35.11 |
$52.50
|
|
Culture body fluid
|
$53.14 |
$53.14 |
$53.14 |
$126.75
|
|
Culture fungi definitive id mold
|
$143.58 |
$143.58 |
$143.58 |
$80.00
|
|
Culture fungi definitive id yeast
|
$31.86 |
$31.86 |
$31.86 |
$80.00
|
|
Culture fungi other (except blood)
|
$77.95 |
$77.95 |
$77.95 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$47.71 |
$47.71 |
$47.71 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$313.10 |
$313.10 |
$313.10 |
$100.00
|
|
Culture quantitative aerobic other source
|
$44.74 |
$44.74 |
$44.74 |
$87.02
|
|
Culture screening strep group a
|
$134.96 |
$134.96 |
$134.96 |
$84.60
|
|
Culture typing immunologic
|
$19.26 |
$19.26 |
$19.26 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$1,504.50 |
$1,504.50 |
$1,504.50 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$264.60 |
$264.60 |
$264.60 |
$140.80
|
|
Culture urine each isolate
|
$21.56 |
$21.56 |
$21.56 |
$55.50
|
|
Custom shape cover ak
|
$2,414.83 |
$2,414.83 |
$2,414.83 |
$1,125.60
|
|
Custom shape cover bk
|
$1,317.18 |
$1,317.18 |
$1,317.18 |
$686.00
|
|
Custom shape cvr hip disart
|
$3,164.50 |
$3,164.50 |
$3,164.50 |
$1,587.60
|
|
Custom shape cvr knee disart
|
$2,355.42 |
$2,355.42 |
$2,355.42 |
$1,117.20
|
|
Cutter lead
|
$16,946.16 |
$16,946.16 |
$16,946.16 |
$6,581.45
|