|
Contrast x-ray of elbow
|
$936.80 |
$936.80 |
$936.80 |
$708.00
|
|
Contrast x-ray of hip
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$796.38
|
|
Contrast x-ray of knee joint
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$790.50
|
|
Contrast x-ray of wrist
|
$898.40 |
$898.40 |
$898.40 |
$667.50
|
|
Controller infinity pt dbs
|
$1,392.80 |
$1,392.80 |
$1,392.80 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$383.20 |
$383.20 |
$383.20 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$383.20 |
$383.20 |
$383.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$368.80 |
$368.80 |
$368.80 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$892.00 |
$892.00 |
$892.00 |
$620.00
|
|
Coombs direct
|
$63.20 |
$63.20 |
$63.20 |
$76.80
|
|
Coombs indirect titer reference
|
$53.60 |
$53.60 |
$53.60 |
$156.71
|
|
Copper intrauterine device
|
$1,661.60 |
$1,661.60 |
$1,661.60 |
$1,953.00
|
|
Cortisol total am
|
$118.40 |
$118.40 |
$118.40 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$273.56 |
$273.56 |
$273.56 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$167.20 |
$167.20 |
$167.20 |
$112.00
|
|
Coveredge 32 lead kit 40cm 48
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$4,180.79
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
$49.13
|
|
Covid-19 convalescent plasma
|
$636.80 |
$636.80 |
$636.80 |
$590.80
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$760.00 |
$760.00 |
$760.00 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$812.80 |
$812.80 |
$812.80 |
$540.00
|
|
#covid19rsv-rsv
|
$171.20 |
$171.20 |
$171.20 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$37.60 |
$37.60 |
$37.60 |
$60.00
|
|
C-peptide
|
$111.20 |
$111.20 |
$111.20 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,083.20 |
$1,083.20 |
$1,083.20 |
$777.71
|
|
C-reactive protein
|
$73.60 |
$73.60 |
$73.60 |
$69.36
|
|
C-reactive protein high sensitivity
|
$91.20 |
$91.20 |
$91.20 |
$85.50
|
|
Creatine kinase
|
$65.60 |
$65.60 |
$65.60 |
$66.30
|
|
Creatine kinase mb
|
$99.20 |
$99.20 |
$99.20 |
$113.63
|
|
Creatine - sendout
|
$59.20 |
$59.20 |
$59.20 |
$41.25
|
|
Creatinine
|
$40.00 |
$40.00 |
$40.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$100.80 |
$100.80 |
$100.80 |
$57.85
|
|
Creatinine clearance urine
|
$70.40 |
$70.40 |
$70.40 |
$90.26
|
|
#creutz-prot.,western blot
|
$73.60 |
$73.60 |
$73.60 |
$163.50
|
|
Critical care each additional 30 minutes
|
$756.00 |
$756.00 |
$756.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,712.00 |
$2,712.00 |
$2,712.00 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$57.60 |
$57.60 |
$57.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$183.20 |
$183.20 |
$183.20 |
$144.78
|
|
Crystal identification light microscopy
|
$56.80 |
$56.80 |
$56.80 |
$66.43
|
|
Csf leakage imaging
|
$1,880.80 |
$1,880.80 |
$1,880.80 |
$1,564.11
|
|
CT 3d report other modality w/workstation
|
$787.20 |
$787.20 |
$787.20 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,542.40 |
$2,542.40 |
$2,542.40 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,101.60 |
$4,101.60 |
$4,101.60 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,851.20 |
$2,851.20 |
$2,851.20 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,102.40 |
$3,102.40 |
$3,102.40 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,650.40 |
$2,650.40 |
$2,650.40 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,634.40 |
$2,634.40 |
$2,634.40 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,146.40 |
$3,146.40 |
$3,146.40 |
$1,881.75
|
|
CT angio pelvis
|
$2,414.40 |
$2,414.40 |
$2,414.40 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,307.20 |
$2,307.20 |
$2,307.20 |
$1,691.30
|
|
CT guidance for needle placement
|
$2,061.60 |
$2,061.60 |
$2,061.60 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$1,215.06
|
|
CT lwr extremity w/o&w/dye
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$1,818.96
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,408.80 |
$4,408.80 |
$4,408.80 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,747.20 |
$3,747.20 |
$3,747.20 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,660.00 |
$2,660.00 |
$2,660.00 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$2,300.00 |
$2,300.00 |
$2,300.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$90.40 |
$90.40 |
$90.40 |
$72.00
|
|
Culture afb any source
|
$102.40 |
$102.40 |
$102.40 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$84.80 |
$84.80 |
$84.80 |
$84.76
|
|
Culture anaerobic except blood
|
$88.80 |
$88.80 |
$88.80 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$80.00 |
$80.00 |
$80.00 |
$52.50
|
|
Culture body fluid
|
$159.20 |
$159.20 |
$159.20 |
$126.75
|
|
Culture fungi definitive id mold
|
$64.00 |
$64.00 |
$64.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$64.00 |
$64.00 |
$64.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$128.00 |
$128.00 |
$128.00 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$48.80 |
$48.80 |
$48.80 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$97.60 |
$97.60 |
$97.60 |
$100.00
|
|
Culture screening strep group a
|
$133.60 |
$133.60 |
$133.60 |
$84.60
|
|
Culture typing immunologic
|
$56.00 |
$56.00 |
$56.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$576.00 |
$576.00 |
$576.00 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$139.20 |
$139.20 |
$139.20 |
$140.80
|
|
Culture urine each isolate
|
$37.60 |
$37.60 |
$37.60 |
$55.50
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$36.25 |
$36.25 |
$36.25 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$56.80 |
$56.80 |
$56.80 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,149.72 |
$1,149.72 |
$1,149.72 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$130.40 |
$130.40 |
$130.40 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$9.02 |
$9.02 |
$9.02 |
$7.48
|
|
Cyp2c19 gene com variants
|
$256.00 |
$256.00 |
$256.00 |
$524.00
|
|
Cystatin c
|
$99.20 |
$99.20 |
$99.20 |
$77.60
|
|
Cystine urine quantitative
|
$80.00 |
$80.00 |
$80.00 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$793.60 |
$793.60 |
$793.60 |
$586.95
|
|
Cystostomy cystotomy w/drainage 51040
|
$5,991.20 |
$5,991.20 |
$5,991.20 |
$4,129.45
|
|
Cytogenetics 25-99
|
$224.00 |
$224.00 |
$224.00 |
$189.80
|
|
Cytogenetics 3-5
|
$99.20 |
$99.20 |
$99.20 |
$147.36
|
|
Cytogenomic neo microra alys
|
$2,716.00 |
$2,716.00 |
$2,716.00 |
$2,198.00
|
|
Cytomegalovirus (cmv) antibody igg
|
$90.40 |
$90.40 |
$90.40 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$158.40 |
$158.40 |
$158.40 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$233.60 |
$233.60 |
$233.60 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$95.20 |
$95.20 |
$95.20 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$74.40 |
$74.40 |
$74.40 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$117.60 |
$117.60 |
$117.60 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$124.80 |
$124.80 |
$124.80 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$230.40 |
$230.40 |
$230.40 |
$213.85
|
|
Cytopath smear oth prep screen & interp
|
$144.80 |
$144.80 |
$144.80 |
$96.20
|
|
Dacarbazine 100 mg intravenous solution
|
$291.50 |
$291.50 |
$291.50 |
$62.41
|
|
Dalbavancin 500 mg intravenous solution
|
$3,493.11 |
$3,493.11 |
$3,493.11 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$117.12 |
$117.12 |
$117.12 |
$171.19
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$11,124.60 |
$11,124.60 |
$11,124.60 |
$21,063.03
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$5,004.77 |
$5,004.77 |
$5,004.77 |
$6,281.29
|
