|
Contrast x-ray of wrist
|
$287.00 |
$287.00 |
$287.00 |
$639.00
|
|
Control nosebleed pack+caut 30905
|
$47.25 |
$47.25 |
$47.25 |
$426.40
|
|
Control of nosebleed ant comp 30903
|
$78.25 |
$78.25 |
$78.25 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$48.25 |
$48.25 |
$48.25 |
$373.35
|
|
Control oropharyngeal hemorr/simp 42960
|
$181.25 |
$181.25 |
$181.25 |
$638.25
|
|
Contrst x-ray uppr gi tract
|
$408.75 |
$408.75 |
$408.75 |
$762.93
|
|
Conversion ext bil drg cath
|
$2,452.50 |
$2,452.50 |
$2,452.50 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$833.50 |
$833.50 |
$833.50 |
$2,874.36
|
|
Coombs direct
|
$51.75 |
$51.75 |
$51.75 |
$73.26
|
|
Coombs indirect titer reference
|
$101.25 |
$101.25 |
$101.25 |
$146.00
|
|
Core ndl bx lng/med perq
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
$2,862.11
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$4,308.00 |
$4,308.00 |
$4,308.00 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$4,288.50 |
$4,288.50 |
$4,288.50 |
$10,165.00
|
|
Coronary angio/lv gram/rt< heart
|
$4,555.25 |
$4,555.25 |
$4,555.25 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$3,484.50 |
$3,484.50 |
$3,484.50 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,443.25 |
$3,443.25 |
$3,443.25 |
$7,942.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$85.75 |
$85.75 |
$85.75 |
$484.37
|
|
Cortisol total am
|
$62.50 |
$62.50 |
$62.50 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$117.38 |
$117.38 |
$117.38 |
$221.88
|
|
Co-treatment - group 15 mins, st
|
$68.50 |
$68.50 |
$68.50 |
$114.00
|
|
Counseling smoke cess interm >10mins
|
$29.50 |
$29.50 |
$29.50 |
$57.30
|
|
Covid-19 administration immunization im inj 1st/only component
|
$32.50 |
$32.50 |
$32.50 |
$49.60
|
|
Covid-19 convalescent plasma
|
$632.75 |
$632.75 |
$632.75 |
$582.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$394.75 |
$394.75 |
$394.75 |
$562.44
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$394.75 |
$394.75 |
$394.75 |
$553.80
|
|
Covid-19 lab test non-cdc
|
$46.50 |
$46.50 |
$46.50 |
$68.50
|
|
#coxa-coxsackie a serotype a16
|
$16.50 |
$16.50 |
$16.50 |
$60.00
|
|
C-peptide
|
$181.50 |
$181.50 |
$181.50 |
$93.60
|
|
C-reactive protein
|
$40.50 |
$40.50 |
$40.50 |
$63.00
|
|
C-reactive protein high sensitivity
|
$51.75 |
$51.75 |
$51.75 |
$79.72
|
|
Creatine kinase
|
$63.00 |
$63.00 |
$63.00 |
$64.35
|
|
Creatine kinase isoenzymes
|
$39.75 |
$39.75 |
$39.75 |
$49.02
|
|
Creatine kinase mb
|
$97.75 |
$97.75 |
$97.75 |
$114.60
|
|
Creatine - sendout
|
$59.00 |
$59.00 |
$59.00 |
$38.35
|
|
Creatinine
|
$50.50 |
$50.50 |
$50.50 |
$44.25
|
|
Creatinine 24 hour urine
|
$70.50 |
$70.50 |
$70.50 |
$57.00
|
|
Creatinine clearance urine
|
$89.50 |
$89.50 |
$89.50 |
$87.50
|
|
#creutz-prot.,western blot
|
$112.00 |
$112.00 |
$112.00 |
$163.50
|
|
Critical care 30-74 minutes
|
$528.50 |
$528.50 |
$528.50 |
$2,544.00
|
|
Critical care each additional 30 minutes
|
$422.75 |
$422.75 |
$422.75 |
$740.43
|
|
Cryofibrinogen qualitative - sendout
|
$11.50 |
$11.50 |
$11.50 |
$52.50
|
|
Cryoprecipitate each unit
|
$83.25 |
$83.25 |
$83.25 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$137.50 |
$137.50 |
$137.50 |
$80.85
|
|
Cryptosporidium antigen
|
$109.75 |
$109.75 |
$109.75 |
$52.08
|
|
Crystal identification light microscopy
|
$13.50 |
$13.50 |
$13.50 |
$58.51
|
|
CT 3d report other modality w/workstation
|
$304.75 |
$304.75 |
$304.75 |
$633.00
|
|
Cta abdomen without & /or w/contrast
|
$1,249.25 |
$1,249.25 |
$1,249.25 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,020.50 |
$1,020.50 |
$1,020.50 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$999.50 |
$999.50 |
$999.50 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$999.50 |
$999.50 |
$999.50 |
$1,940.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,040.50 |
$2,040.50 |
$2,040.50 |
$2,910.00
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,303.75 |
$1,303.75 |
$1,303.75 |
$1,940.00
|
|
CT Angiogram of the Head
|
$999.50 |
$999.50 |
$999.50 |
$2,027.35
|
|
CT angio hrt w/3d image
|
$999.50 |
$999.50 |
$999.50 |
$1,555.00
|
|
Cta upper extremity w &/or without contrast left
|
$999.50 |
$999.50 |
$999.50 |
$1,698.32
|
|
CT colonography dx
|
$846.50 |
$846.50 |
$846.50 |
$770.90
|
|
CT colonography screening
|
$323.00 |
$323.00 |
$323.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$943.50 |
$943.50 |
$943.50 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$373.00 |
$373.00 |
$373.00 |
$1,113.84
|
|
CT guid cryo ablat intramuscular
|
$174.00 |
$174.00 |
$174.00 |
$2,136.75
|
|
CT guid parench tis ablat
|
$388.50 |
$388.50 |
$388.50 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$67.25 |
$67.25 |
$67.25 |
$196.67
|
|
CT limited or localized follow-up study
|
$334.00 |
$334.00 |
$334.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$783.75 |
$783.75 |
$783.75 |
$1,619.25
|
|
CT lower extremity without contrast (both sides)
|
$772.75 |
$772.75 |
$772.75 |
$1,403.73
|
|
CT lwr extremity w/o&w/dye
|
$827.00 |
$827.00 |
$827.00 |
$1,887.84
|
|
CT neck soft tissue w/contrast
|
$917.25 |
$917.25 |
$917.25 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$798.75 |
$798.75 |
$798.75 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$1,053.75 |
$1,053.75 |
$1,053.75 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,244.00 |
$1,244.00 |
$1,244.00 |
$1,726.40
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,061.50 |
$1,061.50 |
$1,061.50 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$827.00 |
$827.00 |
$827.00 |
$1,360.45
|
|
Ctrl nosebld postir subsq 30906
|
$72.00 |
$72.00 |
$72.00 |
$450.77
|
|
CT scan for therapy guide
|
$534.25 |
$534.25 |
$534.25 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,633.75 |
$1,633.75 |
$1,633.75 |
$3,575.60
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,541.25 |
$1,541.25 |
$1,541.25 |
$2,985.60
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,438.75 |
$1,438.75 |
$1,438.75 |
$2,418.75
|
|
CT thoracic spine w/contrast
|
$886.25 |
$886.25 |
$886.25 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,040.75 |
$1,040.75 |
$1,040.75 |
$1,468.80
|
|
CT thorax low dose for lung screening without contrast
|
$55.50 |
$55.50 |
$55.50 |
$359.90
|
|
CT t-spine w /wo contrast
|
$891.00 |
$891.00 |
$891.00 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$783.75 |
$783.75 |
$783.75 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$753.50 |
$753.50 |
$753.50 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$868.00 |
$868.00 |
$868.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$74.00 |
$74.00 |
$74.00 |
$68.64
|
|
Culture afb any source
|
$28.50 |
$28.50 |
$28.50 |
$107.92
|
|
Culture anaerobic additional method definitive id each
|
$23.00 |
$23.00 |
$23.00 |
$77.31
|
|
Culture anaerobic except blood
|
$88.50 |
$88.50 |
$88.50 |
$119.20
|
|
Culture bact stool aero addl path ea
|
$15.25 |
$15.25 |
$15.25 |
$52.50
|
|
Culture body fluid
|
$149.00 |
$149.00 |
$149.00 |
$126.75
|
|
Culture fungi definitive id yeast
|
$24.00 |
$24.00 |
$24.00 |
$79.00
|
|
Culture fungi other (except blood)
|
$79.50 |
$79.50 |
$79.50 |
$108.80
|
|
Culture fungi skin/hair/nail
|
$7.50 |
$7.50 |
$7.50 |
$77.37
|
|
Culture mycoplasma any source
|
$39.50 |
$39.50 |
$39.50 |
$86.40
|
|
Culture quantitative aerobic other source
|
$8.50 |
$8.50 |
$8.50 |
$89.40
|
|
Culture screening strep group a
|
$89.50 |
$89.50 |
$89.50 |
$85.80
|
|
Culture typing immunologic
|
$50.00 |
$50.00 |
$50.00 |
$40.86
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$183.75 |
$183.75 |
$183.75 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$27.50 |
$27.50 |
$27.50 |
$123.76
|
|
Culture urine each isolate
|
$6.75 |
$6.75 |
$6.75 |
$51.35
|
