|
Control of nosebleed ant comp 30903
|
$56.10 |
$56.10 |
$102.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$56.10 |
$56.10 |
$102.00 |
$355.50
|
|
Convert nephrostomy catheter
|
$801.46 |
$801.46 |
$1,457.20 |
$2,777.60
|
|
Coombs direct
|
$21.78 |
$21.78 |
$39.60 |
$75.00
|
|
Coombs indirect titer reference
|
$31.46 |
$31.46 |
$57.20 |
$146.40
|
|
Core ndl bx lng/med perq
|
$810.70 |
$810.70 |
$1,474.00 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$1,898.16 |
$1,898.16 |
$3,451.20 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$1,800.04 |
$1,800.04 |
$3,272.80 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$2,845.92 |
$2,845.92 |
$5,174.40 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$1,463.00 |
$1,463.00 |
$2,660.00 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$1,463.00 |
$1,463.00 |
$2,660.00 |
$7,914.00
|
|
Cortisol total am
|
$52.36 |
$52.36 |
$95.20 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$206.59 |
$206.59 |
$375.62 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$38.94 |
$38.94 |
$70.80 |
$110.00
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$159.28 |
$159.28 |
$289.60 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$159.28 |
$159.28 |
$289.60 |
$551.64
|
|
Covid-19 lab test non-cdc
|
$40.92 |
$40.92 |
$74.40 |
$80.50
|
|
#covid19rsv-rsv
|
$50.16 |
$50.16 |
$91.20 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$13.86 |
$13.86 |
$25.20 |
$60.00
|
|
C-peptide
|
$22.22 |
$22.22 |
$40.40 |
$97.30
|
|
C-reactive protein
|
$21.78 |
$21.78 |
$39.60 |
$68.38
|
|
C-reactive protein high sensitivity
|
$22.00 |
$22.00 |
$40.00 |
$85.00
|
|
Creatine kinase
|
$13.86 |
$13.86 |
$25.20 |
$66.30
|
|
Creatine kinase isoenzymes
|
$19.14 |
$19.14 |
$34.80 |
$56.80
|
|
Creatine kinase mb
|
$59.84 |
$59.84 |
$108.80 |
$114.00
|
|
Creatine - sendout
|
$10.56 |
$10.56 |
$19.20 |
$39.00
|
|
Creatinine
|
$44.44 |
$44.44 |
$80.80 |
$44.72
|
|
Creatinine 24 hour urine
|
$44.88 |
$44.88 |
$81.60 |
$58.85
|
|
Creatinine clearance urine
|
$108.90 |
$108.90 |
$198.00 |
$89.50
|
|
#creutz-prot.,western blot
|
$22.88 |
$22.88 |
$41.60 |
$166.20
|
|
Critical care 30-74 minutes
|
$925.32 |
$925.32 |
$1,682.40 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$87.12 |
$87.12 |
$158.40 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$6.38 |
$6.38 |
$11.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$13.86 |
$13.86 |
$25.20 |
$144.78
|
|
Cryptosporidium antigen
|
$9.68 |
$9.68 |
$17.60 |
$52.08
|
|
Crystal identification light microscopy
|
$15.18 |
$15.18 |
$27.60 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$257.18 |
$257.18 |
$467.60 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$622.38 |
$622.38 |
$1,131.60 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$622.38 |
$622.38 |
$1,131.60 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$502.04 |
$502.04 |
$912.80 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$564.96 |
$564.96 |
$1,027.20 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$795.74 |
$795.74 |
$1,446.80 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$369.38 |
$369.38 |
$671.60 |
$1,940.00
|
|
CT Angiogram of the Head
|
$525.14 |
$525.14 |
$954.80 |
$1,996.80
|
|
CT angio pelvis
|
$282.92 |
$282.92 |
$514.40 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$338.14 |
$338.14 |
$614.80 |
$1,698.00
|
|
CT guidance for needle placement
|
$297.00 |
$297.00 |
$540.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$909.92 |
$909.92 |
$1,654.40 |
$1,178.52
|
|
CT guid parench tis ablat
|
$267.08 |
$267.08 |
$485.60 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$59.18 |
$59.18 |
$107.60 |
$171.60
|
|
CT limited or localized follow-up study
|
$203.72 |
$203.72 |
$370.40 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$475.20 |
$475.20 |
$864.00 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$381.26 |
$381.26 |
$693.20 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$626.78 |
$626.78 |
$1,139.60 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$519.64 |
$519.64 |
$944.80 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$454.30 |
$454.30 |
$826.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$656.48 |
$656.48 |
$1,193.60 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$615.12 |
$615.12 |
$1,118.40 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$445.94 |
$445.94 |
$810.80 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$371.14 |
$371.14 |
$674.80 |
$1,360.00
|
|
CT scan for therapy guide
|
$289.52 |
$289.52 |
$526.40 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,204.72 |
$1,204.72 |
$2,190.40 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$964.48 |
$964.48 |
$1,753.60 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$777.92 |
$777.92 |
$1,414.40 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$239.14 |
$239.14 |
$434.80 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$178.64 |
$178.64 |
$324.80 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$243.98 |
$243.98 |
$443.60 |
$331.50
|
|
CT t-spine w /wo contrast
|
$286.88 |
$286.88 |
$521.60 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$470.80 |
$470.80 |
$856.00 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$377.74 |
$377.74 |
$686.80 |
$1,430.20
|
|
Culture aerobic additional method definitive id each
|
$13.64 |
$13.64 |
$24.80 |
$68.64
|
|
Culture afb any source
|
$25.52 |
$25.52 |
$46.40 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$21.56 |
$21.56 |
$39.20 |
$79.00
|
|
Culture anaerobic except blood
|
$52.14 |
$52.14 |
$94.80 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$17.16 |
$17.16 |
$31.20 |
$51.45
|
|
Culture body fluid
|
$7.48 |
$7.48 |
$13.60 |
$126.75
|
|
Culture fungi definitive id mold
|
$11.22 |
$11.22 |
$20.40 |
$77.28
|
|
Culture fungi definitive id yeast
|
$11.22 |
$11.22 |
$20.40 |
$79.10
|
|
Culture fungi other (except blood)
|
$58.96 |
$58.96 |
$107.20 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$58.96 |
$58.96 |
$107.20 |
$74.88
|
|
Culture quantitative aerobic other source
|
$7.26 |
$7.26 |
$13.20 |
$90.35
|
|
Culture screening strep group a
|
$30.14 |
$30.14 |
$54.80 |
$81.00
|
|
Culture typing immunologic
|
$44.00 |
$44.00 |
$80.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$15.18 |
$15.18 |
$27.60 |
$133.90
|
|
Culture urine each isolate
|
$63.58 |
$63.58 |
$115.60 |
$57.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$326.80 |
$326.80 |
$594.18 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$25.52 |
$25.52 |
$46.40 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,416.03 |
$1,416.03 |
$2,574.59 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$8.40 |
$8.40 |
$15.27 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$119.44 |
$119.44 |
$217.17 |
$140.78
|
|
Cyclosporine 2 hour
|
$19.36 |
$19.36 |
$35.20 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$2.58 |
$2.58 |
$4.69 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$79.23 |
$79.23 |
$144.06 |
$34.88
|
|
Cystatin c
|
$13.20 |
$13.20 |
$24.00 |
$77.50
|
|
Cystine urine quantitative
|
$71.28 |
$71.28 |
$129.60 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$137.50 |
$137.50 |
$250.00 |
$542.10
|
|
Cystoscopy and treatment
|
$945.12 |
$945.12 |
$1,718.40 |
$4,160.10
|
|
Cystoscopy and treatment
|
$1,325.94 |
$1,325.94 |
$2,410.80 |
$5,162.50
|
|
Cystoscopy and treatment
|
$896.28 |
$896.28 |
$1,629.60 |
$2,874.36
|
|
Cystoscopy (Bladder Scope)
|
$315.26 |
$315.26 |
$573.20 |
$1,493.80
|