|
Contrast x-ray of ankle
|
$293.94 |
$293.94 |
$293.94 |
$612.30
|
|
Contrast x-ray of brain
|
$523.02 |
$523.02 |
$523.02 |
$956.16
|
|
Contrast x-ray of elbow
|
$324.76 |
$324.76 |
$324.76 |
$647.15
|
|
Contrast x-ray of hip
|
$391.92 |
$391.92 |
$391.92 |
$767.40
|
|
Contrast x-ray of knee joint
|
$356.73 |
$356.73 |
$356.73 |
$740.40
|
|
Contrast x-ray of wrist
|
$308.89 |
$308.89 |
$308.89 |
$623.50
|
|
Control nosebleed pack+caut 30905
|
$43.47 |
$43.47 |
$43.47 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$71.07 |
$71.07 |
$71.07 |
$399.93
|
|
Control of nosebleedantersmpl 30901
|
$44.39 |
$44.39 |
$44.39 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$177.10 |
$177.10 |
$177.10 |
$634.80
|
|
Contrst x-ray uppr gi tract
|
$376.05 |
$376.05 |
$376.05 |
$762.93
|
|
Conversion ext bil drg cath
|
$2,256.30 |
$2,256.30 |
$2,256.30 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$818.57 |
$818.57 |
$818.57 |
$2,777.60
|
|
Coombs direct
|
$37.26 |
$37.26 |
$37.26 |
$73.05
|
|
Coombs indirect titer reference
|
$96.60 |
$96.60 |
$96.60 |
$144.00
|
|
Core ndl bx lng/med perq
|
$1,345.27 |
$1,345.27 |
$1,345.27 |
$2,684.50
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$3,698.86 |
$3,698.86 |
$3,698.86 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$3,554.42 |
$3,554.42 |
$3,554.42 |
$9,933.30
|
|
Coronary angio/lv gram/rt< heart
|
$3,813.17 |
$3,813.17 |
$3,813.17 |
$11,121.60
|
|
Coronary art/grft angio s&i
|
$3,205.74 |
$3,205.74 |
$3,205.74 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,276.58 |
$3,276.58 |
$3,276.58 |
$7,720.80
|
|
Coronary thrombolysis/iv infusion 92977
|
$111.32 |
$111.32 |
$111.32 |
$481.44
|
|
Cortisol total am
|
$57.04 |
$57.04 |
$57.04 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$107.99 |
$107.99 |
$107.99 |
$191.76
|
|
Co-treatment - group 15 mins, st
|
$83.26 |
$83.26 |
$83.26 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$27.14 |
$27.14 |
$27.14 |
$55.90
|
|
Covid-19 administration immunization im inj 1st/only component
|
$29.90 |
$29.90 |
$29.90 |
$49.13
|
|
Covid-19 convalescent plasma
|
$582.13 |
$582.13 |
$582.13 |
$582.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$363.17 |
$363.17 |
$363.17 |
$562.44
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$363.17 |
$363.17 |
$363.17 |
$553.80
|
|
Covid-19 lab test non-cdc
|
$42.78 |
$42.78 |
$42.78 |
$78.10
|
|
#covid19rsv-rsv
|
$52.44 |
$52.44 |
$52.44 |
$141.05
|
|
#coxa-coxsackie a serotype a16
|
$17.25 |
$17.25 |
$17.25 |
$60.00
|
|
C-peptide
|
$76.59 |
$76.59 |
$76.59 |
$93.60
|
|
C-reactive protein
|
$27.14 |
$27.14 |
$27.14 |
$63.00
|
|
C-reactive protein high sensitivity
|
$27.37 |
$27.37 |
$27.37 |
$81.95
|
|
Creatine kinase
|
$46.23 |
$46.23 |
$46.23 |
$63.00
|
|
Creatine kinase isoenzymes
|
$49.45 |
$49.45 |
$49.45 |
$51.60
|
|
Creatine kinase mb
|
$90.62 |
$90.62 |
$90.62 |
$112.79
|
|
Creatine - sendout
|
$54.28 |
$54.28 |
$54.28 |
$39.00
|
|
Creatinine
|
$51.06 |
$51.06 |
$51.06 |
$44.72
|
|
Creatinine 24 hour urine
|
$31.05 |
$31.05 |
$31.05 |
$59.04
|
|
Creatinine clearance urine
|
$65.55 |
$65.55 |
$65.55 |
$87.20
|
|
#creutz-prot.,western blot
|
$181.47 |
$181.47 |
$181.47 |
$166.20
|
|
Critical care 30-74 minutes
|
$463.68 |
$463.68 |
$463.68 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$322.69 |
$322.69 |
$322.69 |
$731.40
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$795.34 |
$795.34 |
$795.34 |
$2,505.00
|
|
Cryofibrinogen qualitative - sendout
|
$17.48 |
$17.48 |
$17.48 |
$52.50
|
|
Cryoprecipitate each unit
|
$138.23 |
$138.23 |
$138.23 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$52.21 |
$52.21 |
$52.21 |
$82.80
|
|
Cryptosporidium antigen
|
$23.00 |
$23.00 |
$23.00 |
$52.08
|
|
Crystal identification light microscopy
|
$21.16 |
$21.16 |
$21.16 |
$61.50
|
|
CT 3d report other modality w/workstation
|
$498.64 |
$498.64 |
$498.64 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,206.58 |
$1,206.58 |
$1,206.58 |
$2,026.74
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$938.86 |
$938.86 |
$938.86 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$919.54 |
$919.54 |
$919.54 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$919.54 |
$919.54 |
$919.54 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,347.38 |
$2,347.38 |
$2,347.38 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,149.08 |
$1,149.08 |
$1,149.08 |
$1,915.30
|
|
CT Angiogram of the Head
|
$919.54 |
$919.54 |
$919.54 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$1,083.53 |
$1,083.53 |
$1,083.53 |
$1,509.00
|
|
CT angio pelvis
|
$1,149.08 |
$1,149.08 |
$1,149.08 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$919.54 |
$919.54 |
$919.54 |
$1,689.80
|
|
CT bone density axial
|
$165.60 |
$165.60 |
$165.60 |
$360.85
|
|
CT colonography screening
|
$297.16 |
$297.16 |
$297.16 |
$1,084.20
|
|
CT guidance for needle placement
|
$952.89 |
$952.89 |
$952.89 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$379.04 |
$379.04 |
$379.04 |
$1,113.84
|
|
CT guid parench tis ablat
|
$362.71 |
$362.71 |
$362.71 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$61.87 |
$61.87 |
$61.87 |
$187.72
|
|
CT hrt w/3d image
|
$958.87 |
$958.87 |
$958.87 |
$1,373.40
|
|
CT limited or localized follow-up study
|
$773.49 |
$773.49 |
$773.49 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$785.91 |
$785.91 |
$785.91 |
$1,619.20
|
|
CT lower extremity without contrast (both sides)
|
$710.93 |
$710.93 |
$710.93 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$813.74 |
$813.74 |
$813.74 |
$1,851.60
|
|
CT neck soft tissue w/contrast
|
$1,021.20 |
$1,021.20 |
$1,021.20 |
$1,630.23
|
|
CT neck soft tissue without contrast
|
$773.49 |
$773.49 |
$773.49 |
$1,318.20
|
|
CT neck soft tissue without & w/contrast
|
$1,075.94 |
$1,075.94 |
$1,075.94 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$851.69 |
$851.69 |
$851.69 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$724.73 |
$724.73 |
$724.73 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$659.87 |
$659.87 |
$659.87 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$70.38 |
$70.38 |
$70.38 |
$425.60
|
|
CT scan for therapy guide
|
$477.94 |
$477.94 |
$477.94 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,236.52 |
$2,236.52 |
$2,236.52 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,145.21 |
$2,145.21 |
$2,145.21 |
$2,855.63
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,631.62 |
$1,631.62 |
$1,631.62 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$827.08 |
$827.08 |
$827.08 |
$1,688.40
|
|
CT thoracic spine without contrast
|
$773.49 |
$773.49 |
$773.49 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$51.06 |
$51.06 |
$51.06 |
$331.50
|
|
CT t-spine w /wo contrast
|
$905.05 |
$905.05 |
$905.05 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$785.91 |
$785.91 |
$785.91 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$710.93 |
$710.93 |
$710.93 |
$1,421.20
|
|
CT uppr extremity w/o&w/dye
|
$813.74 |
$813.74 |
$813.74 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$22.31 |
$22.31 |
$22.31 |
$68.80
|
|
Culture afb any source
|
$26.22 |
$26.22 |
$26.22 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$5.52 |
$5.52 |
$5.52 |
$78.60
|
|
Culture anaerobic except blood
|
$63.25 |
$63.25 |
$63.25 |
$117.45
|
|
Culture bact stool aero addl path ea
|
$49.91 |
$49.91 |
$49.91 |
$51.60
|
|
Culture body fluid
|
$6.90 |
$6.90 |
$6.90 |
$121.80
|
|
Culture fungi definitive id yeast
|
$29.90 |
$29.90 |
$29.90 |
$79.10
|
|
Culture fungi other (except blood)
|
$72.91 |
$72.91 |
$72.91 |
$105.60
|