|
Coombs direct
|
$60.60 |
$60.60 |
$60.60 |
$72.80
|
|
Coombs indirect titer reference
|
$159.60 |
$159.60 |
$159.60 |
$143.64
|
|
Copper cu 64 dotatate diag
|
$6,750.00 |
$6,750.00 |
$6,750.00 |
$2,820.66
|
|
Core ndl bx lng/med perq
|
$3,762.60 |
$3,762.60 |
$3,762.60 |
$2,684.50
|
|
Cor hlx vlgs double osteot
|
$29,710.53 |
$29,710.53 |
$63,368.55 |
$5,419.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$22,258.81 |
$22,258.81 |
$31,718.47 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$37,543.69 |
$37,543.69 |
$56,423.11 |
$4,595.89
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$13,121.10 |
$13,121.10 |
$13,121.10 |
$8,296.28
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$15,691.92 |
$18,623.41 |
$24,814.16 |
$3,839.54
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$69,388.87 |
$69,388.87 |
$69,388.87 |
$3,839.54
|
|
Corrj halux rigdus w/implt
|
$42,474.46 |
$42,474.46 |
$42,474.46 |
$5,886.74
|
|
Corrj halux rigdus without implt
|
$17,661.96 |
$23,329.57 |
$24,711.12 |
$3,839.54
|
|
Cortisol acth stimulation test - sendout
|
$279.60 |
$279.60 |
$279.60 |
$146.25
|
|
Cortisol total am
|
$121.20 |
$121.20 |
$121.20 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$108.24 |
$116.28 |
$116.28 |
$191.76
|
|
Co-treatment - group 15 mins, st
|
$184.80 |
$193.80 |
$193.80 |
$108.81
|
|
Coveredge 32 lead kit 40cm 48
|
$8,358.14 |
$8,358.14 |
$8,358.14 |
$3,867.50
|
|
Covers for upright each
|
$89.98 |
$89.98 |
$89.98 |
$89.98
|
|
Cover wrist
|
$88.18 |
$88.18 |
$88.18 |
$225.00
|
|
Covid-19 lab test non-cdc
|
$130.20 |
$130.20 |
$130.20 |
$77.28
|
|
#coxa-coxsackie a serotype a16
|
$31.80 |
$31.80 |
$31.80 |
$60.00
|
|
C-peptide
|
$106.20 |
$106.20 |
$106.20 |
$93.60
|
|
Cptr-asst dir ms px
|
$43,514.72 |
$43,514.72 |
$75,098.59 |
$4,566.83
|
|
Cranial cervical orthosis
|
$16,401.38 |
$16,401.38 |
$16,401.38 |
$16,401.38
|
|
Craniofacial approach skull
|
$22,561.91 |
$22,561.91 |
$22,561.91 |
$3,241.94
|
|
Crbrospnl fld flw imag cistern
|
$1,164.60 |
$1,164.60 |
$1,164.60 |
$1,217.60
|
|
C-reactive protein
|
$61.20 |
$61.20 |
$61.20 |
$63.00
|
|
C-reactive protein high sensitivity
|
$145.80 |
$145.80 |
$145.80 |
$81.00
|
|
Create eardrum opening
|
$8,911.06 |
$10,633.22 |
$38,435.01 |
$3,062.80
|
|
Creatine kinase
|
$66.60 |
$66.60 |
$66.60 |
$63.00
|
|
Creatine kinase isoenzymes
|
$24.60 |
$24.60 |
$24.60 |
$51.60
|
|
Creatine kinase mb
|
$133.80 |
$133.80 |
$133.80 |
$112.79
|
|
Creatinine
|
$40.20 |
$40.20 |
$40.20 |
$44.64
|
|
Creatinine 24 hour urine
|
$52.20 |
$52.20 |
$52.20 |
$58.85
|
|
Creatinine clearance urine
|
$118.20 |
$118.20 |
$118.20 |
$87.20
|
|
#creutz-prot.,western blot
|
$51.00 |
$51.00 |
$51.00 |
$166.20
|
|
Cryoablate prostate
|
$44,807.43 |
$44,807.43 |
$44,807.43 |
$10,942.71
|
|
Cryofibrinogen qualitative - sendout
|
$36.00 |
$36.00 |
$36.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$133.80 |
$133.80 |
$133.80 |
$144.78
|
|
Cryopreservation sperm
|
$274.80 |
$274.80 |
$274.80 |
$202.78
|
|
Cryopreserve stem cells
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$2,588.88
|
|
Cryptococcus abs qn - sendout
|
$58.20 |
$72.00 |
$72.00 |
$82.80
|
|
CT 3d report other modality w/workstation
|
$918.60 |
$964.80 |
$964.80 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$2,026.20
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$2,040.22
|
|
Cta neck without &/or w/contrast
|
$1,276.20 |
$1,276.20 |
$1,276.20 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,479.00 |
$1,479.00 |
$1,479.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$1,913.70
|
|
CT Angiogram of the Head
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$1,944.00
|
|
CT angio hrt w/3d image
|
$499.20 |
$499.20 |
$499.20 |
$1,509.00
|
|
CT angio pelvis
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$1,689.80
|
|
CT guidance for needle placement
|
$1,954.20 |
$1,954.20 |
$1,954.20 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$3,620.40 |
$3,620.40 |
$3,620.40 |
$1,113.84
|
|
CT guid parench tis ablat
|
$783.00 |
$1,148.40 |
$1,148.40 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$213.00 |
$213.00 |
$213.00 |
$187.72
|
|
CT hrt c+ strux cgen hrt ds
|
$1,455.00 |
$1,455.00 |
$1,527.60 |
$1,398.60
|
|
CT hrt w/3d image
|
$450.60 |
$450.60 |
$450.60 |
$1,373.40
|
|
CT limited or localized follow-up study
|
$633.60 |
$633.60 |
$633.60 |
$642.00
|
|
CT lower extremity w/contrast (both sides)
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$1,612.00
|
|
CT lower extremity without contrast (both sides)
|
$1,074.60 |
$1,074.60 |
$1,074.60 |
$1,398.82
|
|
Ctlso a-p-l control molded
|
$4,710.32 |
$4,710.32 |
$4,710.32 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$5,177.93 |
$5,177.93 |
$5,177.93 |
$4,186.78
|
|
Ctlso axilla sling
|
$197.97 |
$197.97 |
$197.97 |
$197.97
|
|
Ctlso milwauke initial model
|
$4,797.91 |
$4,797.91 |
$4,797.91 |
$4,797.91
|
|
CT lwr extremity w/o&w/dye
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$1,844.52
|
|
CT neck soft tissue w/contrast
|
$1,230.60 |
$1,230.60 |
$1,230.60 |
$1,621.60
|
|
CT neck soft tissue without contrast
|
$1,318.20 |
$1,318.20 |
$1,318.20 |
$1,318.20
|
|
CT neck soft tissue without & w/contrast
|
$1,034.40 |
$1,740.00 |
$1,740.00 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,034.40 |
$1,034.40 |
$1,740.00 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,318.20 |
$1,318.20 |
$1,318.20 |
$1,345.05
|
|
CT scan for localization
|
$783.00 |
$1,331.40 |
$1,331.40 |
$1,202.37
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,350.20 |
$2,350.20 |
$2,350.20 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,951.20 |
$1,951.20 |
$1,951.20 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$1,686.06
|
|
CT thoracic spine without contrast
|
$1,099.80 |
$1,099.80 |
$1,099.80 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$219.60 |
$230.40 |
$230.40 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,034.40 |
$1,740.00 |
$1,740.00 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$1,042.20 |
$1,042.20 |
$1,042.20 |
$1,420.00
|
|
CT uppr extremity w/o&w/dye
|
$3,097.20 |
$3,097.20 |
$3,097.20 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$2,313.75 |
$2,313.75 |
$2,313.75 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$57.60 |
$57.60 |
$57.60 |
$68.80
|
|
Culture afb any source
|
$111.60 |
$111.60 |
$111.60 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$70.20 |
$70.20 |
$70.20 |
$78.00
|
|
Culture anaerobic except blood
|
$102.60 |
$102.60 |
$102.60 |
$117.45
|
|
Culture bact stool aero addl path ea
|
$54.00 |
$54.00 |
$54.00 |
$51.57
|
|
Culture body fluid
|
$91.20 |
$91.20 |
$91.20 |
$121.80
|
|
Culture fungi definitive id mold
|
$202.20 |
$202.20 |
$202.20 |
$74.83
|
|
Culture fungi definitive id yeast
|
$55.20 |
$55.20 |
$55.20 |
$79.10
|
|
Culture fungi other (except blood)
|
$91.80 |
$91.80 |
$91.80 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$142.20 |
$142.20 |
$142.20 |
$75.40
|
|
Culture mycoplasma any source
|
$42.00 |
$42.00 |
$42.00 |
$84.60
|
|
Culture quantitative aerobic other source
|
$96.60 |
$96.60 |
$96.60 |
$89.10
|
|
Culture screening strep group a
|
$95.40 |
$95.40 |
$95.40 |
$81.25
|
|
Culture typing added method
|
$73.20 |
$73.20 |
$73.20 |
$34.45
|
|
Culture typing immunologic
|
$27.60 |
$27.60 |
$27.60 |
$41.19
|
