|
Contrast exam thoracic aorta 75605-26
|
$5,690.75 |
$5,690.75 |
$5,690.75 |
$3,780.00
|
|
Contrast x-ray of ankle
|
$817.70 |
$817.70 |
$817.70 |
$566.28
|
|
Contrast x-ray of elbow
|
$2,167.10 |
$2,167.10 |
$2,167.10 |
$620.95
|
|
Contrast x-ray of hip
|
$2,076.10 |
$2,076.10 |
$2,076.10 |
$770.88
|
|
Contrast x-ray of knee joint
|
$1,203.80 |
$1,203.80 |
$1,203.80 |
$655.05
|
|
Contrast x-ray of wrist
|
$1,151.80 |
$1,151.80 |
$1,151.80 |
$561.00
|
|
Controler lvad heartmate 3 includes ebb
|
$11,723.40 |
$11,723.40 |
$11,723.40 |
$11,723.40
|
|
Controller infinity pt dbs
|
$1,687.97 |
$1,687.97 |
$1,687.97 |
$3,101.00
|
|
Control nosebleed pack+caut 30905
|
$1,400.10 |
$1,400.10 |
$1,400.10 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,614.60 |
$1,614.60 |
$1,614.60 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$1,114.10 |
$1,114.10 |
$1,114.10 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$555.10 |
$555.10 |
$555.10 |
$602.63
|
|
Conversion ext bil drg cath
|
$5,499.00 |
$5,499.00 |
$5,499.00 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$9,844.90 |
$9,844.90 |
$9,844.90 |
$3,927.00
|
|
Coombs direct
|
$65.65 |
$65.65 |
$65.65 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$107.25 |
$107.25 |
$107.25 |
$100.29
|
|
Coombs indirect titer reference
|
$274.95 |
$274.95 |
$274.95 |
$143.40
|
|
Copper intrauterine device
|
$2,195.34 |
$2,195.34 |
$2,195.34 |
$2,304.44
|
|
Core ndl bx lng/med perq
|
$4,026.75 |
$4,026.75 |
$4,026.75 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$6,276.40 |
$6,276.40 |
$6,276.40 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$5,931.25 |
$5,931.25 |
$5,931.25 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$6,529.90 |
$6,529.90 |
$6,529.90 |
$11,247.60
|
|
Coronary art/grft angio s&i
|
$5,853.90 |
$5,853.90 |
$5,853.90 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,811.95 |
$4,811.95 |
$4,811.95 |
$7,697.25
|
|
Cortisol acth stimulation test - sendout
|
$170.95 |
$170.95 |
$170.95 |
$120.13
|
|
Cortisol total am
|
$87.10 |
$87.10 |
$87.10 |
$122.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$124.94 |
$124.94 |
$124.94 |
$256.99
|
|
Co-treatment - group 15 mins, st
|
$127.40 |
$127.40 |
$127.40 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$22.75 |
$22.75 |
$22.75 |
$57.60
|
|
Coveredge 32 lead kit 40cm 48
|
$1,563.54 |
$1,563.54 |
$1,563.54 |
$2,981.93
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,088.10 |
$1,088.10 |
$1,088.10 |
$569.31
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$1,088.10 |
$1,088.10 |
$1,088.10 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$102.05 |
$102.05 |
$102.05 |
$56.44
|
|
#covid19rsv-rsv
|
$91.00 |
$91.00 |
$91.00 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$113.75 |
$113.75 |
$113.75 |
$65.36
|
|
C-peptide
|
$20.15 |
$20.15 |
$20.15 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$734.50 |
$734.50 |
$734.50 |
$1,410.04
|
|
C-reactive protein
|
$18.85 |
$18.85 |
$18.85 |
$61.10
|
|
C-reactive protein high sensitivity
|
$18.85 |
$18.85 |
$18.85 |
$91.65
|
|
C-reactive protein, quantitative
|
$94.90 |
$94.90 |
$94.90 |
$63.07
|
|
Creatine kinase
|
$26.65 |
$26.65 |
$26.65 |
$58.30
|
|
Creatine kinase isoenzymes
|
$44.85 |
$44.85 |
$44.85 |
$49.40
|
|
Creatine kinase mb
|
$28.60 |
$28.60 |
$28.60 |
$106.60
|
|
Creatine - sendout
|
$39.00 |
$39.00 |
$39.00 |
$40.59
|
|
Creatinine
|
$6.50 |
$6.50 |
$6.50 |
$42.50
|
|
Creatinine 24 hour urine
|
$30.55 |
$30.55 |
$30.55 |
$59.80
|
|
Creatinine clearance urine
|
$19.50 |
$19.50 |
$19.50 |
$85.80
|
|
#creutz-prot.,western blot
|
$271.05 |
$271.05 |
$271.05 |
$180.40
|
|
Critical care 30-74 minutes
|
$3,058.90 |
$3,058.90 |
$3,058.90 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$375.70 |
$375.70 |
$375.70 |
$757.20
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$2,581.80 |
$2,581.80 |
$2,581.80 |
$2,649.05
|
|
Cryo fib comp path redu each
|
$0.65 |
$0.65 |
$0.65 |
$369.51
|
|
Cryofibrinogen qualitative - sendout
|
$48.75 |
$48.75 |
$48.75 |
$50.88
|
|
Cryoprecipitate each unit
|
$189.15 |
$189.15 |
$189.15 |
$190.20
|
|
Crystal identification light microscopy
|
$108.55 |
$108.55 |
$108.55 |
$58.50
|
|
Csf leakage imaging
|
$1,625.65 |
$1,625.65 |
$1,625.65 |
$1,433.25
|
|
Csf shunt reprogram 62252
|
$282.75 |
$282.75 |
$282.75 |
$494.40
|
|
CT 3d report other modality w/workstation
|
$422.50 |
$422.50 |
$422.50 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,006.55 |
$2,006.55 |
$2,006.55 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,654.25 |
$1,654.25 |
$1,654.25 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,870.40 |
$2,870.40 |
$2,870.40 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,946.10 |
$1,946.10 |
$1,946.10 |
$1,946.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,746.25 |
$2,746.25 |
$2,746.25 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$2,017.89
|
|
CT Angiogram of the Head
|
$1,946.10 |
$1,946.10 |
$1,946.10 |
$2,058.65
|
|
CT angio hrt w/3d image
|
$2,653.95 |
$2,653.95 |
$2,653.95 |
$1,601.60
|
|
CT angio pelvis
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$1,778.40
|
|
Cta upper extremity w &/or without contrast left
|
$1,348.10 |
$1,348.10 |
$1,348.10 |
$1,661.13
|
|
CT colonography dx
|
$1,238.25 |
$1,238.25 |
$1,238.25 |
$770.90
|
|
CT colonography screening
|
$1,238.25 |
$1,238.25 |
$1,238.25 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,784.25 |
$1,784.25 |
$1,784.25 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,922.70 |
$1,922.70 |
$1,922.70 |
$1,058.40
|
|
CT guid parench tis ablat
|
$2,547.35 |
$2,547.35 |
$2,547.35 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$241.15 |
$241.15 |
$241.15 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,178.80 |
$2,178.80 |
$2,178.80 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,363.05 |
$1,363.05 |
$1,363.05 |
$1,477.35
|
|
CT limited or localized follow-up study
|
$1,485.25 |
$1,485.25 |
$1,485.25 |
$630.50
|
|
CT lower extremity w/contrast (both sides)
|
$2,307.50 |
$2,307.50 |
$2,307.50 |
$1,680.60
|
|
CT lower extremity without contrast (both sides)
|
$2,098.20 |
$2,098.20 |
$2,098.20 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$2,537.60 |
$2,537.60 |
$2,537.60 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,110.20 |
$1,110.20 |
$1,110.20 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$965.25 |
$965.25 |
$965.25 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$1,276.60 |
$1,276.60 |
$1,276.60 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,246.70 |
$1,246.70 |
$1,246.70 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$942.50 |
$942.50 |
$942.50 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$941.85 |
$941.85 |
$941.85 |
$456.00
|
|
CT scan for therapy guide
|
$2,739.10 |
$2,739.10 |
$2,739.10 |
$777.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,743.65 |
$2,743.65 |
$2,743.65 |
$3,329.15
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$2,883.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,267.85 |
$2,267.85 |
$2,267.85 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,255.15 |
$1,255.15 |
$1,255.15 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,053.65 |
$1,053.65 |
$1,053.65 |
$1,436.50
|
|
CT thorax low dose for lung screening without contrast
|
$824.20 |
$824.20 |
$824.20 |
$420.60
|
|
CT t-spine w /wo contrast
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$2,303.60 |
$2,303.60 |
$2,303.60 |
$1,697.85
|
|
CT upper extremity without contrast (both sides)
|
$2,095.60 |
$2,095.60 |
$2,095.60 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$2,533.70 |
$2,533.70 |
$2,533.70 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$61.10 |
$61.10 |
$61.10 |
$63.02
|
|
Culture afb any source
|
$156.65 |
$156.65 |
$156.65 |
$107.50
|
