|
Contact lens fitting for tx
|
$4.20 |
$4.20 |
$4.20 |
$92.96
|
|
Contrast baths charges
|
$121.80 |
$121.80 |
$121.80 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$3,864.00 |
$3,864.00 |
$3,864.00 |
$3,458.54
|
|
Contrast x-ray gallbladder
|
$210.00 |
$210.00 |
$210.00 |
$350.22
|
|
Contrast x-ray of ankle
|
$1,194.60 |
$1,194.60 |
$1,194.60 |
$612.30
|
|
Contrast x-ray of elbow
|
$1,194.60 |
$1,194.60 |
$1,194.60 |
$649.80
|
|
Contrast x-ray of hip
|
$1,194.60 |
$1,194.60 |
$1,194.60 |
$771.12
|
|
Contrast x-ray of knee joint
|
$2,350.80 |
$2,350.80 |
$2,350.80 |
$769.88
|
|
Contrast x-ray of wrist
|
$1,194.60 |
$1,194.60 |
$1,194.60 |
$637.00
|
|
Controler lvad heartmate 3 includes ebb
|
$20,518.64 |
$20,518.64 |
$20,518.64 |
$13,218.75
|
|
Controller infinity pt dbs
|
$7,102.61 |
$7,102.61 |
$7,102.61 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$176.40 |
$176.40 |
$176.40 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$525.60 |
$525.60 |
$525.60 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$525.60 |
$525.60 |
$525.60 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$730.20 |
$730.20 |
$730.20 |
$634.80
|
|
Control throat bleeding
|
$2,176.80 |
$2,176.80 |
$2,176.80 |
$3,984.00
|
|
Coombs direct
|
$52.80 |
$52.80 |
$52.80 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$277.20 |
$277.20 |
$277.20 |
$102.90
|
|
Coombs indirect titer reference
|
$273.60 |
$273.60 |
$273.60 |
$146.40
|
|
Core ndl bx lng/med perq
|
$2,577.60 |
$2,577.60 |
$2,577.60 |
$2,678.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$10,560.66 |
$10,560.66 |
$10,560.66 |
$4,539.20
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$14,348.70 |
$14,348.70 |
$14,348.70 |
$8,272.50
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$11,838.06 |
$11,838.06 |
$11,838.06 |
$3,839.54
|
|
Cortisol total am
|
$112.80 |
$112.80 |
$112.80 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$317.64 |
$317.64 |
$317.64 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$93.60 |
$93.60 |
$93.60 |
$110.00
|
|
Counseling visit to discuss need for ldct g0296
|
$112.20 |
$112.20 |
$112.20 |
$98.14
|
|
Coveredge 32 lead kit 40cm 48
|
$9,140.12 |
$9,140.12 |
$9,140.12 |
$3,908.16
|
|
Covers for upright each
|
$98.41 |
$98.41 |
$98.41 |
$89.98
|
|
Cover wrist
|
$96.43 |
$96.43 |
$96.43 |
$225.00
|
|
Covid-19 lab test non-cdc
|
$122.40 |
$122.40 |
$122.40 |
$80.50
|
|
#coxa-coxsackie a serotype a16
|
$114.00 |
$114.00 |
$114.00 |
$60.00
|
|
C-peptide
|
$67.80 |
$67.80 |
$67.80 |
$97.30
|
|
Cranial cervical orthosis
|
$17,935.88 |
$17,935.88 |
$17,935.88 |
$11,130.00
|
|
Crbrospnl fld flw imag cistern
|
$1,714.80 |
$1,714.80 |
$1,714.80 |
$1,240.80
|
|
C-reactive protein
|
$63.00 |
$63.00 |
$63.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$102.00 |
$102.00 |
$102.00 |
$85.00
|
|
C-reactive protein, quantitative
|
$30.00 |
$30.00 |
$30.00 |
$71.06
|
|
Creatine kinase
|
$42.00 |
$42.00 |
$42.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$78.60 |
$78.60 |
$78.60 |
$56.80
|
|
Creatine kinase mb
|
$57.00 |
$57.00 |
$57.00 |
$114.00
|
|
Creatine - sendout
|
$37.20 |
$37.20 |
$37.20 |
$39.00
|
|
Creatinine
|
$37.20 |
$37.20 |
$37.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$40.80 |
$40.80 |
$40.80 |
$58.85
|
|
Creatinine clearance urine
|
$68.40 |
$68.40 |
$68.40 |
$89.50
|
|
#creutz-prot.,western blot
|
$206.40 |
$206.40 |
$206.40 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,578.60 |
$1,578.60 |
$1,578.60 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$369.60 |
$369.60 |
$369.60 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$48.60 |
$48.60 |
$48.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$362.40 |
$362.40 |
$362.40 |
$144.78
|
|
Cryptosporidium antigen
|
$55.20 |
$55.20 |
$55.20 |
$52.08
|
|
Crystal identification light microscopy
|
$44.40 |
$44.40 |
$44.40 |
$62.50
|
|
Cstb gene full gene sequence
|
$694.80 |
$694.80 |
$694.80 |
$302.31
|
|
CT 3d report other modality w/workstation
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,457.40 |
$1,457.40 |
$1,457.40 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$827.40 |
$827.40 |
$827.40 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,329.80 |
$2,329.80 |
$2,329.80 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,165.80 |
$1,165.80 |
$1,165.80 |
$1,940.00
|
|
CT Angiogram of the Head
|
$827.40 |
$827.40 |
$827.40 |
$1,996.80
|
|
CT angio pelvis
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$1,698.00
|
|
CT guidance for needle placement
|
$1,242.60 |
$1,242.60 |
$1,242.60 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,665.60 |
$1,665.60 |
$1,665.60 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$128.00 |
$128.00 |
$128.00 |
$171.60
|
|
CT limited or localized follow-up study
|
$366.00 |
$366.00 |
$366.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,192.20 |
$1,192.20 |
$1,192.20 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$838.20 |
$838.20 |
$838.20 |
$1,421.85
|
|
Ctlso a-p-l control molded
|
$5,151.01 |
$5,151.01 |
$5,151.01 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$5,662.37 |
$5,662.37 |
$5,662.37 |
$4,186.78
|
|
Ctlso axilla sling
|
$216.49 |
$216.49 |
$216.49 |
$197.97
|
|
Ctlso milwauke initial model
|
$5,246.80 |
$5,246.80 |
$5,246.80 |
$4,797.91
|
|
CT lwr extremity w/o&w/dye
|
$1,264.80 |
$1,264.80 |
$1,264.80 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,498.20 |
$1,498.20 |
$1,498.20 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,154.00 |
$2,154.00 |
$2,154.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$861.00 |
$861.00 |
$861.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$784.80 |
$784.80 |
$784.80 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$405.60 |
$405.60 |
$405.60 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,650.20 |
$2,650.20 |
$2,650.20 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,335.20 |
$2,335.20 |
$2,335.20 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,019.60 |
$2,019.60 |
$2,019.60 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,371.60 |
$1,371.60 |
$1,371.60 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,099.20 |
$1,099.20 |
$1,099.20 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$165.60 |
$165.60 |
$165.60 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,649.40 |
$1,649.40 |
$1,649.40 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$734.40 |
$734.40 |
$734.40 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$2,530.22 |
$2,530.22 |
$2,530.22 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$51.60 |
$51.60 |
$51.60 |
$68.64
|
|
Culture afb any source
|
$69.60 |
$69.60 |
$69.60 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$57.00 |
$57.00 |
$57.00 |
$79.00
|
|
Culture anaerobic except blood
|
$61.20 |
$61.20 |
$61.20 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$55.20 |
$55.20 |
$55.20 |
$51.45
|
|
Culture body fluid
|
$52.20 |
$52.20 |
$52.20 |
$126.75
|
|
Culture fungi definitive id mold
|
$54.00 |
$54.00 |
$54.00 |
$77.28
|
|
Culture fungi definitive id yeast
|
$61.20 |
$61.20 |
$61.20 |
$79.10
|
