|
Consultation pathology during surgery
|
$43.20 |
$43.20 |
$43.20 |
$104.65
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,354.80 |
$1,354.80 |
$1,354.80 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$130.20 |
$130.20 |
$130.20 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$260.40 |
$260.40 |
$260.40 |
$223.86
|
|
Contrast baths charges
|
$40.80 |
$40.80 |
$40.80 |
$74.25
|
|
Contrast exam abdominl aorta 75625-26
|
$3,145.80 |
$3,145.80 |
$3,145.80 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$3,145.80 |
$3,145.80 |
$3,145.80 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$8,924.40 |
$8,924.40 |
$8,924.40 |
$3,663.60
|
|
Contrast x-ray gallbladder
|
$313.20 |
$313.20 |
$313.20 |
$350.22
|
|
Contrast x-ray of ankle
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$642.95
|
|
Contrast x-ray of brain
|
$1,370.40 |
$1,370.40 |
$1,370.40 |
$934.93
|
|
Contrast x-ray of elbow
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$647.20
|
|
Contrast x-ray of hip
|
$676.80 |
$676.80 |
$676.80 |
$770.88
|
|
Contrast x-ray of knee joint
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$747.65
|
|
Contrast x-ray of wrist
|
$1,473.00 |
$1,473.00 |
$1,473.00 |
$627.90
|
|
Controler lvad heartmate 3 includes ebb
|
$21,300.71 |
$21,300.71 |
$21,300.71 |
$11,518.85
|
|
Controller infinity pt dbs
|
$7,373.32 |
$7,373.32 |
$7,373.32 |
$4,699.80
|
|
Control of nosebleed ant comp 30903
|
$4,207.86 |
$4,207.86 |
$4,207.86 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$168.60 |
$168.60 |
$168.60 |
$373.75
|
|
Conversion ext bil drg cath
|
$3,346.20 |
$3,346.20 |
$3,346.20 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$1,412.40 |
$1,412.40 |
$1,412.40 |
$2,874.36
|
|
Coombs direct
|
$130.20 |
$130.20 |
$130.20 |
$72.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$256.20 |
$256.20 |
$256.20 |
$102.70
|
|
Coombs indirect titer reference
|
$320.40 |
$320.40 |
$320.40 |
$146.00
|
|
Core ndl bx lng/med perq
|
$4,409.40 |
$4,409.40 |
$4,409.40 |
$2,871.04
|
|
Cor hlx vlgs dstl mtar osteo
|
$43,149.35 |
$43,149.35 |
$43,149.35 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$20,271.06 |
$20,271.06 |
$20,271.06 |
$5,886.74
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$14,895.60 |
$14,895.60 |
$14,895.60 |
$8,104.23
|
|
Cortisol acth stimulation test - sendout
|
$310.20 |
$310.20 |
$310.20 |
$146.25
|
|
Cortisol total am
|
$214.20 |
$214.20 |
$214.20 |
$121.55
|
|
Cosyntropin 0.25 mg solution for injection
|
$105.12 |
$105.12 |
$105.12 |
$221.94
|
|
Co-treatment - group 15 mins, st
|
$44.40 |
$44.40 |
$44.40 |
$114.00
|
|
Coveredge 32 lead kit 40cm 48
|
$9,488.50 |
$9,488.50 |
$9,488.50 |
$3,647.70
|
|
Covers for upright each
|
$102.16 |
$102.16 |
$102.16 |
$64.50
|
|
Cover wrist
|
$100.10 |
$100.10 |
$100.10 |
$308.82
|
|
Covid-19 lab test non-cdc
|
$122.40 |
$122.40 |
$122.40 |
$67.49
|
|
#covid19rsv-rsv
|
$164.40 |
$164.40 |
$164.40 |
$146.25
|
|
#coxa-coxsackie a serotype a16
|
$88.80 |
$88.80 |
$88.80 |
$60.00
|
|
C-peptide
|
$222.00 |
$222.00 |
$222.00 |
$92.04
|
|
Cranial cervical orthosis
|
$18,619.50 |
$18,619.50 |
$18,619.50 |
$2,616.15
|
|
Crbrospnl fld flw imag cistern
|
$937.80 |
$937.80 |
$937.80 |
$1,210.30
|
|
C-reactive protein
|
$147.00 |
$147.00 |
$147.00 |
$61.60
|
|
C-reactive protein high sensitivity
|
$121.20 |
$121.20 |
$121.20 |
$79.77
|
|
C-reactive protein, quantitative
|
$45.60 |
$45.60 |
$45.60 |
$62.50
|
|
Create eardrum opening
|
$12,015.74 |
$12,015.74 |
$12,015.74 |
$3,062.80
|
|
Creatine kinase
|
$52.20 |
$52.20 |
$52.20 |
$64.35
|
|
Creatine kinase isoenzymes
|
$117.00 |
$117.00 |
$117.00 |
$49.40
|
|
Creatine kinase mb
|
$82.80 |
$82.80 |
$82.80 |
$114.66
|
|
Creatine - sendout
|
$78.60 |
$78.60 |
$78.60 |
$38.07
|
|
Creatinine
|
$63.60 |
$63.60 |
$63.60 |
$44.35
|
|
Creatinine 24 hour urine
|
$53.40 |
$53.40 |
$53.40 |
$56.45
|
|
Creatinine clearance urine
|
$67.20 |
$67.20 |
$67.20 |
$87.50
|
|
#creutz-prot.,western blot
|
$43.20 |
$43.20 |
$43.20 |
$163.50
|
|
Cryofibrinogen qualitative - sendout
|
$30.00 |
$30.00 |
$30.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$129.60 |
$129.60 |
$129.60 |
$144.78
|
|
Cryptosporidium antigen
|
$135.00 |
$135.00 |
$135.00 |
$52.08
|
|
Crystal identification light microscopy
|
$190.20 |
$190.20 |
$190.20 |
$60.00
|
|
Cstb gene full gene sequence
|
$694.80 |
$694.80 |
$694.80 |
$288.21
|
|
CT 3d report other modality w/workstation
|
$23.40 |
$23.40 |
$23.40 |
$633.00
|
|
Cta abdomen without & /or w/contrast
|
$2,378.40 |
$2,378.40 |
$2,378.40 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,506.00 |
$1,506.00 |
$1,506.00 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,413.60 |
$1,413.60 |
$1,413.60 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$1,940.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,535.20 |
$3,535.20 |
$3,535.20 |
$2,910.00
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,503.60 |
$1,503.60 |
$1,503.60 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,539.20 |
$2,539.20 |
$2,539.20 |
$2,027.35
|
|
CT angio pelvis
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$1,895.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,167.60 |
$1,167.60 |
$1,167.60 |
$1,698.32
|
|
CT guidance for needle placement
|
$3,562.20 |
$3,562.20 |
$3,562.20 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$1,113.84
|
|
CT guid cryo ablat intramuscular
|
$102,368.41 |
$102,368.41 |
$102,368.41 |
$2,136.75
|
|
CT guid parench tis ablat
|
$2,011.80 |
$2,011.80 |
$2,011.80 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$225.00 |
$225.00 |
$225.00 |
$196.67
|
|
CT limited or localized follow-up study
|
$404.40 |
$404.40 |
$404.40 |
$649.38
|
|
CT lower extremity w/contrast (both sides)
|
$2,067.00 |
$2,067.00 |
$2,067.00 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,797.00 |
$1,797.00 |
$1,797.00 |
$1,409.58
|
|
Ctlso a-p-l control molded
|
$5,347.34 |
$5,347.34 |
$5,347.34 |
$3,381.32
|
|
Ctlso a-p-l control with inter
|
$5,878.19 |
$5,878.19 |
$5,878.19 |
$4,186.78
|
|
Ctlso axilla sling
|
$224.74 |
$224.74 |
$224.74 |
$141.91
|
|
Ctlso milwauke initial model
|
$5,446.78 |
$5,446.78 |
$5,446.78 |
$3,439.02
|
|
CT lwr extremity w/o&w/dye
|
$2,376.60 |
$2,376.60 |
$2,376.60 |
$1,857.80
|
|
CT neck soft tissue w/contrast
|
$2,940.00 |
$2,940.00 |
$2,940.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$2,573.40 |
$2,573.40 |
$2,573.40 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$3,073.20 |
$3,073.20 |
$3,073.20 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,074.60 |
$1,074.60 |
$1,074.60 |
$1,740.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,290.80 |
$2,290.80 |
$2,290.80 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,181.00 |
$2,181.00 |
$2,181.00 |
$1,373.25
|
|
CT scan for localization
|
$1,434.60 |
$1,434.60 |
$1,434.60 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,930.40 |
$5,930.40 |
$5,930.40 |
$3,580.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,125.60 |
$4,125.60 |
$4,125.60 |
$2,985.60
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,587.40 |
$3,587.40 |
$3,587.40 |
$2,418.75
|
|
CT thoracic spine w/contrast
|
$1,865.40 |
$1,865.40 |
$1,865.40 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,356.60 |
$1,356.60 |
$1,356.60 |
$1,468.80
|
|
CT thorax low dose for lung screening without contrast
|
$240.60 |
$240.60 |
$240.60 |
$362.70
|
|
CT t-spine w /wo contrast
|
$1,949.40 |
$1,949.40 |
$1,949.40 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$1,641.00 |
$1,641.00 |
$1,641.00 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$1,426.80 |
$1,426.80 |
$1,426.80 |
$1,470.00
|
|
CT uppr extremity w/o&w/dye
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$2,626.66 |
$2,626.66 |
$2,626.66 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$67.20 |
$67.20 |
$67.20 |
$68.64
|
