|
Consultation/report referred slides prepared elsewhere
|
$151.00 |
$151.00 |
$151.00 |
$171.65
|
|
Consult comp w/report rfrd material
|
$358.50 |
$358.50 |
$358.50 |
$365.60
|
|
Contrast baths charges
|
$42.00 |
$42.00 |
$42.00 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$3,225.50 |
$3,225.50 |
$3,225.50 |
$3,458.54
|
|
Controller infinity pt dbs
|
$5,438.40 |
$5,438.40 |
$5,438.40 |
$4,611.60
|
|
Control of nosebleed ant comp 30903
|
$289.00 |
$289.00 |
$289.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$187.50 |
$187.50 |
$187.50 |
$355.50
|
|
Coombs direct
|
$41.00 |
$41.00 |
$41.00 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$23.50 |
$23.50 |
$23.50 |
$102.90
|
|
Coombs indirect titer reference
|
$111.50 |
$111.50 |
$111.50 |
$146.40
|
|
Core ndl bx lng/med perq
|
$3,072.00 |
$3,072.00 |
$3,072.00 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$4,682.00 |
$4,682.00 |
$4,682.00 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$4,682.00 |
$4,682.00 |
$4,682.00 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$4,682.00 |
$4,682.00 |
$4,682.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$4,621.00 |
$4,621.00 |
$4,621.00 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,874.00 |
$4,874.00 |
$4,874.00 |
$7,914.00
|
|
Cortisol total am
|
$68.00 |
$68.00 |
$68.00 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$37.27 |
$37.27 |
$37.27 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
$3,908.16
|
|
#coxa-coxsackie a serotype a16
|
$66.00 |
$66.00 |
$66.00 |
$60.00
|
|
C-peptide
|
$85.50 |
$85.50 |
$85.50 |
$97.30
|
|
Cptr-asst dir ms px
|
$0.01 |
$0.01 |
$0.01 |
$7,972.25
|
|
C-reactive protein
|
$38.00 |
$38.00 |
$38.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$66.00 |
$66.00 |
$66.00 |
$85.00
|
|
Creatine kinase
|
$34.00 |
$34.00 |
$34.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$59.50 |
$59.50 |
$59.50 |
$56.80
|
|
Creatine kinase mb
|
$51.50 |
$51.50 |
$51.50 |
$114.00
|
|
Creatinine
|
$34.00 |
$34.00 |
$34.00 |
$44.72
|
|
Creatinine 24 hour urine
|
$34.00 |
$34.00 |
$34.00 |
$58.85
|
|
Creatinine clearance urine
|
$43.50 |
$43.50 |
$43.50 |
$89.50
|
|
#creutz-prot.,western blot
|
$56.00 |
$56.00 |
$56.00 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,761.00 |
$1,761.00 |
$1,761.00 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$384.50 |
$384.50 |
$384.50 |
$731.40
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$3,188.82 |
$3,188.82 |
$3,188.82 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$3,873.46 |
$3,873.46 |
$3,873.46 |
$5,590.35
|
|
Crystal identification light microscopy
|
$25.50 |
$25.50 |
$25.50 |
$62.50
|
|
Cta abdomen without & /or w/contrast
|
$1,098.50 |
$1,098.50 |
$1,098.50 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$977.50 |
$977.50 |
$977.50 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$888.50 |
$888.50 |
$888.50 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,142.00 |
$2,142.00 |
$2,142.00 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,098.50 |
$1,098.50 |
$1,098.50 |
$1,940.00
|
|
CT Angiogram of the Head
|
$888.50 |
$888.50 |
$888.50 |
$1,996.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$1,698.00
|
|
CT guidance for needle placement
|
$857.50 |
$857.50 |
$857.50 |
$1,494.00
|
|
CT heart w/evaluation of calcium without contrast
|
$78.00 |
$78.00 |
$78.00 |
$171.60
|
|
CT limited or localized follow-up study
|
$494.00 |
$494.00 |
$494.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$817.00 |
$817.00 |
$817.00 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$843.50 |
$843.50 |
$843.50 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$548.00 |
$548.00 |
$548.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$871.50 |
$871.50 |
$871.50 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,230.50 |
$1,230.50 |
$1,230.50 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$907.00 |
$907.00 |
$907.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$548.00 |
$548.00 |
$548.00 |
$1,360.00
|
|
CT scan for therapy guide
|
$307.50 |
$307.50 |
$307.50 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,328.50 |
$2,328.50 |
$2,328.50 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,285.00 |
$2,285.00 |
$2,285.00 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,417.50 |
$1,417.50 |
$1,417.50 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,022.00 |
$1,022.00 |
$1,022.00 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$658.50 |
$658.50 |
$658.50 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$78.00 |
$78.00 |
$78.00 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,427.50 |
$1,427.50 |
$1,427.50 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,416.50 |
$2,416.50 |
$2,416.50 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$780.00 |
$780.00 |
$780.00 |
$1,430.20
|
|
Culture aerobic additional method definitive id each
|
$68.50 |
$68.50 |
$68.50 |
$68.64
|
|
Culture afb any source
|
$82.50 |
$82.50 |
$82.50 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$68.50 |
$68.50 |
$68.50 |
$79.00
|
|
Culture anaerobic except blood
|
$68.50 |
$68.50 |
$68.50 |
$120.00
|
|
Culture bacteria anaerobic
|
$68.50 |
$68.50 |
$68.50 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$68.50 |
$68.50 |
$68.50 |
$51.45
|
|
Culture body fluid
|
$115.50 |
$115.50 |
$115.50 |
$126.75
|
|
Culture fungi definitive id yeast
|
$82.50 |
$82.50 |
$82.50 |
$79.10
|
|
Culture fungi other (except blood)
|
$68.50 |
$68.50 |
$68.50 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$68.50 |
$68.50 |
$68.50 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$525.00 |
$525.00 |
$525.00 |
$89.70
|
|
Culture screening strep group a
|
$55.50 |
$55.50 |
$55.50 |
$81.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$206.50 |
$206.50 |
$206.50 |
$133.90
|
|
Culture urine each isolate
|
$68.50 |
$68.50 |
$68.50 |
$57.00
|
|
Cutter lead
|
$5,664.00 |
$5,664.00 |
$5,664.00 |
$6,092.06
|
|
Cv line/pic reposition
|
$2,038.00 |
$2,038.00 |
$2,038.00 |
$1,720.93
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$1.77 |
$1.77 |
$1.77 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$66.00 |
$66.00 |
$66.00 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$670.66 |
$670.66 |
$670.66 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$2.80 |
$2.80 |
$2.80 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$121.11 |
$121.11 |
$121.11 |
$140.78
|
|
Cyclosporine 2 hour
|
$106.00 |
$106.00 |
$106.00 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$5.02 |
$5.02 |
$5.02 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$201.95 |
$201.95 |
$201.95 |
$34.88
|
|
Cylinder pump set 20cm titan zero angl
|
$38,545.26 |
$38,545.26 |
$38,545.26 |
$22,803.38
|
|
Cystatin c
|
$77.50 |
$77.50 |
$77.50 |
$77.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$850.00 |
$850.00 |
$850.00 |
$542.10
|
|
Cytarabine 20 mg/ml injection solution
|
$34.70 |
$34.70 |
$34.70 |
$89.94
|
|
Cytomegalovirus (cmv) antibody igg
|
$66.00 |
$66.00 |
$66.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$76.50 |
$76.50 |
$76.50 |
$97.50
|
|
Cytomegalovirus imm IV /vial
|
$1,230.69 |
$1,230.69 |
$1,230.69 |
$3,072.34
|
|
Cytopathology cellular enhancement technique non-gyn
|
$123.00 |
$123.00 |
$123.00 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$67.00 |
$67.00 |
$67.00 |
$91.84
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$56.00 |
$56.00 |
$56.00 |
$87.50
|