|
Control oropharyngeal hemorr/simp 42960
|
$325.00 |
$325.00 |
$325.00 |
$611.49
|
|
Conversion ext bil drg cath
|
$4,019.60 |
$4,019.60 |
$4,019.60 |
$4,627.00
|
|
Coombs direct
|
$63.05 |
$63.05 |
$63.05 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$256.75 |
$256.75 |
$256.75 |
$98.40
|
|
Coombs indirect titer reference
|
$73.45 |
$73.45 |
$73.45 |
$146.00
|
|
Core ndl bx lng/med perq
|
$2,684.50 |
$2,684.50 |
$2,684.50 |
$2,963.00
|
|
Cortisol acth stimulation test - sendout
|
$352.30 |
$352.30 |
$352.30 |
$123.73
|
|
Cortisol total am
|
$39.65 |
$39.65 |
$39.65 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$124.25 |
$124.25 |
$124.25 |
$233.44
|
|
Co-treatment - group 15 mins, st
|
$31.85 |
$31.85 |
$31.85 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$37.70 |
$37.70 |
$37.70 |
$57.85
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$976.95 |
$976.95 |
$976.95 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$976.95 |
$976.95 |
$976.95 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$149.76 |
$149.76 |
$149.76 |
$56.44
|
|
#covid19rsv-rsv
|
$194.35 |
$194.35 |
$194.35 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$150.80 |
$150.80 |
$150.80 |
$65.36
|
|
C-peptide
|
$51.35 |
$51.35 |
$51.35 |
$100.00
|
|
C-reactive protein
|
$196.30 |
$196.30 |
$196.30 |
$63.50
|
|
C-reactive protein high sensitivity
|
$59.80 |
$59.80 |
$59.80 |
$91.65
|
|
C-reactive protein, quantitative
|
$169.00 |
$169.00 |
$169.00 |
$63.07
|
|
Creatine kinase
|
$16.25 |
$16.25 |
$16.25 |
$60.75
|
|
Creatine kinase isoenzymes
|
$32.50 |
$32.50 |
$32.50 |
$46.80
|
|
Creatine kinase mb
|
$53.95 |
$53.95 |
$53.95 |
$111.00
|
|
Creatine - sendout
|
$42.25 |
$42.25 |
$42.25 |
$39.00
|
|
Creatinine
|
$26.00 |
$26.00 |
$26.00 |
$44.10
|
|
Creatinine 24 hour urine
|
$13.00 |
$13.00 |
$13.00 |
$61.95
|
|
Creatinine clearance urine
|
$23.40 |
$23.40 |
$23.40 |
$87.50
|
|
#creutz-prot.,western blot
|
$54.60 |
$54.60 |
$54.60 |
$173.45
|
|
Critical care 30-74 minutes
|
$2,130.05 |
$2,130.05 |
$2,130.05 |
$2,754.64
|
|
Critical care each additional 30 minutes
|
$381.55 |
$381.55 |
$381.55 |
$761.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$2,759.66
|
|
Cryo fib comp path redu each
|
$0.65 |
$0.65 |
$0.65 |
$369.51
|
|
Cryofibrinogen qualitative - sendout
|
$98.15 |
$98.15 |
$98.15 |
$50.88
|
|
Cryoprecipitate each unit
|
$87.75 |
$87.75 |
$87.75 |
$189.00
|
|
Crystal identification light microscopy
|
$18.20 |
$18.20 |
$18.20 |
$65.25
|
|
Csf shunt reprogram 62252
|
$205.40 |
$205.40 |
$205.40 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$260.00 |
$260.00 |
$260.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,422.85 |
$1,422.85 |
$1,422.85 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,256.80 |
$2,256.80 |
$2,256.80 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,245.40 |
$1,245.40 |
$1,245.40 |
$1,914.25
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,240.55 |
$2,240.55 |
$2,240.55 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$2,015.65
|
|
CT Angiogram of the Head
|
$713.05 |
$713.05 |
$713.05 |
$2,027.35
|
|
CT angio hrt w/3d image
|
$1,768.00 |
$1,768.00 |
$1,768.00 |
$1,601.60
|
|
CT angio pelvis
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$1,778.40
|
|
Cta upper extremity w &/or without contrast left
|
$1,030.25 |
$1,030.25 |
$1,030.25 |
$1,652.25
|
|
CT colonography dx
|
$1,192.75 |
$1,192.75 |
$1,192.75 |
$770.90
|
|
CT colonography screening
|
$1,192.75 |
$1,192.75 |
$1,192.75 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,043.25 |
$1,043.25 |
$1,043.25 |
$1,506.04
|
|
CT guid parench tis ablat
|
$3,443.05 |
$3,443.05 |
$3,443.05 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$280.15 |
$280.15 |
$280.15 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,140.10 |
$1,140.10 |
$1,140.10 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,005.55 |
$1,005.55 |
$1,005.55 |
$1,424.40
|
|
CT limited or localized follow-up study
|
$1,142.70 |
$1,142.70 |
$1,142.70 |
$626.07
|
|
CT lower extremity w/contrast (both sides)
|
$1,983.80 |
$1,983.80 |
$1,983.80 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,803.10 |
$1,803.10 |
$1,803.10 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$2,181.40 |
$2,181.40 |
$2,181.40 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$676.00 |
$676.00 |
$676.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$614.90 |
$614.90 |
$614.90 |
$1,344.60
|
|
CT neck soft tissue without & w/contrast
|
$743.60 |
$743.60 |
$743.60 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,164.15 |
$1,164.15 |
$1,164.15 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,058.85 |
$1,058.85 |
$1,058.85 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$962.65 |
$962.65 |
$962.65 |
$1,360.45
|
|
Ctrl nosebld postir subsq 30906
|
$538.85 |
$538.85 |
$538.85 |
$456.00
|
|
CT scan for therapy guide
|
$2,798.90 |
$2,798.90 |
$2,798.90 |
$741.78
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,994.85 |
$1,994.85 |
$1,994.85 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,779.05 |
$1,779.05 |
$1,779.05 |
$2,855.63
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,562.60 |
$1,562.60 |
$1,562.60 |
$2,299.15
|
|
CT thoracic spine w/contrast
|
$1,183.65 |
$1,183.65 |
$1,183.65 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,075.75 |
$1,075.75 |
$1,075.75 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$123.50 |
$123.50 |
$123.50 |
$402.35
|
|
CT t-spine w /wo contrast
|
$1,301.95 |
$1,301.95 |
$1,301.95 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$1,983.80 |
$1,983.80 |
$1,983.80 |
$1,698.00
|
|
CT upper extremity without contrast (both sides)
|
$1,803.10 |
$1,803.10 |
$1,803.10 |
$1,468.84
|
|
CT uppr extremity w/o&w/dye
|
$2,181.40 |
$2,181.40 |
$2,181.40 |
$1,841.10
|
|
Culture aerobic additional method definitive id each
|
$24.70 |
$24.70 |
$24.70 |
$64.79
|
|
Culture afb any source
|
$33.15 |
$33.15 |
$33.15 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$243.75 |
$243.75 |
$243.75 |
$78.65
|
|
Culture anaerobic except blood
|
$29.25 |
$29.25 |
$29.25 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$101.40 |
$101.40 |
$101.40 |
$52.80
|
|
Culture body fluid
|
$88.40 |
$88.40 |
$88.40 |
$130.50
|
|
Culture fungi definitive id mold
|
$107.25 |
$107.25 |
$107.25 |
$70.00
|
|
Culture fungi definitive id yeast
|
$122.20 |
$122.20 |
$122.20 |
$80.60
|
|
Culture fungi other (except blood)
|
$25.35 |
$25.35 |
$25.35 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$386.10 |
$386.10 |
$386.10 |
$78.40
|
|
Culture mycobacteria definitive id each isolate
|
$189.15 |
$189.15 |
$189.15 |
$88.14
|
|
Culture mycoplasma any source
|
$46.80 |
$46.80 |
$46.80 |
$90.37
|
|
Culture quantitative aerobic other source
|
$260.00 |
$260.00 |
$260.00 |
$87.02
|
|
Culture screening strep group a
|
$20.15 |
$20.15 |
$20.15 |
$82.17
|
|
Culture typing immunologic
|
$46.15 |
$46.15 |
$46.15 |
$42.25
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$1,544.40 |
$1,544.40 |
$1,544.40 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$152.75 |
$152.75 |
$152.75 |
$124.02
|
|
Culture urine each isolate
|
$29.25 |
$29.25 |
$29.25 |
$46.20
|
|
Cv line/pic reposition
|
$1,958.45 |
$1,958.45 |
$1,958.45 |
$1,829.42
|
|
Cyanocobalamin unsat binding capacity
|
$381.55 |
$381.55 |
$381.55 |
$58.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$25.88 |
$25.88 |
$25.88 |
$30.41
|
|
Cyclic citrullinated peptide antibody
|
$59.80 |
$59.80 |
$59.80 |
$82.00
|
|
Cyclosporine 2 hour
|
$55.25 |
$55.25 |
$55.25 |
$123.00
|
|
Cyp2c19 gene com variants
|
$1,071.85 |
$1,071.85 |
$1,071.85 |
$553.00
|