|
Convert nephrostomy catheter
|
$1,404.71 |
$1,404.71 |
$6,268.29 |
|
|
Conv gtube to jtube
|
$816.96 |
$816.96 |
$816.96 |
|
|
Coombs direct
|
$61.98 |
$66.95 |
$248.30 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$17.95 |
$76.70 |
$169.00 |
|
|
Coombs indirect titer reference
|
$86.49 |
$94.25 |
$156.00 |
|
|
Copper cu 64 dotatate diag
|
$1,870.70 |
$1,870.70 |
$1,870.70 |
|
|
Core ndl bx lng/med perq
|
$4,648.38 |
$4,648.38 |
$5,769.60 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$5,120.80 |
$9,204.65 |
$16,527.00 |
|
|
Coronary angio/lv gram/lt heart
|
$5,032.46 |
$8,498.10 |
$15,260.00 |
|
|
Coronary angio/lv gram/rt< heart
|
$5,720.94 |
$8,928.40 |
$16,823.30 |
|
|
Coronary art/grft angio s&i
|
$4,643.96 |
$7,096.05 |
$15,044.00 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,344.17 |
$7,764.90 |
$14,199.00 |
|
|
Coronary thrombolysis/iv infusion 92977
|
$335.96 |
$335.96 |
$335.96 |
|
|
Cortisol acth stimulation test - sendout
|
$110.82 |
$116.35 |
$243.10 |
|
|
Cortisol total am
|
$61.70 |
$79.30 |
$247.65 |
|
|
Cosyntropin 0.25 mg solution for injection
|
$45.79 |
$45.79 |
$519.58 |
|
|
Co-treatment - group 15 mins, st
|
$46.62 |
$79.30 |
$210.00 |
|
|
Counseling smoke cess interm >10mins
|
$50.70 |
$83.00 |
$98.15 |
|
|
Coveredge 32 lead kit 40cm 48
|
$2,028.00 |
$2,028.00 |
$3,250.00 |
|
|
Covid-19 administration immunization im inj 1st/only component
|
$31.20 |
$42.90 |
$66.00 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$377.65 |
$377.65 |
$377.65 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$947.70 |
$947.70 |
$947.70 |
|
|
#covid19rsv-rsv
|
$77.92 |
$141.05 |
$217.00 |
|
|
#coxa-coxsackie a serotype a16
|
$32.91 |
$65.00 |
$109.20 |
|
|
C-peptide
|
$55.90 |
$90.00 |
$182.00 |
|
|
Cr-51 sodium chromate
|
$3,947.45 |
$3,947.45 |
$3,947.45 |
|
|
Crbrospnl fld flw imag cistern
|
$440.30 |
$1,409.85 |
$6,615.70 |
|
|
C-reactive protein
|
$24.70 |
$38.00 |
$94.90 |
|
|
C-reactive protein high sensitivity
|
$43.48 |
$53.00 |
$139.10 |
|
|
C-reactive protein, quantitative
|
$84.50 |
$113.50 |
$158.60 |
|
|
Create eardrum opening
|
$3,353.74 |
$3,353.74 |
$3,353.74 |
|
|
Creatine kinase
|
$23.40 |
$44.22 |
$76.05 |
|
|
Creatine kinase isoenzymes
|
$44.22 |
$54.60 |
$120.90 |
|
|
Creatine kinase mb
|
$42.55 |
$105.95 |
$176.00 |
|
|
Creatine - sendout
|
$48.10 |
$53.10 |
$53.10 |
|
|
Creatinine
|
$19.70 |
$33.80 |
$62.00 |
|
|
Creatinine 24 hour urine
|
$42.00 |
$63.70 |
$186.61 |
|
|
Creatinine clearance urine
|
$33.80 |
$78.00 |
$145.00 |
|
|
#creutz-prot.,western blot
|
$26.00 |
$302.00 |
$771.55 |
|
|
Crisis psychotherapy 90839
|
$226.85 |
$226.85 |
$226.85 |
|
|
Crisis psychotherapy additional 30 mins 90840
|
$97.50 |
$97.50 |
$97.50 |
|
|
Critical care 30-74 minutes
|
$1,123.85 |
$1,211.94 |
$4,576.00 |
|
|
Critical care each additional 30 minutes
|
$282.50 |
$442.00 |
$761.00 |
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$7,181.35 |
$7,181.35 |
$8,996.34 |
|
|
Crotalidae poly immune fab
|
$3,996.74 |
$3,996.74 |
$9,354.15 |
|
|
Cryoablate prostate
|
$17,624.18 |
$17,624.18 |
$17,624.18 |
|
|
Cryofibrinogen qualitative - sendout
|
$24.98 |
$40.00 |
$74.00 |
|
|
Cryoprecipitate each unit
|
$130.65 |
$163.80 |
$667.55 |
|
|
Cryptococcus abs qn - sendout
|
$52.63 |
$52.63 |
$52.63 |
|
|
Cryptosporidium antigen
|
$70.00 |
$96.20 |
$200.20 |
|
|
Crystal identification light microscopy
|
$23.50 |
$31.85 |
$89.00 |
|
|
Csf leakage imaging
|
$1,034.80 |
$1,171.61 |
$1,171.61 |
|
|
Csf shunt reprogram 62252
|
$296.93 |
$296.93 |
$296.93 |
|
|
CT 3d report other modality w/workstation
|
$191.01 |
$191.01 |
$1,160.90 |
|
|
Cta abdomen without & /or w/contrast
|
$1,341.62 |
$2,148.25 |
$3,656.00 |
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,528.75 |
$1,528.75 |
$3,685.50 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,060.50 |
$2,658.27 |
$3,905.85 |
|
|
Cta neck without &/or w/contrast
|
$1,315.72 |
$1,698.45 |
$3,466.00 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,483.63 |
$2,948.40 |
$4,949.00 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,499.24 |
$1,784.90 |
$3,372.00 |
|
|
CT Angiogram of the Head
|
$1,328.95 |
$1,784.25 |
$3,498.95 |
|
|
CT angio hrt w/3d image
|
$1,166.70 |
$1,166.70 |
$1,166.70 |
|
|
CT angio pelvis
|
$1,012.14 |
$1,012.14 |
$3,104.00 |
|
|
Cta upper extremity w &/or without contrast left
|
$1,229.70 |
$1,229.70 |
$2,781.35 |
|
|
CT bone density axial
|
$384.80 |
$592.00 |
$828.10 |
|
|
CT cerebral perf w cont & prcssng
|
$911.95 |
$911.95 |
$911.95 |
|
|
CT guidance for needle placement
|
$584.14 |
$584.14 |
$2,580.00 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$562.49 |
$562.49 |
$2,471.30 |
|
|
CT guid cryo ablat intramuscular
|
$2,614.14 |
$2,614.14 |
$2,614.14 |
|
|
CT guid parench tis ablat
|
$325.51 |
$325.51 |
$1,643.20 |
|
|
CT heart w/evaluation of calcium without contrast
|
$32.50 |
$277.50 |
$338.00 |
|
|
CT hrt w/3d image
|
$514.67 |
$514.67 |
$514.67 |
|
|
CT limited or localized follow-up study
|
$275.00 |
$275.00 |
$1,752.40 |
|
|
CT lower extremity w/contrast (both sides)
|
$1,805.70 |
$1,978.58 |
$3,857.00 |
|
|
CT lower extremity without contrast (both sides)
|
$1,590.55 |
$1,646.50 |
$4,050.00 |
|
|
CT lwr extremity w/o&w/dye
|
$1,581.38 |
$1,829.75 |
$4,482.00 |
|
|
CT neck soft tissue w/contrast
|
$917.14 |
$1,285.05 |
$2,427.00 |
|
|
CT neck soft tissue without contrast
|
$725.29 |
$1,121.25 |
$1,965.60 |
|
|
CT neck soft tissue without & w/contrast
|
$1,042.01 |
$2,132.65 |
$3,324.00 |
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,023.14 |
$1,606.80 |
$2,472.00 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$753.23 |
$1,138.15 |
$2,241.85 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$790.88 |
$916.50 |
$1,683.50 |
|
|
Ctrl nosebld postir subsq 30906
|
$130.33 |
$130.33 |
$239.30 |
|
|
CT scan for therapy guide
|
$360.75 |
$360.75 |
$360.75 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,216.01 |
$2,138.50 |
$5,087.55 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,187.61 |
$1,862.25 |
$4,153.00 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$920.93 |
$1,599.00 |
$3,507.00 |
|
|
CT thoracic spine w/contrast
|
$859.79 |
$1,415.70 |
$3,236.00 |
|
|
CT thoracic spine without contrast
|
$843.69 |
$1,097.20 |
$2,793.00 |
|
|
CT thorax low dose for lung screening without contrast
|
$330.85 |
$952.66 |
$952.66 |
|
|
CT t-spine w /wo contrast
|
$715.30 |
$715.30 |
$2,306.85 |
|
|
CT upper extremity w/contrast (both sides)
|
$1,442.35 |
$1,771.19 |
$3,852.00 |
|
|
CT upper extremity without contrast (both sides)
|
$1,079.65 |
$1,587.30 |
$3,842.00 |
|
|
CT uppr extremity w/o&w/dye
|
$1,476.49 |
$1,756.30 |
$3,758.00 |
|
|
Culture aerobic additional method definitive id each
|
$27.38 |
$41.00 |
$109.85 |
|
|
Culture afb any source
|
$51.34 |
$110.50 |
$191.10 |
|
|
Culture anaerobic additional method definitive id each
|
$35.34 |
$92.30 |
$155.00 |
|
|
Culture anaerobic except blood
|
$65.49 |
$110.00 |
$379.60 |
|
|
Culture bact stool aero addl path ea
|
$19.43 |
$47.00 |
$59.15 |
|
|
Culture body fluid
|
$48.00 |
$104.00 |
$284.70 |
|
