|
Coombs indirect titer reference
|
$370.40 |
$370.40 |
$370.40 |
$156.71
|
|
Copper intrauterine device
|
$2,606.40 |
$2,606.40 |
$2,606.40 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$3,521.60 |
$3,521.60 |
$3,521.60 |
$2,904.48
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$1,451.20 |
$1,451.20 |
$1,451.20 |
$7,849.80
|
|
Coronary thrombolysis/iv infusion 92977
|
$577.60 |
$577.60 |
$577.60 |
$484.37
|
|
Cortisol total am
|
$1,184.80 |
$1,184.80 |
$1,184.80 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$594.40 |
$594.40 |
$594.40 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$110.40 |
$110.40 |
$110.40 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$64.00 |
$64.00 |
$64.00 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$3,664.00 |
$3,664.00 |
$3,664.00 |
$4,180.79
|
|
Cover eye w/membrane
|
$17,461.60 |
$17,461.60 |
$17,461.60 |
$2,827.97
|
|
Covid-19 administration immunization im inj 1st/only component
|
$25.20 |
$25.20 |
$25.20 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$540.00
|
|
#coxa-coxsackie a serotype a16
|
$112.80 |
$112.80 |
$112.80 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$208.00 |
$208.00 |
$208.00 |
$584.50
|
|
C-peptide
|
$421.60 |
$421.60 |
$421.60 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$729.60 |
$729.60 |
$729.60 |
$777.71
|
|
Cr-51 sodium chromate
|
$504.80 |
$504.80 |
$504.80 |
$688.80
|
|
Crbrospnl fld flw imag cistern
|
$3,645.60 |
$3,645.60 |
$3,645.60 |
$1,330.02
|
|
C-reactive protein
|
$288.00 |
$288.00 |
$288.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$571.20 |
$571.20 |
$571.20 |
$85.50
|
|
C-reactive protein, quantitative
|
$533.60 |
$533.60 |
$533.60 |
$65.16
|
|
Create eardrum opening
|
$8,618.40 |
$8,618.40 |
$8,618.40 |
$3,340.97
|
|
Creatine kinase
|
$153.60 |
$153.60 |
$153.60 |
$66.30
|
|
Creatine kinase isoenzymes
|
$45.80 |
$45.80 |
$45.80 |
$56.20
|
|
Creatine kinase mb
|
$176.80 |
$176.80 |
$176.80 |
$113.63
|
|
Creatinine
|
$47.80 |
$47.80 |
$47.80 |
$46.20
|
|
Creatinine 24 hour urine
|
$128.80 |
$128.80 |
$128.80 |
$57.85
|
|
Creatinine clearance urine
|
$176.80 |
$176.80 |
$176.80 |
$90.26
|
|
#creutz-prot.,western blot
|
$176.80 |
$176.80 |
$176.80 |
$163.50
|
|
Critical care each additional 30 minutes
|
$609.60 |
$609.60 |
$609.60 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$272.40 |
$272.40 |
$272.40 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$14,450.40 |
$14,450.40 |
$14,450.40 |
$5,760.00
|
|
Cryocautery of cervix 57511
|
$723.20 |
$723.20 |
$723.20 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$65.40 |
$65.40 |
$65.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$284.00 |
$284.00 |
$284.00 |
$144.78
|
|
Cryptosporidium antigen
|
$196.80 |
$196.80 |
$196.80 |
$52.08
|
|
Crystal identification light microscopy
|
$112.80 |
$112.80 |
$112.80 |
$66.43
|
|
Csf leakage imaging
|
$4,322.40 |
$4,322.40 |
$4,322.40 |
$1,564.11
|
|
CT 3d report other modality w/workstation
|
$843.20 |
$843.20 |
$843.20 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,747.20 |
$3,747.20 |
$3,747.20 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$8,850.40 |
$8,850.40 |
$8,850.40 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$4,521.60 |
$4,521.60 |
$4,521.60 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$5,761.60 |
$5,761.60 |
$5,761.60 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$4,092.00 |
$4,092.00 |
$4,092.00 |
$1,915.30
|
|
CT Angiogram of the Head
|
$4,948.80 |
$4,948.80 |
$4,948.80 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,143.20 |
$3,143.20 |
$3,143.20 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$1,428.68
|
|
CT angio pelvis
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$4,521.60 |
$4,521.60 |
$4,521.60 |
$1,691.30
|
|
CT guidance for needle placement
|
$3,512.00 |
$3,512.00 |
$3,512.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$3,532.80 |
$3,532.80 |
$3,532.80 |
$1,215.06
|
|
CT heart w/evaluation of calcium without contrast
|
$200.00 |
$200.00 |
$200.00 |
$150.00
|
|
CT hrt w/3d image
|
$4,092.00 |
$4,092.00 |
$4,092.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$654.40 |
$654.40 |
$654.40 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$3,409.60 |
$3,409.60 |
$3,409.60 |
$1,818.96
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$6,921.60 |
$6,921.60 |
$6,921.60 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,385.60 |
$5,385.60 |
$5,385.60 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,015.20 |
$4,015.20 |
$4,015.20 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$3,146.40 |
$3,146.40 |
$3,146.40 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$4,323.20 |
$4,323.20 |
$4,323.20 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$205.60 |
$205.60 |
$205.60 |
$72.00
|
|
Culture afb any source
|
$92.80 |
$92.80 |
$92.80 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$154.40 |
$154.40 |
$154.40 |
$84.76
|
|
Culture anaerobic except blood
|
$177.60 |
$177.60 |
$177.60 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$104.00 |
$104.00 |
$104.00 |
$52.50
|
|
Culture body fluid
|
$280.80 |
$280.80 |
$280.80 |
$126.75
|
|
Culture fungi definitive id mold
|
$166.40 |
$166.40 |
$166.40 |
$80.00
|
|
Culture fungi definitive id yeast
|
$90.40 |
$90.40 |
$90.40 |
$80.00
|
|
Culture fungi other (except blood)
|
$207.20 |
$207.20 |
$207.20 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$85.60 |
$85.60 |
$85.60 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$154.20 |
$154.20 |
$154.20 |
$100.00
|
|
Culture mycoplasma any source
|
$350.40 |
$350.40 |
$350.40 |
$83.21
|
|
Culture screening strep group a
|
$337.60 |
$337.60 |
$337.60 |
$84.60
|
|
Culture typing immunologic
|
$17.40 |
$17.40 |
$17.40 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$65.40 |
$65.40 |
$65.40 |
$140.80
|
|
Culture urine each isolate
|
$92.80 |
$92.80 |
$92.80 |
$55.50
|
|
Curette/treat cornea
|
$2,283.20 |
$2,283.20 |
$2,283.20 |
$1,365.60
|
|
Cutter lead
|
$619.20 |
$619.20 |
$619.20 |
$6,581.45
|
|
Cv stress test i&r only 93018
|
$42.60 |
$42.60 |
$42.60 |
$36.40
|
|
Cv stress test/supervision only 93016
|
$42.60 |
$42.60 |
$42.60 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$54.00 |
$54.00 |
$54.00 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$304.00 |
$304.00 |
$304.00 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$13.20 |
$13.20 |
$13.20 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$43.20 |
$43.20 |
$43.20 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$29.00 |
$29.00 |
$29.00 |
$140.78
|
|
Cyclosporine 2 hour
|
$542.40 |
$542.40 |
$542.40 |
$130.40
|
|
Cyclosporine modified 25 mg capsule
|
$8.80 |
$8.80 |
$8.80 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$34.00 |
$34.00 |
$34.00 |
$37.31
|
|
Cyp2c19 gene com variants
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$524.00
|
|
Cyp2d6 gene com variants
|
$240.00 |
$240.00 |
$240.00 |
$570.70
|
|
Cystatin c
|
$332.80 |
$332.80 |
$332.80 |
$77.60
|
|
Cystic fibrosis cftr
|
$4,001.60 |
$4,001.60 |
$4,001.60 |
$1,104.40
|
|
Cystogram >= 3 views supervision & interpretation
|
$961.60 |
$961.60 |
$961.60 |
$586.95
|
|
Cystometrogram w/up 51727
|
$2,776.80 |
$2,776.80 |
$2,776.80 |
$908.59
|
|
Cystoscopy and treatment
|
$5,744.80 |
$5,744.80 |
$5,744.80 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$1,557.60 |
$1,557.60 |
$1,557.60 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$2,874.36
|
