|
Clot factor xiii fibrin scrn
|
$5.94 |
$5.94 |
$5.94 |
$55.44
|
|
C motor evoked lwr limbs
|
$324.60 |
$324.60 |
$357.06 |
$627.89
|
|
C motor evoked uppr limbs
|
$457.80 |
$457.80 |
$503.58 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$457.80 |
$457.80 |
$503.58 |
$1,308.00
|
|
Cmv pcr-sendout
|
$58.41 |
$58.41 |
$111.51 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$14,356.20 |
$14,356.20 |
$15,791.82 |
$8,980.00
|
|
Coagulation time activated teg
|
$14.19 |
$14.19 |
$27.09 |
$53.72
|
|
Cold agglutinin titer
|
$47.85 |
$47.85 |
$91.35 |
$50.00
|
|
Collagenase, clost hist inj
|
$7,267.24 |
$7,267.24 |
$7,993.96 |
$12,906.28
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$18.06 |
$18.06 |
$19.87 |
$60.84
|
|
Collar cerv ascend 172 reg
|
$546.98 |
$546.98 |
$601.67 |
$213.89
|
|
Collar extrication adult univ
|
$1,309.03 |
$1,309.03 |
$2,092.50 |
$764.15
|
|
Collection blood specimen from completely implantable venous access device
|
$61.20 |
$61.20 |
$67.32 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$61.20 |
$61.20 |
$67.32 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$4.95 |
$4.95 |
$9.45 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$59.73 |
$59.73 |
$114.03 |
$170.05
|
|
Compatibility test each unit electronic
|
$59.73 |
$59.73 |
$114.03 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$59.73 |
$59.73 |
$114.03 |
$169.52
|
|
Complement antigen each component c3
|
$39.93 |
$39.93 |
$76.23 |
$108.55
|
|
Computed tomographic angiography head and neck with contrast
|
$783.90 |
$783.90 |
$862.29 |
$2,237.25
|
|
Concentration infection agents any type
|
$22.11 |
$22.11 |
$42.21 |
$49.95
|
|
Conjugated estrogens 25 mg solution for injection
|
$385.33 |
$385.33 |
$423.86 |
$871.08
|
|
Connect omega .5mm
|
$408.82 |
$408.82 |
$939.53 |
$1,260.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$32.34 |
$32.34 |
$61.74 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$23.76 |
$23.76 |
$45.36 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$41.91 |
$41.91 |
$80.01 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$107.91 |
$107.91 |
$206.01 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$107.91 |
$107.91 |
$206.01 |
$171.65
|
|
Consult comp w/report rfrd material
|
$107.91 |
$107.91 |
$206.01 |
$365.60
|
|
Contrast baths charges
|
$10.20 |
$10.20 |
$11.22 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$1,451.70 |
$1,451.70 |
$1,596.87 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$2,558.40 |
$2,558.40 |
$2,814.24 |
$3,728.24
|
|
Contrast x-ray of ankle
|
$338.40 |
$338.40 |
$372.24 |
$612.30
|
|
Contrast x-ray of elbow
|
$338.40 |
$338.40 |
$372.24 |
$649.80
|
|
Contrast x-ray of hip
|
$338.40 |
$338.40 |
$372.24 |
$771.12
|
|
Contrast x-ray of knee joint
|
$338.40 |
$338.40 |
$372.24 |
$769.88
|
|
Contrast x-ray of wrist
|
$338.40 |
$338.40 |
$372.24 |
$637.00
|
|
Controller infinity pt dbs
|
$2,265.00 |
$2,265.00 |
$2,491.50 |
$4,611.60
|
|
Conversion ext bil drg cath
|
$1,759.20 |
$1,759.20 |
$1,935.12 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$2,192.40 |
$2,192.40 |
$2,411.64 |
$2,777.60
|
|
Coombs direct
|
$29.70 |
$29.70 |
$56.70 |
$75.00
|
|
Coombs indirect titer reference
|
$304.92 |
$304.92 |
$582.12 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$618.38 |
$618.38 |
$680.21 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$1,744.20 |
$1,744.20 |
$1,918.62 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$1,808.40 |
$1,808.40 |
$1,989.24 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$1,579.80 |
$1,579.80 |
$1,737.78 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$2,025.90 |
$2,025.90 |
$2,228.49 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$1,690.20 |
$1,690.20 |
$1,859.22 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$1,276.20 |
$1,276.20 |
$1,403.82 |
$7,914.00
|
|
Cortisol acth stimulation test - sendout
|
$75.24 |
$75.24 |
$143.64 |
$146.25
|
|
Cortisol total am
|
$54.12 |
$54.12 |
$103.32 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$139.74 |
$139.74 |
$153.71 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$25.20 |
$25.20 |
$27.72 |
$110.00
|
|
Coveredge 32 lead kit 40cm 48
|
$214.92 |
$214.92 |
$236.41 |
$3,908.16
|
|
Cover wrist
|
$141.60 |
$141.60 |
$155.76 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$30.90 |
$30.90 |
$33.99 |
$49.13
|
|
#covid19rsv-rsv
|
$309.33 |
$309.33 |
$309.33 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$12.21 |
$12.21 |
$23.31 |
$60.00
|
|
C-peptide
|
$11.88 |
$11.88 |
$22.68 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$284.40 |
$284.40 |
$312.84 |
$1,240.80
|
|
C-reactive protein
|
$17.16 |
$17.16 |
$32.76 |
$68.38
|
|
C-reactive protein high sensitivity
|
$42.90 |
$42.90 |
$81.90 |
$85.00
|
|
Creatine kinase
|
$21.78 |
$21.78 |
$41.58 |
$66.30
|
|
Creatine kinase mb
|
$38.28 |
$38.28 |
$73.08 |
$114.00
|
|
Creatinine
|
$16.83 |
$16.83 |
$32.13 |
$44.72
|
|
Creatinine 24 hour urine
|
$17.16 |
$17.16 |
$32.76 |
$58.85
|
|
Creatinine clearance urine
|
$31.35 |
$31.35 |
$59.85 |
$89.50
|
|
#creutz-prot.,western blot
|
$198.00 |
$198.00 |
$378.00 |
$166.20
|
|
Crisis psychotherapy 90839
|
$72.60 |
$72.60 |
$138.60 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$36.30 |
$36.30 |
$69.30 |
$149.52
|
|
Critical care 30-74 minutes
|
$396.00 |
$396.00 |
$435.60 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$84.90 |
$84.90 |
$93.39 |
$731.40
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$2,507.89 |
$2,507.89 |
$2,758.67 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$3,269.63 |
$3,269.63 |
$3,596.60 |
$5,590.35
|
|
Cryoprecipitate each unit
|
$87.78 |
$87.78 |
$167.58 |
$144.78
|
|
Cta abdomen without & /or w/contrast
|
$783.90 |
$783.90 |
$862.29 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$873.00 |
$873.00 |
$960.30 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,044.60 |
$1,044.60 |
$1,149.06 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$681.60 |
$681.60 |
$749.76 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,567.50 |
$1,567.50 |
$1,724.25 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$783.90 |
$783.90 |
$862.29 |
$1,940.00
|
|
CT Angiogram of the Head
|
$783.90 |
$783.90 |
$862.29 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$325.20 |
$325.20 |
$357.72 |
$1,500.38
|
|
CT angio pelvis
|
$783.90 |
$783.90 |
$862.29 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,044.60 |
$1,044.60 |
$1,149.06 |
$1,698.00
|
|
CT cerebral perf w cont & prcssng
|
$243.30 |
$243.30 |
$267.63 |
$803.40
|
|
CT guidance for needle placement
|
$406.50 |
$406.50 |
$447.15 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$252.60 |
$252.60 |
$277.86 |
$1,178.52
|
|
CT guid parench tis ablat
|
$459.60 |
$459.60 |
$505.56 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$36.00 |
$36.00 |
$39.60 |
$171.60
|
|
CT hrt w/3d image
|
$325.20 |
$325.20 |
$357.72 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$211.80 |
$211.80 |
$232.98 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$878.40 |
$878.40 |
$966.24 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$824.40 |
$824.40 |
$906.84 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$1,126.20 |
$1,126.20 |
$1,238.82 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$337.50 |
$337.50 |
$371.25 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$321.00 |
$321.00 |
$353.10 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$494.10 |
$494.10 |
$543.51 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$444.30 |
$444.30 |
$488.73 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$337.50 |
$337.50 |
$371.25 |
$1,543.83
|