|
Contrast x-ray of ankle
|
$372.24 |
$372.24 |
$372.24 |
$612.30
|
|
Contrast x-ray of elbow
|
$372.24 |
$372.24 |
$372.24 |
$649.80
|
|
Contrast x-ray of hip
|
$372.24 |
$372.24 |
$372.24 |
$771.12
|
|
Contrast x-ray of knee joint
|
$372.24 |
$372.24 |
$372.24 |
$769.88
|
|
Contrast x-ray of wrist
|
$372.24 |
$372.24 |
$372.24 |
$637.00
|
|
Controller infinity pt dbs
|
$2,491.50 |
$2,491.50 |
$2,491.50 |
$4,611.60
|
|
Conversion ext bil drg cath
|
$1,935.12 |
$1,935.12 |
$1,935.12 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$2,411.64 |
$2,411.64 |
$2,411.64 |
$2,777.60
|
|
Coombs direct
|
$29.70 |
$29.70 |
$29.70 |
$75.00
|
|
Core ndl bx lng/med perq
|
$1,918.62 |
$1,918.62 |
$1,918.62 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$1,989.24 |
$1,989.24 |
$1,989.24 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$1,737.78 |
$1,737.78 |
$1,737.78 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$2,228.49 |
$2,228.49 |
$2,228.49 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$1,859.22 |
$1,859.22 |
$1,859.22 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$1,403.82 |
$1,403.82 |
$1,403.82 |
$7,914.00
|
|
Cortisol acth stimulation test - sendout
|
$75.24 |
$75.24 |
$75.24 |
$146.25
|
|
Cortisol total am
|
$54.12 |
$54.12 |
$54.12 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$153.71 |
$153.71 |
$153.71 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$27.72 |
$27.72 |
$27.72 |
$110.00
|
|
Coveredge 32 lead kit 40cm 48
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$3,908.16
|
|
Cover wrist
|
$155.76 |
$155.76 |
$155.76 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$33.99 |
$33.99 |
$33.99 |
$49.13
|
|
#covid19rsv-rsv
|
$162.03 |
$162.03 |
$162.03 |
$145.60
|
|
C-peptide
|
$11.88 |
$11.88 |
$11.88 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$312.84 |
$312.84 |
$312.84 |
$1,240.80
|
|
C-reactive protein
|
$17.16 |
$17.16 |
$17.16 |
$68.38
|
|
C-reactive protein high sensitivity
|
$42.90 |
$42.90 |
$42.90 |
$85.00
|
|
Creatine kinase
|
$21.78 |
$21.78 |
$21.78 |
$66.30
|
|
Creatine kinase mb
|
$38.28 |
$38.28 |
$38.28 |
$114.00
|
|
Creatinine
|
$16.83 |
$16.83 |
$16.83 |
$44.72
|
|
Creatinine 24 hour urine
|
$17.16 |
$17.16 |
$17.16 |
$58.85
|
|
Creatinine clearance urine
|
$31.35 |
$31.35 |
$31.35 |
$89.50
|
|
#creutz-prot.,western blot
|
$181.50 |
$181.50 |
$181.50 |
$166.20
|
|
Critical care 30-74 minutes
|
$435.60 |
$435.60 |
$435.60 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$93.39 |
$93.39 |
$93.39 |
$731.40
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$2,758.67 |
$2,758.67 |
$2,758.67 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$3,596.60 |
$3,596.60 |
$3,596.60 |
$5,590.35
|
|
Cryoprecipitate each unit
|
$87.78 |
$87.78 |
$87.78 |
$144.78
|
|
CT 3d report other modality w/workstation
|
$381.15 |
$381.15 |
$381.15 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$862.29 |
$862.29 |
$862.29 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$960.30 |
$960.30 |
$960.30 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,149.06 |
$1,149.06 |
$1,149.06 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$749.76 |
$749.76 |
$749.76 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,724.25 |
$1,724.25 |
$1,724.25 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$862.29 |
$862.29 |
$862.29 |
$1,940.00
|
|
CT Angiogram of the Head
|
$862.29 |
$862.29 |
$862.29 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$357.72 |
$357.72 |
$357.72 |
$1,500.38
|
|
CT angio pelvis
|
$862.29 |
$862.29 |
$862.29 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,149.06 |
$1,149.06 |
$1,149.06 |
$1,698.00
|
|
CT cerebral perf w cont & prcssng
|
$267.63 |
$267.63 |
$267.63 |
$803.40
|
|
CT guidance for needle placement
|
$447.15 |
$447.15 |
$447.15 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$277.86 |
$277.86 |
$277.86 |
$1,178.52
|
|
CT guid parench tis ablat
|
$505.56 |
$505.56 |
$505.56 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$39.60 |
$39.60 |
$39.60 |
$171.60
|
|
CT hrt w/3d image
|
$357.72 |
$357.72 |
$357.72 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$232.98 |
$232.98 |
$232.98 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$966.24 |
$966.24 |
$966.24 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$906.84 |
$906.84 |
$906.84 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$1,238.82 |
$1,238.82 |
$1,238.82 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$371.25 |
$371.25 |
$371.25 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$353.10 |
$353.10 |
$353.10 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$543.51 |
$543.51 |
$543.51 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$488.73 |
$488.73 |
$488.73 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$371.25 |
$371.25 |
$371.25 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$329.34 |
$329.34 |
$329.34 |
$1,360.00
|
|
CT scan for localization
|
$612.48 |
$612.48 |
$612.48 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,306.14 |
$1,306.14 |
$1,306.14 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$871.20 |
$871.20 |
$871.20 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$871.20 |
$871.20 |
$871.20 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$598.62 |
$598.62 |
$598.62 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$598.62 |
$598.62 |
$598.62 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$524.70 |
$524.70 |
$524.70 |
$331.50
|
|
CT t-spine w /wo contrast
|
$897.93 |
$897.93 |
$897.93 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$863.94 |
$863.94 |
$863.94 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$724.02 |
$724.02 |
$724.02 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$986.70 |
$986.70 |
$986.70 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$26.73 |
$26.73 |
$26.73 |
$68.64
|
|
Culture afb any source
|
$35.97 |
$35.97 |
$35.97 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$26.73 |
$26.73 |
$26.73 |
$79.00
|
|
Culture anaerobic except blood
|
$31.35 |
$31.35 |
$31.35 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$7.92 |
$7.92 |
$7.92 |
$51.45
|
|
Culture body fluid
|
$28.71 |
$28.71 |
$28.71 |
$126.75
|
|
Culture fungi definitive id mold
|
$46.53 |
$46.53 |
$46.53 |
$77.28
|
|
Culture fungi definitive id yeast
|
$58.41 |
$58.41 |
$58.41 |
$79.10
|
|
Culture fungi other (except blood)
|
$28.05 |
$28.05 |
$28.05 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$25.74 |
$25.74 |
$25.74 |
$74.88
|
|
Culture screening strep group a
|
$22.11 |
$22.11 |
$22.11 |
$81.00
|
|
Culture typing immunologic
|
$16.83 |
$16.83 |
$16.83 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$503.58 |
$503.58 |
$503.58 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$41.91 |
$41.91 |
$41.91 |
$133.90
|
|
Culture urine each isolate
|
$27.06 |
$27.06 |
$27.06 |
$57.00
|
|
Cutter lead
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$6,092.06
|
|
Cv line/pic reposition
|
$282.48 |
$282.48 |
$282.48 |
$1,720.93
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$8.58 |
$8.58 |
$8.58 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$14.85 |
$14.85 |
$14.85 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,647.60 |
$1,647.60 |
$1,647.60 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$5.67 |
$5.67 |
$5.67 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$139.14 |
$139.14 |
$139.14 |
$140.78
|
|
Cyclosporine 2 hour
|
$21.45 |
$21.45 |
$21.45 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$1.90 |
$1.90 |
$1.90 |
$7.48
|
