|
Coronary thrombolysis/iv infusion 92977
|
$282.80 |
$282.80 |
$282.80 |
$488.40
|
|
Cortisol total am
|
$117.25 |
$117.25 |
$117.25 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$100.70 |
$100.70 |
$100.70 |
$233.75
|
|
Co-treatment - group 15 mins, st
|
$17.85 |
$17.85 |
$17.85 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$27.30 |
$27.30 |
$27.30 |
$57.77
|
|
Covid-19 lab test non-cdc
|
$79.80 |
$79.80 |
$79.80 |
$56.44
|
|
#coxa-coxsackie a serotype a16
|
$94.50 |
$94.50 |
$94.50 |
$65.36
|
|
C-peptide
|
$63.70 |
$63.70 |
$63.70 |
$100.00
|
|
C-reactive protein
|
$77.81 |
$77.81 |
$77.81 |
$61.60
|
|
C-reactive protein high sensitivity
|
$69.83 |
$69.83 |
$69.83 |
$91.65
|
|
Creatine kinase
|
$66.85 |
$66.85 |
$66.85 |
$60.39
|
|
Creatine kinase isoenzymes
|
$30.56 |
$30.56 |
$30.56 |
$48.48
|
|
Creatine kinase mb
|
$79.38 |
$79.38 |
$79.38 |
$109.47
|
|
Creatinine
|
$36.40 |
$36.40 |
$36.40 |
$44.10
|
|
Creatinine 24 hour urine
|
$50.35 |
$50.35 |
$50.35 |
$62.00
|
|
Creatinine clearance urine
|
$92.75 |
$92.75 |
$92.75 |
$87.20
|
|
#creutz-prot.,western blot
|
$31.85 |
$31.85 |
$31.85 |
$178.10
|
|
Critical care 30-74 minutes
|
$2,534.35 |
$2,534.35 |
$2,534.35 |
$2,700.00
|
|
Critical care each additional 30 minutes
|
$481.60 |
$481.60 |
$481.60 |
$757.20
|
|
Crotalidae poly immune fab
|
$4,534.22 |
$4,534.22 |
$4,534.22 |
$5,160.00
|
|
Cryoprecipitate each unit
|
$47.25 |
$47.25 |
$47.25 |
$195.02
|
|
Crystal identification light microscopy
|
$69.62 |
$69.62 |
$69.62 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$823.90 |
$823.90 |
$823.90 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,254.30 |
$3,254.30 |
$3,254.30 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$4,274.66 |
$4,274.66 |
$4,274.66 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,450.47 |
$3,450.47 |
$3,450.47 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$1,946.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,230.80 |
$4,230.80 |
$4,230.80 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,489.68 |
$3,489.68 |
$3,489.68 |
$2,032.54
|
|
CT Angiogram of the Head
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$2,041.78
|
|
CT angio pelvis
|
$1,865.33 |
$1,865.33 |
$1,865.33 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$3,546.82 |
$3,546.82 |
$3,546.82 |
$1,652.95
|
|
CT guidance for needle placement
|
$1,602.39 |
$1,602.39 |
$1,602.39 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$899.96 |
$899.96 |
$899.96 |
$1,084.05
|
|
CT guid parench tis ablat
|
$355.32 |
$355.32 |
$355.32 |
$1,282.50
|
|
CT limited or localized follow-up study
|
$291.69 |
$291.69 |
$291.69 |
$630.50
|
|
CT lower extremity w/contrast (both sides)
|
$2,325.75 |
$2,325.75 |
$2,325.75 |
$1,700.00
|
|
CT lower extremity without contrast (both sides)
|
$1,802.85 |
$1,802.85 |
$1,802.85 |
$1,403.73
|
|
CT lwr extremity w/o&w/dye
|
$2,722.65 |
$2,722.65 |
$2,722.65 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$2,744.70 |
$2,744.70 |
$2,744.70 |
$1,677.39
|
|
CT neck soft tissue without contrast
|
$2,223.20 |
$2,223.20 |
$2,223.20 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$3,293.85 |
$3,293.85 |
$3,293.85 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,007.25 |
$2,007.25 |
$2,007.25 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,720.60 |
$1,720.60 |
$1,720.60 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,509.20 |
$1,509.20 |
$1,509.20 |
$1,379.95
|
|
CT scan for therapy guide
|
$455.18 |
$455.18 |
$455.18 |
$741.78
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$7,633.85 |
$7,633.85 |
$7,633.85 |
$3,329.15
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$7,068.25 |
$7,068.25 |
$7,068.25 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$5,937.40 |
$5,937.40 |
$5,937.40 |
$2,325.05
|
|
CT thoracic spine w/contrast
|
$4,420.85 |
$4,420.85 |
$4,420.85 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$3,374.46 |
$3,374.46 |
$3,374.46 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$112.14 |
$112.14 |
$112.14 |
$420.60
|
|
CT t-spine w /wo contrast
|
$5,196.80 |
$5,196.80 |
$5,196.80 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$1,671.95 |
$1,671.95 |
$1,671.95 |
$1,706.10
|
|
CT upper extremity without contrast (both sides)
|
$1,337.42 |
$1,337.42 |
$1,337.42 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$2,073.05 |
$2,073.05 |
$2,073.05 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$58.80 |
$58.80 |
$58.80 |
$63.75
|
|
Culture afb any source
|
$98.70 |
$98.70 |
$98.70 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$141.44 |
$141.44 |
$141.44 |
$78.65
|
|
Culture anaerobic except blood
|
$108.05 |
$108.05 |
$108.05 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$43.05 |
$43.05 |
$43.05 |
$52.65
|
|
Culture body fluid
|
$127.75 |
$127.75 |
$127.75 |
$130.50
|
|
Culture fungi definitive id mold
|
$76.47 |
$76.47 |
$76.47 |
$70.00
|
|
Culture fungi definitive id yeast
|
$50.09 |
$50.09 |
$50.09 |
$80.40
|
|
Culture fungi other (except blood)
|
$64.75 |
$64.75 |
$64.75 |
$104.00
|
|
Culture quantitative aerobic other source
|
$28.04 |
$28.04 |
$28.04 |
$85.80
|
|
Culture screening strep group a
|
$112.70 |
$112.70 |
$112.70 |
$80.60
|
|
Culture typing immunologic
|
$50.72 |
$50.72 |
$50.72 |
$43.46
|
|
Culture urine each isolate
|
$93.80 |
$93.80 |
$93.80 |
$46.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$10.62 |
$10.62 |
$10.62 |
$27.88
|
|
Cyclic citrullinated peptide antibody
|
$21.70 |
$21.70 |
$21.70 |
$82.00
|
|
Cyclosporine 2 hour
|
$31.19 |
$31.19 |
$31.19 |
$119.40
|
|
Cystatin c
|
$39.55 |
$39.55 |
$39.55 |
$82.26
|
|
Cystine urine quantitative
|
$27.72 |
$27.72 |
$27.72 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$477.40 |
$477.40 |
$477.40 |
$527.50
|
|
Cytomegalovirus (cmv) antibody igg
|
$36.02 |
$36.02 |
$36.02 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$170.10 |
$170.10 |
$170.10 |
$98.35
|
|
Cyto/molecular report
|
$18.90 |
$18.90 |
$18.90 |
$144.80
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$63.32 |
$63.32 |
$63.32 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$78.28 |
$78.28 |
$78.28 |
$142.94
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$21.74 |
$21.74 |
$21.74 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$23.94 |
$23.94 |
$23.94 |
$185.00
|
|
Cytopath smear other source
|
$41.90 |
$41.90 |
$41.90 |
$85.80
|
|
Cytopath smear other source
|
$113.05 |
$113.05 |
$113.05 |
$135.01
|
|
Cytopath smear oth prep screen & interp
|
$44.45 |
$44.45 |
$44.45 |
$96.20
|
|
Cytopath tbs c/v manual
|
$27.65 |
$27.65 |
$27.65 |
$57.94
|
|
Cytp urine 3-5 probes cmptr
|
$175.00 |
$175.00 |
$175.00 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$24.09 |
$24.09 |
$24.09 |
$74.65
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$342.88 |
$342.88 |
$342.88 |
$404.00
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$7,140.18 |
$7,140.18 |
$7,140.18 |
$28,415.40
|
|
Debridement (>20 cm) charge pt
|
$110.60 |
$110.60 |
$110.60 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$2,593.50 |
$2,593.50 |
$2,593.50 |
$2,494.27
|
|
Debridement/bone/20 sq cm or less 11046
|
$607.60 |
$607.60 |
$607.60 |
$681.60
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$682.50 |
$682.50 |
$682.50 |
$798.23
|
|
Debride nail1-5 11720
|
$53.55 |
$53.55 |
$53.55 |
$173.25
|
|
Debride nail6 or more 11721
|
$51.98 |
$51.98 |
$51.98 |
$199.32
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$293.65 |
$293.65 |
$293.65 |
$661.09
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,733.55 |
$1,733.55 |
$1,733.55 |
$1,161.05
|
|
Decalcification
|
$27.93 |
$27.93 |
$27.93 |
$75.38
|
|
Decitabine 50 mg intravenous solution
|
$675.10 |
$675.10 |
$675.10 |
$975.45
|