|
Covid-19 administration immunization im inj 1st/only component
|
$16.63 |
$16.63 |
$16.63 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$129.15 |
$129.15 |
$129.15 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$39.90 |
$39.90 |
$39.90 |
$56.44
|
|
C-peptide
|
$42.53 |
$42.53 |
$42.53 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$510.83 |
$510.83 |
$510.83 |
$1,466.97
|
|
C-reactive protein
|
$45.50 |
$45.50 |
$45.50 |
$63.00
|
|
C-reactive protein high sensitivity
|
$33.08 |
$33.08 |
$33.08 |
$91.65
|
|
Create eardrum opening
|
$71.75 |
$71.75 |
$71.75 |
$3,006.50
|
|
Creatine kinase
|
$30.80 |
$30.80 |
$30.80 |
$59.78
|
|
Creatine kinase isoenzymes
|
$48.48 |
$48.48 |
$48.48 |
$46.34
|
|
Creatine kinase mb
|
$31.15 |
$31.15 |
$31.15 |
$111.00
|
|
Creatinine
|
$18.03 |
$18.03 |
$18.03 |
$44.10
|
|
Creatinine 24 hour urine
|
$22.93 |
$22.93 |
$22.93 |
$59.80
|
|
Creatinine clearance urine
|
$61.78 |
$61.78 |
$61.78 |
$87.50
|
|
#creutz-prot.,western blot
|
$119.00 |
$119.00 |
$119.00 |
$173.00
|
|
Crisis psychotherapy 90839
|
$52.68 |
$52.68 |
$52.68 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$23.45 |
$23.45 |
$23.45 |
$152.10
|
|
Critical care 30-74 minutes
|
$1,019.73 |
$1,019.73 |
$1,019.73 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$509.95 |
$509.95 |
$509.95 |
$777.00
|
|
Crotalidae poly immune fab
|
$495.09 |
$495.09 |
$495.09 |
$5,160.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$1,803.90 |
$1,803.90 |
$1,803.90 |
$2,649.05
|
|
Cryocautery of cervix 57511
|
$32.38 |
$32.38 |
$32.38 |
$429.60
|
|
Cryoprecipitate each unit
|
$1,065.05 |
$1,065.05 |
$1,065.05 |
$185.64
|
|
Cryosurg ablate fa each
|
$511.00 |
$511.00 |
$511.00 |
$4,531.42
|
|
Cryotherapy of acne 17340
|
$11.38 |
$11.38 |
$11.38 |
$97.80
|
|
Cryptococcus abs qn - sendout
|
$49.70 |
$49.70 |
$49.70 |
$70.00
|
|
Crystal identification light microscopy
|
$26.08 |
$26.08 |
$26.08 |
$65.25
|
|
Csf shunt reprogram 62252
|
$19.08 |
$19.08 |
$19.08 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$295.40 |
$295.40 |
$295.40 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$766.85 |
$766.85 |
$766.85 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$657.65 |
$657.65 |
$657.65 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$617.75 |
$617.75 |
$617.75 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,050.35 |
$1,050.35 |
$1,050.35 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$670.60 |
$670.60 |
$670.60 |
$1,955.80
|
|
CT Angiogram of the Head
|
$587.83 |
$587.83 |
$587.83 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$711.03 |
$711.03 |
$711.03 |
$1,588.60
|
|
CT angio pelvis
|
$499.28 |
$499.28 |
$499.28 |
$1,775.28
|
|
CT guidance for needle placement
|
$487.90 |
$487.90 |
$487.90 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$492.98 |
$492.98 |
$492.98 |
$1,085.05
|
|
CT guid parench tis ablat
|
$535.50 |
$535.50 |
$535.50 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$76.13 |
$76.13 |
$76.13 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$147.70 |
$147.70 |
$147.70 |
$1,217.45
|
|
CT hrt w/3d image
|
$147.70 |
$147.70 |
$147.70 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$294.53 |
$294.53 |
$294.53 |
$625.63
|
|
CT neck soft tissue w/contrast
|
$611.28 |
$611.28 |
$611.28 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$85.75 |
$85.75 |
$85.75 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$745.85 |
$745.85 |
$745.85 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$604.63 |
$604.63 |
$604.63 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$518.00 |
$518.00 |
$518.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$454.48 |
$454.48 |
$454.48 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$64.40 |
$64.40 |
$64.40 |
$456.00
|
|
CT scan for therapy guide
|
$988.58 |
$988.58 |
$988.58 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,489.25 |
$1,489.25 |
$1,489.25 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,474.38 |
$1,474.38 |
$1,474.38 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,400.70 |
$1,400.70 |
$1,400.70 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$524.30 |
$524.30 |
$524.30 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$468.13 |
$468.13 |
$468.13 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$114.10 |
$114.10 |
$114.10 |
$400.20
|
|
CT t-spine w /wo contrast
|
$613.38 |
$613.38 |
$613.38 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$51.28 |
$51.28 |
$51.28 |
$63.75
|
|
Culture afb any source
|
$45.33 |
$45.33 |
$45.33 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$40.43 |
$40.43 |
$40.43 |
$77.31
|
|
Culture bact stool aero addl path ea
|
$42.18 |
$42.18 |
$42.18 |
$52.80
|
|
Culture body fluid
|
$69.48 |
$69.48 |
$69.48 |
$130.50
|
|
Culture fungi definitive id mold
|
$41.13 |
$41.13 |
$41.13 |
$70.00
|
|
Culture fungi definitive id yeast
|
$22.40 |
$22.40 |
$22.40 |
$80.60
|
|
Culture fungi other (except blood)
|
$57.05 |
$57.05 |
$57.05 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$15.75 |
$15.75 |
$15.75 |
$77.40
|
|
Culture quantitative aerobic other source
|
$12.60 |
$12.60 |
$12.60 |
$87.02
|
|
Culture screening strep group a
|
$68.95 |
$68.95 |
$68.95 |
$81.60
|
|
Culture typing immunologic
|
$23.45 |
$23.45 |
$23.45 |
$41.60
|
|
Culture urine each isolate
|
$46.03 |
$46.03 |
$46.03 |
$46.20
|
|
Curette/treat cornea
|
$385.00 |
$385.00 |
$385.00 |
$1,317.39
|
|
Cutter lead
|
$2,205.00 |
$2,205.00 |
$2,205.00 |
$5,538.98
|
|
Cv line/pic reposition
|
$248.15 |
$248.15 |
$248.15 |
$1,829.42
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$1.40 |
$1.40 |
$1.40 |
$33.37
|
|
Cyclic citrullinated peptide antibody
|
$39.03 |
$39.03 |
$39.03 |
$80.05
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$31.59 |
$31.59 |
$31.59 |
$1,048.28
|
|
Cyclophosphamide 25 mg capsule
|
$1.71 |
$1.71 |
$1.71 |
$23.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$9.81 |
$9.81 |
$9.81 |
$179.10
|
|
Cyclosporine 2 hour
|
$61.25 |
$61.25 |
$61.25 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$0.07 |
$0.07 |
$0.07 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$1.82 |
$1.82 |
$1.82 |
$39.04
|
|
Cylinder pump set 20cm titan zero angl
|
$18,273.85 |
$18,273.85 |
$18,273.85 |
$22,594.80
|
|
Cyp2c19 gene com variants
|
$205.63 |
$205.63 |
$205.63 |
$567.75
|
|
Cystatin c
|
$26.08 |
$26.08 |
$26.08 |
$82.26
|
|
Cystogram >= 3 views supervision & interpretation
|
$199.50 |
$199.50 |
$199.50 |
$539.55
|
|
Cystometrogram w/up 51727
|
$77.00 |
$77.00 |
$77.00 |
$857.38
|
|
Cystoscopy and treatment
|
$145.43 |
$145.43 |
$145.43 |
$4,081.37
|
|
Cystoscopy and treatment
|
$289.28 |
$289.28 |
$289.28 |
$4,081.37
|
|
Cystoscopy and treatment
|
$69.13 |
$69.13 |
$69.13 |
$4,081.37
|
|
Cystoscopy and treatment
|
$98.18 |
$98.18 |
$98.18 |
$5,949.75
|
|
Cystoscopy and treatment
|
$79.28 |
$79.28 |
$79.28 |
$2,424.12
|
|
Cystoscopy and treatment
|
$61.08 |
$61.08 |
$61.08 |
$2,424.12
|
|
Cystoscopy and treatment
|
$66.33 |
$66.33 |
$66.33 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$295.40 |
$295.40 |
$295.40 |
$1,610.20
|
|
Cystoscopy chemodenervation
|
$48.13 |
$48.13 |
$48.13 |
$2,412.45
|
|
Cystoscopy removal of clots
|
$500.15 |
$500.15 |
$500.15 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$59.15 |
$59.15 |
$59.15 |
$3,416.48
|
|
Cystourethroscop/calib/dilat stric 52281
|
$85.40 |
$85.40 |
$85.40 |
$2,874.36
|
