|
Cranial cervical orthosis
|
$26,981.25 |
$26,981.25 |
$26,981.25 |
$11,130.00
|
|
Crbrospnl fld flw imag cistern
|
$856.00 |
$856.00 |
$856.00 |
$1,240.80
|
|
C-reactive protein
|
$91.20 |
$91.20 |
$124.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$45.50 |
$45.50 |
$128.40 |
$85.00
|
|
Create passage to kidney
|
$3,954.50 |
$3,954.50 |
$3,954.50 |
$4,081.37
|
|
Creatine kinase
|
$67.20 |
$67.20 |
$69.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$142.20 |
$142.20 |
$180.50 |
$56.80
|
|
Creatine kinase mb
|
$270.00 |
$270.00 |
$270.00 |
$114.00
|
|
Creatine - sendout
|
$32.50 |
$32.50 |
$128.40 |
$39.00
|
|
Creatinine
|
$60.00 |
$60.00 |
$80.50 |
$44.72
|
|
Creatinine 24 hour urine
|
$61.20 |
$61.20 |
$104.00 |
$58.85
|
|
Creatinine clearance urine
|
$92.50 |
$92.50 |
$97.20 |
$89.50
|
|
#creutz-prot.,western blot
|
$61.50 |
$61.50 |
$240.00 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,337.40 |
$1,337.40 |
$2,661.00 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$526.50 |
$526.50 |
$1,125.60 |
$731.40
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$9,198.53 |
$9,198.53 |
$9,198.53 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$11,992.50 |
$11,992.50 |
$11,992.50 |
$5,590.35
|
|
Cryofibrinogen qualitative - sendout
|
$101.00 |
$101.00 |
$101.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$79.20 |
$79.20 |
$164.00 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$223.00 |
$223.00 |
$223.00 |
$272.50
|
|
Cryptococcus abs qn - sendout
|
$114.00 |
$114.00 |
$114.00 |
$89.70
|
|
Crystal identification light microscopy
|
$55.00 |
$55.00 |
$61.20 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$583.20 |
$583.20 |
$700.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,188.00 |
$2,188.00 |
$2,967.60 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,708.00 |
$1,708.00 |
$3,210.60 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,710.60 |
$1,710.60 |
$1,984.00 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,931.40 |
$1,931.40 |
$2,231.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,441.00 |
$4,441.00 |
$4,444.80 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,789.80 |
$1,789.80 |
$2,328.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,808.40 |
$1,808.40 |
$2,221.00 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$375.00 |
$375.00 |
$1,811.40 |
$1,500.38
|
|
CT angio pelvis
|
$2,257.50 |
$2,257.50 |
$2,257.50 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,274.50 |
$1,274.50 |
$1,998.60 |
$1,698.00
|
|
CT colonography dx
|
$408.00 |
$408.00 |
$408.00 |
$791.00
|
|
CT colonography dx w/dye
|
$452.50 |
$452.50 |
$452.50 |
$1,037.00
|
|
CT colonography screening
|
$408.00 |
$408.00 |
$408.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,395.00 |
$1,395.00 |
$1,635.60 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,369.80 |
$1,369.80 |
$2,119.50 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$3,479.00 |
$3,479.00 |
$3,479.00 |
$1,643.20
|
|
CT guid parench tis ablat
|
$1,639.80 |
$1,639.80 |
$1,664.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$109.00 |
$109.00 |
$293.00 |
$171.60
|
|
CT hrt c+ strux cgen hrt ds
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$1,371.50
|
|
CT hrt w/3d image
|
$1,007.00 |
$1,007.00 |
$1,623.00 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$650.00 |
$650.00 |
$650.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,500.00 |
$1,500.00 |
$2,310.60 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,296.00 |
$1,296.00 |
$1,849.80 |
$1,421.85
|
|
Ctlso a-p-l control molded
|
$7,748.75 |
$7,748.75 |
$7,748.75 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$8,518.00 |
$8,518.00 |
$8,518.00 |
$4,186.78
|
|
Ctlso axilla sling
|
$325.67 |
$325.67 |
$325.67 |
$197.97
|
|
Ctlso milwauke initial model
|
$7,892.86 |
$7,892.86 |
$7,892.86 |
$4,797.91
|
|
CT lwr extremity w/o&w/dye
|
$1,723.50 |
$1,723.50 |
$2,536.80 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,678.00 |
$1,678.00 |
$2,440.20 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$642.50 |
$642.50 |
$1,773.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,940.00 |
$1,940.00 |
$2,482.80 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,863.00 |
$1,863.00 |
$2,104.80 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,360.80 |
$1,360.80 |
$1,620.50 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,360.00 |
$1,360.00 |
$1,834.20 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$273.00 |
$273.00 |
$289.20 |
$437.04
|
|
CT scan for localization
|
$1,068.00 |
$1,068.00 |
$1,395.00 |
$1,205.14
|
|
CT scan for therapy guide
|
$440.00 |
$440.00 |
$440.00 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,834.50 |
$3,834.50 |
$4,374.00 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,334.00 |
$3,334.00 |
$5,589.60 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,900.50 |
$2,900.50 |
$4,530.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,862.00 |
$1,862.00 |
$3,346.80 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,608.50 |
$1,608.50 |
$3,122.40 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$265.20 |
$265.20 |
$421.00 |
$331.50
|
|
CT t-spine w /wo contrast
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,500.00 |
$1,500.00 |
$2,314.80 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,296.00 |
$1,296.00 |
$1,998.00 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$1,723.50 |
$1,723.50 |
$1,723.50 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$723.98 |
$723.98 |
$3,806.26 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$64.20 |
$64.20 |
$94.50 |
$68.64
|
|
Culture afb any source
|
$129.50 |
$129.50 |
$178.80 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$49.50 |
$49.50 |
$87.00 |
$79.00
|
|
Culture anaerobic except blood
|
$114.00 |
$114.00 |
$151.20 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$16.50 |
$16.50 |
$16.50 |
$51.45
|
|
Culture body fluid
|
$53.50 |
$53.50 |
$129.60 |
$126.75
|
|
Culture fungi definitive id mold
|
$14.00 |
$14.00 |
$14.00 |
$77.28
|
|
Culture fungi definitive id yeast
|
$48.50 |
$48.50 |
$96.00 |
$79.10
|
|
Culture fungi other (except blood)
|
$131.00 |
$131.00 |
$137.40 |
$108.00
|
|
Culture mycoplasma any source
|
$72.00 |
$72.00 |
$124.20 |
$85.26
|
|
Culture of specimen by kit
|
$49.00 |
$49.00 |
$49.00 |
$49.00
|
|
Culture quantitative aerobic other source
|
$15.00 |
$15.00 |
$15.00 |
$90.35
|
|
Culture screening strep group a
|
$37.00 |
$37.00 |
$95.40 |
$81.00
|
|
Culture typing immunologic
|
$30.00 |
$30.00 |
$54.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$757.20 |
$757.20 |
$757.20 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$105.00 |
$105.00 |
$105.00 |
$133.90
|
|
Culture urine each isolate
|
$94.80 |
$94.80 |
$94.80 |
$57.00
|
|
Cutter lead
|
$3,071.88 |
$3,071.88 |
$15,411.69 |
$6,092.06
|
|
Cv line/pic reposition
|
$871.50 |
$871.50 |
$871.50 |
$1,720.93
|
|
Cyanocobalamin unsat binding capacity
|
$175.50 |
$175.50 |
$175.50 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$68.00 |
$68.00 |
$77.40 |
$70.72
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$994.29 |
$994.29 |
$994.29 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$79.18 |
$79.18 |
$79.18 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$456.95 |
$456.95 |
$456.95 |
$140.78
|
|
Cyclosporine 2 hour
|
$123.50 |
$123.50 |
$158.40 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$9.00 |
$9.00 |
$9.00 |
$7.48
|
|
Cygnus, per sq cm
|
$19,426.50 |
$19,426.50 |
$19,426.50 |
$356.54
|
|
Cylinder pump set 20cm titan zero angl
|
$12,175.20 |
$12,175.20 |
$62,903.22 |
$22,803.38
|
