|
Coombs direct
|
$97.00 |
$97.00 |
$97.00 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$46.00 |
$46.00 |
$46.00 |
$98.40
|
|
Coombs indirect titer reference
|
$135.50 |
$135.50 |
$135.50 |
$146.00
|
|
Copper cu 64 dotatate diag
|
$752.85 |
$752.85 |
$752.85 |
$2,293.68
|
|
Core ndl bx lng/med perq
|
$1,951.50 |
$1,951.50 |
$1,951.50 |
$2,661.00
|
|
Corf skilled nursing service
|
$43.00 |
$43.00 |
$43.00 |
$17.60
|
|
Corneal smear
|
$459.50 |
$459.50 |
$459.50 |
$472.21
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$3,359.20 |
$3,359.20 |
$3,359.20 |
$8,296.28
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$13,782.00 |
$13,782.00 |
$13,782.00 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$12,858.00 |
$12,858.00 |
$12,858.00 |
$10,165.00
|
|
Coronary angio/lv gram/rt< heart
|
$14,745.50 |
$14,745.50 |
$14,745.50 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$6,412.50 |
$6,412.50 |
$6,412.50 |
$8,006.25
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,412.50 |
$6,412.50 |
$6,412.50 |
$7,769.30
|
|
Correction trichiasis epilation forcep 67820
|
$190.50 |
$190.50 |
$190.50 |
$176.00
|
|
Cortisol total am
|
$148.00 |
$148.00 |
$148.00 |
$121.55
|
|
Co-treatment - group 15 mins, st
|
$138.50 |
$138.50 |
$138.50 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$53.50 |
$53.50 |
$53.50 |
$55.90
|
|
Coveredge 32 lead kit 40cm 48
|
$3,277.50 |
$3,277.50 |
$3,277.50 |
$4,086.60
|
|
Cover eye w/membrane
|
$1,339.00 |
$1,339.00 |
$1,339.00 |
$1,623.50
|
|
Covid-19 administration immunization im inj 1st/only component
|
$20.00 |
$20.00 |
$20.00 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$225.00 |
$225.00 |
$225.00 |
$553.80
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$225.00 |
$225.00 |
$225.00 |
$548.79
|
|
#covid19rsv-rsv
|
$168.50 |
$168.50 |
$168.50 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$52.50 |
$52.50 |
$52.50 |
$60.00
|
|
C-peptide
|
$129.50 |
$129.50 |
$129.50 |
$93.60
|
|
Cptrized corneal topography
|
$190.00 |
$190.00 |
$190.00 |
$145.00
|
|
Cptr ophth dx img post segmt
|
$93.00 |
$93.00 |
$93.00 |
$97.50
|
|
Crbrospnl fld flw imag cistern
|
$856.00 |
$856.00 |
$856.00 |
$1,205.40
|
|
C-reactive protein
|
$124.00 |
$124.00 |
$124.00 |
$65.07
|
|
C-reactive protein high sensitivity
|
$45.50 |
$45.50 |
$45.50 |
$82.60
|
|
Create passage to kidney
|
$3,954.50 |
$3,954.50 |
$3,954.50 |
$3,986.00
|
|
Creatine kinase
|
$69.00 |
$69.00 |
$69.00 |
$65.60
|
|
Creatine kinase isoenzymes
|
$180.50 |
$180.50 |
$180.50 |
$53.00
|
|
Creatine kinase mb
|
$270.00 |
$270.00 |
$270.00 |
$113.63
|
|
Creatine - sendout
|
$32.50 |
$32.50 |
$32.50 |
$40.30
|
|
Creatinine
|
$80.50 |
$80.50 |
$80.50 |
$44.72
|
|
Creatinine 24 hour urine
|
$104.00 |
$104.00 |
$104.00 |
$59.80
|
|
Creatinine clearance urine
|
$92.50 |
$92.50 |
$92.50 |
$87.50
|
|
#creutz-prot.,western blot
|
$61.50 |
$61.50 |
$61.50 |
$163.50
|
|
Critical care 30-74 minutes
|
$2,661.00 |
$2,661.00 |
$2,661.00 |
$2,535.00
|
|
Critical care each additional 30 minutes
|
$526.50 |
$526.50 |
$526.50 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$101.00 |
$101.00 |
$101.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$164.00 |
$164.00 |
$164.00 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$223.00 |
$223.00 |
$223.00 |
$271.20
|
|
Cryptococcus abs qn - sendout
|
$114.00 |
$114.00 |
$114.00 |
$82.80
|
|
Crystal identification light microscopy
|
$55.00 |
$55.00 |
$55.00 |
$61.38
|
|
CT 3d report other modality w/workstation
|
$700.00 |
$700.00 |
$700.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,188.00 |
$2,188.00 |
$2,188.00 |
$2,026.20
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,708.00 |
$1,708.00 |
$1,708.00 |
$1,934.40
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,984.00 |
$1,984.00 |
$1,984.00 |
$2,002.00
|
|
Cta neck without &/or w/contrast
|
$2,231.00 |
$2,231.00 |
$2,231.00 |
$1,894.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,441.00 |
$4,441.00 |
$4,441.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,328.00 |
$2,328.00 |
$2,328.00 |
$1,913.70
|
|
CT Angiogram of the Head
|
$2,221.00 |
$2,221.00 |
$2,221.00 |
$1,944.00
|
|
CT angio hrt w/3d image
|
$375.00 |
$375.00 |
$375.00 |
$1,500.38
|
|
CT angio pelvis
|
$2,257.50 |
$2,257.50 |
$2,257.50 |
$1,819.20
|
|
Cta upper extremity w &/or without contrast left
|
$1,274.50 |
$1,274.50 |
$1,274.50 |
$1,680.70
|
|
CT colonography dx
|
$408.00 |
$408.00 |
$408.00 |
$791.00
|
|
CT colonography dx w/dye
|
$452.50 |
$452.50 |
$452.50 |
$1,016.80
|
|
CT colonography screening
|
$408.00 |
$408.00 |
$408.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,119.50 |
$2,119.50 |
$2,119.50 |
$1,140.00
|
|
CT guid cryo ablat intramuscular
|
$3,479.00 |
$3,479.00 |
$3,479.00 |
$1,643.20
|
|
CT guid parench tis ablat
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$293.00 |
$293.00 |
$293.00 |
$176.00
|
|
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 |
$1,007.00 |
$1,371.50
|
|
CT limited or localized follow-up study
|
$650.00 |
$650.00 |
$650.00 |
$642.00
|
|
CT lower extremity w/contrast (both sides)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,585.20
|
|
CT lower extremity without contrast (both sides)
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,723.50 |
$1,723.50 |
$1,723.50 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$1,678.00 |
$1,678.00 |
$1,678.00 |
$1,617.00
|
|
CT neck soft tissue without contrast
|
$642.50 |
$642.50 |
$642.50 |
$1,318.20
|
|
CT neck soft tissue without & w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,620.50 |
$1,620.50 |
$1,620.50 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$1,342.20
|
|
Ctrl nosebld postir subsq 30906
|
$273.00 |
$273.00 |
$273.00 |
$422.80
|
|
CT scan for localization
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$1,202.37
|
|
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 |
$3,834.50 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,334.00 |
$3,334.00 |
$3,334.00 |
$2,825.55
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,900.50 |
$2,900.50 |
$2,900.50 |
$2,290.20
|
|
CT thoracic spine w/contrast
|
$1,862.00 |
$1,862.00 |
$1,862.00 |
$1,683.20
|
|
CT thoracic spine without contrast
|
$1,608.50 |
$1,608.50 |
$1,608.50 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$421.00 |
$421.00 |
$421.00 |
$331.50
|
|
CT t-spine w /wo contrast
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$2,020.20
|
|
CT upper extremity w/contrast (both sides)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$1,411.00
|
|
CT uppr extremity w/o&w/dye
|
$1,723.50 |
$1,723.50 |
$1,723.50 |
$1,841.40
|
|
Cuffs adj lock with active con
|
$723.98 |
$723.98 |
$723.98 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$94.50 |
$94.50 |
$94.50 |
$67.80
|
|
Culture afb any source
|
$129.50 |
$129.50 |
$129.50 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$49.50 |
$49.50 |
$49.50 |
$79.00
|
|
Culture anaerobic except blood
|
$114.00 |
$114.00 |
$114.00 |
$119.40
|
|
Culture bact stool aero addl path ea
|
$16.50 |
$16.50 |
$16.50 |
$52.50
|
|
Culture body fluid
|
$53.50 |
$53.50 |
$53.50 |
$120.50
|
|
Culture fungi definitive id mold
|
$14.00 |
$14.00 |
$14.00 |
$75.75
|
|
Culture fungi definitive id yeast
|
$48.50 |
$48.50 |
$48.50 |
$79.10
|
|
Culture fungi other (except blood)
|
$131.00 |
$131.00 |
$131.00 |
$108.30
|