|
#covid19rsv-rsv
|
$85.60 |
$85.60 |
$85.60 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$32.40 |
$32.40 |
$32.40 |
$60.00
|
|
C-peptide
|
$53.20 |
$53.20 |
$53.20 |
$93.60
|
|
Cranial cervical orthosis
|
$856.00 |
$856.00 |
$856.00 |
$2,672.33
|
|
Cranial cervical torticollis
|
$181.20 |
$181.20 |
$181.20 |
$483.65
|
|
Crbrospnl fld flw imag cistern
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$1,281.00
|
|
C-reactive protein
|
$12.40 |
$12.40 |
$12.40 |
$68.38
|
|
C-reactive protein high sensitivity
|
$32.40 |
$32.40 |
$32.40 |
$85.00
|
|
C-reactive protein, quantitative
|
$29.60 |
$29.60 |
$29.60 |
$62.50
|
|
Creatine kinase
|
$16.00 |
$16.00 |
$16.00 |
$65.60
|
|
Creatine kinase isoenzymes
|
$37.20 |
$37.20 |
$37.20 |
$54.60
|
|
Creatine kinase mb
|
$29.60 |
$29.60 |
$29.60 |
$113.63
|
|
Creatine - sendout
|
$11.20 |
$11.20 |
$11.20 |
$39.29
|
|
Creatinine
|
$12.40 |
$12.40 |
$12.40 |
$45.65
|
|
Creatinine 24 hour urine
|
$12.40 |
$12.40 |
$12.40 |
$57.60
|
|
Creatinine clearance urine
|
$23.60 |
$23.60 |
$23.60 |
$89.28
|
|
#creutz-prot.,western blot
|
$56.40 |
$56.40 |
$56.40 |
$163.50
|
|
Crisis psychotherapy 90839
|
$308.80 |
$308.80 |
$308.80 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$109.60 |
$109.60 |
$109.60 |
$149.52
|
|
Critical care 30-74 minutes
|
$5,090.00 |
$5,090.00 |
$5,090.00 |
$2,519.00
|
|
Crutches underarm other than wood adjustable or e0114
|
$20.00 |
$20.00 |
$20.00 |
$66.64
|
|
Cryofibrinogen qualitative - sendout
|
$22.40 |
$22.40 |
$22.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$206.00 |
$206.00 |
$206.00 |
$144.78
|
|
Cryopreserve stem cells
|
$1,133.60 |
$1,133.60 |
$1,133.60 |
$2,588.88
|
|
Cryptococcus abs qn - sendout
|
$36.00 |
$36.00 |
$36.00 |
$89.70
|
|
Crystal identification light microscopy
|
$17.60 |
$17.60 |
$17.60 |
$65.50
|
|
Csf leakage imaging
|
$2,065.60 |
$2,065.60 |
$2,065.60 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$297.20 |
$297.20 |
$297.20 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$1,608.40 |
$1,608.40 |
$1,608.40 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,607.60 |
$1,607.60 |
$1,607.60 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$1,502.40 |
$1,502.40 |
$1,502.40 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,226.40 |
$2,226.40 |
$2,226.40 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,401.60 |
$1,401.60 |
$1,401.60 |
$1,912.50
|
|
CT Angiogram of the Head
|
$1,518.00 |
$1,518.00 |
$1,518.00 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$1,258.00 |
$1,258.00 |
$1,258.00 |
$1,424.40
|
|
CT angio pelvis
|
$1,607.60 |
$1,607.60 |
$1,607.60 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$1,516.00 |
$1,516.00 |
$1,516.00 |
$1,681.50
|
|
CT cerebral perf w cont & prcssng
|
$1,813.20 |
$1,813.20 |
$1,813.20 |
$1,040.00
|
|
CT colonography dx
|
$910.40 |
$910.40 |
$910.40 |
$797.40
|
|
CT colonography dx w/dye
|
$1,472.00 |
$1,472.00 |
$1,472.00 |
$1,052.16
|
|
CT colonography screening
|
$1,101.60 |
$1,101.60 |
$1,101.60 |
$1,079.57
|
|
CT guidance for needle placement
|
$556.00 |
$556.00 |
$556.00 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$442.40 |
$442.40 |
$442.40 |
$1,178.52
|
|
CT guid parench tis ablat
|
$1,693.60 |
$1,693.60 |
$1,693.60 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$59.60 |
$59.60 |
$59.60 |
$156.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,139.20 |
$1,139.20 |
$1,139.20 |
$1,371.50
|
|
CT hrt w/3d image
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$507.60 |
$507.60 |
$507.60 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,125.20 |
$1,125.20 |
$1,125.20 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$870.00 |
$870.00 |
$870.00 |
$1,398.82
|
|
Ctlso a-p-l control molded
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$1,337.60 |
$1,337.60 |
$1,337.60 |
$4,186.78
|
|
Ctlso axilla sling
|
$40.80 |
$40.80 |
$40.80 |
$155.04
|
|
CT lwr extremity w/o&w/dye
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$864.40 |
$864.40 |
$864.40 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,533.60 |
$1,533.60 |
$1,533.60 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,349.20 |
$1,349.20 |
$1,349.20 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$911.60 |
$911.60 |
$911.60 |
$1,345.05
|
|
CT scan for localization
|
$1,634.00 |
$1,634.00 |
$1,634.00 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,091.60 |
$2,091.60 |
$2,091.60 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,021.60 |
$2,021.60 |
$2,021.60 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,435.60 |
$1,435.60 |
$1,435.60 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$1,137.60 |
$1,137.60 |
$1,137.60 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$888.00 |
$888.00 |
$888.00 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$332.00 |
$332.00 |
$332.00 |
$332.00
|
|
CT t-spine w /wo contrast
|
$1,432.40 |
$1,432.40 |
$1,432.40 |
$1,968.47
|
|
CT upper extremity w/contrast (both sides)
|
$1,316.00 |
$1,316.00 |
$1,316.00 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$866.00 |
$866.00 |
$866.00 |
$1,404.36
|
|
CT uppr extremity w/o&w/dye
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$1,845.36
|
|
Cuffs adj lock with active con
|
$615.20 |
$615.20 |
$615.20 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$20.40 |
$20.40 |
$20.40 |
$71.40
|
|
Culture afb any source
|
$27.60 |
$27.60 |
$27.60 |
$110.60
|
|
Culture anaerobic except blood
|
$23.60 |
$23.60 |
$23.60 |
$120.54
|
|
Culture bact stool aero addl path ea
|
$23.60 |
$23.60 |
$23.60 |
$52.50
|
|
Culture body fluid
|
$21.60 |
$21.60 |
$21.60 |
$126.00
|
|
Culture fungi definitive id mold
|
$28.40 |
$28.40 |
$28.40 |
$80.00
|
|
Culture fungi definitive id yeast
|
$26.00 |
$26.00 |
$26.00 |
$79.50
|
|
Culture fungi other (except blood)
|
$21.20 |
$21.20 |
$21.20 |
$109.20
|
|
Culture fungi skin/hair/nail
|
$19.60 |
$19.60 |
$19.60 |
$74.40
|
|
Culture mycoplasma any source
|
$29.20 |
$29.20 |
$29.20 |
$81.62
|
|
Culture screening strep group a
|
$16.40 |
$16.40 |
$16.40 |
$83.16
|
|
Culture typing added method
|
$14.00 |
$14.00 |
$14.00 |
$38.70
|
|
Culture typing immunologic
|
$13.20 |
$13.20 |
$13.20 |
$43.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$88.40 |
$88.40 |
$88.40 |
$138.40
|
|
Culture urine each isolate
|
$17.60 |
$17.60 |
$17.60 |
$54.78
|
|
Custom shape cover bk
|
$380.40 |
$380.40 |
$380.40 |
$686.00
|
|
Cutter lead
|
$16,117.60 |
$16,117.60 |
$16,117.60 |
$6,685.72
|
|
Cv line/pic reposition
|
$832.40 |
$832.40 |
$832.40 |
$1,608.00
|
|
Cyanocobalamin unsat binding capacity
|
$38.40 |
$38.40 |
$38.40 |
$58.65
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$2.80 |
$2.80 |
$2.80 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$32.40 |
$32.40 |
$32.40 |
$72.15
|
|
Cyclosporine 2 hour
|
$45.20 |
$45.20 |
$45.20 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$2.32 |
$2.32 |
$2.32 |
$7.48
|
|
Cylinder pump set 20cm titan zero angl
|
$31,089.60 |
$31,089.60 |
$31,089.60 |
$24,372.98
|
|
Cymetra injectable
|
$883.60 |
$883.60 |
$883.60 |
$578.24
|
|
Cyp2c19 gene com variants
|
$401.60 |
$401.60 |
$401.60 |
$502.45
|
