|
Coronary art/grft angio s&i
|
$7,786.53 |
$7,786.53 |
$7,786.53 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,078.67 |
$7,078.67 |
$7,078.67 |
$7,950.49
|
|
Coronary thrombolysis/iv infusion 92977
|
$422.03 |
$422.03 |
$422.03 |
$482.09
|
|
Cortisol acth stimulation test - sendout
|
$230.98 |
$230.98 |
$230.98 |
$146.25
|
|
Cortisol total am
|
$86.39 |
$86.39 |
$86.39 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$173.69 |
$173.69 |
$173.69 |
$189.02
|
|
Counseling smoke cess interm >10mins
|
$21.97 |
$21.97 |
$21.97 |
$54.12
|
|
Coveredge 32 lead kit 40cm 48
|
$2,544.73 |
$2,544.73 |
$2,544.73 |
$4,395.30
|
|
Covid-19 administration immunization im inj 1st/only component
|
$32.07 |
$32.07 |
$32.07 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$241.07 |
$241.07 |
$241.07 |
$588.08
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$241.07 |
$241.07 |
$241.07 |
$540.00
|
|
#coxa-coxsackie a serotype a16
|
$27.70 |
$27.70 |
$27.70 |
$60.00
|
|
C-peptide
|
$79.11 |
$79.11 |
$79.11 |
$93.60
|
|
Crbrospnl fld flw imag cistern
|
$950.40 |
$950.40 |
$950.40 |
$1,281.00
|
|
C-reactive protein
|
$45.08 |
$45.08 |
$45.08 |
$68.38
|
|
C-reactive protein high sensitivity
|
$45.87 |
$45.87 |
$45.87 |
$85.00
|
|
Creatine kinase
|
$36.24 |
$36.24 |
$36.24 |
$65.60
|
|
Creatine kinase isoenzymes
|
$36.27 |
$36.27 |
$36.27 |
$54.60
|
|
Creatine kinase mb
|
$113.19 |
$113.19 |
$113.19 |
$113.63
|
|
Creatine - sendout
|
$38.23 |
$38.23 |
$38.23 |
$39.29
|
|
Creatinine 24 hour urine
|
$28.68 |
$28.68 |
$28.68 |
$57.60
|
|
Creatinine clearance urine
|
$75.92 |
$75.92 |
$75.92 |
$89.28
|
|
#creutz-prot.,western blot
|
$48.25 |
$48.25 |
$48.25 |
$163.50
|
|
Critical care 30-74 minutes
|
$6,748.36 |
$6,748.36 |
$6,748.36 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$780.19 |
$780.19 |
$780.19 |
$686.86
|
|
Crutches underarm other than wood adjustable or e0114
|
$172.13 |
$172.13 |
$172.13 |
$66.64
|
|
Cryofibrinogen qualitative - sendout
|
$27.52 |
$27.52 |
$27.52 |
$52.50
|
|
Cryoprecipitate each unit
|
$83.08 |
$83.08 |
$83.08 |
$144.78
|
|
Cryopreserve stem cells
|
$1,700.02 |
$1,700.02 |
$1,700.02 |
$2,588.88
|
|
Cryosurgery penis lesion(s) 54056
|
$96.33 |
$96.33 |
$96.33 |
$271.20
|
|
Cryptococcus abs qn - sendout
|
$71.25 |
$71.25 |
$71.25 |
$89.70
|
|
Crystal identification light microscopy
|
$36.53 |
$36.53 |
$36.53 |
$65.50
|
|
Csf leakage imaging
|
$900.46 |
$900.46 |
$900.46 |
$1,564.11
|
|
Csf ventriculography
|
$895.33 |
$895.33 |
$895.33 |
$877.00
|
|
CT 3d report other modality w/workstation
|
$675.26 |
$675.26 |
$675.26 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$1,958.63 |
$1,958.63 |
$1,958.63 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,858.37 |
$1,858.37 |
$1,858.37 |
$1,916.50
|
|
Cta neck without &/or w/contrast
|
$1,942.87 |
$1,942.87 |
$1,942.87 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,080.49 |
$4,080.49 |
$4,080.49 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,406.06 |
$2,406.06 |
$2,406.06 |
$1,912.50
|
|
CT Angiogram of the Head
|
$1,850.35 |
$1,850.35 |
$1,850.35 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$1,007.88 |
$1,007.88 |
$1,007.88 |
$1,424.40
|
|
CT angio pelvis
|
$1,758.41 |
$1,758.41 |
$1,758.41 |
$1,795.97
|
|
CT colonography dx
|
$735.61 |
$735.61 |
$735.61 |
$797.40
|
|
CT colonography dx w/dye
|
$809.17 |
$809.17 |
$809.17 |
$1,052.16
|
|
CT colonography screening
|
$987.22 |
$987.22 |
$987.22 |
$1,079.57
|
|
CT guidance for needle placement
|
$1,542.83 |
$1,542.83 |
$1,542.83 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$827.02 |
$827.02 |
$827.02 |
$1,178.52
|
|
CT guid parench tis ablat
|
$1,069.26 |
$1,069.26 |
$1,069.26 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$79.52 |
$79.52 |
$79.52 |
$156.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,007.88 |
$1,007.88 |
$1,007.88 |
$1,371.50
|
|
CT hrt w/3d image
|
$1,007.88 |
$1,007.88 |
$1,007.88 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$619.38 |
$619.38 |
$619.38 |
$633.60
|
|
CT neck soft tissue w/contrast
|
$1,443.47 |
$1,443.47 |
$1,443.47 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$1,287.09 |
$1,287.09 |
$1,287.09 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$1,756.21 |
$1,756.21 |
$1,756.21 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,464.46 |
$1,464.46 |
$1,464.46 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,442.43 |
$1,442.43 |
$1,442.43 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,321.32 |
$1,321.32 |
$1,321.32 |
$1,345.05
|
|
Ctrl nosebld postir subsq 30906
|
$284.10 |
$284.10 |
$284.10 |
$444.50
|
|
CT scan for localization
|
$984.63 |
$984.63 |
$984.63 |
$1,205.14
|
|
CT scan for therapy guide
|
$816.35 |
$816.35 |
$816.35 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,136.68 |
$4,136.68 |
$4,136.68 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,878.14 |
$3,878.14 |
$3,878.14 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,134.83 |
$3,134.83 |
$3,134.83 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$1,474.12 |
$1,474.12 |
$1,474.12 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$1,340.11 |
$1,340.11 |
$1,340.11 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$66.27 |
$66.27 |
$66.27 |
$332.00
|
|
CT t-spine w /wo contrast
|
$1,608.13 |
$1,608.13 |
$1,608.13 |
$1,968.47
|
|
Culture aerobic additional method definitive id each
|
$33.52 |
$33.52 |
$33.52 |
$71.40
|
|
Culture afb any source
|
$67.48 |
$67.48 |
$67.48 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$37.27 |
$37.27 |
$37.27 |
$84.76
|
|
Culture anaerobic except blood
|
$72.53 |
$72.53 |
$72.53 |
$120.54
|
|
Culture bact stool aero addl path ea
|
$24.57 |
$24.57 |
$24.57 |
$52.50
|
|
Culture body fluid
|
$69.46 |
$69.46 |
$69.46 |
$126.00
|
|
Culture fungi definitive id mold
|
$44.72 |
$44.72 |
$44.72 |
$80.00
|
|
Culture fungi definitive id yeast
|
$50.73 |
$50.73 |
$50.73 |
$79.50
|
|
Culture fungi other (except blood)
|
$72.47 |
$72.47 |
$72.47 |
$109.20
|
|
Culture fungi skin/hair/nail
|
$65.12 |
$65.12 |
$65.12 |
$74.40
|
|
Culture mycobacteria definitive id each isolate
|
$230.89 |
$230.89 |
$230.89 |
$100.00
|
|
Culture mycoplasma any source
|
$52.89 |
$52.89 |
$52.89 |
$81.62
|
|
Culture quantitative aerobic other source
|
$33.35 |
$33.35 |
$33.35 |
$90.35
|
|
Culture screening strep group a
|
$68.12 |
$68.12 |
$68.12 |
$83.16
|
|
Culture typing added method
|
$24.56 |
$24.56 |
$24.56 |
$38.70
|
|
Culture typing glc/hplc
|
$53.75 |
$53.75 |
$53.75 |
$53.75
|
|
Culture typing immunologic
|
$34.31 |
$34.31 |
$34.31 |
$43.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$148.98 |
$148.98 |
$148.98 |
$138.40
|
|
Culture urine each isolate
|
$26.14 |
$26.14 |
$26.14 |
$54.78
|
|
Curette/treat cornea
|
$506.99 |
$506.99 |
$506.99 |
$1,345.80
|
|
Cutter lead
|
$4,714.46 |
$4,714.46 |
$4,714.46 |
$6,685.72
|
|
Cv line/pic reposition
|
$575.72 |
$575.72 |
$575.72 |
$1,608.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$9.10 |
$9.10 |
$9.10 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$75.53 |
$75.53 |
$75.53 |
$72.15
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,825.73 |
$1,825.73 |
$1,825.73 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$317.22 |
$317.22 |
$317.22 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$93.95 |
$93.95 |
$93.95 |
$140.78
|
|
Cyclosporine 2 hour
|
$74.12 |
$74.12 |
$74.12 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$36.11 |
$36.11 |
$36.11 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$1,086.87 |
$1,086.87 |
$1,086.87 |
$35.57
|
|
Cylinder pump set 20cm titan zero angl
|
$32,934.87 |
$32,934.87 |
$32,934.87 |
$24,372.98
|
