|
#covid19rsv-rsv
|
$120.00 |
$120.00 |
$120.00 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$137.50 |
$137.50 |
$137.50 |
$60.00
|
|
C-peptide
|
$116.50 |
$116.50 |
$116.50 |
$97.30
|
|
C-reactive protein
|
$48.00 |
$48.00 |
$48.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$81.00 |
$81.00 |
$81.00 |
$85.00
|
|
Create eardrum opening
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$3,062.80
|
|
Create tear sac drain
|
$4,588.00 |
$4,588.00 |
$4,588.00 |
$4,121.25
|
|
Creatine kinase
|
$59.00 |
$59.00 |
$59.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$75.50 |
$75.50 |
$75.50 |
$56.80
|
|
Creatine kinase mb
|
$84.50 |
$84.50 |
$84.50 |
$114.00
|
|
Creatine - sendout
|
$214.63 |
$214.63 |
$214.63 |
$39.00
|
|
Creatinine
|
$46.50 |
$46.50 |
$46.50 |
$44.72
|
|
Creatinine 24 hour urine
|
$214.63 |
$214.63 |
$214.63 |
$58.85
|
|
Creatinine clearance urine
|
$104.00 |
$104.00 |
$104.00 |
$89.50
|
|
#creutz-prot.,western blot
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$166.20
|
|
Critical care 30-74 minutes
|
$2,231.50 |
$2,231.50 |
$2,231.50 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$875.00 |
$875.00 |
$875.00 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$112.00 |
$112.00 |
$112.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$59.50 |
$59.50 |
$59.50 |
$144.78
|
|
Cryptosporidium antigen
|
$82.50 |
$82.50 |
$82.50 |
$52.08
|
|
Crystal identification light microscopy
|
$75.50 |
$75.50 |
$75.50 |
$62.50
|
|
Csf shunt reprogram 62252
|
$595.50 |
$595.50 |
$595.50 |
$524.81
|
|
Cta abdomen without & /or w/contrast
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,156.50 |
$2,156.50 |
$2,156.50 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,934.00 |
$1,934.00 |
$1,934.00 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$1,996.80
|
|
CT angio pelvis
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,537.00 |
$2,537.00 |
$2,537.00 |
$1,698.00
|
|
CT cerebral perf w cont & prcssng
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$803.40
|
|
CT guidance for needle placement
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,154.00 |
$1,154.00 |
$1,154.00 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$277.50 |
$277.50 |
$277.50 |
$1,643.20
|
|
CT limited or localized follow-up study
|
$293.00 |
$293.00 |
$293.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,727.00 |
$1,727.00 |
$1,727.00 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,487.50 |
$1,487.50 |
$1,487.50 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$2,125.00 |
$2,125.00 |
$2,125.00 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$901.50 |
$901.50 |
$901.50 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$776.00 |
$776.00 |
$776.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,079.50 |
$1,079.50 |
$1,079.50 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,079.50 |
$1,079.50 |
$1,079.50 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$901.50 |
$901.50 |
$901.50 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$776.00 |
$776.00 |
$776.00 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,407.50 |
$2,407.50 |
$2,407.50 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,022.00 |
$2,022.00 |
$2,022.00 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,747.00 |
$1,747.00 |
$1,747.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$864.00 |
$864.00 |
$864.00 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$892.00 |
$892.00 |
$892.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$120.00 |
$120.00 |
$120.00 |
$331.50
|
|
CT t-spine w /wo contrast
|
$890.50 |
$890.50 |
$890.50 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$1,727.00 |
$1,727.00 |
$1,727.00 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,487.50 |
$1,487.50 |
$1,487.50 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$2,125.00 |
$2,125.00 |
$2,125.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$125.00 |
$125.00 |
$125.00 |
$68.64
|
|
Culture afb any source
|
$195.00 |
$195.00 |
$195.00 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$69.50 |
$69.50 |
$69.50 |
$79.00
|
|
Culture anaerobic except blood
|
$65.00 |
$65.00 |
$65.00 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$70.50 |
$70.50 |
$70.50 |
$51.45
|
|
Culture body fluid
|
$75.50 |
$75.50 |
$75.50 |
$126.75
|
|
Culture fungi definitive id mold
|
$135.00 |
$135.00 |
$135.00 |
$77.28
|
|
Culture fungi definitive id yeast
|
$119.00 |
$119.00 |
$119.00 |
$79.10
|
|
Culture fungi other (except blood)
|
$39.50 |
$39.50 |
$39.50 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$73.50 |
$73.50 |
$73.50 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$140.00 |
$140.00 |
$140.00 |
$89.70
|
|
Culture screening strep group a
|
$78.50 |
$78.50 |
$78.50 |
$81.00
|
|
Culture typing glc/hplc
|
$142.50 |
$142.50 |
$142.50 |
$54.43
|
|
Culture typing immunologic
|
$47.00 |
$47.00 |
$47.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$202.00 |
$202.00 |
$202.00 |
$133.90
|
|
Culture urine each isolate
|
$64.50 |
$64.50 |
$64.50 |
$57.00
|
|
Curette/treat cornea
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$1,345.80
|
|
Curette/treat cornea
|
$2,775.50 |
$2,775.50 |
$2,775.50 |
$2,818.14
|
|
Cyanocobalamin unsat binding capacity
|
$10.50 |
$10.50 |
$10.50 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$52.72 |
$52.72 |
$52.72 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$44.50 |
$44.50 |
$44.50 |
$70.72
|
|
Cyclosporine 2 hour
|
$157.50 |
$157.50 |
$157.50 |
$129.48
|
|
Cygnus matrix, per sq cm
|
$221.50 |
$221.50 |
$221.50 |
$295.20
|
|
Cylinder pump set 20cm titan zero angl
|
$3,546.00 |
$3,546.00 |
$3,546.00 |
$22,803.38
|
|
Cyp2c19 gene com variants
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$504.00
|
|
Cyp2c9 gene com variants
|
$200.00 |
$200.00 |
$200.00 |
$275.10
|
|
Cyp2d6 gene com variants
|
$185.00 |
$185.00 |
$185.00 |
$554.00
|
|
Cystatin c
|
$27.50 |
$27.50 |
$27.50 |
$77.50
|
|
Cystine urine quantitative
|
$475.50 |
$475.50 |
$475.50 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$480.50 |
$480.50 |
$480.50 |
$542.10
|
|
Cystoscopy and treatment
|
$4,207.00 |
$4,207.00 |
$4,207.00 |
$5,162.50
|
|
Cystoscopy and treatment
|
$2,293.00 |
$2,293.00 |
$2,293.00 |
$3,213.14
|
|
Cystoscopy and treatment
|
$2,420.00 |
$2,420.00 |
$2,420.00 |
$2,424.12
|
|
Cystoscopy and treatment
|
$658.00 |
$658.00 |
$658.00 |
$958.81
|
|
Cystoscopy and treatment
|
$3,029.50 |
$3,029.50 |
$3,029.50 |
$2,874.36
|
|
Cystoscopy and treatment
|
$2,607.50 |
$2,607.50 |
$2,607.50 |
$4,061.71
|
|
Cystoscopy (Bladder Scope)
|
$836.50 |
$836.50 |
$836.50 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$2,434.50 |
$2,434.50 |
$2,434.50 |
$2,704.80
|
|
Cystoscopy & ureter catheter
|
$2,481.00 |
$2,481.00 |
$2,481.00 |
$3,786.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$2,481.00 |
$2,481.00 |
$2,481.00 |
$3,863.60
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,481.00 |
$2,481.00 |
$2,481.00 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$2,434.50 |
$2,434.50 |
$2,434.50 |
$4,045.60
|
|
Cytogenetics 25-99
|
$627.00 |
$627.00 |
$627.00 |
$190.00
|
|
Cytogenom microarray copy nmbr var
|
$2,807.00 |
$2,807.00 |
$2,807.00 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$218.50 |
$218.50 |
$218.50 |
$95.00
|
