|
Core ndl bx lng/med perq
|
$3,411.50 |
$3,411.50 |
$3,411.50 |
$2,678.00
|
|
Cor hlx vlgs double osteot
|
$10,772.50 |
$10,772.50 |
$10,772.50 |
$5,986.40
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$7,197.00 |
$7,197.00 |
$7,197.00 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$7,197.00 |
$7,197.00 |
$7,197.00 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$7,197.00 |
$7,197.00 |
$7,197.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$7,197.00 |
$7,197.00 |
$7,197.00 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,197.00 |
$7,197.00 |
$7,197.00 |
$7,914.00
|
|
Cortisol total am
|
$86.00 |
$86.00 |
$86.00 |
$120.63
|
|
Counseling smoke cess interm >10mins
|
$43.00 |
$43.00 |
$43.00 |
$55.90
|
|
Coveredge 32 lead kit 40cm 48
|
$610.00 |
$610.00 |
$610.00 |
$3,908.16
|
|
#covid19rsv-rsv
|
$113.50 |
$113.50 |
$113.50 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$99.50 |
$99.50 |
$99.50 |
$60.00
|
|
C-peptide
|
$106.00 |
$106.00 |
$106.00 |
$97.30
|
|
C-reactive protein
|
$44.00 |
$44.00 |
$44.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$74.00 |
$74.00 |
$74.00 |
$85.00
|
|
Create eardrum opening
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$3,062.80
|
|
Creatine kinase
|
$52.00 |
$52.00 |
$52.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$106.50 |
$106.50 |
$106.50 |
$56.80
|
|
Creatine kinase mb
|
$66.50 |
$66.50 |
$66.50 |
$114.00
|
|
Creatine - sendout
|
$88.00 |
$88.00 |
$88.00 |
$39.00
|
|
Creatinine
|
$27.50 |
$27.50 |
$27.50 |
$44.72
|
|
Creatinine 24 hour urine
|
$85.50 |
$85.50 |
$85.50 |
$58.85
|
|
Creatinine clearance urine
|
$51.50 |
$51.50 |
$51.50 |
$89.50
|
|
#creutz-prot.,western blot
|
$248.00 |
$248.00 |
$248.00 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,841.50 |
$1,841.50 |
$1,841.50 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$1,841.00 |
$1,841.00 |
$1,841.00 |
$731.40
|
|
Cryocautery of cervix 57511
|
$108.50 |
$108.50 |
$108.50 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$116.00 |
$116.00 |
$116.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$924.50 |
$924.50 |
$924.50 |
$144.78
|
|
Crystal identification light microscopy
|
$59.00 |
$59.00 |
$59.00 |
$62.50
|
|
Cta abdomen without & /or w/contrast
|
$639.50 |
$639.50 |
$639.50 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$639.50 |
$639.50 |
$639.50 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$625.00 |
$625.00 |
$625.00 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$639.50 |
$639.50 |
$639.50 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$639.50 |
$639.50 |
$639.50 |
$1,940.00
|
|
CT Angiogram of the Head
|
$639.50 |
$639.50 |
$639.50 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$154.50 |
$154.50 |
$154.50 |
$1,500.38
|
|
CT angio pelvis
|
$581.50 |
$581.50 |
$581.50 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$581.50 |
$581.50 |
$581.50 |
$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
|
$217.50 |
$217.50 |
$217.50 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$181.50 |
$181.50 |
$181.50 |
$1,178.52
|
|
CT limited or localized follow-up study
|
$205.50 |
$205.50 |
$205.50 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$707.50 |
$707.50 |
$707.50 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$564.50 |
$564.50 |
$564.50 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$639.50 |
$639.50 |
$639.50 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$296.00 |
$296.00 |
$296.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$639.50 |
$639.50 |
$639.50 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$639.50 |
$639.50 |
$639.50 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$639.50 |
$639.50 |
$639.50 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$296.00 |
$296.00 |
$296.00 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$611.00 |
$611.00 |
$611.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$639.50 |
$639.50 |
$639.50 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$296.00 |
$296.00 |
$296.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$258.50 |
$258.50 |
$258.50 |
$331.50
|
|
CT upper extremity w/contrast (both sides)
|
$960.00 |
$960.00 |
$960.00 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$290.50 |
$290.50 |
$290.50 |
$1,430.20
|
|
Culture aerobic additional method definitive id each
|
$118.50 |
$118.50 |
$118.50 |
$68.64
|
|
Culture afb any source
|
$195.00 |
$195.00 |
$195.00 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$122.00 |
$122.00 |
$122.00 |
$79.00
|
|
Culture anaerobic except blood
|
$74.00 |
$74.00 |
$74.00 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$54.50 |
$54.50 |
$54.50 |
$51.45
|
|
Culture body fluid
|
$54.50 |
$54.50 |
$54.50 |
$126.75
|
|
Culture fungi definitive id mold
|
$38.00 |
$38.00 |
$38.00 |
$77.28
|
|
Culture fungi definitive id yeast
|
$74.50 |
$74.50 |
$74.50 |
$79.10
|
|
Culture fungi other (except blood)
|
$74.50 |
$74.50 |
$74.50 |
$108.00
|
|
Culture mycobacteria definitive id each isolate
|
$140.00 |
$140.00 |
$140.00 |
$89.70
|
|
Culture quantitative aerobic other source
|
$145.50 |
$145.50 |
$145.50 |
$90.35
|
|
Culture screening strep group a
|
$45.00 |
$45.00 |
$45.00 |
$81.00
|
|
Culture typing immunologic
|
$75.00 |
$75.00 |
$75.00 |
$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
|
$48.00 |
$48.00 |
$48.00 |
$57.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$52.72 |
$52.72 |
$52.72 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$73.50 |
$73.50 |
$73.50 |
$70.72
|
|
Cyclosporine 2 hour
|
$101.00 |
$101.00 |
$101.00 |
$129.48
|
|
Cygnus matrix, per sq cm
|
$221.50 |
$221.50 |
$221.50 |
$295.20
|
|
Cylinder pump set 20cm titan zero angl
|
$6,128.00 |
$6,128.00 |
$6,128.00 |
$22,803.38
|
|
Cystatin c
|
$72.50 |
$72.50 |
$72.50 |
$77.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$978.50 |
$978.50 |
$978.50 |
$542.10
|
|
Cysto impl 4 or more
|
$3,818.83 |
$3,818.83 |
$3,818.83 |
$6,860.21
|
|
Cysto, litho, vacuum kidney
|
$4,743.50 |
$4,743.50 |
$4,743.50 |
$10,942.71
|
|
Cystoscopy and treatment
|
$4,958.50 |
$4,958.50 |
$4,958.50 |
$5,162.50
|
|
Cystoscopy and treatment
|
$7,523.50 |
$7,523.50 |
$7,523.50 |
$5,995.60
|
|
Cystoscopy and treatment
|
$10,259.50 |
$10,259.50 |
$10,259.50 |
$6,475.26
|
|
Cystoscopy and treatment
|
$310.50 |
$310.50 |
$310.50 |
$2,874.36
|
|
Cystoscopy (Bladder Scope)
|
$3,419.83 |
$3,419.83 |
$3,419.83 |
$1,493.80
|
|
Cystoscopy chemodenervation
|
$4,433.00 |
$4,433.00 |
$4,433.00 |
$2,704.80
|
|
Cystoscopy & ureter catheter
|
$7,523.50 |
$7,523.50 |
$7,523.50 |
$3,786.00
|
|
Cystouretero & or pyeloscope
|
$2,336.83 |
$2,336.83 |
$2,336.83 |
$4,315.98
|
|
Cystouretero w/biopsy
|
$3,410.33 |
$3,410.33 |
$3,410.33 |
$5,986.78
|
|
Cysto/uretero w/lithotripsy
|
$16,125.00 |
$16,125.00 |
$16,125.00 |
$9,002.88
|
|
Cystouretero w/lithotripsy
|
$10,441.50 |
$10,441.50 |
$10,441.50 |
$7,061.60
|
|
Cystouretero w/stone remove
|
$6,497.50 |
$6,497.50 |
$6,497.50 |
$5,110.00
|
|
Cystourethroscop/calib/dilat stric 52281
|
$6,372.00 |
$6,372.00 |
$6,372.00 |
$3,065.15
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$6,510.50 |
$6,510.50 |
$6,510.50 |
$4,045.60
|
|
Cystourethro w/addl implant 52442
|
$4,166.67 |
$4,166.67 |
$4,166.67 |
$2,161.60
|
