|
Cor hlx vlgs dstl mtar osteo
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
|
|
Coronary thrombolysis/iv infusion 92977
|
$1,722.24 |
$1,722.24 |
$1,722.24 |
|
|
Correct finger deformity
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
|
|
Correct rectal prolapse
|
$5,762.64 |
$5,762.64 |
$5,762.64 |
|
|
Cortisol total am
|
$199.68 |
$199.68 |
$199.68 |
|
|
Covid-19 administration immunization im inj 1st/only component
|
$54.60 |
$54.60 |
$54.60 |
|
|
#coxa-coxsackie a serotype a16
|
$87.36 |
$87.36 |
$87.36 |
|
|
C-peptide
|
$186.42 |
$186.42 |
$186.42 |
|
|
C-reactive protein
|
$85.80 |
$85.80 |
$85.80 |
|
|
C-reactive protein high sensitivity
|
$145.08 |
$145.08 |
$145.08 |
|
|
Creatine kinase
|
$112.32 |
$112.32 |
$112.32 |
|
|
Creatine kinase isoenzymes
|
$8.58 |
$8.58 |
$8.58 |
|
|
Creatine kinase mb
|
$230.88 |
$230.88 |
$230.88 |
|
|
Creatine - sendout
|
$15.60 |
$15.60 |
$15.60 |
|
|
Creatinine
|
$61.62 |
$61.62 |
$61.62 |
|
|
Creatinine 24 hour urine
|
$109.98 |
$109.98 |
$109.98 |
|
|
Creatinine clearance urine
|
$193.44 |
$193.44 |
$193.44 |
|
|
#creutz-prot.,western blot
|
$245.70 |
$245.70 |
$245.70 |
|
|
Critical care 30-74 minutes
|
$5,668.26 |
$5,668.26 |
$5,668.26 |
|
|
Critical care each additional 30 minutes
|
$1,734.72 |
$1,734.72 |
$1,734.72 |
|
|
Cryofibrinogen qualitative - sendout
|
$16.38 |
$16.38 |
$16.38 |
|
|
Cryoprecipitate each unit
|
$465.02 |
$465.02 |
$465.02 |
|
|
Crystal identification light microscopy
|
$106.08 |
$106.08 |
$106.08 |
|
|
Csf shunt reprogram 62252
|
$620.88 |
$620.88 |
$620.88 |
|
|
Cta abdomen without & /or w/contrast
|
$2,648.10 |
$2,648.10 |
$2,648.10 |
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$4,219.80 |
$4,219.80 |
$4,219.80 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,095.78 |
$4,095.78 |
$4,095.78 |
|
|
Cta neck without &/or w/contrast
|
$2,687.88 |
$2,687.88 |
$2,687.88 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,765.76 |
$5,765.76 |
$5,765.76 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,765.10 |
$2,765.10 |
$2,765.10 |
|
|
CT Angiogram of the Head
|
$1,594.32 |
$1,594.32 |
$1,594.32 |
|
|
Cta upper extremity w &/or without contrast left
|
$3,690.96 |
$3,690.96 |
$3,690.96 |
|
|
CT heart w/evaluation of calcium without contrast
|
$77.22 |
$77.22 |
$77.22 |
|
|
CT lower extremity w/contrast (both sides)
|
$2,666.04 |
$2,666.04 |
$2,666.04 |
|
|
CT lower extremity without contrast (both sides)
|
$2,274.48 |
$2,274.48 |
$2,274.48 |
|
|
CT lwr extremity w/o&w/dye
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
|
|
CT neck soft tissue w/contrast
|
$2,136.42 |
$2,136.42 |
$2,136.42 |
|
|
CT neck soft tissue without contrast
|
$1,594.32 |
$1,594.32 |
$1,594.32 |
|
|
CT neck soft tissue without & w/contrast
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,396.16 |
$2,396.16 |
$2,396.16 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,211.30 |
$2,211.30 |
$2,211.30 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,594.32 |
$1,594.32 |
$1,594.32 |
|
|
Ctrl nosebld postir subsq 30906
|
$624.78 |
$624.78 |
$624.78 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$6,669.00 |
$6,669.00 |
$6,669.00 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,557.50 |
$5,557.50 |
$5,557.50 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,932.72 |
$4,932.72 |
$4,932.72 |
|
|
CT thoracic spine w/contrast
|
$3,446.04 |
$3,446.04 |
$3,446.04 |
|
|
CT thoracic spine without contrast
|
$2,683.98 |
$2,683.98 |
$2,683.98 |
|
|
CT thorax low dose for lung screening without contrast
|
$396.24 |
$396.24 |
$396.24 |
|
|
CT upper extremity w/contrast (both sides)
|
$2,666.04 |
$2,666.04 |
$2,666.04 |
|
|
CT upper extremity without contrast (both sides)
|
$2,223.00 |
$2,223.00 |
$2,223.00 |
|
|
CT uppr extremity w/o&w/dye
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
|
|
Culture aerobic additional method definitive id each
|
$147.42 |
$147.42 |
$147.42 |
|
|
Culture afb any source
|
$101.40 |
$101.40 |
$101.40 |
|
|
Culture anaerobic additional method definitive id each
|
$85.80 |
$85.80 |
$85.80 |
|
|
Culture anaerobic except blood
|
$160.68 |
$160.68 |
$160.68 |
|
|
Culture bact stool aero addl path ea
|
$40.56 |
$40.56 |
$40.56 |
|
|
Culture body fluid
|
$160.68 |
$160.68 |
$160.68 |
|
|
Culture fungi definitive id yeast
|
$63.18 |
$63.18 |
$63.18 |
|
|
Culture fungi other (except blood)
|
$159.12 |
$159.12 |
$159.12 |
|
|
Culture fungi skin/hair/nail
|
$92.82 |
$92.82 |
$92.82 |
|
|
Culture mycoplasma any source
|
$32.76 |
$32.76 |
$32.76 |
|
|
Culture screening strep group a
|
$88.92 |
$88.92 |
$88.92 |
|
|
Culture typing added method
|
$206.70 |
$206.70 |
$206.70 |
|
|
Culture typing immunologic
|
$42.12 |
$42.12 |
$42.12 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$573.30 |
$573.30 |
$573.30 |
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$134.16 |
$134.16 |
$134.16 |
|
|
Curette/treat cornea
|
$1,957.02 |
$1,957.02 |
$1,957.02 |
|
|
Curette/treat cornea
|
$4,741.62 |
$4,741.62 |
$4,741.62 |
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$50.70 |
$50.70 |
$50.70 |
|
|
Cyclic citrullinated peptide antibody
|
$32.76 |
$32.76 |
$32.76 |
|
|
Cyclosporine 2 hour
|
$56.16 |
$56.16 |
$56.16 |
|
|
Cystatin c
|
$73.32 |
$73.32 |
$73.32 |
|
|
Cystine urine quantitative
|
$104.52 |
$104.52 |
$104.52 |
|
|
Cystoscopy and treatment
|
$6,250.14 |
$6,250.14 |
$6,250.14 |
|
|
Cystoscopy and treatment
|
$3,616.86 |
$3,616.86 |
$3,616.86 |
|
|
Cystoscopy (Bladder Scope)
|
$1,219.14 |
$1,219.14 |
$1,219.14 |
|
|
Cystoscopy removal of clots
|
$6,250.14 |
$6,250.14 |
$6,250.14 |
|
|
Cystoscopy & ureter catheter
|
$3,616.86 |
$3,616.86 |
$3,616.86 |
|
|
Cystostomy cystotomy w/drainage 51040
|
$4,159.74 |
$4,159.74 |
$4,159.74 |
|
|
Cystouretero & or pyeloscope
|
$6,250.14 |
$6,250.14 |
$6,250.14 |
|
|
Cysto/uretero stricture tx
|
$6,250.14 |
$6,250.14 |
$6,250.14 |
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,616.86 |
$3,616.86 |
$3,616.86 |
|
|
Cytogenetics 25-99
|
$42.90 |
$42.90 |
$42.90 |
|
|
Cytomegalovirus (cmv) antibody igg
|
$115.44 |
$115.44 |
$115.44 |
|
|
Cytomegalovirus (cmv) antibody igm
|
$115.44 |
$115.44 |
$115.44 |
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$85.02 |
$85.02 |
$85.02 |
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$76.44 |
$76.44 |
$76.44 |
|
|
Cytopathology concentration technique smears & interpretation
|
$121.68 |
$121.68 |
$121.68 |
|
|
Dalbavancin 500 mg intravenous solution
|
$4,468.43 |
$4,468.43 |
$4,468.43 |
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$206.30 |
$206.30 |
$206.30 |
|
|
D&c after delivery 59160
|
$6,340.62 |
$6,340.62 |
$6,340.62 |
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$5,513.82 |
$5,513.82 |
$5,513.82 |
|
|
Dch validity tests
|
$42.12 |
$42.12 |
$42.12 |
|
|
Deamidated gliadin antibody iga
|
$19.50 |
$19.50 |
$19.50 |
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$817.44 |
$817.44 |
$817.44 |
|
|
Debridement (>20 cm) charge pt
|
$152.88 |
$152.88 |
$152.88 |
|
|
Debridement bone <= 20 sq cm
|
$4,016.22 |
$4,016.22 |
$4,016.22 |
|
|
Debridement/bone/20 sq cm or less 11046
|
$566.28 |
$566.28 |
$566.28 |
|
