|
Consultation pathology during surgery cytological exam initial site
|
$203.15 |
$203.15 |
$203.15 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$28.84 |
$28.84 |
$76.38 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$97.46 |
$97.46 |
$195.91 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$86.51 |
$86.51 |
$86.51 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$130.56 |
$130.56 |
$130.56 |
$176.28
|
|
Consult comp w/report rfrd material
|
$205.32 |
$205.32 |
$205.32 |
$374.40
|
|
Contrast exam abdominl aorta 75625-26
|
$2,552.44 |
$2,552.44 |
$2,707.65 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,138.64 |
$2,138.64 |
$2,138.64 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$228.47 |
$228.47 |
$228.47 |
$341.00
|
|
Contrast x-ray of hip
|
$375.10 |
$375.10 |
$375.10 |
$796.38
|
|
Contrast x-ray of knee joint
|
$333.05 |
$333.05 |
$333.05 |
$790.50
|
|
Contrast x-ray of wrist
|
$329.72 |
$329.72 |
$329.72 |
$667.50
|
|
Controller infinity pt dbs
|
$3,932.28 |
$3,932.28 |
$4,285.86 |
$4,836.44
|
|
Control of nosebleed ant comp 30903
|
$45.03 |
$45.03 |
$45.03 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$49.05 |
$49.05 |
$49.05 |
$352.80
|
|
Conversion ext bil drg cath
|
$3,404.68 |
$3,404.68 |
$3,404.68 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$852.51 |
$852.51 |
$852.51 |
$2,777.60
|
|
Coombs direct
|
$44.07 |
$44.07 |
$48.78 |
$76.80
|
|
Coombs indirect titer reference
|
$58.43 |
$58.43 |
$126.65 |
$156.71
|
|
Core ndl bx lng/med perq
|
$1,436.43 |
$1,436.43 |
$1,574.24 |
$2,904.48
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$8,610.58 |
$8,610.58 |
$8,610.58 |
$7,849.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$3,935.60 |
$3,935.60 |
$7,617.90 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$3,610.60 |
$3,610.60 |
$6,741.54 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$4,332.80 |
$4,332.80 |
$8,157.12 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$2,704.80 |
$2,704.80 |
$4,863.94 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,639.60 |
$2,639.60 |
$4,193.13 |
$7,988.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$490.18 |
$490.18 |
$490.18 |
$484.37
|
|
Cortisol total am
|
$63.31 |
$63.31 |
$91.39 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$291.59 |
$291.59 |
$291.59 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$38.72 |
$38.72 |
$38.72 |
$112.00
|
|
Coveredge 32 lead kit 40cm 48
|
$2,687.37 |
$2,687.37 |
$3,295.60 |
$4,180.79
|
|
Covid-19 administration immunization im inj 1st/only component
|
$52.26 |
$52.26 |
$52.26 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$328.57 |
$328.57 |
$328.57 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$328.57 |
$328.57 |
$328.57 |
$540.00
|
|
Covid-19 lab test non-cdc
|
$54.94 |
$54.94 |
$54.94 |
$82.40
|
|
#covid19rsv-rsv
|
$70.90 |
$70.90 |
$75.31 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$18.39 |
$18.39 |
$90.05 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$255.14 |
$255.14 |
$375.81 |
$584.50
|
|
C-peptide
|
$12.35 |
$12.35 |
$22.31 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$504.66 |
$504.66 |
$763.80 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$530.88 |
$530.88 |
$530.88 |
$1,330.02
|
|
C-reactive protein
|
$39.56 |
$39.56 |
$76.65 |
$69.36
|
|
C-reactive protein high sensitivity
|
$45.46 |
$45.46 |
$77.72 |
$85.50
|
|
C-reactive protein, quantitative
|
$23.32 |
$23.32 |
$28.11 |
$65.16
|
|
Creatine kinase
|
$41.16 |
$41.16 |
$99.97 |
$66.30
|
|
Creatine kinase isoenzymes
|
$11.56 |
$11.56 |
$14.36 |
$56.20
|
|
Creatine kinase mb
|
$12.94 |
$12.94 |
$147.14 |
$113.63
|
|
Creatine - sendout
|
$11.76 |
$11.76 |
$56.98 |
$41.25
|
|
Creatinine
|
$23.52 |
$23.52 |
$78.80 |
$46.20
|
|
Creatinine 24 hour urine
|
$30.77 |
$30.77 |
$479.99 |
$57.85
|
|
Creatinine clearance urine
|
$5.68 |
$5.68 |
$85.50 |
$90.26
|
|
#creutz-prot.,western blot
|
$30.38 |
$30.38 |
$129.25 |
$163.50
|
|
Critical care each additional 30 minutes
|
$1,187.78 |
$1,187.78 |
$1,754.06 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,375.26 |
$2,375.26 |
$4,876.53 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$15.16 |
$15.16 |
$15.16 |
$52.50
|
|
Cryoprecipitate each unit
|
$16.91 |
$16.91 |
$80.94 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$4.29 |
$4.29 |
$15.27 |
$89.70
|
|
Cryptosporidium antigen
|
$37.30 |
$37.30 |
$37.30 |
$52.08
|
|
Crystal identification light microscopy
|
$7.78 |
$7.78 |
$24.26 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$160.88 |
$160.88 |
$776.13 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$681.32 |
$681.32 |
$681.32 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,057.35 |
$1,057.35 |
$1,466.50 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$743.06 |
$743.06 |
$1,158.57 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$349.78 |
$349.78 |
$804.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$979.97 |
$979.97 |
$1,006.88 |
$1,915.30
|
|
CT Angiogram of the Head
|
$494.27 |
$494.27 |
$1,078.97 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$451.62 |
$451.62 |
$1,142.76 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$358.79 |
$358.79 |
$917.37 |
$1,428.68
|
|
CT angio pelvis
|
$359.39 |
$359.39 |
$817.00 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$718.94 |
$718.94 |
$718.94 |
$1,691.30
|
|
CT bone density axial
|
$95.14 |
$95.14 |
$95.14 |
$385.15
|
|
CT guidance for needle placement
|
$261.26 |
$261.26 |
$805.08 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$436.30 |
$436.30 |
$656.07 |
$1,215.06
|
|
CT guid parench tis ablat
|
$222.65 |
$222.65 |
$852.78 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$370.08 |
$370.08 |
$669.74 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$917.37 |
$917.37 |
$917.37 |
$1,395.79
|
|
CT hrt w/3d image
|
$917.37 |
$917.37 |
$917.37 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$83.80 |
$83.80 |
$162.95 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$648.72 |
$648.72 |
$648.72 |
$1,818.96
|
|
CT scan for localization
|
$288.86 |
$288.86 |
$288.86 |
$1,216.80
|
|
CT scan for therapy guide
|
$110.25 |
$110.25 |
$110.25 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,007.00 |
$1,007.00 |
$2,089.06 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$839.26 |
$839.26 |
$1,832.59 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$671.24 |
$671.24 |
$1,081.12 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,045.96 |
$1,045.96 |
$1,854.03 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$684.50 |
$684.50 |
$684.50 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$34.61 |
$34.61 |
$60.04 |
$72.00
|
|
Culture afb any source
|
$79.06 |
$79.06 |
$116.93 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$39.65 |
$39.65 |
$59.91 |
$84.76
|
|
Culture anaerobic except blood
|
$124.66 |
$124.66 |
$209.04 |
$121.22
|
|
Culture bacteria anaerobic
|
$9.74 |
$9.74 |
$9.74 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$21.17 |
$21.17 |
$68.61 |
$52.50
|
|
Culture body fluid
|
$91.73 |
$91.73 |
$202.61 |
$126.75
|
|
Culture fungi definitive id mold
|
$11.07 |
$11.07 |
$46.37 |
$80.00
|
|
Culture fungi definitive id yeast
|
$45.70 |
$45.70 |
$134.81 |
$80.00
|
|
Culture fungi other (except blood)
|
$26.21 |
$26.21 |
$168.58 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$19.82 |
$19.82 |
$114.71 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$21.50 |
$21.50 |
$21.50 |
$100.00
|
|
Culture mycoplasma any source
|
$16.50 |
$16.50 |
$21.17 |
$83.21
|
|
Culture quantitative aerobic other source
|
$10.72 |
$10.72 |
$20.50 |
$87.02
|