|
Consultation pathology during surgery frozen section each additional block
|
$21.46 |
$21.46 |
$22.76 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$96.73 |
$96.73 |
$102.57 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$30.21 |
$30.21 |
$32.03 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$22.26 |
$22.26 |
$23.60 |
$176.28
|
|
Consult comp w/report rfrd material
|
$173.58 |
$173.58 |
$184.06 |
$374.40
|
|
Cont intraop neuro monitor
|
$136.09 |
$136.09 |
$136.09 |
$73.60
|
|
Contrast baths charges
|
$26.34 |
$26.34 |
$39.81 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$1,355.41 |
$1,355.41 |
$1,683.33 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$2,619.19 |
$2,619.19 |
$3,252.86 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$1,629.11 |
$1,629.11 |
$2,023.25 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$135.83 |
$135.83 |
$135.83 |
$341.00
|
|
Contrast x-ray of ankle
|
$221.97 |
$221.97 |
$223.16 |
$684.00
|
|
Contrast x-ray of brain
|
$357.00 |
$357.00 |
$366.52 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$148.76 |
$148.76 |
$149.56 |
$708.00
|
|
Contrast x-ray of hip
|
$218.74 |
$218.74 |
$219.91 |
$796.38
|
|
Contrast x-ray of knee joint
|
$227.85 |
$227.85 |
$229.07 |
$790.50
|
|
Contrast x-ray of wrist
|
$217.56 |
$217.56 |
$218.73 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$4,849.18 |
$4,849.18 |
$4,849.18 |
$12,355.20
|
|
Controller infinity pt dbs
|
$3,918.39 |
$3,918.39 |
$11,590.66 |
$4,836.44
|
|
Conversion ext bil drg cath
|
$2,391.81 |
$2,391.81 |
$3,472.40 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$2,416.49 |
$2,416.49 |
$3,508.24 |
$2,777.60
|
|
Coombs direct
|
$17.27 |
$17.27 |
$27.30 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$49.64 |
$49.64 |
$78.47 |
$107.25
|
|
Coombs indirect titer reference
|
$49.64 |
$49.64 |
$78.47 |
$156.71
|
|
Copper cu 64 dotatate diag
|
$742.94 |
$742.94 |
$742.94 |
$2,820.66
|
|
Core ndl bx lng/med perq
|
$1,225.28 |
$1,225.28 |
$2,296.02 |
$2,904.48
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$5,179.74 |
$5,179.74 |
$8,296.28 |
$7,849.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$1,742.60 |
$1,742.60 |
$3,197.28 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$1,653.82 |
$1,653.82 |
$5,262.54 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$1,926.83 |
$1,926.83 |
$4,969.93 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$1,617.25 |
$1,617.25 |
$2,967.29 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$1,406.34 |
$1,406.34 |
$5,438.43 |
$7,988.40
|
|
Cortisol total am
|
$50.39 |
$50.39 |
$52.33 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$39.90 |
$39.90 |
$42.61 |
$112.00
|
|
Coveredge 32 lead kit 40cm 48
|
$2,677.87 |
$2,677.87 |
$2,791.82 |
$4,180.79
|
|
#covid19rsv-rsv
|
$35.24 |
$35.24 |
$49.37 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$7.21 |
$7.21 |
$11.61 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$339.28 |
$339.28 |
$339.28 |
$584.50
|
|
C-peptide
|
$9.83 |
$9.83 |
$10.21 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$123.54 |
$123.54 |
$147.02 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$368.83 |
$368.83 |
$368.83 |
$1,330.02
|
|
C-reactive protein
|
$11.15 |
$11.15 |
$17.63 |
$69.36
|
|
C-reactive protein high sensitivity
|
$17.82 |
$17.82 |
$28.16 |
$85.50
|
|
C-reactive protein, quantitative
|
$11.02 |
$11.02 |
$17.41 |
$65.16
|
|
Creatine kinase
|
$13.88 |
$13.88 |
$14.42 |
$66.30
|
|
Creatine kinase isoenzymes
|
$9.20 |
$9.20 |
$9.56 |
$56.20
|
|
Creatine kinase mb
|
$10.30 |
$10.30 |
$10.69 |
$113.63
|
|
Creatine - sendout
|
$9.36 |
$9.36 |
$9.72 |
$41.25
|
|
Creatinine
|
$18.88 |
$18.88 |
$19.60 |
$46.20
|
|
Creatinine 24 hour urine
|
$11.39 |
$11.39 |
$16.36 |
$57.85
|
|
Creatinine clearance urine
|
$4.52 |
$4.52 |
$4.70 |
$90.26
|
|
#creutz-prot.,western blot
|
$24.18 |
$24.18 |
$25.11 |
$163.50
|
|
Critical care each additional 30 minutes
|
$640.90 |
$640.90 |
$719.20 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,699.27 |
$1,699.27 |
$1,906.87 |
$2,535.00
|
|
Cryoablate prostate
|
$3,958.15 |
$3,958.15 |
$3,958.15 |
$13,016.74
|
|
Cryofibrinogen qualitative - sendout
|
$11.18 |
$11.18 |
$11.18 |
$52.50
|
|
Cryoprecipitate each unit
|
$15.04 |
$15.04 |
$24.83 |
$144.78
|
|
Cryopreserve stem cells
|
$632.81 |
$632.81 |
$632.81 |
$2,666.50
|
|
Cryptococcus abs qn - sendout
|
$5.98 |
$5.98 |
$9.46 |
$89.70
|
|
Cryptosporidium antigen
|
$18.54 |
$18.54 |
$25.97 |
$52.08
|
|
Crystal identification light microscopy
|
$10.97 |
$10.97 |
$12.71 |
$66.43
|
|
Csf leakage imaging
|
$574.19 |
$574.19 |
$574.19 |
$1,564.11
|
|
CT 3d report other modality w/workstation
|
$201.76 |
$201.76 |
$239.09 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$359.92 |
$359.92 |
$368.42 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$527.94 |
$527.94 |
$540.41 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$394.08 |
$394.08 |
$403.39 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$247.80 |
$247.80 |
$355.47 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$394.72 |
$394.72 |
$404.04 |
$1,915.30
|
|
CT Angiogram of the Head
|
$334.21 |
$334.21 |
$389.04 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$409.34 |
$409.34 |
$476.50 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$334.66 |
$334.66 |
$480.06 |
$1,428.68
|
|
CT angio pelvis
|
$462.53 |
$462.53 |
$473.46 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$292.48 |
$292.48 |
$299.39 |
$1,691.30
|
|
CT colonography dx
|
$290.37 |
$290.37 |
$290.37 |
$811.41
|
|
CT colonography dx w/dye
|
$362.96 |
$362.96 |
$362.96 |
$1,069.25
|
|
CT colonography screening
|
$466.96 |
$466.96 |
$466.96 |
$1,084.20
|
|
CT guidance for needle placement
|
$155.44 |
$155.44 |
$222.98 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$551.01 |
$551.01 |
$595.74 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$3,313.83 |
$3,313.83 |
$3,313.83 |
$2,039.76
|
|
CT guid parench tis ablat
|
$152.54 |
$152.54 |
$218.82 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$216.77 |
$216.77 |
$310.96 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$457.18 |
$457.18 |
$457.18 |
$1,395.79
|
|
CT hrt w/3d image
|
$254.91 |
$254.91 |
$365.66 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$72.35 |
$72.35 |
$103.79 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$342.77 |
$342.77 |
$350.87 |
$1,818.96
|
|
CT scan for localization
|
$224.46 |
$224.46 |
$321.98 |
$1,216.80
|
|
CT scan for therapy guide
|
$179.50 |
$179.50 |
$179.50 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$502.79 |
$502.79 |
$514.67 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$418.97 |
$418.97 |
$428.87 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$335.15 |
$335.15 |
$343.07 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$425.45 |
$425.45 |
$435.50 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$278.51 |
$278.51 |
$285.09 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$17.20 |
$17.20 |
$24.10 |
$72.00
|
|
Culture afb any source
|
$10.86 |
$10.86 |
$15.21 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$19.71 |
$19.71 |
$27.61 |
$84.76
|
|
Culture anaerobic except blood
|
$22.55 |
$22.55 |
$31.59 |
$121.22
|
|
Culture bacteria anaerobic
|
$4.84 |
$4.84 |
$6.79 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$10.52 |
$10.52 |
$14.74 |
$52.50
|
|
Culture body fluid
|
$22.55 |
$22.55 |
$31.59 |
$126.75
|
|
Culture fungi definitive id mold
|
$23.05 |
$23.05 |
$32.29 |
$80.00
|
