|
Clsd tx wrist ulnar styloid fx 25650
|
$148.75 |
$148.75 |
$148.75 |
$692.03
|
|
Cls tx of heel fracture w/manip 28405
|
$1,482.36 |
$1,482.36 |
$1,482.36 |
$857.50
|
|
Cltx post ankle fx w/mnpj
|
$940.10 |
$940.10 |
$940.10 |
$2,621.64
|
|
Cltx scap fx w/mnpj +-tractj
|
$405.23 |
$405.23 |
$405.23 |
$2,320.50
|
|
Cmv pcr-sendout
|
$30.57 |
$30.57 |
$30.57 |
$173.25
|
|
Coagulation time activated teg
|
$10.96 |
$10.96 |
$10.96 |
$50.05
|
|
Coagulation time otr method
|
$6.37 |
$6.37 |
$6.37 |
$6.20
|
|
Cold agglutinin titer
|
$9.68 |
$9.68 |
$9.68 |
$48.57
|
|
Collagen dressing <=16 sq in
|
$35.88 |
$35.88 |
$35.88 |
$43.06
|
|
Collagen drsg>16<=48 sq in
|
$35.88 |
$35.88 |
$35.88 |
$24.71
|
|
Collection of venous blood by venipuncture
|
$6.12 |
$6.12 |
$6.12 |
$22.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,595.96 |
$1,595.96 |
$1,595.96 |
$3,907.93
|
|
Colpotomy drng of abscess 57010
|
$1,758.45 |
$1,758.45 |
$1,758.45 |
$3,744.41
|
|
Colpotomy w/exploration 57000
|
$1,590.61 |
$1,590.61 |
$1,590.61 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$27.00 |
$27.00 |
$27.00 |
$173.25
|
|
Compatibility test each unit immediate spin technique
|
$66.23 |
$66.23 |
$66.23 |
$169.52
|
|
Complement antigen each component c3
|
$57.06 |
$57.06 |
$57.06 |
$111.15
|
|
Complx repair fccmnaxghf 13131
|
$430.96 |
$430.96 |
$430.96 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$430.96 |
$430.96 |
$430.96 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$152.06 |
$152.06 |
$152.06 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$430.96 |
$430.96 |
$430.96 |
$576.66
|
|
Concentration infection agents any type
|
$21.91 |
$21.91 |
$21.91 |
$51.32
|
|
Condylomata destruction 56420
|
$148.75 |
$148.75 |
$148.75 |
$509.81
|
|
Connect omega .5mm
|
$449.30 |
$449.30 |
$449.30 |
$1,168.80
|
|
Connector tis 2x10mm
|
$2,114.01 |
$2,114.01 |
$2,114.01 |
$3,862.15
|
|
Consultation pathology during surgery
|
$20.64 |
$20.64 |
$20.64 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$17.83 |
$17.83 |
$17.83 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$5.86 |
$5.86 |
$5.86 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$16.56 |
$16.56 |
$16.56 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$31.08 |
$31.08 |
$31.08 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$47.89 |
$47.89 |
$47.89 |
$176.15
|
|
Consultation with family
|
$85.33 |
$85.33 |
$85.33 |
$108.83
|
|
Consult comp w/report rfrd material
|
$74.38 |
$74.38 |
$74.38 |
$359.87
|
|
Cont gluc mntr analysis i&r 95251
|
$22.93 |
$22.93 |
$22.93 |
$80.00
|
|
Contrast x-ray gallbladder
|
$91.95 |
$91.95 |
$91.95 |
$312.00
|
|
Contrast x-ray of ankle
|
$271.52 |
$271.52 |
$271.52 |
$602.40
|
|
Contrast x-ray of elbow
|
$203.51 |
$203.51 |
$203.51 |
$637.14
|
|
Contrast x-ray of hip
|
$182.12 |
$182.12 |
$182.12 |
$768.00
|
|
Contrast x-ray of knee joint
|
$271.52 |
$271.52 |
$271.52 |
$683.20
|
|
Contrast x-ray of wrist
|
$186.95 |
$186.95 |
$186.95 |
$623.50
|
|
Controller infinity pt dbs
|
$1,175.70 |
$1,175.70 |
$1,175.70 |
$4,487.05
|
|
Control nosebleed pack+caut 30905
|
$97.30 |
$97.30 |
$97.30 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$118.95 |
$118.95 |
$118.95 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$118.95 |
$118.95 |
$118.95 |
$385.45
|
|
Coombs direct
|
$18.60 |
$18.60 |
$18.60 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$11.47 |
$11.47 |
$11.47 |
$94.90
|
|
Core ndl bx lng/med perq
|
$659.93 |
$659.93 |
$659.93 |
$2,963.00
|
|
Correct rectal prolapse
|
$1,644.60 |
$1,644.60 |
$1,644.60 |
$3,722.88
|
|
Cortisol total am
|
$62.41 |
$62.41 |
$62.41 |
$122.20
|
|
Counseling smoke cess interm >10mins
|
$40.76 |
$40.76 |
$40.76 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$123.03 |
$123.03 |
$123.03 |
$3,273.82
|
|
Covid-19 administration immunization im inj 1st/only component
|
$10.70 |
$10.70 |
$10.70 |
$58.61
|
|
Covid-19 convalescent plasma
|
$701.96 |
$701.96 |
$701.96 |
$590.80
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$371.36 |
$371.36 |
$371.36 |
$603.65
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$371.36 |
$371.36 |
$371.36 |
$569.31
|
|
Covid-19 lab test non-cdc
|
$50.69 |
$50.69 |
$50.69 |
$58.32
|
|
#covid19rsv-rsv
|
$85.07 |
$85.07 |
$85.07 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$10.70 |
$10.70 |
$10.70 |
$65.36
|
|
C-peptide
|
$37.70 |
$37.70 |
$37.70 |
$100.00
|
|
C-reactive protein
|
$23.69 |
$23.69 |
$23.69 |
$63.00
|
|
C-reactive protein high sensitivity
|
$27.77 |
$27.77 |
$27.77 |
$91.65
|
|
Creatine kinase
|
$28.79 |
$28.79 |
$28.79 |
$59.78
|
|
Creatine kinase mb
|
$56.55 |
$56.55 |
$56.55 |
$111.00
|
|
Creatinine
|
$19.11 |
$19.11 |
$19.11 |
$44.10
|
|
Creatinine 24 hour urine
|
$37.45 |
$37.45 |
$37.45 |
$59.80
|
|
Creatinine clearance urine
|
$38.97 |
$38.97 |
$38.97 |
$87.50
|
|
Critical care 30-74 minutes
|
$1,079.17 |
$1,079.17 |
$1,079.17 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$377.73 |
$377.73 |
$377.73 |
$777.00
|
|
Cryoprecipitate each unit
|
$30.82 |
$30.82 |
$30.82 |
$176.99
|
|
Crystal identification light microscopy
|
$15.29 |
$15.29 |
$15.29 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$211.15 |
$211.15 |
$211.15 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$653.82 |
$653.82 |
$653.82 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$623.77 |
$623.77 |
$623.77 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$798.49 |
$798.49 |
$798.49 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$829.31 |
$829.31 |
$829.31 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$975.76 |
$975.76 |
$975.76 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$687.44 |
$687.44 |
$687.44 |
$1,955.80
|
|
CT Angiogram of the Head
|
$681.58 |
$681.58 |
$681.58 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$290.36 |
$290.36 |
$290.36 |
$1,588.60
|
|
CT angio pelvis
|
$841.53 |
$841.53 |
$841.53 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$781.17 |
$781.17 |
$781.17 |
$1,652.25
|
|
CT bone density axial
|
$115.64 |
$115.64 |
$115.64 |
$326.30
|
|
CT colonography dx
|
$569.00 |
$569.00 |
$569.00 |
$770.90
|
|
CT colonography dx w/dye
|
$639.05 |
$639.05 |
$639.05 |
$1,009.98
|
|
CT guidance for needle placement
|
$516.03 |
$516.03 |
$516.03 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$307.43 |
$307.43 |
$307.43 |
$1,085.05
|
|
CT guid cryo ablat intramuscular
|
$835.93 |
$835.93 |
$835.93 |
$2,136.75
|
|
CT guid parench tis ablat
|
$821.67 |
$821.67 |
$821.67 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$58.08 |
$58.08 |
$58.08 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$366.01 |
$366.01 |
$366.01 |
$1,217.45
|
|
CT hrt w/3d image
|
$580.72 |
$580.72 |
$580.72 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$315.32 |
$315.32 |
$315.32 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$642.10 |
$642.10 |
$642.10 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$597.02 |
$597.02 |
$597.02 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$770.73 |
$770.73 |
$770.73 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$738.38 |
$738.38 |
$738.38 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$686.68 |
$686.68 |
$686.68 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$856.56 |
$856.56 |
$856.56 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$727.17 |
$727.17 |
$727.17 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$631.92 |
$631.92 |
$631.92 |
$1,543.83
|