|
Consultation pathology during surgery cytological exam initial site
|
$173.40 |
$173.40 |
$173.40 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$5.70 |
$5.70 |
$5.70 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$40.20 |
$40.20 |
$40.20 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$44.70 |
$44.70 |
$44.70 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$39.15 |
$39.15 |
$39.15 |
$171.65
|
|
Contrast baths charges
|
$31.05 |
$31.05 |
$31.05 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$1,169.70 |
$1,169.70 |
$1,169.70 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$996.00 |
$996.00 |
$996.00 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$84.60 |
$84.60 |
$84.60 |
$350.22
|
|
Contrast x-ray of hip
|
$189.30 |
$189.30 |
$189.30 |
$781.13
|
|
Contrast x-ray of knee joint
|
$232.65 |
$232.65 |
$232.65 |
$769.88
|
|
Contrast x-ray of wrist
|
$189.30 |
$189.30 |
$189.30 |
$639.00
|
|
Controler lvad heartmate 3 includes ebb
|
$4,207.80 |
$4,207.80 |
$4,207.80 |
$13,218.75
|
|
Controller infinity pt dbs
|
$1,057.50 |
$1,057.50 |
$1,057.50 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$49.35 |
$49.35 |
$49.35 |
$396.00
|
|
Control of nosebleed ant comp 30903
|
$46.95 |
$46.95 |
$46.95 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$35.25 |
$35.25 |
$35.25 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$117.75 |
$117.75 |
$117.75 |
$634.80
|
|
Conversion ext bil drg cath
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$542.40 |
$542.40 |
$542.40 |
$2,777.60
|
|
Coombs direct
|
$47.55 |
$47.55 |
$47.55 |
$74.75
|
|
Coombs indirect qualitative each reagent red cell reference
|
$47.25 |
$47.25 |
$47.25 |
$102.90
|
|
Coombs indirect titer reference
|
$48.30 |
$48.30 |
$48.30 |
$146.40
|
|
Core ndl bx lng/med perq
|
$694.05 |
$694.05 |
$694.05 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$2,817.45 |
$2,817.45 |
$2,817.45 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$2,194.95 |
$2,194.95 |
$2,194.95 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,120.85 |
$2,120.85 |
$2,120.85 |
$7,914.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$73.95 |
$73.95 |
$73.95 |
$476.00
|
|
Cortisol total am
|
$63.75 |
$63.75 |
$63.75 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$70.43 |
$70.43 |
$70.43 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$54.30 |
$54.30 |
$54.30 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$17.70 |
$17.70 |
$17.70 |
$55.90
|
|
Covid-19 administration immunization im inj 1st/only component
|
$19.50 |
$19.50 |
$19.50 |
$49.13
|
|
Covid-19 convalescent plasma
|
$379.65 |
$379.65 |
$379.65 |
$582.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$236.85 |
$236.85 |
$236.85 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$236.85 |
$236.85 |
$236.85 |
$551.64
|
|
Covid-19 lab test non-cdc
|
$27.90 |
$27.90 |
$27.90 |
$80.50
|
|
#covid19rsv-rsv
|
$34.20 |
$34.20 |
$34.20 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$18.45 |
$18.45 |
$18.45 |
$60.00
|
|
C-peptide
|
$55.65 |
$55.65 |
$55.65 |
$97.30
|
|
Cptr ophth dx img post segmt
|
$19.50 |
$19.50 |
$19.50 |
$105.00
|
|
Cptrz oph img pst sg rta oct
|
$43.05 |
$43.05 |
$43.05 |
$357.00
|
|
Craniectomy or craniotomy for drng supr 61313
|
$3,436.20 |
$3,436.20 |
$3,436.20 |
$4,658.40
|
|
Crbrospnl fld flw imag cistern
|
$357.90 |
$357.90 |
$357.90 |
$1,240.80
|
|
C-reactive protein
|
$21.15 |
$21.15 |
$21.15 |
$68.38
|
|
C-reactive protein high sensitivity
|
$22.95 |
$22.95 |
$22.95 |
$85.00
|
|
Creatine kinase
|
$38.10 |
$38.10 |
$38.10 |
$66.30
|
|
Creatine kinase isoenzymes
|
$24.75 |
$24.75 |
$24.75 |
$57.50
|
|
Creatine kinase mb
|
$48.15 |
$48.15 |
$48.15 |
$114.00
|
|
Creatine - sendout
|
$35.40 |
$35.40 |
$35.40 |
$38.35
|
|
Creatinine
|
$35.25 |
$35.25 |
$35.25 |
$44.72
|
|
Creatinine 24 hour urine
|
$30.30 |
$30.30 |
$30.30 |
$58.85
|
|
Creatinine clearance urine
|
$65.25 |
$65.25 |
$65.25 |
$89.50
|
|
#creutz-prot.,western blot
|
$307.80 |
$307.80 |
$307.80 |
$166.20
|
|
Critical care 30-74 minutes
|
$666.90 |
$666.90 |
$666.90 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$405.15 |
$405.15 |
$405.15 |
$731.40
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$518.70 |
$518.70 |
$518.70 |
$2,423.75
|
|
Cryofibrinogen qualitative - sendout
|
$23.70 |
$23.70 |
$23.70 |
$52.50
|
|
Cryoprecipitate each unit
|
$83.25 |
$83.25 |
$83.25 |
$144.78
|
|
Cryopreserve stem cells
|
$1,768.50 |
$1,768.50 |
$1,768.50 |
$2,854.76
|
|
Cryptococcus abs qn - sendout
|
$55.65 |
$55.65 |
$55.65 |
$89.70
|
|
Cryptosporidium antigen
|
$16.35 |
$16.35 |
$16.35 |
$52.08
|
|
Crystal identification light microscopy
|
$17.70 |
$17.70 |
$17.70 |
$62.40
|
|
Csf shunt reprogram 62252
|
$136.50 |
$136.50 |
$136.50 |
$524.81
|
|
CT 3d report other modality w/workstation
|
$325.20 |
$325.20 |
$325.20 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$642.45 |
$642.45 |
$642.45 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$642.45 |
$642.45 |
$642.45 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$556.95 |
$556.95 |
$556.95 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$517.50 |
$517.50 |
$517.50 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,286.10 |
$1,286.10 |
$1,286.10 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$656.85 |
$656.85 |
$656.85 |
$1,940.00
|
|
CT Angiogram of the Head
|
$621.45 |
$621.45 |
$621.45 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$741.90 |
$741.90 |
$741.90 |
$1,501.56
|
|
CT angio pelvis
|
$612.30 |
$612.30 |
$612.30 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$556.95 |
$556.95 |
$556.95 |
$1,697.80
|
|
CT guidance for needle placement
|
$438.15 |
$438.15 |
$438.15 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$260.25 |
$260.25 |
$260.25 |
$1,168.20
|
|
CT guid parench tis ablat
|
$236.55 |
$236.55 |
$236.55 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$40.35 |
$40.35 |
$40.35 |
$171.60
|
|
CT hrt w/3d image
|
$625.35 |
$625.35 |
$625.35 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$389.40 |
$389.40 |
$389.40 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$512.55 |
$512.55 |
$512.55 |
$1,619.25
|
|
CT lower extremity without contrast (both sides)
|
$463.65 |
$463.65 |
$463.65 |
$1,420.00
|
|
Ctlso a-p-l control with inter
|
$639.75 |
$639.75 |
$639.75 |
$4,186.78
|
|
CT lwr extremity w/o&w/dye
|
$530.70 |
$530.70 |
$530.70 |
$1,851.60
|
|
CT neck soft tissue w/contrast
|
$462.75 |
$462.75 |
$462.75 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$446.10 |
$446.10 |
$446.10 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$492.90 |
$492.90 |
$492.90 |
$1,952.25
|
|
CT orbit/sella/fossa w/wo contrast
|
$547.20 |
$547.20 |
$547.20 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$606.90 |
$606.90 |
$606.90 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$583.35 |
$583.35 |
$583.35 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$46.80 |
$46.80 |
$46.80 |
$444.50
|
|
CT scan for therapy guide
|
$320.55 |
$320.55 |
$320.55 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,607.10 |
$1,607.10 |
$1,607.10 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,346.25 |
$1,346.25 |
$1,346.25 |
$2,945.40
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$918.60 |
$918.60 |
$918.60 |
$2,368.80
|
|
CT thoracic spine w/contrast
|
$566.25 |
$566.25 |
$566.25 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$526.65 |
$526.65 |
$526.65 |
$1,464.00
|