|
Consultation pathology during surgery
|
$78.00 |
$96.20 |
$7,400.98 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$135.85 |
$223.60 |
$223.60 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$78.00 |
$92.30 |
$6,845.85 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$172.90 |
$198.90 |
$7,758.53 |
|
|
Consultation/report referred material w/preparation of slides
|
$174.85 |
$181.35 |
$6,836.91 |
|
|
Consultation/report referred slides prepared elsewhere
|
$186.55 |
$195.00 |
$3,827.76 |
|
|
Consult comp w/report rfrd material
|
$282.75 |
$282.75 |
$2,943.85 |
|
|
Contrast baths charges
|
$44.20 |
$53.30 |
$65.65 |
|
|
Contrast exam abdominl aorta 75625-26
|
$2,467.40 |
$2,467.40 |
$2,467.40 |
|
|
Contrast exam thoracic aorta 75605-26
|
$3,289.65 |
$3,289.65 |
$3,289.65 |
|
|
Contrast x-ray gallbladder
|
$233.35 |
$233.35 |
$254.15 |
|
|
Contrast x-ray of ankle
|
$438.75 |
$438.75 |
$438.75 |
|
|
Contrast x-ray of elbow
|
$419.90 |
$419.90 |
$419.90 |
|
|
Contrast x-ray of hip
|
$584.35 |
$584.35 |
$761.15 |
|
|
Contrast x-ray of knee joint
|
$447.85 |
$447.85 |
$617.50 |
|
|
Contrast x-ray of wrist
|
$301.60 |
$301.60 |
$301.60 |
|
|
Control nosebleed pack+caut 30905
|
$481.00 |
$497.25 |
$497.25 |
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$16,419.24 |
$16,419.24 |
$16,419.24 |
|
|
Control of nosebleed ant comp 30903
|
$401.70 |
$401.70 |
$441.35 |
|
|
Control of nosebleedantersmpl 30901
|
$217.75 |
$217.75 |
$2,575.79 |
|
|
Coombs direct
|
$44.20 |
$44.20 |
$74.75 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$102.70 |
$102.70 |
$121.55 |
|
|
Coombs indirect titer reference
|
$63.70 |
$134.55 |
$144.30 |
|
|
Copper cu 64 dotatate diag
|
$1,594.45 |
$1,594.45 |
$1,594.45 |
|
|
Core ndl bx lng/med perq
|
$5,485.48 |
$5,485.48 |
$5,485.48 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$10,925.20 |
$10,925.20 |
$10,925.20 |
|
|
Coronary angio/lv gram/lt heart
|
$7,267.00 |
$7,267.00 |
$7,267.00 |
|
|
Coronary angio/lv gram/rt< heart
|
$12,306.45 |
$12,306.45 |
$12,306.45 |
|
|
Coronary art/grft angio s&i
|
$9,557.60 |
$9,557.60 |
$9,557.60 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$8,321.95 |
$8,321.95 |
$8,321.95 |
|
|
Cortisol acth stimulation test - sendout
|
$196.30 |
$252.85 |
$252.85 |
|
|
Cortisol total am
|
$61.75 |
$81.90 |
$150.80 |
|
|
Cosyntropin 0.25 mg solution for injection
|
$322.14 |
$329.07 |
$329.07 |
|
|
Co-treatment - group 15 mins, st
|
$119.60 |
$119.60 |
$141.05 |
|
|
Counseling smoke cess interm >10mins
|
$57.20 |
$60.45 |
$71.50 |
|
|
Covid-19 administration immunization im inj 1st/only component
|
$41.60 |
$41.60 |
$42.90 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$482.95 |
$482.95 |
$482.95 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$482.95 |
$482.95 |
$482.95 |
|
|
#covid19rsv-rsv
|
$146.25 |
$152.10 |
$152.10 |
|
|
#coxa-coxsackie a serotype a16
|
$59.15 |
$70.85 |
$70.85 |
|
|
C-peptide
|
$60.45 |
$62.40 |
$82.55 |
|
|
Crbrospnl fld flw imag cistern
|
$1,264.25 |
$1,264.25 |
$1,641.90 |
|
|
C-reactive protein
|
$24.70 |
$53.30 |
$88.40 |
|
|
C-reactive protein high sensitivity
|
$100.10 |
$110.50 |
$130.00 |
|
|
C-reactive protein, quantitative
|
$74.10 |
$74.10 |
$84.50 |
|
|
Create eardrum opening
|
$2,342.29 |
$2,342.29 |
$2,342.29 |
|
|
Creatine kinase
|
$23.40 |
$46.80 |
$78.65 |
|
|
Creatine kinase isoenzymes
|
$78.65 |
$92.30 |
$92.30 |
|
|
Creatine kinase mb
|
$100.75 |
$100.75 |
$126.75 |
|
|
Creatinine
|
$57.20 |
$62.40 |
$78.65 |
|
|
Creatinine 24 hour urine
|
$55.25 |
$55.25 |
$65.00 |
|
|
Creatinine clearance urine
|
$83.85 |
$85.80 |
$101.40 |
|
|
#creutz-prot.,western blot
|
$200.85 |
$247.00 |
$247.00 |
|
|
Critical care 30-74 minutes
|
$1,392.30 |
$1,392.30 |
$2,858.05 |
|
|
Critical care each additional 30 minutes
|
$351.00 |
$351.00 |
$692.25 |
|
|
Crotalidae poly immune fab
|
$6,256.89 |
$6,443.97 |
$6,443.97 |
|
|
Cryofibrinogen qualitative - sendout
|
$34.45 |
$39.00 |
$39.00 |
|
|
Cryoprecipitate each unit
|
$111.80 |
$111.80 |
$119.60 |
|
|
Cryptosporidium antigen
|
$45.50 |
$45.50 |
$45.50 |
|
|
Crystal identification light microscopy
|
$31.85 |
$55.25 |
$75.40 |
|
|
Csf leakage imaging
|
$1,319.50 |
$1,319.50 |
$1,319.50 |
|
|
CT 3d report other modality w/workstation
|
$344.50 |
$344.50 |
$344.50 |
|
|
Cta abdomen without & /or w/contrast
|
$1,587.95 |
$2,001.35 |
$2,002.00 |
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,120.30 |
$2,120.30 |
$2,424.50 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$939.25 |
$1,170.00 |
$1,751.75 |
|
|
Cta neck without &/or w/contrast
|
$1,856.40 |
$1,890.85 |
$1,894.10 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,009.50 |
$3,225.95 |
$3,463.20 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,428.05 |
$1,428.05 |
$2,170.35 |
|
|
CT Angiogram of the Head
|
$1,047.15 |
$1,047.15 |
$1,856.40 |
|
|
CT angio hrt w/3d image
|
$2,144.35 |
$2,144.35 |
$2,144.35 |
|
|
CT angio pelvis
|
$1,441.70 |
$1,517.75 |
$2,087.80 |
|
|
Cta upper extremity w &/or without contrast left
|
$871.65 |
$1,329.90 |
$2,033.20 |
|
|
CT bone density axial
|
$292.50 |
$310.70 |
$326.30 |
|
|
CT cerebral perf w cont & prcssng
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
|
|
CT guidance for needle placement
|
$1,118.65 |
$1,118.65 |
$1,522.95 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$620.10 |
$620.10 |
$1,085.50 |
|
|
CT guid parench tis ablat
|
$618.80 |
$618.80 |
$618.80 |
|
|
CT heart w/evaluation of calcium without contrast
|
$32.50 |
$32.50 |
$64.35 |
|
|
CT hrt c+ strux cgen hrt ds
|
$1,177.80 |
$1,177.80 |
$1,177.80 |
|
|
CT limited or localized follow-up study
|
$518.70 |
$576.55 |
$618.80 |
|
|
CT lower extremity w/contrast (both sides)
|
$841.75 |
$1,348.75 |
$2,453.10 |
|
|
CT lower extremity without contrast (both sides)
|
$787.80 |
$788.45 |
$2,163.20 |
|
|
CT lwr extremity w/o&w/dye
|
$920.40 |
$920.40 |
$2,647.45 |
|
|
CT neck soft tissue w/contrast
|
$1,383.20 |
$1,383.20 |
$1,652.30 |
|
|
CT neck soft tissue without contrast
|
$982.15 |
$982.15 |
$1,366.30 |
|
|
CT neck soft tissue without & w/contrast
|
$1,600.30 |
$1,600.30 |
$1,859.65 |
|
|
CT orbit/sella/fossa w/wo contrast
|
$831.35 |
$831.35 |
$1,897.35 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$646.10 |
$813.80 |
$1,525.55 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$611.65 |
$770.90 |
$1,360.45 |
|
|
Ctrl nosebld postir subsq 30906
|
$481.00 |
$481.00 |
$481.00 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,602.30 |
$3,636.10 |
$3,849.95 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,668.25 |
$2,847.65 |
$3,197.35 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,223.65 |
$2,262.65 |
$2,493.40 |
|
|
CT thoracic spine w/contrast
|
$1,572.35 |
$1,572.35 |
$1,821.95 |
|
|
CT thoracic spine without contrast
|
$1,398.80 |
$1,398.80 |
$1,558.05 |
|
|
CT thorax low dose for lung screening without contrast
|
$241.15 |
$258.05 |
$402.35 |
|
|
CT t-spine w /wo contrast
|
$1,708.85 |
$1,708.85 |
$1,937.00 |
|
|
CT upper extremity w/contrast (both sides)
|
$889.20 |
$889.20 |
$1,321.45 |
|
|
CT upper extremity without contrast (both sides)
|
$842.40 |
$1,136.85 |
$1,907.10 |
|
|
CT uppr extremity w/o&w/dye
|
$865.80 |
$1,019.20 |
$1,674.40 |
|