|
Consultation pathology during surgery
|
$59.52 |
$59.52 |
$59.52 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$177.12 |
$177.12 |
$177.12 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$24.64 |
$24.64 |
$24.64 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$62.08 |
$62.08 |
$62.08 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$37.76 |
$37.76 |
$37.76 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$50.72 |
$50.72 |
$50.72 |
$171.65
|
|
Contrast exam abdominl aorta 75625-26
|
$1,485.44 |
$1,485.44 |
$1,485.44 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$994.88 |
$994.88 |
$994.88 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$1,360.48 |
$1,360.48 |
$1,360.48 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$57.44 |
$57.44 |
$57.44 |
$350.22
|
|
Contrast x-ray of ankle
|
$286.08 |
$286.08 |
$286.08 |
$612.30
|
|
Contrast x-ray of elbow
|
$405.12 |
$405.12 |
$405.12 |
$649.80
|
|
Contrast x-ray of hip
|
$250.56 |
$250.56 |
$250.56 |
$771.12
|
|
Contrast x-ray of knee joint
|
$491.52 |
$491.52 |
$491.52 |
$769.88
|
|
Contrast x-ray of wrist
|
$204.32 |
$204.32 |
$204.32 |
$637.00
|
|
Conversion ext bil drg cath
|
$2,447.68 |
$2,447.68 |
$2,447.68 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$1,708.48 |
$1,708.48 |
$1,708.48 |
$2,777.60
|
|
Coombs direct
|
$28.16 |
$28.16 |
$28.16 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$1.60 |
$1.60 |
$1.60 |
$102.90
|
|
Coombs indirect titer reference
|
$24.00 |
$24.00 |
$24.00 |
$146.40
|
|
Core ndl bx lng/med perq
|
$575.04 |
$575.04 |
$575.04 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$5,471.36 |
$5,471.36 |
$5,471.36 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$3,838.56 |
$3,838.56 |
$3,838.56 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$5,408.32 |
$5,408.32 |
$5,408.32 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$5,260.48 |
$5,260.48 |
$5,260.48 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,089.28 |
$4,089.28 |
$4,089.28 |
$7,914.00
|
|
Cortisol total am
|
$55.20 |
$55.20 |
$55.20 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$120.80 |
$120.80 |
$120.80 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$68.96 |
$68.96 |
$68.96 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$41.28 |
$41.28 |
$41.28 |
$55.90
|
|
Coveredge 32 lead kit 40cm 48
|
$348.80 |
$348.80 |
$348.80 |
$3,908.16
|
|
#coxa-coxsackie a serotype a16
|
$2.07 |
$2.07 |
$2.07 |
$60.00
|
|
C-peptide
|
$28.32 |
$28.32 |
$28.32 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$498.08 |
$498.08 |
$498.08 |
$1,240.80
|
|
C-reactive protein
|
$45.60 |
$45.60 |
$45.60 |
$68.38
|
|
C-reactive protein high sensitivity
|
$58.24 |
$58.24 |
$58.24 |
$85.00
|
|
C-reactive protein, quantitative
|
$42.88 |
$42.88 |
$42.88 |
$71.06
|
|
Creatine kinase
|
$67.52 |
$67.52 |
$67.52 |
$66.30
|
|
Creatine kinase isoenzymes
|
$90.08 |
$90.08 |
$90.08 |
$56.80
|
|
Creatine kinase mb
|
$73.92 |
$73.92 |
$73.92 |
$114.00
|
|
Creatine - sendout
|
$21.12 |
$21.12 |
$21.12 |
$39.00
|
|
Creatinine
|
$48.96 |
$48.96 |
$48.96 |
$44.72
|
|
Creatinine 24 hour urine
|
$44.00 |
$44.00 |
$44.00 |
$58.85
|
|
Creatinine clearance urine
|
$102.40 |
$102.40 |
$102.40 |
$89.50
|
|
#creutz-prot.,western blot
|
$25.60 |
$25.60 |
$25.60 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,438.56 |
$1,438.56 |
$1,438.56 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$80.00 |
$80.00 |
$80.00 |
$731.40
|
|
Crotalidae poly immune fab
|
$2,067.19 |
$2,067.19 |
$2,067.19 |
$5,590.35
|
|
Cryofibrinogen qualitative - sendout
|
$1.49 |
$1.49 |
$1.49 |
$52.50
|
|
Cryoprecipitate each unit
|
$62.72 |
$62.72 |
$62.72 |
$144.78
|
|
Cryptosporidium antigen
|
$53.44 |
$53.44 |
$53.44 |
$52.08
|
|
Crystal identification light microscopy
|
$47.52 |
$47.52 |
$47.52 |
$62.50
|
|
Csf leakage imaging
|
$284.00 |
$284.00 |
$284.00 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$237.76 |
$237.76 |
$237.76 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,045.76 |
$1,045.76 |
$1,045.76 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,063.52 |
$1,063.52 |
$1,063.52 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,297.28 |
$1,297.28 |
$1,297.28 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,264.64 |
$1,264.64 |
$1,264.64 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,687.36 |
$1,687.36 |
$1,687.36 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,152.16 |
$1,152.16 |
$1,152.16 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,271.04 |
$1,271.04 |
$1,271.04 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,077.12 |
$1,077.12 |
$1,077.12 |
$1,500.38
|
|
CT angio pelvis
|
$876.48 |
$876.48 |
$876.48 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,552.32 |
$1,552.32 |
$1,552.32 |
$1,698.00
|
|
CT bone density axial
|
$200.16 |
$200.16 |
$200.16 |
$387.62
|
|
CT cerebral perf w cont & prcssng
|
$691.36 |
$691.36 |
$691.36 |
$803.40
|
|
CT colonography screening
|
$933.76 |
$933.76 |
$933.76 |
$1,084.20
|
|
CT guidance for needle placement
|
$691.20 |
$691.20 |
$691.20 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$413.44 |
$413.44 |
$413.44 |
$1,178.52
|
|
CT guid parench tis ablat
|
$673.76 |
$673.76 |
$673.76 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$135.84 |
$135.84 |
$135.84 |
$171.60
|
|
CT limited or localized follow-up study
|
$303.52 |
$303.52 |
$303.52 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,058.88 |
$1,058.88 |
$1,058.88 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$942.24 |
$942.24 |
$942.24 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$964.80 |
$964.80 |
$964.80 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$773.76 |
$773.76 |
$773.76 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$880.00 |
$880.00 |
$880.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$820.80 |
$820.80 |
$820.80 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$833.76 |
$833.76 |
$833.76 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$791.84 |
$791.84 |
$791.84 |
$1,360.00
|
|
CT scan for localization
|
$485.44 |
$485.44 |
$485.44 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,605.12 |
$1,605.12 |
$1,605.12 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,445.60 |
$1,445.60 |
$1,445.60 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,355.52 |
$1,355.52 |
$1,355.52 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$960.00 |
$960.00 |
$960.00 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$933.76 |
$933.76 |
$933.76 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$120.48 |
$120.48 |
$120.48 |
$331.50
|
|
CT t-spine w /wo contrast
|
$1,034.88 |
$1,034.88 |
$1,034.88 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$943.68 |
$943.68 |
$943.68 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$865.92 |
$865.92 |
$865.92 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$689.92 |
$689.92 |
$689.92 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$43.84 |
$43.84 |
$43.84 |
$68.64
|
|
Culture afb any source
|
$52.28 |
$52.28 |
$52.28 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$35.36 |
$35.36 |
$35.36 |
$79.00
|
|
Culture anaerobic except blood
|
$110.40 |
$110.40 |
$110.40 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$24.64 |
$24.64 |
$24.64 |
$51.45
|
|
Culture body fluid
|
$96.80 |
$96.80 |
$96.80 |
$126.75
|
|
Culture fungi definitive id mold
|
$44.64 |
$44.64 |
$44.64 |
$77.28
|
|
Culture fungi definitive id yeast
|
$49.44 |
$49.44 |
$49.44 |
$79.10
|