|
Coombs indirect titer reference
|
$55.00 |
$55.00 |
$55.00 |
$146.40
|
|
Copper intrauterine device
|
$407.20 |
$407.20 |
$407.20 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$1,283.60 |
$1,283.60 |
$1,283.60 |
$2,678.00
|
|
Cor hlx vlgs double osteot
|
$420.40 |
$420.40 |
$420.40 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$364.60 |
$364.60 |
$364.60 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$357.60 |
$357.60 |
$357.60 |
$4,627.00
|
|
Corneal smear
|
$109.80 |
$109.80 |
$109.80 |
$472.21
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$153.80 |
$153.80 |
$153.80 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$135.60 |
$135.60 |
$135.60 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$172.20 |
$172.20 |
$172.20 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$128.40 |
$128.40 |
$128.40 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$110.00 |
$110.00 |
$110.00 |
$7,914.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$345.60 |
$345.60 |
$345.60 |
$3,839.54
|
|
Correct finger deformity
|
$512.00 |
$512.00 |
$512.00 |
$3,981.06
|
|
Correct inverted nipple(s)
|
$430.80 |
$430.80 |
$430.80 |
$4,243.90
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$422.00 |
$422.00 |
$422.00 |
$3,839.54
|
|
Correction trichiasis epilation forcep 67820
|
$35.20 |
$35.20 |
$35.20 |
$176.00
|
|
Correct malrotation of bowel 44055
|
$990.60 |
$990.60 |
$990.60 |
$2,764.20
|
|
Correct metacarpal flaw
|
$507.80 |
$507.80 |
$507.80 |
$3,839.54
|
|
Correct rectal prolapse
|
$640.20 |
$640.20 |
$640.20 |
$3,861.00
|
|
Correct rectal prolapse; abdominal approach 45540
|
$710.80 |
$710.80 |
$710.80 |
$2,633.60
|
|
Corrj halux rigdus w/implt
|
$336.20 |
$336.20 |
$336.20 |
$5,886.74
|
|
Corrj halux rigdus without implt
|
$487.60 |
$487.60 |
$487.60 |
$3,839.54
|
|
Cortisol acth stimulation test - sendout
|
$81.80 |
$81.80 |
$81.80 |
$146.25
|
|
Cortisol total am
|
$41.80 |
$41.80 |
$41.80 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$145.00 |
$145.00 |
$145.00 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$24.20 |
$24.20 |
$24.20 |
$55.90
|
|
Counseling visit to discuss need for ldct g0296
|
$22.20 |
$22.20 |
$22.20 |
$98.14
|
|
Coveredge 32 lead kit 40cm 48
|
$2,454.00 |
$2,454.00 |
$2,454.00 |
$3,908.16
|
|
Covid-19 administration immunization im inj 1st/only component
|
$29.60 |
$29.60 |
$29.60 |
$49.13
|
|
#covid19rsv-rsv
|
$56.20 |
$56.20 |
$56.20 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$2.32 |
$2.32 |
$2.32 |
$60.00
|
|
C-peptide
|
$16.57 |
$16.57 |
$16.57 |
$97.30
|
|
Cptr-asst dir ms px
|
$96.60 |
$96.60 |
$96.60 |
$7,972.25
|
|
Cptrized corneal topography
|
$18.60 |
$18.60 |
$18.60 |
$148.20
|
|
Cptr ophth dx img post segmt
|
$16.80 |
$16.80 |
$16.80 |
$105.00
|
|
Cr-51 sodium chromate
|
$654.80 |
$654.80 |
$654.80 |
$688.80
|
|
Crbrospnl fld flw imag cistern
|
$1,549.20 |
$1,549.20 |
$1,549.20 |
$1,240.80
|
|
C-reactive protein
|
$30.20 |
$30.20 |
$30.20 |
$68.38
|
|
C-reactive protein high sensitivity
|
$59.40 |
$59.40 |
$59.40 |
$85.00
|
|
Creat artery-vein fistula autograft 36825
|
$509.40 |
$509.40 |
$509.40 |
$6,396.89
|
|
Create eardrum opening
|
$169.40 |
$169.40 |
$169.40 |
$3,062.80
|
|
Creatine kinase
|
$37.80 |
$37.80 |
$37.80 |
$66.30
|
|
Creatine kinase isoenzymes
|
$2.38 |
$2.38 |
$2.38 |
$56.80
|
|
Creatine kinase mb
|
$59.80 |
$59.80 |
$59.80 |
$114.00
|
|
Creatine - sendout
|
$8.38 |
$8.38 |
$8.38 |
$39.00
|
|
Creatinine
|
$24.80 |
$24.80 |
$24.80 |
$44.72
|
|
Creatinine 24 hour urine
|
$26.00 |
$26.00 |
$26.00 |
$58.85
|
|
Creatinine clearance urine
|
$43.20 |
$43.20 |
$43.20 |
$89.50
|
|
#creutz-prot.,western blot
|
$32.00 |
$32.00 |
$32.00 |
$166.20
|
|
Cricopharyngeal myotomy 43030
|
$364.40 |
$364.40 |
$364.40 |
$6,547.81
|
|
Crisis psychotherapy 90839
|
$75.80 |
$75.80 |
$75.80 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$37.20 |
$37.20 |
$37.20 |
$149.52
|
|
Critical care 30-74 minutes
|
$5,710.80 |
$5,710.80 |
$5,710.80 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$830.00 |
$830.00 |
$830.00 |
$731.40
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$506.00 |
$506.00 |
$506.00 |
$2,423.75
|
|
Crutches underarm other than wood adjustable or e0114
|
$20.40 |
$20.40 |
$20.40 |
$66.64
|
|
Cryocautery of cervix 57511
|
$139.60 |
$139.60 |
$139.60 |
$429.60
|
|
Cryoprecipitate each unit
|
$15.20 |
$15.20 |
$15.20 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$105.20 |
$105.20 |
$105.20 |
$272.50
|
|
Cryotherapy of acne 17340
|
$37.00 |
$37.00 |
$37.00 |
$101.79
|
|
Crystal identification light microscopy
|
$50.40 |
$50.40 |
$50.40 |
$62.50
|
|
C-Section Delivery (full care)
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$4,721.40
|
|
C-section delivery incl p/p care 59515
|
$874.00 |
$874.00 |
$874.00 |
$2,577.60
|
|
Csf leakage imaging
|
$28.40 |
$28.40 |
$28.40 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$376.40 |
$376.40 |
$376.40 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,421.00 |
$1,421.00 |
$1,421.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,369.40 |
$1,369.40 |
$1,369.40 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,155.60 |
$2,155.60 |
$2,155.60 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,016.60 |
$1,016.60 |
$1,016.60 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,051.60 |
$2,051.60 |
$2,051.60 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,459.80 |
$1,459.80 |
$1,459.80 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,179.20 |
$1,179.20 |
$1,179.20 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$1,500.38
|
|
CT angio pelvis
|
$1,184.20 |
$1,184.20 |
$1,184.20 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,423.80 |
$2,423.80 |
$2,423.80 |
$1,698.00
|
|
CT bone density axial
|
$416.80 |
$416.80 |
$416.80 |
$387.62
|
|
CT cerebral perf w cont & prcssng
|
$317.00 |
$317.00 |
$317.00 |
$803.40
|
|
CT colonography screening
|
$89.60 |
$89.60 |
$89.60 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$452.20 |
$452.20 |
$452.20 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$305.80 |
$305.80 |
$305.80 |
$1,643.20
|
|
CT guid parench tis ablat
|
$141.60 |
$141.60 |
$141.60 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$197.20 |
$197.20 |
$197.20 |
$171.60
|
|
CT hrt w/3d image
|
$896.60 |
$896.60 |
$896.60 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$35.20 |
$35.20 |
$35.20 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,585.20 |
$1,585.20 |
$1,585.20 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$1,817.40 |
$1,817.40 |
$1,817.40 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$920.20 |
$920.20 |
$920.20 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$777.40 |
$777.40 |
$777.40 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$888.80 |
$888.80 |
$888.80 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$818.20 |
$818.20 |
$818.20 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$269.60 |
$269.60 |
$269.60 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,753.80 |
$1,753.80 |
$1,753.80 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,340.60 |
$1,340.60 |
$1,340.60 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,181.40 |
$1,181.40 |
$1,181.40 |
$1,690.32
|
