|
Complx repair fccmnaxghf 13131
|
$256.03 |
$256.03 |
$256.03 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$319.91 |
$319.91 |
$319.91 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$134.30 |
$134.30 |
$134.30 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$88.03 |
$88.03 |
$88.03 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$211.26 |
$211.26 |
$211.26 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$76.46 |
$76.46 |
$76.46 |
$537.00
|
|
Concentration infection agents any type
|
$85.50 |
$85.50 |
$85.50 |
$51.32
|
|
Condylomata destruction 56420
|
$108.14 |
$108.14 |
$108.14 |
$467.35
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,052.33 |
$1,052.33 |
$1,052.33 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$40.66 |
$40.66 |
$40.66 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$211.90 |
$211.90 |
$211.90 |
$226.50
|
|
Consultation/report referred slides prepared elsewhere
|
$48.66 |
$48.66 |
$48.66 |
$176.28
|
|
Contrast baths charges
|
$42.39 |
$42.39 |
$42.39 |
$75.60
|
|
Contrast x-ray gallbladder
|
$293.49 |
$293.49 |
$293.49 |
$341.00
|
|
Contrast x-ray of elbow
|
$420.21 |
$420.21 |
$420.21 |
$708.00
|
|
Contrast x-ray of hip
|
$676.12 |
$676.12 |
$676.12 |
$796.38
|
|
Contrast x-ray of knee joint
|
$390.15 |
$390.15 |
$390.15 |
$790.50
|
|
Contrast x-ray of wrist
|
$478.25 |
$478.25 |
$478.25 |
$667.50
|
|
Controller infinity pt dbs
|
$7,433.83 |
$7,433.83 |
$7,433.83 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$111.67 |
$111.67 |
$111.67 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$124.24 |
$124.24 |
$124.24 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$89.53 |
$89.53 |
$89.53 |
$352.80
|
|
Coombs direct
|
$88.68 |
$88.68 |
$88.68 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$254.22 |
$254.22 |
$254.22 |
$107.25
|
|
Coombs indirect titer reference
|
$254.22 |
$254.22 |
$254.22 |
$156.71
|
|
Core ndl bx lng/med perq
|
$1,668.28 |
$1,668.28 |
$1,668.28 |
$2,904.48
|
|
Cortisol total am
|
$198.97 |
$198.97 |
$198.97 |
$121.20
|
|
Coveredge 32 lead kit 40cm 48
|
$4,089.54 |
$4,089.54 |
$4,089.54 |
$4,180.79
|
|
#covid19rsv-rsv
|
$140.95 |
$140.95 |
$140.95 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$39.17 |
$39.17 |
$39.17 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$471.71 |
$471.71 |
$471.71 |
$584.50
|
|
C-peptide
|
$38.81 |
$38.81 |
$38.81 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$499.27 |
$499.27 |
$499.27 |
$777.71
|
|
C-reactive protein
|
$53.21 |
$53.21 |
$53.21 |
$69.36
|
|
C-reactive protein high sensitivity
|
$42.12 |
$42.12 |
$42.12 |
$85.50
|
|
C-reactive protein, quantitative
|
$59.86 |
$59.86 |
$59.86 |
$65.16
|
|
Creatine kinase
|
$12.32 |
$12.32 |
$12.32 |
$66.30
|
|
Creatine kinase mb
|
$21.56 |
$21.56 |
$21.56 |
$113.63
|
|
Creatine - sendout
|
$36.96 |
$36.96 |
$36.96 |
$41.25
|
|
Creatinine
|
$34.50 |
$34.50 |
$34.50 |
$46.20
|
|
Creatinine 24 hour urine
|
$49.28 |
$49.28 |
$49.28 |
$57.85
|
|
Creatinine clearance urine
|
$17.86 |
$17.86 |
$17.86 |
$90.26
|
|
#creutz-prot.,western blot
|
$95.48 |
$95.48 |
$95.48 |
$163.50
|
|
Critical care each additional 30 minutes
|
$486.72 |
$486.72 |
$486.72 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$973.44 |
$973.44 |
$973.44 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$42.50 |
$42.50 |
$42.50 |
$52.50
|
|
Cryoprecipitate each unit
|
$51.09 |
$51.09 |
$51.09 |
$144.78
|
|
Cryptosporidium antigen
|
$74.15 |
$74.15 |
$74.15 |
$52.08
|
|
Crystal identification light microscopy
|
$19.38 |
$19.38 |
$19.38 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$777.83 |
$777.83 |
$777.83 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,538.87 |
$1,538.87 |
$1,538.87 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,994.22 |
$1,994.22 |
$1,994.22 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,280.21 |
$1,280.21 |
$1,280.21 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,899.73 |
$1,899.73 |
$1,899.73 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,426.23 |
$1,426.23 |
$1,426.23 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,341.62 |
$1,341.62 |
$1,341.62 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,473.96 |
$1,473.96 |
$1,473.96 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,061.91 |
$2,061.91 |
$2,061.91 |
$1,428.68
|
|
CT angio pelvis
|
$2,800.60 |
$2,800.60 |
$2,800.60 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,125.34 |
$2,125.34 |
$2,125.34 |
$1,691.30
|
|
CT guidance for needle placement
|
$863.69 |
$863.69 |
$863.69 |
$1,494.00
|
|
CT guid parench tis ablat
|
$850.33 |
$850.33 |
$850.33 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$105.58 |
$105.58 |
$105.58 |
$150.00
|
|
CT hrt w/3d image
|
$1,539.12 |
$1,539.12 |
$1,539.12 |
$1,350.03
|
|
CT lwr extremity w/o&w/dye
|
$1,465.56 |
$1,465.56 |
$1,465.56 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$142.35 |
$142.35 |
$142.35 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,898.86 |
$1,898.86 |
$1,898.86 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,582.38 |
$1,582.38 |
$1,582.38 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,265.90 |
$1,265.90 |
$1,265.90 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,816.10 |
$2,816.10 |
$2,816.10 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$2,024.02 |
$2,024.02 |
$2,024.02 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$68.80 |
$68.80 |
$68.80 |
$72.00
|
|
Culture afb any source
|
$42.08 |
$42.08 |
$42.08 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$78.82 |
$78.82 |
$78.82 |
$84.76
|
|
Culture anaerobic except blood
|
$19.37 |
$19.37 |
$19.37 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$42.08 |
$42.08 |
$42.08 |
$52.50
|
|
Culture body fluid
|
$74.82 |
$74.82 |
$74.82 |
$126.75
|
|
Culture fungi definitive id mold
|
$92.18 |
$92.18 |
$92.18 |
$80.00
|
|
Culture fungi definitive id yeast
|
$41.42 |
$41.42 |
$41.42 |
$80.00
|
|
Culture fungi other (except blood)
|
$52.10 |
$52.10 |
$52.10 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$39.41 |
$39.41 |
$39.41 |
$74.75
|
|
Culture mycoplasma any source
|
$42.08 |
$42.08 |
$42.08 |
$83.21
|
|
Culture quantitative aerobic other source
|
$40.75 |
$40.75 |
$40.75 |
$87.02
|
|
Culture screening strep group a
|
$44.09 |
$44.09 |
$44.09 |
$84.60
|
|
Culture typing immunologic
|
$56.78 |
$56.78 |
$56.78 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$91.52 |
$91.52 |
$91.52 |
$140.80
|
|
Culture urine each isolate
|
$16.70 |
$16.70 |
$16.70 |
$55.50
|
|
Cutter lead
|
$15,784.22 |
$15,784.22 |
$15,784.22 |
$6,581.45
|
|
Cyanocobalamin unsat binding capacity
|
$40.66 |
$40.66 |
$40.66 |
$60.75
|
|
Cyclic citrullinated peptide antibody
|
$44.34 |
$44.34 |
$44.34 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$2.09 |
$2.09 |
$2.09 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$35.73 |
$35.73 |
$35.73 |
$130.40
|
|
Cylinder pump set 20cm titan zero angl
|
$35,151.64 |
$35,151.64 |
$35,151.64 |
$24,728.89
|
|
Cyp2c19 gene com variants
|
$553.00 |
$553.00 |
$553.00 |
$524.00
|
|
Cyp2c9 gene com variants
|
$331.80 |
$331.80 |
$331.80 |
$275.10
|
|
Cyp2d6 gene com variants
|
$855.10 |
$855.10 |
$855.10 |
$570.70
|
|
Cyp3a4 gene common variants
|
$331.80 |
$331.80 |
$331.80 |
$241.24
|
|
Cyp3a5 gene common variants
|
$331.80 |
$331.80 |
$331.80 |
$245.31
|
|
Cystatin c
|
$34.50 |
$34.50 |
$34.50 |
$77.60
|
|
Cystic fibrosis cftr
|
$946.10 |
$946.10 |
$946.10 |
$1,104.40
|