|
Consultation/report referred slides prepared elsewhere
|
$809.25 |
$809.25 |
$809.25 |
$176.28
|
|
Consult comp w/report rfrd material
|
$794.95 |
$794.95 |
$794.95 |
$374.40
|
|
Contact layer >16<= 48 sq in
|
$70.85 |
$70.85 |
$70.85 |
$36.17
|
|
Contrast exam abdominl aorta 75625-26
|
$7,943.00 |
$7,943.00 |
$7,943.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$3,745.00
|
|
Contrast x-ray of ankle
|
$549.90 |
$549.90 |
$549.90 |
$684.00
|
|
Contrast x-ray of elbow
|
$716.30 |
$716.30 |
$716.30 |
$708.00
|
|
Contrast x-ray of hip
|
$949.65 |
$949.65 |
$949.65 |
$796.38
|
|
Contrast x-ray of knee joint
|
$1,092.65 |
$1,092.65 |
$1,092.65 |
$790.50
|
|
Contrast x-ray of wrist
|
$1,129.70 |
$1,129.70 |
$1,129.70 |
$667.50
|
|
Controller infinity pt dbs
|
$10,221.90 |
$10,221.90 |
$10,221.90 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$342.55 |
$342.55 |
$342.55 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$342.55 |
$342.55 |
$342.55 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$405.60 |
$405.60 |
$405.60 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$313.95 |
$313.95 |
$313.95 |
$620.00
|
|
Conversion ext bil drg cath
|
$8,624.20 |
$8,624.20 |
$8,624.20 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$2,408.90 |
$2,408.90 |
$2,408.90 |
$2,777.60
|
|
Coombs direct
|
$281.45 |
$281.45 |
$281.45 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$281.45 |
$281.45 |
$281.45 |
$107.25
|
|
Coombs indirect titer reference
|
$403.65 |
$403.65 |
$403.65 |
$156.71
|
|
Copper cu 64 dotatate diag
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$2,820.66
|
|
Core ndl bx lng/med perq
|
$4,117.75 |
$4,117.75 |
$4,117.75 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$18,660.20 |
$18,660.20 |
$18,660.20 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$16,336.45 |
$16,336.45 |
$16,336.45 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$16,211.00 |
$16,211.00 |
$16,211.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$11,007.75 |
$11,007.75 |
$11,007.75 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,974.90 |
$9,974.90 |
$9,974.90 |
$7,988.40
|
|
Cortisol total am
|
$163.80 |
$163.80 |
$163.80 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$369.12 |
$369.12 |
$369.12 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$123.50 |
$123.50 |
$123.50 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$76.70 |
$76.70 |
$76.70 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$17,212.00 |
$17,212.00 |
$17,212.00 |
$4,180.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$939.90 |
$939.90 |
$939.90 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$939.90 |
$939.90 |
$939.90 |
$540.00
|
|
#coxa-coxsackie a serotype a16
|
$95.55 |
$95.55 |
$95.55 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$1,198.60 |
$1,198.60 |
$1,198.60 |
$584.50
|
|
C-peptide
|
$146.25 |
$146.25 |
$146.25 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,176.50 |
$1,176.50 |
$1,176.50 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$1,507.35 |
$1,507.35 |
$1,507.35 |
$1,330.02
|
|
C-reactive protein
|
$104.65 |
$104.65 |
$104.65 |
$69.36
|
|
C-reactive protein high sensitivity
|
$143.00 |
$143.00 |
$143.00 |
$85.50
|
|
Creatine kinase
|
$47.45 |
$47.45 |
$47.45 |
$66.30
|
|
Creatine kinase isoenzymes
|
$31.20 |
$31.20 |
$31.20 |
$56.20
|
|
Creatine kinase mb
|
$202.15 |
$202.15 |
$202.15 |
$113.63
|
|
Creatine - sendout
|
$38.35 |
$38.35 |
$38.35 |
$41.25
|
|
Creatinine
|
$51.35 |
$51.35 |
$51.35 |
$46.20
|
|
Creatinine 24 hour urine
|
$95.55 |
$95.55 |
$95.55 |
$57.85
|
|
Creatinine clearance urine
|
$83.85 |
$83.85 |
$83.85 |
$90.26
|
|
#creutz-prot.,western blot
|
$550.55 |
$550.55 |
$550.55 |
$163.50
|
|
Critical care each additional 30 minutes
|
$566.15 |
$566.15 |
$566.15 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$3,469.05 |
$3,469.05 |
$3,469.05 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$29.90 |
$29.90 |
$29.90 |
$52.50
|
|
Cryoprecipitate each unit
|
$78.65 |
$78.65 |
$78.65 |
$144.78
|
|
Cryosurg ablate fa each
|
$8,240.70 |
$8,240.70 |
$8,240.70 |
$5,383.86
|
|
Crystal identification light microscopy
|
$79.95 |
$79.95 |
$79.95 |
$66.43
|
|
Csf shunt reprogram 62252
|
$821.60 |
$821.60 |
$821.60 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$430.95 |
$430.95 |
$430.95 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,556.10 |
$1,556.10 |
$1,556.10 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,801.85 |
$3,801.85 |
$3,801.85 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,835.60 |
$1,835.60 |
$1,835.60 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,273.05 |
$2,273.05 |
$2,273.05 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,945.15 |
$2,945.15 |
$2,945.15 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,400.45 |
$2,400.45 |
$2,400.45 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,283.15 |
$3,283.15 |
$3,283.15 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,681.55 |
$1,681.55 |
$1,681.55 |
$1,428.68
|
|
CT angio pelvis
|
$1,842.75 |
$1,842.75 |
$1,842.75 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$1,691.30
|
|
CT colonography dx
|
$701.35 |
$701.35 |
$701.35 |
$811.41
|
|
CT colonography dx w/dye
|
$1,069.25 |
$1,069.25 |
$1,069.25 |
$1,069.25
|
|
CT colonography screening
|
$902.85 |
$902.85 |
$902.85 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,292.55 |
$2,292.55 |
$2,292.55 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$3,163.55 |
$3,163.55 |
$3,163.55 |
$1,215.06
|
|
CT guid parench tis ablat
|
$1,394.25 |
$1,394.25 |
$1,394.25 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$1,071.85 |
$1,071.85 |
$1,071.85 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,318.20 |
$1,318.20 |
$1,318.20 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,375.40 |
$1,375.40 |
$1,375.40 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$1,115.40 |
$1,115.40 |
$1,115.40 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,818.96
|
|
CT scan for localization
|
$495.95 |
$495.95 |
$495.95 |
$1,216.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,280.25 |
$4,280.25 |
$4,280.25 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,688.10 |
$3,688.10 |
$3,688.10 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,325.40 |
$3,325.40 |
$3,325.40 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$3,222.05 |
$3,222.05 |
$3,222.05 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$129.35 |
$129.35 |
$129.35 |
$72.00
|
|
Culture afb any source
|
$154.70 |
$154.70 |
$154.70 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$114.40 |
$114.40 |
$114.40 |
$84.76
|
|
Culture anaerobic except blood
|
$181.35 |
$181.35 |
$181.35 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$127.40 |
$127.40 |
$127.40 |
$52.50
|
|
Culture body fluid
|
$162.50 |
$162.50 |
$162.50 |
$126.75
|
|
Culture fungi definitive id mold
|
$40.95 |
$40.95 |
$40.95 |
$80.00
|
|
Culture fungi definitive id yeast
|
$102.70 |
$102.70 |
$102.70 |
$80.00
|
|
Culture fungi other (except blood)
|
$194.35 |
$194.35 |
$194.35 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$157.95 |
$157.95 |
$157.95 |
$74.75
|
|
Culture mycoplasma any source
|
$71.50 |
$71.50 |
$71.50 |
$83.21
|
|
Culture of specimen by kit
|
$70.20 |
$70.20 |
$70.20 |
$49.00
|
|
Culture screening strep group a
|
$386.10 |
$386.10 |
$386.10 |
$84.60
|
|
Culture typing added method
|
$115.70 |
$115.70 |
$115.70 |
$42.60
|
|
Culture typing glc/hplc
|
$174.20 |
$174.20 |
$174.20 |
$53.75
|
|
Culture typing immunologic
|
$100.75 |
$100.75 |
$100.75 |
$44.00
|
