|
Clsd tx toe dislocation without anes28660
|
$677.30 |
$677.30 |
$677.30 |
$422.75
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$1,707.42
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$731.04 |
$731.04 |
$731.04 |
$692.03
|
|
Cltx tmprmand dislc comp
|
$4,797.91 |
$4,797.91 |
$4,797.91 |
$3,786.00
|
|
C motor evoked lwr limbs
|
$2,942.30 |
$2,942.30 |
$2,942.30 |
$621.00
|
|
C motor evoked uppr limbs
|
$2,942.30 |
$2,942.30 |
$2,942.30 |
$780.00
|
|
C motor evoked upr&lwr limbs
|
$2,544.63 |
$2,544.63 |
$2,544.63 |
$1,273.61
|
|
Cmv pcr-sendout
|
$155.64 |
$155.64 |
$155.64 |
$172.25
|
|
Coagulation time activated teg
|
$202.61 |
$202.61 |
$202.61 |
$51.48
|
|
Cocaine 4 % nasal solution
|
$624.58 |
$624.58 |
$624.58 |
$836.06
|
|
Cold agglutinin screen (arc)
|
$250.10 |
$250.10 |
$250.10 |
$47.19
|
|
Collection blood specimen from completely implantable venous access device
|
$225.44 |
$225.44 |
$225.44 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$183.30 |
$183.30 |
$183.30 |
$168.80
|
|
Collection of venous blood by venipuncture
|
$30.06 |
$30.06 |
$30.06 |
$22.05
|
|
Compatibility test each unit antiglobulin technique
|
$372.42 |
$372.42 |
$372.42 |
$165.00
|
|
Compatibility test each unit electronic
|
$372.42 |
$372.42 |
$372.42 |
$175.45
|
|
Compatibility test each unit immediate spin technique
|
$372.42 |
$372.42 |
$372.42 |
$163.80
|
|
Complement antigen each component c3
|
$57.35 |
$57.35 |
$57.35 |
$113.30
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$2,267.93 |
$2,267.93 |
$2,267.93 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,301.31 |
$1,301.31 |
$1,301.31 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$2,267.93 |
$2,267.93 |
$2,267.93 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,267.93 |
$2,267.93 |
$2,267.93 |
$1,252.90
|
|
Complx repair enel addl 5cm/< 13153
|
$1,857.61 |
$1,857.61 |
$1,857.61 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$2,267.93 |
$2,267.93 |
$2,267.93 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$2,267.93 |
$2,267.93 |
$2,267.93 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$2,267.93 |
$2,267.93 |
$2,267.93 |
$797.64
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,267.93 |
$2,267.93 |
$2,267.93 |
$592.69
|
|
Complx repair trunk addl 5cm/< 13102
|
$852.65 |
$852.65 |
$852.65 |
$741.60
|
|
Concentration infection agents any type
|
$91.97 |
$91.97 |
$91.97 |
$51.32
|
|
Condylomata destruction 56420
|
$2,065.58 |
$2,065.58 |
$2,065.58 |
$503.67
|
|
Consultation pathology during surgery
|
$244.00 |
$244.00 |
$244.00 |
$118.20
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,732.55 |
$1,732.55 |
$1,732.55 |
$404.03
|
|
Consultation pathology during surgery frozen section each additional block
|
$197.22 |
$197.22 |
$197.22 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$479.09 |
$479.09 |
$479.09 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$247.40 |
$247.40 |
$247.40 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$439.36 |
$439.36 |
$439.36 |
$176.15
|
|
Consult comp w/report rfrd material
|
$718.66 |
$718.66 |
$718.66 |
$337.44
|
|
Contrast exam abdominl aorta 75625-26
|
$9,926.25 |
$9,926.25 |
$9,926.25 |
$3,391.03
|
|
Contrast x-ray gallbladder
|
$1,314.27 |
$1,314.27 |
$1,314.27 |
$280.14
|
|
Contrast x-ray of knee joint
|
$1,572.77 |
$1,572.77 |
$1,572.77 |
$655.05
|
|
Control nosebleed pack+caut 30905
|
$399.93 |
$399.93 |
$399.93 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$399.93 |
$399.93 |
$399.93 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$399.41 |
$399.41 |
$399.41 |
$385.45
|
|
Convert nephrostomy catheter
|
$2,004.68 |
$2,004.68 |
$2,004.68 |
$3,927.00
|
|
Coombs direct
|
$259.96 |
$259.96 |
$259.96 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$123.01 |
$123.01 |
$123.01 |
$100.29
|
|
Coombs indirect titer reference
|
$134.60 |
$134.60 |
$134.60 |
$144.00
|
|
Core ndl bx lng/med perq
|
$4,986.28 |
$4,986.28 |
$4,986.28 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$18,508.49 |
$18,508.49 |
$18,508.49 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$18,508.49 |
$18,508.49 |
$18,508.49 |
$10,281.09
|
|
Coronary angio/lv gram/rt< heart
|
$18,508.49 |
$18,508.49 |
$18,508.49 |
$11,247.60
|
|
Coronary art/grft angio s&i
|
$19,614.64 |
$19,614.64 |
$19,614.64 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$19,614.64 |
$19,614.64 |
$19,614.64 |
$7,697.25
|
|
Cortisol total am
|
$228.88 |
$228.88 |
$228.88 |
$122.20
|
|
Co-treatment - group 15 mins, st
|
$63.02 |
$63.02 |
$63.02 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$85.86 |
$85.86 |
$85.86 |
$57.60
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,380.48 |
$1,380.48 |
$1,380.48 |
$569.31
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$1,380.48 |
$1,380.48 |
$1,380.48 |
$533.10
|
|
#coxa-coxsackie a serotype a16
|
$242.54 |
$242.54 |
$242.54 |
$65.36
|
|
C-peptide
|
$60.23 |
$60.23 |
$60.23 |
$100.00
|
|
C-reactive protein
|
$213.40 |
$213.40 |
$213.40 |
$61.20
|
|
C-reactive protein high sensitivity
|
$233.80 |
$233.80 |
$233.80 |
$91.65
|
|
C-reactive protein, quantitative
|
$15.36 |
$15.36 |
$15.36 |
$62.50
|
|
Creatine kinase
|
$126.98 |
$126.98 |
$126.98 |
$58.30
|
|
Creatine kinase isoenzymes
|
$26.63 |
$26.63 |
$26.63 |
$49.02
|
|
Creatine kinase mb
|
$340.75 |
$340.75 |
$340.75 |
$109.20
|
|
Creatine - sendout
|
$265.47 |
$265.47 |
$265.47 |
$39.00
|
|
Creatinine
|
$133.28 |
$133.28 |
$133.28 |
$43.80
|
|
Creatinine 24 hour urine
|
$130.56 |
$130.56 |
$130.56 |
$61.95
|
|
Creatinine clearance urine
|
$268.71 |
$268.71 |
$268.71 |
$85.80
|
|
#creutz-prot.,western blot
|
$101.44 |
$101.44 |
$101.44 |
$179.28
|
|
Critical care 30-74 minutes
|
$4,730.83 |
$4,730.83 |
$4,730.83 |
$2,662.80
|
|
Critical care each additional 30 minutes
|
$1,927.34 |
$1,927.34 |
$1,927.34 |
$784.24
|
|
Cryoprecipitate each unit
|
$153.47 |
$153.47 |
$153.47 |
$195.02
|
|
Crystal identification light microscopy
|
$217.41 |
$217.41 |
$217.41 |
$64.40
|
|
CT 3d report other modality w/workstation
|
$865.86 |
$865.86 |
$865.86 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$8,296.52 |
$8,296.52 |
$8,296.52 |
$2,084.86
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$8,800.42 |
$8,800.42 |
$8,800.42 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,320.89 |
$5,320.89 |
$5,320.89 |
$2,079.00
|
|
Cta neck without &/or w/contrast
|
$5,414.69 |
$5,414.69 |
$5,414.69 |
$1,987.50
|
|
CT Angiogram of Abdomen and Pelvis
|
$8,296.52 |
$8,296.52 |
$8,296.52 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$5,278.40 |
$5,278.40 |
$5,278.40 |
$2,057.90
|
|
CT Angiogram of the Head
|
$6,211.22 |
$6,211.22 |
$6,211.22 |
$2,080.00
|
|
CT angio hrt w/3d image
|
$1,959.57 |
$1,959.57 |
$1,959.57 |
$1,601.60
|
|
CT angio pelvis
|
$7,199.00 |
$7,199.00 |
$7,199.00 |
$1,802.35
|
|
Cta upper extremity w &/or without contrast left
|
$4,565.41 |
$4,565.41 |
$4,565.41 |
$1,691.30
|
|
CT guidance for needle placement
|
$7,813.42 |
$7,813.42 |
$7,813.42 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$3,622.80 |
$3,622.80 |
$3,622.80 |
$1,058.40
|
|
CT guid parench tis ablat
|
$1,202.47 |
$1,202.47 |
$1,202.47 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$121.55 |
$121.55 |
$121.55 |
$192.00
|
|
CT hrt w/3d image
|
$851.96 |
$851.96 |
$851.96 |
$1,481.04
|
|
CT limited or localized follow-up study
|
$526.69 |
$526.69 |
$526.69 |
$640.48
|
|
CT lower extremity w/contrast (both sides)
|
$4,087.84 |
$4,087.84 |
$4,087.84 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$3,716.42 |
$3,716.42 |
$3,716.42 |
$1,403.73
|
|
CT lwr extremity w/o&w/dye
|
$7,517.87 |
$7,517.87 |
$7,517.87 |
$1,844.52
|
|
CT neck soft tissue w/contrast
|
$2,871.30 |
$2,871.30 |
$2,871.30 |
$1,669.00
|
|
CT neck soft tissue without contrast
|
$2,210.83 |
$2,210.83 |
$2,210.83 |
$1,344.60
|
|
CT neck soft tissue without & w/contrast
|
$3,247.93 |
$3,247.93 |
$3,247.93 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,163.77 |
$3,163.77 |
$3,163.77 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,572.07 |
$2,572.07 |
$2,572.07 |
$1,543.83
|