|
Contrast exam abdominl aorta 75625-26
|
$12,846.89 |
$12,846.89 |
$12,846.89 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$12,681.09 |
$12,681.09 |
$12,681.09 |
$3,780.00
|
|
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
|
$623.21 |
$623.21 |
$623.21 |
$385.45
|
|
Coombs direct
|
$224.58 |
$224.58 |
$224.58 |
$71.74
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$38,183.07 |
$38,183.07 |
$38,183.07 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$15,835.01 |
$15,835.01 |
$15,835.01 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$37,980.46 |
$37,980.46 |
$37,980.46 |
$11,240.08
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$19,069.33 |
$19,069.33 |
$19,069.33 |
$7,697.25
|
|
Cortisol total am
|
$164.36 |
$164.36 |
$164.36 |
$122.00
|
|
Co-treatment - group 15 mins, st
|
$381.21 |
$381.21 |
$381.21 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$101.22 |
$101.22 |
$101.22 |
$57.60
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,877.96 |
$1,877.96 |
$1,877.96 |
$569.31
|
|
#covid19rsv-rsv
|
$634.99 |
$634.99 |
$634.99 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$153.16 |
$153.16 |
$153.16 |
$65.36
|
|
C-peptide
|
$72.27 |
$72.27 |
$72.27 |
$100.26
|
|
C-reactive protein
|
$161.79 |
$161.79 |
$161.79 |
$61.10
|
|
C-reactive protein high sensitivity
|
$204.65 |
$204.65 |
$204.65 |
$91.20
|
|
Creatine kinase
|
$483.53 |
$483.53 |
$483.53 |
$58.30
|
|
Creatine kinase isoenzymes
|
$42.18 |
$42.18 |
$42.18 |
$49.40
|
|
Creatine - sendout
|
$539.69 |
$539.69 |
$539.69 |
$40.59
|
|
Creatinine
|
$259.09 |
$259.09 |
$259.09 |
$42.50
|
|
Creatinine 24 hour urine
|
$265.02 |
$265.02 |
$265.02 |
$59.80
|
|
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
|
$7,333.50 |
$7,333.50 |
$7,333.50 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$2,584.90 |
$2,584.90 |
$2,584.90 |
$756.00
|
|
Cryoprecipitate each unit
|
$325.74 |
$325.74 |
$325.74 |
$190.20
|
|
Crystal identification light microscopy
|
$217.41 |
$217.41 |
$217.41 |
$58.50
|
|
Cta abdomen without & /or w/contrast
|
$16,667.00 |
$16,667.00 |
$16,667.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$20,656.41 |
$20,656.41 |
$20,656.41 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$8,757.57 |
$8,757.57 |
$8,757.57 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$8,757.57 |
$8,757.57 |
$8,757.57 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$19,480.53 |
$19,480.53 |
$19,480.53 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,308.23 |
$2,308.23 |
$2,308.23 |
$2,017.89
|
|
CT Angiogram of the Head
|
$2,813.12 |
$2,813.12 |
$2,813.12 |
$2,041.78
|
|
Cta upper extremity w &/or without contrast left
|
$5,075.29 |
$5,075.29 |
$5,075.29 |
$1,652.95
|
|
CT guidance for needle placement
|
$11,617.70 |
$11,617.70 |
$11,617.70 |
$1,506.04
|
|
CT lower extremity w/contrast (both sides)
|
$8,789.66 |
$8,789.66 |
$8,789.66 |
$1,680.60
|
|
CT lower extremity without contrast (both sides)
|
$7,384.23 |
$7,384.23 |
$7,384.23 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$9,676.14 |
$9,676.14 |
$9,676.14 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$8,427.48 |
$8,427.48 |
$8,427.48 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$7,582.29 |
$7,582.29 |
$7,582.29 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$10,111.41 |
$10,111.41 |
$10,111.41 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$10,111.41 |
$10,111.41 |
$10,111.41 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$8,427.48 |
$8,427.48 |
$8,427.48 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$7,582.29 |
$7,582.29 |
$7,582.29 |
$1,345.05
|
|
Ctrl nosebld postir subsq 30906
|
$750.38 |
$750.38 |
$750.38 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$25,161.02 |
$25,161.02 |
$25,161.02 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$20,319.29 |
$20,319.29 |
$20,319.29 |
$2,883.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$17,217.10 |
$17,217.10 |
$17,217.10 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$7,112.05 |
$7,112.05 |
$7,112.05 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$8,789.66 |
$8,789.66 |
$8,789.66 |
$1,436.50
|
|
CT thorax low dose for lung screening without contrast
|
$3,203.84 |
$3,203.84 |
$3,203.84 |
$420.60
|
|
CT upper extremity w/contrast (both sides)
|
$8,789.66 |
$8,789.66 |
$8,789.66 |
$1,697.85
|
|
CT upper extremity without contrast (both sides)
|
$7,909.21 |
$7,909.21 |
$7,909.21 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$7,112.05 |
$7,112.05 |
$7,112.05 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$154.61 |
$154.61 |
$154.61 |
$62.65
|
|
Culture afb any source
|
$211.92 |
$211.92 |
$211.92 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$313.05 |
$313.05 |
$313.05 |
$75.29
|
|
Culture anaerobic except blood
|
$29.83 |
$29.83 |
$29.83 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$254.29 |
$254.29 |
$254.29 |
$52.50
|
|
Culture body fluid
|
$434.13 |
$434.13 |
$434.13 |
$129.21
|
|
Culture fungi definitive id mold
|
$82.03 |
$82.03 |
$82.03 |
$70.00
|
|
Culture fungi definitive id yeast
|
$334.50 |
$334.50 |
$334.50 |
$79.00
|
|
Culture fungi other (except blood)
|
$305.08 |
$305.08 |
$305.08 |
$94.90
|
|
Culture mycobacteria definitive id each isolate
|
$46.02 |
$46.02 |
$46.02 |
$88.14
|
|
Culture quantitative aerobic other source
|
$31.15 |
$31.15 |
$31.15 |
$85.80
|
|
Culture screening strep group a
|
$358.37 |
$358.37 |
$358.37 |
$78.47
|
|
Culture typing added method
|
$26.88 |
$26.88 |
$26.88 |
$34.45
|
|
Culture typing immunologic
|
$337.42 |
$337.42 |
$337.42 |
$41.19
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$1,009.72 |
$1,009.72 |
$1,009.72 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$321.89 |
$321.89 |
$321.89 |
$101.45
|
|
Cv line/pic reposition
|
$3,787.79 |
$3,787.79 |
$3,787.79 |
$1,789.77
|
|
Cyanocobalamin unsat binding capacity
|
$49.74 |
$49.74 |
$49.74 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$208.55 |
$208.55 |
$208.55 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$40.79 |
$40.79 |
$40.79 |
$85.03
|
|
Cyclosporine 2 hour
|
$255.82 |
$255.82 |
$255.82 |
$119.40
|
|
Cyclosporine oral 100 mg
|
$104.09 |
$104.09 |
$104.09 |
$42.97
|
|
Cystatin c
|
$58.34 |
$58.34 |
$58.34 |
$82.50
|
|
Cytarabine 20 mg/ml injection solution
|
$172.08 |
$172.08 |
$172.08 |
$66.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$49.98 |
$49.98 |
$49.98 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$58.52 |
$58.52 |
$58.52 |
$101.94
|
|
Cytopathology cellular enhancement technique non-gyn
|
$156.18 |
$156.18 |
$156.18 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$83.82 |
$83.82 |
$83.82 |
$91.53
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$63.82 |
$63.82 |
$63.82 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$116.10 |
$116.10 |
$116.10 |
$142.94
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$105,334.14 |
$105,334.14 |
$105,334.14 |
$28,415.40
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$48,953.68 |
$48,953.68 |
$48,953.68 |
$5,500.25
|
|
Deamidated gliadin antibody iga
|
$53.39 |
$53.39 |
$53.39 |
$44.20
|
|
Debridement (>20 cm) charge pt
|
$479.13 |
$479.13 |
$479.13 |
$262.60
|
|
Debridement bone <= 20 sq cm
|
$10,777.75 |
$10,777.75 |
$10,777.75 |
$2,553.60
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,758.36 |
$1,758.36 |
$1,758.36 |
$681.60
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$6,652.89 |
$6,652.89 |
$6,652.89 |
$1,407.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$4,036.18 |
$4,036.18 |
$4,036.18 |
$798.23
|
|
Debride nail1-5 11720
|
$263.25 |
$263.25 |
$263.25 |
$173.25
|
|
Debride nail6 or more 11721
|
$289.12 |
$289.12 |
$289.12 |
$200.21
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$1,598.91 |
$1,598.91 |
$1,598.91 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$4,036.18 |
$4,036.18 |
$4,036.18 |
$1,193.40
|