|
Consultation pathology during surgery frozen section first tissue block
|
$320.00 |
$320.00 |
$618.26 |
$211.90
|
|
Consultation/report referred material w/preparation of slides
|
$574.00 |
$574.00 |
$667.72 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$456.83 |
$456.83 |
$1,295.00 |
$176.15
|
|
Consult comp w/report rfrd material
|
$2,549.00 |
$2,549.00 |
$2,549.00 |
$337.44
|
|
Contrast exam abdominl aorta 75625-26
|
$7,143.28 |
$7,143.28 |
$7,143.28 |
$3,389.09
|
|
Contrast exam thoracic aorta
|
$22,679.00 |
$22,679.00 |
$22,679.00 |
$3,648.84
|
|
Contrast x-ray of hip
|
$2,451.03 |
$2,451.03 |
$2,451.03 |
$766.40
|
|
Contrast x-ray of knee joint
|
$3,907.88 |
$3,907.88 |
$3,907.88 |
$668.00
|
|
Control nosebleed pack+caut 30905
|
$1,570.16 |
$1,570.16 |
$1,570.16 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,570.16 |
$1,570.16 |
$1,570.16 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$1,570.16 |
$1,570.16 |
$1,570.16 |
$385.45
|
|
Convert nephrostomy catheter
|
$5,480.29 |
$5,480.29 |
$5,480.29 |
$3,749.60
|
|
Coombs direct
|
$168.42 |
$168.42 |
$168.42 |
$72.78
|
|
Coombs indirect qualitative each reagent red cell reference
|
$455.16 |
$455.16 |
$455.16 |
$98.40
|
|
Coombs indirect titer reference
|
$455.16 |
$455.16 |
$455.16 |
$144.00
|
|
Core ndl bx lng/med perq
|
$5,617.21 |
$5,617.21 |
$5,617.21 |
$2,938.49
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$25,343.70 |
$25,343.70 |
$25,343.70 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$21,309.75 |
$21,309.75 |
$21,309.75 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$21,286.35 |
$21,286.35 |
$21,286.35 |
$11,240.08
|
|
Coronary art/grft angio s&i
|
$8,616.06 |
$8,616.06 |
$8,616.06 |
$7,814.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$14,479.26 |
$14,479.26 |
$14,479.26 |
$7,697.25
|
|
Cortisol total am
|
$229.68 |
$229.68 |
$673.00 |
$122.54
|
|
Cosyntropin 0.25 mg solution for injection
|
$350.00 |
$350.00 |
$350.00 |
$249.16
|
|
Co-treatment - group 15 mins, st
|
$143.00 |
$143.00 |
$189.95 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$190.00 |
$190.00 |
$190.00 |
$57.77
|
|
Covid-19 lab test non-cdc
|
$50.00 |
$50.00 |
$50.00 |
$56.44
|
|
#covid19rsv-rsv
|
$467.24 |
$467.24 |
$467.24 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$143.66 |
$143.66 |
$143.66 |
$65.00
|
|
C-peptide
|
$70.93 |
$70.93 |
$70.93 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$10,074.00 |
$10,074.00 |
$10,074.00 |
$1,409.85
|
|
C-reactive protein
|
$149.94 |
$149.94 |
$323.00 |
$61.20
|
|
C-reactive protein high sensitivity
|
$166.28 |
$166.28 |
$166.28 |
$91.65
|
|
Create eardrum opening
|
$19,456.92 |
$19,456.92 |
$19,456.92 |
$3,006.50
|
|
Creatine kinase
|
$245.63 |
$245.63 |
$578.00 |
$61.92
|
|
Creatine kinase isoenzymes
|
$256.79 |
$256.79 |
$256.79 |
$48.60
|
|
Creatine kinase mb
|
$351.86 |
$351.86 |
$656.00 |
$109.20
|
|
Creatine - sendout
|
$2.00 |
$2.00 |
$52.72 |
$39.00
|
|
Creatinine
|
$149.15 |
$149.15 |
$158.00 |
$44.10
|
|
Creatinine 24 hour urine
|
$229.68 |
$229.68 |
$229.68 |
$62.40
|
|
Creatinine clearance urine
|
$296.71 |
$296.71 |
$1,298.00 |
$87.20
|
|
#creutz-prot.,western blot
|
$331.86 |
$331.86 |
$331.86 |
$178.61
|
|
Critical care 30-74 minutes
|
$5,719.09 |
$5,719.09 |
$6,748.00 |
$2,627.30
|
|
Critical care each additional 30 minutes
|
$1,522.00 |
$1,522.00 |
$1,749.56 |
$777.00
|
|
Crotalidae poly immune fab
|
$15,189.00 |
$15,189.00 |
$15,189.00 |
$5,572.50
|
|
Cryofibrinogen qualitative - sendout
|
$43.71 |
$43.71 |
$43.71 |
$50.88
|
|
Cryoprecipitate each unit
|
$216.51 |
$216.51 |
$216.51 |
$198.60
|
|
Cryptococcus abs qn - sendout
|
$11.11 |
$11.11 |
$11.11 |
$76.20
|
|
Crystal identification light microscopy
|
$132.97 |
$132.97 |
$132.97 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$5,253.00 |
$5,253.00 |
$5,253.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$6,867.00 |
$6,867.00 |
$7,070.78 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$6,617.00 |
$6,617.00 |
$7,781.07 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,755.17 |
$5,755.17 |
$5,755.17 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$6,617.00 |
$6,617.00 |
$7,373.00 |
$1,977.25
|
|
CT Angiogram of Abdomen and Pelvis
|
$13,720.00 |
$13,720.00 |
$15,221.87 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$6,708.00 |
$6,708.00 |
$7,683.51 |
$2,032.54
|
|
CT Angiogram of the Head
|
$6,617.00 |
$6,617.00 |
$7,042.57 |
$2,075.26
|
|
CT angio hrt w/3d image
|
$2,407.00 |
$2,407.00 |
$2,407.00 |
$1,601.60
|
|
CT angio pelvis
|
$1,795.97 |
$1,795.97 |
$7,383.00 |
$1,778.40
|
|
Cta upper extremity w &/or without contrast left
|
$1,795.97 |
$1,795.97 |
$9,424.00 |
$1,661.13
|
|
CT colonography dx
|
$2,308.00 |
$2,308.00 |
$2,308.00 |
$770.90
|
|
CT guidance for needle placement
|
$7,025.00 |
$7,025.00 |
$8,049.85 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,073.13 |
$2,073.13 |
$2,073.13 |
$1,077.80
|
|
CT heart w/evaluation of calcium without contrast
|
$1,076.40 |
$1,076.40 |
$2,512.00 |
$196.67
|
|
CT hrt w/3d image
|
$1,798.00 |
$1,798.00 |
$1,798.00 |
$1,481.04
|
|
CT limited or localized follow-up study
|
$4,886.00 |
$4,886.00 |
$4,886.00 |
$630.75
|
|
CT lower extremity w/contrast (both sides)
|
$5,841.38 |
$5,841.38 |
$5,841.38 |
$1,728.39
|
|
CT lower extremity without contrast (both sides)
|
$5,312.42 |
$5,312.42 |
$5,312.42 |
$1,420.00
|
|
CT lwr extremity w/o&w/dye
|
$6,890.71 |
$6,890.71 |
$6,890.71 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$6,297.00 |
$6,297.00 |
$6,502.12 |
$1,677.39
|
|
CT neck soft tissue without contrast
|
$5,309.24 |
$5,309.24 |
$5,805.00 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$7,080.00 |
$7,080.00 |
$7,174.17 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$5,709.90 |
$5,709.90 |
$6,093.00 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$5,100.42 |
$5,100.42 |
$6,353.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$4,681.00 |
$4,681.00 |
$5,806.14 |
$1,379.95
|
|
Ctrl nosebld postir subsq 30906
|
$3,202.70 |
$3,202.70 |
$3,202.70 |
$456.00
|
|
CT scan for therapy guide
|
$1,915.31 |
$1,915.31 |
$1,915.31 |
$771.10
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$12,920.00 |
$12,920.00 |
$16,386.70 |
$3,337.20
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$13,470.99 |
$13,470.99 |
$13,836.00 |
$2,883.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$11,045.00 |
$11,045.00 |
$11,071.81 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$5,072.00 |
$5,072.00 |
$7,443.72 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$6,058.84 |
$6,058.84 |
$6,923.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$345.00 |
$345.00 |
$3,758.98 |
$427.43
|
|
CT t-spine w /wo contrast
|
$6,401.00 |
$6,401.00 |
$7,746.66 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$4,893.99 |
$4,893.99 |
$4,893.99 |
$1,714.05
|
|
CT upper extremity without contrast (both sides)
|
$4,203.43 |
$4,203.43 |
$4,203.43 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$5,104.16 |
$5,104.16 |
$5,104.16 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$396.74 |
$396.74 |
$396.74 |
$66.00
|
|
Culture afb any source
|
$135.87 |
$135.87 |
$135.87 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$27.66 |
$27.66 |
$27.66 |
$78.82
|
|
Culture anaerobic except blood
|
$612.74 |
$612.74 |
$612.74 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$193.58 |
$193.58 |
$193.58 |
$52.50
|
|
Culture body fluid
|
$563.68 |
$563.68 |
$563.68 |
$130.50
|
|
Culture fungi definitive id mold
|
$35.33 |
$35.33 |
$223.00 |
$72.15
|
|
Culture fungi definitive id yeast
|
$164.11 |
$164.11 |
$241.00 |
$80.60
|
|
Culture fungi other (except blood)
|
$6.00 |
$6.00 |
$105.81 |
$100.20
|
|
Culture fungi skin/hair/nail
|
$97.00 |
$97.00 |
$97.00 |
$77.37
|
|
Culture mycobacteria definitive id each isolate
|
$162.00 |
$162.00 |
$183.80 |
$88.14
|
|
Culture mycoplasma any source
|
$11.92 |
$11.92 |
$11.92 |
$90.75
|
|
Culture quantitative aerobic other source
|
$124.42 |
$124.42 |
$124.42 |
$85.80
|
|
Culture screening strep group a
|
$575.65 |
$575.65 |
$575.65 |
$81.25
|
