|
Concentration infection agents any type
|
$170.26 |
$170.26 |
$170.26 |
$50.70
|
|
Condylomata destruction 56420
|
$480.54 |
$480.54 |
$480.54 |
$503.67
|
|
Consultation pathology during surgery
|
$331.83 |
$331.83 |
$331.83 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$308.44 |
$308.44 |
$308.44 |
$382.89
|
|
Consultation pathology during surgery frozen section each additional block
|
$222.20 |
$222.20 |
$222.20 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$434.96 |
$434.96 |
$434.96 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$569.78 |
$569.78 |
$569.78 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$1,021.22 |
$1,021.22 |
$1,021.22 |
$176.15
|
|
Consult comp w/report rfrd material
|
$1,711.24 |
$1,711.24 |
$1,711.24 |
$345.71
|
|
Contrast exam abdominl aorta 75625-26
|
$5,419.03 |
$5,419.03 |
$5,419.03 |
$3,389.09
|
|
Contrast exam thoracic aorta
|
$8,304.72 |
$8,304.72 |
$8,304.72 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$10,184.93 |
$10,184.93 |
$10,184.93 |
$3,780.00
|
|
Contrast x-ray gallbladder
|
$1,199.71 |
$1,199.71 |
$1,199.71 |
$280.14
|
|
Contrast x-ray of brain
|
$2,537.52 |
$2,537.52 |
$2,537.52 |
$900.00
|
|
Contrast x-ray of hip
|
$2,093.21 |
$2,093.21 |
$2,093.21 |
$770.88
|
|
Contrast x-ray of knee joint
|
$1,458.38 |
$1,458.38 |
$1,458.38 |
$655.05
|
|
Contrast x-ray of wrist
|
$690.14 |
$690.14 |
$690.14 |
$561.00
|
|
Control nosebleed pack+caut 30905
|
$786.51 |
$786.51 |
$786.51 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$786.51 |
$786.51 |
$786.51 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$786.51 |
$786.51 |
$786.51 |
$385.45
|
|
Convert nephrostomy catheter
|
$2,030.73 |
$2,030.73 |
$2,030.73 |
$3,927.00
|
|
Coombs direct
|
$44.37 |
$44.37 |
$44.37 |
$72.05
|
|
Coombs indirect qualitative each reagent red cell reference
|
$47.91 |
$47.91 |
$47.91 |
$100.29
|
|
Coombs indirect titer reference
|
$170.36 |
$170.36 |
$170.36 |
$143.40
|
|
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
|
$17,515.22 |
$17,515.22 |
$17,515.22 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$15,706.88 |
$15,706.88 |
$15,706.88 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$22,355.09 |
$22,355.09 |
$22,355.09 |
$11,247.60
|
|
Coronary art/grft angio s&i
|
$19,170.30 |
$19,170.30 |
$19,170.30 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$17,362.02 |
$17,362.02 |
$17,362.02 |
$7,697.25
|
|
Cortisol total am
|
$263.41 |
$263.41 |
$263.41 |
$122.20
|
|
Co-treatment - group 15 mins, st
|
$178.52 |
$178.52 |
$178.52 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$115.97 |
$115.97 |
$115.97 |
$57.60
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,380.48 |
$1,380.48 |
$1,380.48 |
$569.31
|
|
#coxa-coxsackie a serotype a16
|
$36.24 |
$36.24 |
$36.24 |
$65.36
|
|
C-peptide
|
$22.43 |
$22.43 |
$22.43 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$2,563.44 |
$2,563.44 |
$2,563.44 |
$1,410.04
|
|
C-reactive protein
|
$161.79 |
$161.79 |
$161.79 |
$61.10
|
|
C-reactive protein high sensitivity
|
$204.65 |
$204.65 |
$204.65 |
$91.65
|
|
C-reactive protein, quantitative
|
$55.92 |
$55.92 |
$55.92 |
$63.07
|
|
Creatine kinase
|
$126.98 |
$126.98 |
$126.98 |
$58.30
|
|
Creatine kinase isoenzymes
|
$15.45 |
$15.45 |
$15.45 |
$49.40
|
|
Creatine kinase mb
|
$340.75 |
$340.75 |
$340.75 |
$106.60
|
|
Creatine - sendout
|
$306.31 |
$306.31 |
$306.31 |
$40.30
|
|
Creatinine
|
$159.32 |
$159.32 |
$159.32 |
$42.50
|
|
Creatinine 24 hour urine
|
$176.00 |
$176.00 |
$176.00 |
$60.97
|
|
Creatinine clearance urine
|
$489.69 |
$489.69 |
$489.69 |
$85.80
|
|
#creutz-prot.,western blot
|
$101.44 |
$101.44 |
$101.44 |
$180.40
|
|
Critical care 30-74 minutes
|
$8,251.17 |
$8,251.17 |
$8,251.17 |
$2,616.80
|
|
Critical care each additional 30 minutes
|
$5,127.08 |
$5,127.08 |
$5,127.08 |
$757.20
|
|
Cryoprecipitate each unit
|
$147.57 |
$147.57 |
$147.57 |
$190.59
|
|
Crystal identification light microscopy
|
$217.41 |
$217.41 |
$217.41 |
$59.15
|
|
Cta abdomen without & /or w/contrast
|
$7,745.93 |
$7,745.93 |
$7,745.93 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,107.92 |
$3,107.92 |
$3,107.92 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$7,111.34 |
$7,111.34 |
$7,111.34 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$7,929.96 |
$7,929.96 |
$7,929.96 |
$1,946.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$13,315.86 |
$13,315.86 |
$13,315.86 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$5,981.04 |
$5,981.04 |
$5,981.04 |
$2,032.54
|
|
CT Angiogram of the Head
|
$8,637.63 |
$8,637.63 |
$8,637.63 |
$2,058.65
|
|
CT angio hrt w/3d image
|
$3,231.02 |
$3,231.02 |
$3,231.02 |
$1,601.60
|
|
CT angio pelvis
|
$7,111.34 |
$7,111.34 |
$7,111.34 |
$1,778.40
|
|
Cta upper extremity w &/or without contrast left
|
$7,111.34 |
$7,111.34 |
$7,111.34 |
$1,652.95
|
|
CT guidance for needle placement
|
$3,549.21 |
$3,549.21 |
$3,549.21 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,091.69 |
$2,091.69 |
$2,091.69 |
$1,076.40
|
|
CT guid parench tis ablat
|
$1,532.46 |
$1,532.46 |
$1,532.46 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$121.55 |
$121.55 |
$121.55 |
$192.00
|
|
CT hrt w/3d image
|
$1,680.02 |
$1,680.02 |
$1,680.02 |
$1,477.35
|
|
CT limited or localized follow-up study
|
$950.70 |
$950.70 |
$950.70 |
$630.50
|
|
CT lower extremity w/contrast (both sides)
|
$6,278.51 |
$6,278.51 |
$6,278.51 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$3,980.81 |
$3,980.81 |
$3,980.81 |
$1,400.00
|
|
CT lwr extremity w/o&w/dye
|
$6,920.81 |
$6,920.81 |
$6,920.81 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$7,334.15 |
$7,334.15 |
$7,334.15 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$5,664.24 |
$5,664.24 |
$5,664.24 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$9,451.60 |
$9,451.60 |
$9,451.60 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$6,167.74 |
$6,167.74 |
$6,167.74 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$6,324.38 |
$6,324.38 |
$6,324.38 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$5,051.67 |
$5,051.67 |
$5,051.67 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$750.38 |
$750.38 |
$750.38 |
$456.00
|
|
CT scan for therapy guide
|
$3,888.22 |
$3,888.22 |
$3,888.22 |
$777.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$14,966.67 |
$14,966.67 |
$14,966.67 |
$3,329.15
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$12,620.11 |
$12,620.11 |
$12,620.11 |
$2,883.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$11,321.08 |
$11,321.08 |
$11,321.08 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$4,008.44 |
$4,008.44 |
$4,008.44 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$3,644.73 |
$3,644.73 |
$3,644.73 |
$1,437.75
|
|
CT thorax low dose for lung screening without contrast
|
$2,613.79 |
$2,613.79 |
$2,613.79 |
$420.60
|
|
CT t-spine w /wo contrast
|
$4,372.12 |
$4,372.12 |
$4,372.12 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$6,553.93 |
$6,553.93 |
$6,553.93 |
$1,698.00
|
|
CT upper extremity without contrast (both sides)
|
$4,091.88 |
$4,091.88 |
$4,091.88 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$7,461.07 |
$7,461.07 |
$7,461.07 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$301.60 |
$301.60 |
$301.60 |
$63.02
|
|
Culture afb any source
|
$449.49 |
$449.49 |
$449.49 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$330.60 |
$330.60 |
$330.60 |
$76.35
|
|
Culture anaerobic except blood
|
$377.01 |
$377.01 |
$377.01 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$410.17 |
$410.17 |
$410.17 |
$52.50
|
|
Culture body fluid
|
$545.21 |
$545.21 |
$545.21 |
$130.40
|
|
Culture fungi definitive id mold
|
$240.71 |
$240.71 |
$240.71 |
$70.00
|
|
Culture fungi definitive id yeast
|
$443.67 |
$443.67 |
$443.67 |
$79.10
|
|
Culture fungi other (except blood)
|
$397.27 |
$397.27 |
$397.27 |
$95.93
|
|
Culture fungi skin/hair/nail
|
$308.74 |
$308.74 |
$308.74 |
$76.80
|
|
Culture mycobacteria definitive id each isolate
|
$146.03 |
$146.03 |
$146.03 |
$88.14
|