|
Complex repair trunk 1.1-2.5cm 13120
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$912.80
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$1,703.05 |
$1,703.05 |
$1,703.05 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,024.14 |
$2,024.14 |
$2,024.14 |
$590.20
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,193.40
|
|
Concentration infection agents any type
|
$103.11 |
$103.11 |
$103.11 |
$51.32
|
|
Condylomata destruction 56420
|
$3,266.79 |
$3,266.79 |
$3,266.79 |
$503.67
|
|
Consultation pathology during surgery
|
$331.57 |
$331.57 |
$331.57 |
$119.60
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,669.63 |
$2,669.63 |
$2,669.63 |
$412.99
|
|
Consultation pathology during surgery frozen section each additional block
|
$607.04 |
$607.04 |
$607.04 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$938.29 |
$938.29 |
$938.29 |
$211.90
|
|
Consultation/report referred slides prepared elsewhere
|
$639.19 |
$639.19 |
$639.19 |
$176.15
|
|
Contrast exam abdominl aorta 75625-26
|
$8,023.82 |
$8,023.82 |
$8,023.82 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$14,090.10 |
$14,090.10 |
$14,090.10 |
$3,780.00
|
|
Contrast x-ray of brain
|
$7,308.76 |
$7,308.76 |
$7,308.76 |
$900.00
|
|
Contrast x-ray of elbow
|
$3,582.22 |
$3,582.22 |
$3,582.22 |
$625.35
|
|
Contrast x-ray of hip
|
$2,698.83 |
$2,698.83 |
$2,698.83 |
$766.40
|
|
Contrast x-ray of wrist
|
$3,425.21 |
$3,425.21 |
$3,425.21 |
$592.40
|
|
Control nosebleed pack+caut 30905
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$385.45
|
|
Conversion ext bil drg cath
|
$12,322.68 |
$12,322.68 |
$12,322.68 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$8,155.83 |
$8,155.83 |
$8,155.83 |
$3,749.60
|
|
Coombs direct
|
$224.12 |
$224.12 |
$224.12 |
$72.78
|
|
Coombs indirect qualitative each reagent red cell reference
|
$498.15 |
$498.15 |
$498.15 |
$98.40
|
|
Core ndl bx lng/med perq
|
$7,428.77 |
$7,428.77 |
$7,428.77 |
$2,938.49
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$27,030.84 |
$27,030.84 |
$27,030.84 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$23,278.68 |
$23,278.68 |
$23,278.68 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$22,572.68 |
$22,572.68 |
$22,572.68 |
$11,240.08
|
|
Coronary art/grft angio s&i
|
$18,170.16 |
$18,170.16 |
$18,170.16 |
$7,814.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$15,020.45 |
$15,020.45 |
$15,020.45 |
$7,697.25
|
|
Cortisol total am
|
$427.99 |
$427.99 |
$427.99 |
$122.54
|
|
Co-treatment - group 15 mins, st
|
$267.20 |
$267.20 |
$267.20 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$143.80 |
$143.80 |
$143.80 |
$57.77
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,823.26 |
$1,823.26 |
$1,823.26 |
$569.31
|
|
#coxa-coxsackie a serotype a16
|
$87.19 |
$87.19 |
$87.19 |
$65.00
|
|
C-peptide
|
$103.33 |
$103.33 |
$103.33 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$4,191.86 |
$4,191.86 |
$4,191.86 |
$1,409.85
|
|
C-reactive protein
|
$195.89 |
$195.89 |
$195.89 |
$61.20
|
|
C-reactive protein high sensitivity
|
$195.89 |
$195.89 |
$195.89 |
$91.65
|
|
C-reactive protein, quantitative
|
$52.79 |
$52.79 |
$52.79 |
$63.07
|
|
Create eardrum opening
|
$15,514.83 |
$15,514.83 |
$15,514.83 |
$3,006.50
|
|
Creatine kinase
|
$332.49 |
$332.49 |
$332.49 |
$61.92
|
|
Creatine kinase isoenzymes
|
$206.67 |
$206.67 |
$206.67 |
$48.60
|
|
Creatine kinase mb
|
$350.06 |
$350.06 |
$350.06 |
$109.20
|
|
Creatine - sendout
|
$71.62 |
$71.62 |
$71.62 |
$39.00
|
|
Creatinine
|
$196.17 |
$196.17 |
$196.17 |
$44.10
|
|
Creatinine 24 hour urine
|
$226.60 |
$226.60 |
$226.60 |
$62.40
|
|
Creatinine clearance urine
|
$290.79 |
$290.79 |
$290.79 |
$87.20
|
|
#creutz-prot.,western blot
|
$450.86 |
$450.86 |
$450.86 |
$178.61
|
|
Critical care 30-74 minutes
|
$7,182.44 |
$7,182.44 |
$7,182.44 |
$2,627.30
|
|
Critical care each additional 30 minutes
|
$1,714.57 |
$1,714.57 |
$1,714.57 |
$777.00
|
|
Cryoprecipitate each unit
|
$317.32 |
$317.32 |
$317.32 |
$198.60
|
|
Crystal identification light microscopy
|
$148.96 |
$148.96 |
$148.96 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$1,026.71 |
$1,026.71 |
$1,026.71 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$10,680.65 |
$10,680.65 |
$10,680.65 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$14,101.57 |
$14,101.57 |
$14,101.57 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,707.05 |
$5,707.05 |
$5,707.05 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$13,196.26 |
$13,196.26 |
$13,196.26 |
$1,977.25
|
|
CT Angiogram of Abdomen and Pelvis
|
$14,348.12 |
$14,348.12 |
$14,348.12 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$9,984.31 |
$9,984.31 |
$9,984.31 |
$2,032.54
|
|
CT Angiogram of the Head
|
$10,926.81 |
$10,926.81 |
$10,926.81 |
$2,075.26
|
|
CT angio hrt w/3d image
|
$2,655.99 |
$2,655.99 |
$2,655.99 |
$1,601.60
|
|
CT angio pelvis
|
$7,279.87 |
$7,279.87 |
$7,279.87 |
$1,778.40
|
|
Cta upper extremity w &/or without contrast left
|
$6,197.28 |
$6,197.28 |
$6,197.28 |
$1,661.13
|
|
CT guidance for needle placement
|
$5,508.26 |
$5,508.26 |
$5,508.26 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,856.98 |
$2,856.98 |
$2,856.98 |
$1,077.80
|
|
CT heart w/evaluation of calcium without contrast
|
$1,150.55 |
$1,150.55 |
$1,150.55 |
$196.67
|
|
CT hrt w/3d image
|
$2,147.56 |
$2,147.56 |
$2,147.56 |
$1,481.04
|
|
CT lower extremity w/contrast (both sides)
|
$7,902.23 |
$7,902.23 |
$7,902.23 |
$1,728.39
|
|
CT lower extremity without contrast (both sides)
|
$6,771.08 |
$6,771.08 |
$6,771.08 |
$1,420.00
|
|
CT lwr extremity w/o&w/dye
|
$9,027.48 |
$9,027.48 |
$9,027.48 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$8,657.33 |
$8,657.33 |
$8,657.33 |
$1,677.39
|
|
CT neck soft tissue without contrast
|
$7,022.49 |
$7,022.49 |
$7,022.49 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$9,292.69 |
$9,292.69 |
$9,292.69 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$9,665.73 |
$9,665.73 |
$9,665.73 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$8,461.54 |
$8,461.54 |
$8,461.54 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$7,225.50 |
$7,225.50 |
$7,225.50 |
$1,379.95
|
|
Ctrl nosebld postir subsq 30906
|
$2,553.81 |
$2,553.81 |
$2,553.81 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$15,632.01 |
$15,632.01 |
$15,632.01 |
$3,337.20
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$14,185.64 |
$14,185.64 |
$14,185.64 |
$2,883.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$13,573.71 |
$13,573.71 |
$13,573.71 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$8,266.23 |
$8,266.23 |
$8,266.23 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$7,653.92 |
$7,653.92 |
$7,653.92 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$2,046.32 |
$2,046.32 |
$2,046.32 |
$427.43
|
|
CT t-spine w /wo contrast
|
$8,980.80 |
$8,980.80 |
$8,980.80 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$8,338.78 |
$8,338.78 |
$8,338.78 |
$1,714.05
|
|
CT upper extremity without contrast (both sides)
|
$6,646.48 |
$6,646.48 |
$6,646.48 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$8,831.99 |
$8,831.99 |
$8,831.99 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$160.98 |
$160.98 |
$160.98 |
$66.00
|
|
Culture afb any source
|
$261.14 |
$261.14 |
$261.14 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$91.84 |
$91.84 |
$91.84 |
$78.82
|
|
Culture anaerobic except blood
|
$447.53 |
$447.53 |
$447.53 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$145.71 |
$145.71 |
$145.71 |
$52.50
|
|
Culture body fluid
|
$270.31 |
$270.31 |
$270.31 |
$130.50
|
|
Culture fungi definitive id mold
|
$78.12 |
$78.12 |
$78.12 |
$72.15
|