|
Collection blood specimen from completely implantable venous access device
|
$291.44 |
$291.44 |
$291.44 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$160.79 |
$160.79 |
$160.79 |
$22.00
|
|
Colonoscopy w/control bleed
|
$3,427.54 |
$3,427.54 |
$3,427.54 |
$2,101.71
|
|
Colonoscopy (with biopsy)
|
$7,011.39 |
$7,011.39 |
$7,011.39 |
$2,512.42
|
|
Compatibility test each unit antiglobulin technique
|
$1,963.89 |
$1,963.89 |
$1,963.89 |
$173.25
|
|
Compatibility test each unit electronic
|
$1,963.89 |
$1,963.89 |
$1,963.89 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$403.78 |
$403.78 |
$403.78 |
$169.52
|
|
Complement antigen each component c3
|
$1,216.56 |
$1,216.56 |
$1,216.56 |
$111.15
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$7,412.36 |
$7,412.36 |
$7,412.36 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$7,412.36 |
$7,412.36 |
$7,412.36 |
$1,388.40
|
|
Complx repair fccmnaxghf 13131
|
$5,001.27 |
$5,001.27 |
$5,001.27 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$7,412.36 |
$7,412.36 |
$7,412.36 |
$1,244.09
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,231.28 |
$2,231.28 |
$2,231.28 |
$576.66
|
|
Concentration infection agents any type
|
$358.03 |
$358.03 |
$358.03 |
$51.32
|
|
Condylomata destruction 56420
|
$2,462.83 |
$2,462.83 |
$2,462.83 |
$509.81
|
|
Consultation pathology during surgery
|
$493.50 |
$493.50 |
$493.50 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$9,136.14 |
$9,136.14 |
$9,136.14 |
$428.00
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,511.18 |
$1,511.18 |
$1,511.18 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$721.33 |
$721.33 |
$721.33 |
$239.85
|
|
Contrast x-ray of elbow
|
$3,092.23 |
$3,092.23 |
$3,092.23 |
$637.14
|
|
Contrast x-ray of hip
|
$1,501.49 |
$1,501.49 |
$1,501.49 |
$768.00
|
|
Contrast x-ray of wrist
|
$1,387.75 |
$1,387.75 |
$1,387.75 |
$623.50
|
|
Control nosebleed pack+caut 30905
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$385.45
|
|
Coombs direct
|
$255.62 |
$255.62 |
$255.62 |
$73.26
|
|
Core ndl bx lng/med perq
|
$5,591.42 |
$5,591.42 |
$5,591.42 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$44,878.26 |
$44,878.26 |
$44,878.26 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$36,070.23 |
$36,070.23 |
$36,070.23 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$45,671.12 |
$45,671.12 |
$45,671.12 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$38,149.35 |
$38,149.35 |
$38,149.35 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$29,989.15 |
$29,989.15 |
$29,989.15 |
$7,769.30
|
|
Cortisol total am
|
$873.61 |
$873.61 |
$873.61 |
$122.20
|
|
Co-treatment - group 15 mins, st
|
$191.14 |
$191.14 |
$191.14 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$383.17 |
$383.17 |
$383.17 |
$57.85
|
|
#covid19rsv-rsv
|
$3,762.42 |
$3,762.42 |
$3,762.42 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$698.35 |
$698.35 |
$698.35 |
$65.36
|
|
C-peptide
|
$715.72 |
$715.72 |
$715.72 |
$100.00
|
|
C-reactive protein
|
$646.40 |
$646.40 |
$646.40 |
$63.00
|
|
C-reactive protein high sensitivity
|
$646.40 |
$646.40 |
$646.40 |
$91.65
|
|
Creatine kinase
|
$731.30 |
$731.30 |
$731.30 |
$59.78
|
|
Creatine kinase isoenzymes
|
$717.64 |
$717.64 |
$717.64 |
$46.34
|
|
Creatine kinase mb
|
$619.04 |
$619.04 |
$619.04 |
$111.00
|
|
Creatine - sendout
|
$255.62 |
$255.62 |
$255.62 |
$39.00
|
|
Creatinine
|
$209.69 |
$209.69 |
$209.69 |
$44.10
|
|
Creatinine 24 hour urine
|
$277.64 |
$277.64 |
$277.64 |
$59.80
|
|
Creatinine clearance urine
|
$400.33 |
$400.33 |
$400.33 |
$87.50
|
|
#creutz-prot.,western blot
|
$1,565.54 |
$1,565.54 |
$1,565.54 |
$173.00
|
|
Critical care 30-74 minutes
|
$7,787.46 |
$7,787.46 |
$7,787.46 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,826.98 |
$1,826.98 |
$1,826.98 |
$777.00
|
|
Cryoprecipitate each unit
|
$1,516.03 |
$1,516.03 |
$1,516.03 |
$185.64
|
|
Crystal identification light microscopy
|
$403.78 |
$403.78 |
$403.78 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$1,159.43 |
$1,159.43 |
$1,159.43 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$8,868.97 |
$8,868.97 |
$8,868.97 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$17,631.17 |
$17,631.17 |
$17,631.17 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$7,950.22 |
$7,950.22 |
$7,950.22 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$6,604.46 |
$6,604.46 |
$6,604.46 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$8,447.21 |
$8,447.21 |
$8,447.21 |
$1,955.80
|
|
CT Angiogram of the Head
|
$13,970.17 |
$13,970.17 |
$13,970.17 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$8,447.21 |
$8,447.21 |
$8,447.21 |
$1,588.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$1,652.25
|
|
CT guidance for needle placement
|
$9,756.21 |
$9,756.21 |
$9,756.21 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$3,274.22 |
$3,274.22 |
$3,274.22 |
$1,085.05
|
|
CT heart w/evaluation of calcium without contrast
|
$106.00 |
$106.00 |
$106.00 |
$192.00
|
|
CT hrt w/3d image
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$1,252.99 |
$1,252.99 |
$1,252.99 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$5,727.73 |
$5,727.73 |
$5,727.73 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$7,040.23 |
$7,040.23 |
$7,040.23 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$13,606.19 |
$13,606.19 |
$13,606.19 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$9,334.46 |
$9,334.46 |
$9,334.46 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$9,334.46 |
$9,334.46 |
$9,334.46 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$9,334.46 |
$9,334.46 |
$9,334.46 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$3,009.65 |
$3,009.65 |
$3,009.65 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$15,161.93 |
$15,161.93 |
$15,161.93 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$12,739.95 |
$12,739.95 |
$12,739.95 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$12,249.94 |
$12,249.94 |
$12,249.94 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$8,126.97 |
$8,126.97 |
$8,126.97 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$7,117.23 |
$7,117.23 |
$7,117.23 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$567.12 |
$567.12 |
$567.12 |
$400.20
|
|
CT t-spine w /wo contrast
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$7,405.97 |
$7,405.97 |
$7,405.97 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$7,040.23 |
$7,040.23 |
$7,040.23 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$32.07 |
$32.07 |
$32.07 |
$63.75
|
|
Culture afb any source
|
$892.51 |
$892.51 |
$892.51 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$32.07 |
$32.07 |
$32.07 |
$77.31
|
|
Culture anaerobic except blood
|
$1,027.68 |
$1,027.68 |
$1,027.68 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$505.95 |
$505.95 |
$505.95 |
$52.80
|
|
Culture body fluid
|
$2,034.53 |
$2,034.53 |
$2,034.53 |
$130.50
|
|
Culture fungi definitive id mold
|
$553.11 |
$553.11 |
$553.11 |
$70.00
|
|
Culture fungi definitive id yeast
|
$553.11 |
$553.11 |
$553.11 |
$80.60
|
|
Culture fungi other (except blood)
|
$937.54 |
$937.54 |
$937.54 |
$105.60
|
|
Culture quantitative aerobic other source
|
$530.06 |
$530.06 |
$530.06 |
$87.02
|
|
Culture screening strep group a
|
$684.52 |
$684.52 |
$684.52 |
$81.60
|
|
Culture typing immunologic
|
$277.64 |
$277.64 |
$277.64 |
$41.60
|