|
Collection of venous blood by venipuncture
|
$25.80 |
$25.80 |
$25.80 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$108.00 |
$108.00 |
$108.00 |
$170.05
|
|
Compatibility test each unit electronic
|
$375.00 |
$375.00 |
$375.00 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$108.00 |
$108.00 |
$108.00 |
$169.52
|
|
Compatibility test incubate
|
$108.00 |
$108.00 |
$108.00 |
$155.40
|
|
Comp cystometrogram/void presssure 51728
|
$2,703.60 |
$2,703.60 |
$2,703.60 |
$958.81
|
|
Complement antigen each component c3
|
$370.20 |
$370.20 |
$370.20 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$774.00 |
$774.00 |
$774.00 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$821.40 |
$821.40 |
$821.40 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$877.20 |
$877.20 |
$877.20 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$821.40 |
$821.40 |
$821.40 |
$537.00
|
|
Comprehensive hearing test
|
$410.40 |
$410.40 |
$410.40 |
$255.00
|
|
Computed tomographic angiography head and neck with contrast
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$2,237.25
|
|
Concentration infection agents any type
|
$71.40 |
$71.40 |
$71.40 |
$49.95
|
|
Condylomata destruction 56420
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$469.00
|
|
Consultation pathology during surgery
|
$117.00 |
$117.00 |
$117.00 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$537.60 |
$537.60 |
$537.60 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$298.80 |
$298.80 |
$298.80 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$217.20 |
$217.20 |
$217.20 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$273.00 |
$273.00 |
$273.00 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$190.20 |
$190.20 |
$190.20 |
$171.65
|
|
Consultation with family
|
$67.20 |
$67.20 |
$67.20 |
$135.79
|
|
Contrast exam abdominl aorta 75625-26
|
$3,695.40 |
$3,695.40 |
$3,695.40 |
$3,458.54
|
|
Contrast x-ray of ankle
|
$512.40 |
$512.40 |
$512.40 |
$612.30
|
|
Contrast x-ray of brain
|
$764.40 |
$764.40 |
$764.40 |
$981.75
|
|
Contrast x-ray of elbow
|
$523.20 |
$523.20 |
$523.20 |
$649.80
|
|
Contrast x-ray of hip
|
$880.20 |
$880.20 |
$880.20 |
$771.12
|
|
Contrast x-ray of knee joint
|
$691.20 |
$691.20 |
$691.20 |
$769.88
|
|
Contrast x-ray of wrist
|
$946.80 |
$946.80 |
$946.80 |
$637.00
|
|
Control nosebleed pack+caut 30905
|
$877.20 |
$877.20 |
$877.20 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$821.40 |
$821.40 |
$821.40 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$762.00 |
$762.00 |
$762.00 |
$355.50
|
|
Convert nephrostomy catheter
|
$3,518.40 |
$3,518.40 |
$3,518.40 |
$2,777.60
|
|
Coombs direct
|
$90.00 |
$90.00 |
$90.00 |
$75.00
|
|
Coombs indirect titer reference
|
$236.40 |
$236.40 |
$236.40 |
$146.40
|
|
Core ndl bx lng/med perq
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$12,455.40 |
$12,455.40 |
$12,455.40 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$14,643.60 |
$14,643.60 |
$14,643.60 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$16,147.20 |
$16,147.20 |
$16,147.20 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$7,821.00 |
$7,821.00 |
$7,821.00 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,051.00 |
$6,051.00 |
$6,051.00 |
$7,914.00
|
|
Cortisol total am
|
$202.80 |
$202.80 |
$202.80 |
$120.63
|
|
Co-treatment - group 15 mins, st
|
$129.60 |
$129.60 |
$129.60 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$57.00 |
$57.00 |
$57.00 |
$55.90
|
|
#covid19rsv-rsv
|
$208.20 |
$208.20 |
$208.20 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$54.00 |
$54.00 |
$54.00 |
$60.00
|
|
C-peptide
|
$276.00 |
$276.00 |
$276.00 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$1,717.80 |
$1,717.80 |
$1,717.80 |
$1,240.80
|
|
C-reactive protein
|
$72.00 |
$72.00 |
$72.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$288.60 |
$288.60 |
$288.60 |
$85.00
|
|
C-reactive protein, quantitative
|
$159.00 |
$159.00 |
$159.00 |
$71.06
|
|
Creatine kinase
|
$230.40 |
$230.40 |
$230.40 |
$66.30
|
|
Creatine kinase isoenzymes
|
$246.00 |
$246.00 |
$246.00 |
$56.80
|
|
Creatine kinase mb
|
$169.20 |
$169.20 |
$169.20 |
$114.00
|
|
Creatinine
|
$67.80 |
$67.80 |
$67.80 |
$44.72
|
|
Creatinine 24 hour urine
|
$43.80 |
$43.80 |
$43.80 |
$58.85
|
|
Creatinine clearance urine
|
$142.20 |
$142.20 |
$142.20 |
$89.50
|
|
#creutz-prot.,western blot
|
$660.00 |
$660.00 |
$660.00 |
$166.20
|
|
Crisis psychotherapy 90839
|
$319.80 |
$319.80 |
$319.80 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$147.00 |
$147.00 |
$147.00 |
$149.52
|
|
Critical care 30-74 minutes
|
$2,350.20 |
$2,350.20 |
$2,350.20 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$571.20 |
$571.20 |
$571.20 |
$731.40
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$2,377.20 |
$2,377.20 |
$2,377.20 |
$2,423.75
|
|
Cryofibrinogen qualitative - sendout
|
$35.40 |
$35.40 |
$35.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$290.40 |
$290.40 |
$290.40 |
$144.78
|
|
Crystal identification light microscopy
|
$132.00 |
$132.00 |
$132.00 |
$62.50
|
|
Csf shunt reprogram 62252
|
$362.40 |
$362.40 |
$362.40 |
$524.81
|
|
CT 3d report other modality w/workstation
|
$2,436.00 |
$2,436.00 |
$2,436.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,935.20 |
$2,935.20 |
$2,935.20 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,183.40 |
$2,183.40 |
$2,183.40 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,484.80 |
$3,484.80 |
$3,484.80 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,422.80 |
$2,422.80 |
$2,422.80 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,623.40 |
$3,623.40 |
$3,623.40 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,290.80 |
$2,290.80 |
$2,290.80 |
$1,996.80
|
|
CT angio pelvis
|
$3,243.00 |
$3,243.00 |
$3,243.00 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$3,215.40 |
$3,215.40 |
$3,215.40 |
$1,698.00
|
|
CT guidance for needle placement
|
$1,957.20 |
$1,957.20 |
$1,957.20 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$117.00 |
$117.00 |
$117.00 |
$171.60
|
|
CT limited or localized follow-up study
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$3,423.60 |
$3,423.60 |
$3,423.60 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$3,333.60 |
$3,333.60 |
$3,333.60 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$3,648.00 |
$3,648.00 |
$3,648.00 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$3,122.40 |
$3,122.40 |
$3,122.40 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$2,490.60 |
$2,490.60 |
$2,490.60 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$3,207.00 |
$3,207.00 |
$3,207.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,207.00 |
$3,207.00 |
$3,207.00 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$3,341.40 |
$3,341.40 |
$3,341.40 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,932.20 |
$2,932.20 |
$2,932.20 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$821.40 |
$821.40 |
$821.40 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,270.20 |
$4,270.20 |
$4,270.20 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,147.20 |
$4,147.20 |
$4,147.20 |
$2,971.80
|
