|
Complx repair trunk 1.1-2.5 cm 13100
|
$377.40 |
$377.40 |
$377.40 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$166.80 |
$166.80 |
$166.80 |
$537.00
|
|
Comprehensive hearing test
|
$349.80 |
$349.80 |
$349.80 |
$255.00
|
|
Computed tomographic angiography head and neck with contrast
|
$1,624.80 |
$1,624.80 |
$1,624.80 |
$2,237.25
|
|
Concentration infection agents any type
|
$90.60 |
$90.60 |
$90.60 |
$49.95
|
|
Conditioning play audiometry 92582
|
$353.40 |
$353.40 |
$353.40 |
$189.15
|
|
Condylomata destruction 56420
|
$660.00 |
$660.00 |
$660.00 |
$469.00
|
|
Consultation pathology during surgery
|
$37.20 |
$37.20 |
$37.20 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$546.00 |
$546.00 |
$546.00 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$233.40 |
$233.40 |
$233.40 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$218.40 |
$218.40 |
$218.40 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$117.00 |
$117.00 |
$117.00 |
$224.80
|
|
Contrast exam abdominl aorta 75625-26
|
$5,536.20 |
$5,536.20 |
$5,536.20 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$3,405.60 |
$3,405.60 |
$3,405.60 |
$3,728.24
|
|
Contrast x-ray of brain
|
$1,445.40 |
$1,445.40 |
$1,445.40 |
$981.75
|
|
Contrast x-ray of elbow
|
$872.40 |
$872.40 |
$872.40 |
$649.80
|
|
Contrast x-ray of hip
|
$1,596.00 |
$1,596.00 |
$1,596.00 |
$771.12
|
|
Contrast x-ray of wrist
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
$637.00
|
|
Control nosebleed pack+caut 30905
|
$355.20 |
$355.20 |
$355.20 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$265.80 |
$265.80 |
$265.80 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$150.60 |
$150.60 |
$150.60 |
$355.50
|
|
Conversion ext bil drg cath
|
$3,635.40 |
$3,635.40 |
$3,635.40 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$1,576.20 |
$1,576.20 |
$1,576.20 |
$2,777.60
|
|
Coombs direct
|
$67.20 |
$67.20 |
$67.20 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$223.20 |
$223.20 |
$223.20 |
$102.90
|
|
Coombs indirect titer reference
|
$268.20 |
$268.20 |
$268.20 |
$146.40
|
|
Core ndl bx lng/med perq
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$12,280.80 |
$12,280.80 |
$12,280.80 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$11,200.20 |
$11,200.20 |
$11,200.20 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$12,709.80 |
$12,709.80 |
$12,709.80 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$11,019.00 |
$11,019.00 |
$11,019.00 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,942.00 |
$9,942.00 |
$9,942.00 |
$7,914.00
|
|
Cortisol total am
|
$210.00 |
$210.00 |
$210.00 |
$120.63
|
|
Co-treatment - group 15 mins, st
|
$129.60 |
$129.60 |
$129.60 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$39.60 |
$39.60 |
$39.60 |
$55.90
|
|
#covid19rsv-rsv
|
$216.60 |
$216.60 |
$216.60 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$154.80 |
$154.80 |
$154.80 |
$60.00
|
|
C-peptide
|
$102.60 |
$102.60 |
$102.60 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$2,799.60 |
$2,799.60 |
$2,799.60 |
$1,240.80
|
|
C-reactive protein
|
$122.40 |
$122.40 |
$122.40 |
$68.38
|
|
C-reactive protein high sensitivity
|
$376.80 |
$376.80 |
$376.80 |
$85.00
|
|
C-reactive protein, quantitative
|
$233.40 |
$233.40 |
$233.40 |
$71.06
|
|
Creatine kinase
|
$158.40 |
$158.40 |
$158.40 |
$66.30
|
|
Creatine kinase isoenzymes
|
$50.40 |
$50.40 |
$50.40 |
$56.80
|
|
Creatine kinase mb
|
$252.60 |
$252.60 |
$252.60 |
$114.00
|
|
Creatinine
|
$116.40 |
$116.40 |
$116.40 |
$44.72
|
|
Creatinine 24 hour urine
|
$43.80 |
$43.80 |
$43.80 |
$58.85
|
|
Creatinine clearance urine
|
$416.40 |
$416.40 |
$416.40 |
$89.50
|
|
#creutz-prot.,western blot
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$166.20
|
|
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
|
|
Cryofibrinogen qualitative - sendout
|
$38.40 |
$38.40 |
$38.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$175.80 |
$175.80 |
$175.80 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$328.80 |
$328.80 |
$328.80 |
$89.70
|
|
Crystal identification light microscopy
|
$66.00 |
$66.00 |
$66.00 |
$62.50
|
|
Csf leakage imaging
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$1,544.85
|
|
Csf shunt reprogram 62252
|
$364.80 |
$364.80 |
$364.80 |
$524.81
|
|
CT 3d report other modality w/workstation
|
$2,392.20 |
$2,392.20 |
$2,392.20 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,933.80 |
$1,933.80 |
$1,933.80 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,181.60 |
$2,181.60 |
$2,181.60 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,177.60 |
$3,177.60 |
$3,177.60 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,227.80 |
$2,227.80 |
$2,227.80 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,337.80 |
$3,337.80 |
$3,337.80 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,908.60 |
$1,908.60 |
$1,908.60 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,293.20 |
$2,293.20 |
$2,293.20 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,921.20 |
$1,921.20 |
$1,921.20 |
$1,500.38
|
|
CT angio pelvis
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$3,262.80 |
$3,262.80 |
$3,262.80 |
$1,698.00
|
|
CT cerebral perf w cont & prcssng
|
$1,599.60 |
$1,599.60 |
$1,599.60 |
$803.40
|
|
CT guidance for needle placement
|
$2,042.40 |
$2,042.40 |
$2,042.40 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,169.60 |
$2,169.60 |
$2,169.60 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$4,538.40 |
$4,538.40 |
$4,538.40 |
$1,643.20
|
|
CT guid parench tis ablat
|
$1,694.40 |
$1,694.40 |
$1,694.40 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$117.00 |
$117.00 |
$117.00 |
$171.60
|
|
CT hrt c+ strux cgen hrt ds
|
$1,821.00 |
$1,821.00 |
$1,821.00 |
$1,371.50
|
|
CT hrt w/3d image
|
$1,821.00 |
$1,821.00 |
$1,821.00 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$1,694.40 |
$1,694.40 |
$1,694.40 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,712.60 |
$2,712.60 |
$2,712.60 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$2,542.20 |
$2,542.20 |
$2,542.20 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$3,104.40 |
$3,104.40 |
$3,104.40 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,948.80 |
$1,948.80 |
$1,948.80 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,694.40 |
$1,694.40 |
$1,694.40 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,991.40 |
$1,991.40 |
$1,991.40 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,034.60 |
$2,034.60 |
$2,034.60 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,882.80 |
$1,882.80 |
$1,882.80 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,818.00 |
$1,818.00 |
$1,818.00 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$355.20 |
$355.20 |
$355.20 |
$437.04
|
|
CT scan for localization
|
$1,647.00 |
$1,647.00 |
$1,647.00 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,115.20 |
$3,115.20 |
$3,115.20 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,709.60 |
$2,709.60 |
$2,709.60 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,578.20 |
$2,578.20 |
$2,578.20 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,900.20 |
$1,900.20 |
$1,900.20 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,759.80 |
$1,759.80 |
$1,759.80 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$176.40 |
$176.40 |
$176.40 |
$331.50
|
|
CT t-spine w /wo contrast
|
$2,172.60 |
$2,172.60 |
$2,172.60 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$2,542.20 |
$2,542.20 |
$2,542.20 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$3,258.60 |
$3,258.60 |
$3,258.60 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$63.00 |
$63.00 |
$63.00 |
$68.64
|
|
Culture afb any source
|
$241.80 |
$241.80 |
$241.80 |
$109.20
|
