|
Cltx scap fx w/mnpj +-tractj
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,035.80
|
|
C motor evoked upr&lwr limbs
|
$1,538.40 |
$1,538.40 |
$1,538.40 |
$1,308.00
|
|
#cmvcul-virus inoculation shell
|
$395.40 |
$395.40 |
$395.40 |
$100.20
|
|
Cmv pcr-sendout
|
$455.40 |
$455.40 |
$455.40 |
$172.25
|
|
Coagulation time activated teg
|
$106.20 |
$106.20 |
$106.20 |
$52.00
|
|
Coagulation time otr method
|
$88.80 |
$88.80 |
$88.80 |
$11.20
|
|
Coch imp ext proc/contr rplc
|
$33,111.00 |
$33,111.00 |
$33,111.00 |
$14,283.08
|
|
Cold agglutinin screen (arc)
|
$86.40 |
$86.40 |
$86.40 |
$44.94
|
|
Cold agglutinin titer
|
$133.80 |
$133.80 |
$133.80 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$307.80 |
$307.80 |
$307.80 |
$52.78
|
|
Collar cerv adlt perfit ace extric
|
$85.20 |
$85.20 |
$85.20 |
$56.85
|
|
Collar cerv ascend 172 reg
|
$85.20 |
$85.20 |
$85.20 |
$187.48
|
|
Collection of venous blood by venipuncture
|
$25.80 |
$25.80 |
$25.80 |
$20.40
|
|
Colonoscopy (diagnostic)
|
$868.20 |
$868.20 |
$868.20 |
$1,899.00
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$147.00 |
$147.00 |
$147.00 |
$323.20
|
|
Colposcopy w/biopsy of cervix 57455
|
$298.80 |
$298.80 |
$298.80 |
$515.50
|
|
Compatibility test each unit antiglobulin technique
|
$215.40 |
$215.40 |
$215.40 |
$165.00
|
|
Compatibility test each unit electronic
|
$531.60 |
$531.60 |
$531.60 |
$176.70
|
|
Compatibility test each unit immediate spin technique
|
$223.80 |
$223.80 |
$223.80 |
$169.52
|
|
Compatibility test incubate
|
$182.40 |
$182.40 |
$182.40 |
$145.60
|
|
Complement antigen each component c3
|
$460.20 |
$460.20 |
$460.20 |
$108.80
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$433.80 |
$433.80 |
$433.80 |
$887.25
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$551.40 |
$551.40 |
$551.40 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$740.40 |
$740.40 |
$740.40 |
$1,098.35
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$740.40 |
$740.40 |
$740.40 |
$1,218.40
|
|
Complx repair fccmnaxghf 13131
|
$502.80 |
$502.80 |
$502.80 |
$820.00
|
|
Complx repair fccmnaxghf 13132
|
$740.40 |
$740.40 |
$740.40 |
$1,177.60
|
|
Complx repair fccmnaxghf 13133
|
$276.00 |
$276.00 |
$276.00 |
$589.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$421.20 |
$421.20 |
$421.20 |
$538.64
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$417.00 |
$417.00 |
$417.00 |
$1,016.25
|
|
Complx repair trunk addl 5cm/< 13102
|
$205.80 |
$205.80 |
$205.80 |
$555.33
|
|
Computed tomographic angiography head and neck with contrast
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$2,252.90
|
|
Concentration infection agents any type
|
$83.40 |
$83.40 |
$83.40 |
$49.95
|
|
Condylomata destruction 56420
|
$210.00 |
$210.00 |
$210.00 |
$473.75
|
|
Conization/cerv/loop electrode exc 57522
|
$6,943.80 |
$6,943.80 |
$6,943.80 |
$4,451.18
|
|
Consultation pathology during surgery
|
$298.80 |
$298.80 |
$298.80 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$524.40 |
$524.40 |
$524.40 |
$447.33
|
|
Consultation pathology during surgery frozen section each additional block
|
$235.80 |
$235.80 |
$235.80 |
$110.51
|
|
Consultation pathology during surgery frozen section first tissue block
|
$235.80 |
$235.80 |
$235.80 |
$223.86
|
|
Consultation/report referred material w/preparation of slides
|
$109.20 |
$109.20 |
$109.20 |
$231.75
|
|
Contrast exam abdominl aorta 75625-26
|
$4,498.20 |
$4,498.20 |
$4,498.20 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,607.60 |
$2,607.60 |
$2,607.60 |
$3,663.60
|
|
Contrast x-ray of ankle
|
$797.40 |
$797.40 |
$797.40 |
$612.30
|
|
Contrast x-ray of elbow
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$649.80
|
|
Contrast x-ray of hip
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$768.00
|
|
Contrast x-ray of knee joint
|
$916.80 |
$916.80 |
$916.80 |
$719.40
|
|
Contrast x-ray of wrist
|
$909.00 |
$909.00 |
$909.00 |
$623.50
|
|
Control nosebleed pack+caut 30905
|
$331.80 |
$331.80 |
$331.80 |
$426.40
|
|
Control of nosebleed ant comp 30903
|
$247.80 |
$247.80 |
$247.80 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$126.00 |
$126.00 |
$126.00 |
$364.96
|
|
Control oropharyngeal hemorr/simp 42960
|
$392.40 |
$392.40 |
$392.40 |
$638.25
|
|
Conversion ext bil drg cath
|
$4,287.00 |
$4,287.00 |
$4,287.00 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$2,952.60 |
$2,952.60 |
$2,952.60 |
$2,780.38
|
|
Coombs direct
|
$81.00 |
$81.00 |
$81.00 |
$72.78
|
|
Coombs indirect qualitative each reagent red cell reference
|
$279.60 |
$279.60 |
$279.60 |
$102.90
|
|
Coombs indirect titer reference
|
$315.60 |
$315.60 |
$315.60 |
$146.00
|
|
Core ndl bx lng/med perq
|
$1,467.60 |
$1,467.60 |
$1,467.60 |
$2,684.50
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$12,486.60 |
$12,486.60 |
$12,486.60 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$11,389.20 |
$11,389.20 |
$11,389.20 |
$9,933.30
|
|
Coronary angio/lv gram/rt< heart
|
$12,923.40 |
$12,923.40 |
$12,923.40 |
$11,069.89
|
|
Coronary art/grft angio s&i
|
$12,885.00 |
$12,885.00 |
$12,885.00 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,108.80 |
$10,108.80 |
$10,108.80 |
$7,764.90
|
|
Cortisol acth stimulation test - sendout
|
$562.80 |
$562.80 |
$562.80 |
$146.25
|
|
Cortisol total am
|
$328.20 |
$328.20 |
$328.20 |
$117.81
|
|
Co-treatment - group 15 mins, st
|
$129.60 |
$129.60 |
$129.60 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$83.40 |
$83.40 |
$83.40 |
$56.89
|
|
#covid19rsv-rsv
|
$200.40 |
$200.40 |
$200.40 |
$146.00
|
|
#coxa-coxsackie a serotype a16
|
$161.40 |
$161.40 |
$161.40 |
$60.00
|
|
C-peptide
|
$108.00 |
$108.00 |
$108.00 |
$90.50
|
|
C-reactive protein
|
$136.20 |
$136.20 |
$136.20 |
$63.00
|
|
C-reactive protein high sensitivity
|
$394.80 |
$394.80 |
$394.80 |
$79.72
|
|
C-reactive protein, quantitative
|
$243.60 |
$243.60 |
$243.60 |
$62.50
|
|
Creatine kinase
|
$109.80 |
$109.80 |
$109.80 |
$64.35
|
|
Creatine kinase isoenzymes
|
$240.60 |
$240.60 |
$240.60 |
$49.02
|
|
Creatine kinase mb
|
$164.40 |
$164.40 |
$164.40 |
$114.00
|
|
Creatinine
|
$122.40 |
$122.40 |
$122.40 |
$44.40
|
|
Creatinine 24 hour urine
|
$45.00 |
$45.00 |
$45.00 |
$55.25
|
|
Creatinine clearance urine
|
$211.80 |
$211.80 |
$211.80 |
$87.50
|
|
#creutz-prot.,western blot
|
$861.00 |
$861.00 |
$861.00 |
$156.60
|
|
Crisis psychotherapy 90839
|
$247.20 |
$247.20 |
$247.20 |
$313.30
|
|
Critical care 30-74 minutes
|
$2,350.20 |
$2,350.20 |
$2,350.20 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$571.20 |
$571.20 |
$571.20 |
$740.43
|
|
Cryofibrinogen qualitative - sendout
|
$235.20 |
$235.20 |
$235.20 |
$52.50
|
|
Cryoprecipitate each unit
|
$201.00 |
$201.00 |
$201.00 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$306.60 |
$306.60 |
$306.60 |
$80.85
|
|
Crystal identification light microscopy
|
$67.20 |
$67.20 |
$67.20 |
$58.50
|
|
Csf shunt reprogram 62252
|
$353.40 |
$353.40 |
$353.40 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$5,487.00 |
$5,487.00 |
$5,487.00 |
$614.05
|
|
Cta abdomen without & /or w/contrast
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,365.80 |
$5,365.80 |
$5,365.80 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$3,491.40 |
$3,491.40 |
$3,491.40 |
$1,940.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$1,940.00
|
|
CT Angiogram of the Head
|
$3,491.40 |
$3,491.40 |
$3,491.40 |
$2,002.00
|
|
CT angio hrt w/3d image
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$1,536.00
|
|
CT angio pelvis
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$1,854.45
|
|
Cta upper extremity w &/or without contrast left
|
$5,365.80 |
$5,365.80 |
$5,365.80 |
$1,698.00
|
|
CT cerebral perf w cont & prcssng
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$803.40
|
|
CT colonography dx
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$770.90
|
