|
Compatibility test each unit immediate spin technique
|
$264.96 |
$264.96 |
$264.96 |
$169.52
|
|
Complement antigen each component c3
|
$120.96 |
$120.96 |
$120.96 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$876.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,748.24 |
$2,748.24 |
$2,748.24 |
$1,194.25
|
|
Complx repair fccmnaxghf 13131
|
$2,082.96 |
$2,082.96 |
$2,082.96 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$2,985.84 |
$2,985.84 |
$2,985.84 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,348.56 |
$1,348.56 |
$1,348.56 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$539.28 |
$539.28 |
$539.28 |
$502.50
|
|
Composite drsg <= 16 sq in
|
$7.92 |
$7.92 |
$7.92 |
$6.62
|
|
Comprehensive hearing test
|
$337.68 |
$337.68 |
$337.68 |
$255.00
|
|
Concentration infection agents any type
|
$92.88 |
$92.88 |
$92.88 |
$49.95
|
|
Conditioning play audiometry 92582
|
$337.68 |
$337.68 |
$337.68 |
$189.15
|
|
Condylomata destruction 56420
|
$730.08 |
$730.08 |
$730.08 |
$469.00
|
|
Connect omega .5mm
|
$972.00 |
$972.00 |
$972.00 |
$1,260.00
|
|
Consultation pathology during surgery
|
$234.00 |
$234.00 |
$234.00 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$445.68 |
$445.68 |
$445.68 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$808.56 |
$808.56 |
$808.56 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$347.04 |
$347.04 |
$347.04 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$347.04 |
$347.04 |
$347.04 |
$171.65
|
|
Consult comp w/report rfrd material
|
$876.24 |
$876.24 |
$876.24 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$6,356.88 |
$6,356.88 |
$6,356.88 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$3,728.24
|
|
Contrast x-ray of ankle
|
$996.48 |
$996.48 |
$996.48 |
$612.30
|
|
Contrast x-ray of elbow
|
$781.20 |
$781.20 |
$781.20 |
$649.80
|
|
Contrast x-ray of hip
|
$1,303.92 |
$1,303.92 |
$1,303.92 |
$771.12
|
|
Contrast x-ray of knee joint
|
$1,530.00 |
$1,530.00 |
$1,530.00 |
$769.88
|
|
Contrast x-ray of wrist
|
$1,530.00 |
$1,530.00 |
$1,530.00 |
$637.00
|
|
Controller infinity pt dbs
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$776.88 |
$776.88 |
$776.88 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$401.04 |
$401.04 |
$401.04 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$768.24 |
$768.24 |
$768.24 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,100.16 |
$1,100.16 |
$1,100.16 |
$634.80
|
|
Coombs direct
|
$123.12 |
$123.12 |
$123.12 |
$75.00
|
|
Coombs indirect titer reference
|
$216.00 |
$216.00 |
$216.00 |
$146.40
|
|
Core ndl bx lng/med perq
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$10,843.92 |
$10,843.92 |
$10,843.92 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$9,896.40 |
$9,896.40 |
$9,896.40 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$12,646.80 |
$12,646.80 |
$12,646.80 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$7,986.96 |
$7,986.96 |
$7,986.96 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$8,297.28 |
$8,297.28 |
$8,297.28 |
$7,914.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$716.40 |
$716.40 |
$716.40 |
$476.00
|
|
Cortisol total am
|
$237.60 |
$237.60 |
$237.60 |
$120.63
|
|
#coxa-coxsackie a serotype a16
|
$18.00 |
$18.00 |
$18.00 |
$60.00
|
|
C-peptide
|
$154.80 |
$154.80 |
$154.80 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$1,832.40 |
$1,832.40 |
$1,832.40 |
$1,240.80
|
|
C-reactive protein
|
$103.68 |
$103.68 |
$103.68 |
$68.38
|
|
C-reactive protein high sensitivity
|
$156.96 |
$156.96 |
$156.96 |
$85.00
|
|
C-reactive protein, quantitative
|
$154.08 |
$154.08 |
$154.08 |
$71.06
|
|
Creatine kinase
|
$142.56 |
$142.56 |
$142.56 |
$66.30
|
|
Creatine kinase isoenzymes
|
$112.32 |
$112.32 |
$112.32 |
$56.80
|
|
Creatine kinase mb
|
$185.04 |
$185.04 |
$185.04 |
$114.00
|
|
Creatine - sendout
|
$82.80 |
$82.80 |
$82.80 |
$39.00
|
|
Creatinine
|
$146.16 |
$146.16 |
$146.16 |
$44.72
|
|
Creatinine 24 hour urine
|
$149.04 |
$149.04 |
$149.04 |
$58.85
|
|
Creatinine clearance urine
|
$234.72 |
$234.72 |
$234.72 |
$89.50
|
|
#creutz-prot.,western blot
|
$277.92 |
$277.92 |
$277.92 |
$166.20
|
|
Critical care 30-74 minutes
|
$3,075.12 |
$3,075.12 |
$3,075.12 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$845.28 |
$845.28 |
$845.28 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$70.56 |
$70.56 |
$70.56 |
$52.50
|
|
Cryoprecipitate each unit
|
$137.52 |
$137.52 |
$137.52 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$123.12 |
$123.12 |
$123.12 |
$89.70
|
|
Cryptosporidium antigen
|
$136.08 |
$136.08 |
$136.08 |
$52.08
|
|
Crystal identification light microscopy
|
$264.24 |
$264.24 |
$264.24 |
$62.50
|
|
Csf leakage imaging
|
$2,819.52 |
$2,819.52 |
$2,819.52 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$244.08 |
$244.08 |
$244.08 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$4,507.20 |
$4,507.20 |
$4,507.20 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,264.48 |
$3,264.48 |
$3,264.48 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,648.88 |
$2,648.88 |
$2,648.88 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$3,100.32 |
$3,100.32 |
$3,100.32 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$7,108.56 |
$7,108.56 |
$7,108.56 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,940.56 |
$3,940.56 |
$3,940.56 |
$1,940.00
|
|
CT Angiogram of the Head
|
$3,876.48 |
$3,876.48 |
$3,876.48 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$3,279.60 |
$3,279.60 |
$3,279.60 |
$1,500.38
|
|
CT angio pelvis
|
$3,107.52 |
$3,107.52 |
$3,107.52 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,518.56 |
$2,518.56 |
$2,518.56 |
$1,698.00
|
|
CT guidance for needle placement
|
$3,083.04 |
$3,083.04 |
$3,083.04 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,997.28 |
$1,997.28 |
$1,997.28 |
$1,178.52
|
|
CT hrt w/3d image
|
$2,322.00 |
$2,322.00 |
$2,322.00 |
$1,383.06
|
|
CT lower extremity w/contrast (both sides)
|
$3,409.92 |
$3,409.92 |
$3,409.92 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$2,728.08 |
$2,728.08 |
$2,728.08 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$4,262.40 |
$4,262.40 |
$4,262.40 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,317.68 |
$2,317.68 |
$2,317.68 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$2,221.20 |
$2,221.20 |
$2,221.20 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,530.08 |
$2,530.08 |
$2,530.08 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,981.52 |
$2,981.52 |
$2,981.52 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,594.16 |
$2,594.16 |
$2,594.16 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,587.68 |
$2,587.68 |
$2,587.68 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$787.68 |
$787.68 |
$787.68 |
$437.04
|
|
CT scan for localization
|
$2,039.04 |
$2,039.04 |
$2,039.04 |
$1,205.14
|
|
CT scan for therapy guide
|
$425.52 |
$425.52 |
$425.52 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$7,182.72 |
$7,182.72 |
$7,182.72 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,911.92 |
$5,911.92 |
$5,911.92 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,957.92 |
$4,957.92 |
$4,957.92 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$4,157.28 |
$4,157.28 |
$4,157.28 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$3,325.68 |
$3,325.68 |
$3,325.68 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$199.44 |
$199.44 |
$199.44 |
$331.50
|
|
CT t-spine w /wo contrast
|
$5,196.96 |
$5,196.96 |
$5,196.96 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$3,409.92 |
$3,409.92 |
$3,409.92 |
$1,694.16
|
