|
Complx repair fccmnaxghf 13133
|
$362.60 |
$362.60 |
$362.60 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$270.20 |
$270.20 |
$270.20 |
$502.50
|
|
Comprehensive hearing test
|
$240.80 |
$240.80 |
$240.80 |
$255.00
|
|
Computed tomographic angiography head and neck with contrast
|
$2,625.00 |
$2,625.00 |
$2,625.00 |
$2,237.25
|
|
Concentration infection agents any type
|
$70.00 |
$70.00 |
$70.00 |
$49.95
|
|
Condylomata destruction 56420
|
$504.70 |
$504.70 |
$504.70 |
$469.00
|
|
Consultation pathology during surgery
|
$172.20 |
$172.20 |
$172.20 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$328.30 |
$328.30 |
$328.30 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$331.80 |
$331.80 |
$331.80 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$887.60 |
$887.60 |
$887.60 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$575.40 |
$575.40 |
$575.40 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$237.30 |
$237.30 |
$237.30 |
$171.65
|
|
Consult comp w/report rfrd material
|
$993.30 |
$993.30 |
$993.30 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$14,321.30 |
$14,321.30 |
$14,321.30 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$24,595.90 |
$24,595.90 |
$24,595.90 |
$3,728.24
|
|
Control nosebleed pack+caut 30905
|
$294.00 |
$294.00 |
$294.00 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$294.00 |
$294.00 |
$294.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$294.00 |
$294.00 |
$294.00 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,162.00 |
$1,162.00 |
$1,162.00 |
$634.80
|
|
Coombs direct
|
$298.90 |
$298.90 |
$298.90 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$322.00 |
$322.00 |
$322.00 |
$102.90
|
|
Coombs indirect titer reference
|
$436.80 |
$436.80 |
$436.80 |
$146.40
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$6,754.30 |
$6,754.30 |
$6,754.30 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$6,754.30 |
$6,754.30 |
$6,754.30 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$6,754.30 |
$6,754.30 |
$6,754.30 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$6,754.30 |
$6,754.30 |
$6,754.30 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,754.30 |
$6,754.30 |
$6,754.30 |
$7,914.00
|
|
Cortisol total am
|
$176.40 |
$176.40 |
$176.40 |
$120.63
|
|
#covid19rsv-rsv
|
$250.60 |
$250.60 |
$250.60 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$81.20 |
$81.20 |
$81.20 |
$60.00
|
|
C-peptide
|
$169.40 |
$169.40 |
$169.40 |
$97.30
|
|
Cptr ophth dx img post segmt
|
$48.30 |
$48.30 |
$48.30 |
$105.00
|
|
C-reactive protein
|
$65.10 |
$65.10 |
$65.10 |
$68.38
|
|
C-reactive protein high sensitivity
|
$171.50 |
$171.50 |
$171.50 |
$85.00
|
|
Creatine kinase
|
$79.80 |
$79.80 |
$79.80 |
$66.30
|
|
Creatine kinase isoenzymes
|
$137.20 |
$137.20 |
$137.20 |
$56.80
|
|
Creatine kinase mb
|
$130.90 |
$130.90 |
$130.90 |
$114.00
|
|
Creatinine
|
$58.80 |
$58.80 |
$58.80 |
$44.72
|
|
Creatinine 24 hour urine
|
$49.70 |
$49.70 |
$49.70 |
$58.85
|
|
Creatinine clearance urine
|
$146.30 |
$146.30 |
$146.30 |
$89.50
|
|
Critical care 30-74 minutes
|
$1,922.90 |
$1,922.90 |
$1,922.90 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$262.50 |
$262.50 |
$262.50 |
$731.40
|
|
Crystal identification light microscopy
|
$98.70 |
$98.70 |
$98.70 |
$62.50
|
|
Csf leakage imaging
|
$4,340.70 |
$4,340.70 |
$4,340.70 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$872.90 |
$872.90 |
$872.90 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,118.20 |
$2,118.20 |
$2,118.20 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,118.20 |
$2,118.20 |
$2,118.20 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,118.20 |
$2,118.20 |
$2,118.20 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,118.20 |
$2,118.20 |
$2,118.20 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,249.70 |
$4,249.70 |
$4,249.70 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,118.20 |
$2,118.20 |
$2,118.20 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,118.20 |
$2,118.20 |
$2,118.20 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$2,894.50 |
$2,894.50 |
$2,894.50 |
$1,500.38
|
|
CT angio pelvis
|
$2,118.20 |
$2,118.20 |
$2,118.20 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,118.20 |
$2,118.20 |
$2,118.20 |
$1,698.00
|
|
CT guidance for needle placement
|
$1,394.40 |
$1,394.40 |
$1,394.40 |
$1,494.00
|
|
CT heart w/evaluation of calcium without contrast
|
$136.50 |
$136.50 |
$136.50 |
$171.60
|
|
CT lower extremity w/contrast (both sides)
|
$2,118.20 |
$2,118.20 |
$2,118.20 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$2,711.10 |
$2,711.10 |
$2,711.10 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,118.20 |
$2,118.20 |
$2,118.20 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,569.00 |
$2,569.00 |
$2,569.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,569.00 |
$2,569.00 |
$2,569.00 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,118.20 |
$2,118.20 |
$2,118.20 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$529.90 |
$529.90 |
$529.90 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,669.00 |
$4,669.00 |
$4,669.00 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,249.70 |
$4,249.70 |
$4,249.70 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,330.30 |
$2,330.30 |
$2,330.30 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$205.80 |
$205.80 |
$205.80 |
$331.50
|
|
CT t-spine w /wo contrast
|
$2,729.30 |
$2,729.30 |
$2,729.30 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,023.00 |
$2,023.00 |
$2,023.00 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,430.20
|
|
Culture aerobic additional method definitive id each
|
$71.40 |
$71.40 |
$71.40 |
$68.64
|
|
Culture afb any source
|
$151.20 |
$151.20 |
$151.20 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$97.30 |
$97.30 |
$97.30 |
$79.00
|
|
Culture anaerobic except blood
|
$114.10 |
$114.10 |
$114.10 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$81.20 |
$81.20 |
$81.20 |
$51.45
|
|
Culture body fluid
|
$128.10 |
$128.10 |
$128.10 |
$126.75
|
|
Culture fungi definitive id mold
|
$135.80 |
$135.80 |
$135.80 |
$77.28
|
|
Culture fungi skin/hair/nail
|
$108.50 |
$108.50 |
$108.50 |
$74.88
|
|
Culture mycoplasma any source
|
$142.10 |
$142.10 |
$142.10 |
$85.26
|
|
Culture screening strep group a
|
$66.50 |
$66.50 |
$66.50 |
$81.00
|
|
Culture typing immunologic
|
$65.10 |
$65.10 |
$65.10 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$1,222.90 |
$1,222.90 |
$1,222.90 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$479.50 |
$479.50 |
$479.50 |
$133.90
|
|
Cyclic citrullinated peptide antibody
|
$95.20 |
$95.20 |
$95.20 |
$70.72
|
|
Cyclosporine 2 hour
|
$167.30 |
$167.30 |
$167.30 |
$129.48
|
|
Cystatin c
|
$120.40 |
$120.40 |
$120.40 |
$77.50
|
|
Cystine urine quantitative
|
$327.60 |
$327.60 |
$327.60 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,624.70 |
$1,624.70 |
$1,624.70 |
$542.10
|
|
Cytomegalovirus ag ia
|
$100.80 |
$100.80 |
$100.80 |
$38.58
|
|
Cytomegalovirus (cmv) antibody igg
|
$170.10 |
$170.10 |
$170.10 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$179.90 |
$179.90 |
$179.90 |
$97.50
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$188.30 |
$188.30 |
$188.30 |
$91.84
|
|
Cytopathology concentration technique smears & interpretation
|
$214.20 |
$214.20 |
$214.20 |
$129.60
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$366.10 |
$366.10 |
$366.10 |
$209.23
|