|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$270.00 |
$270.00 |
$270.00 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$270.00 |
$270.00 |
$270.00 |
$464.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$270.00 |
$270.00 |
$270.00 |
$630.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$350.00 |
$350.00 |
$350.00 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$270.00 |
$270.00 |
$270.00 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$270.00 |
$270.00 |
$270.00 |
$522.78
|
|
Clsd tx patella disloc without anes 27560
|
$270.00 |
$270.00 |
$270.00 |
$573.52
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,687.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$265.00 |
$265.00 |
$265.00 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$270.00 |
$270.00 |
$270.00 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,592.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$270.00 |
$270.00 |
$270.00 |
$612.80
|
|
Cls tx of heel fracture w/manip 28405
|
$270.00 |
$270.00 |
$270.00 |
$725.40
|
|
Cltx lunate dislc w/mnpj
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,384.00
|
|
Cltx post ankle fx w/mnpj
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,939.00
|
|
Cmv pcr-sendout
|
$177.50 |
$177.50 |
$177.50 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$3.72 |
$3.72 |
$3.72 |
$11,888.50
|
|
Coagulation time activated teg
|
$40.00 |
$40.00 |
$40.00 |
$52.47
|
|
Cold agglutinin titer
|
$55.00 |
$55.00 |
$55.00 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$280.00 |
$280.00 |
$280.00 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$205.00 |
$205.00 |
$205.00 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$192.50 |
$192.50 |
$192.50 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$222.50 |
$222.50 |
$222.50 |
$173.50
|
|
Compatibility test each unit electronic
|
$95.00 |
$95.00 |
$95.00 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$137.50 |
$137.50 |
$137.50 |
$169.52
|
|
Compatibility test incubate
|
$122.50 |
$122.50 |
$122.50 |
$156.24
|
|
Complement antigen each component c3
|
$155.00 |
$155.00 |
$155.00 |
$110.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$820.00 |
$820.00 |
$820.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$945.00 |
$945.00 |
$945.00 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$465.00 |
$465.00 |
$465.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$820.00 |
$820.00 |
$820.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$945.00 |
$945.00 |
$945.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$410.00 |
$410.00 |
$410.00 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$410.00 |
$410.00 |
$410.00 |
$508.44
|
|
Concentration infection agents any type
|
$37.50 |
$37.50 |
$37.50 |
$51.32
|
|
Condylomata destruction 56420
|
$472.50 |
$472.50 |
$472.50 |
$467.35
|
|
Consultation pathology during surgery cytological exam initial site
|
$262.50 |
$262.50 |
$262.50 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$187.50 |
$187.50 |
$187.50 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$200.00 |
$200.00 |
$200.00 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$370.00 |
$370.00 |
$370.00 |
$224.83
|
|
Consult comp w/report rfrd material
|
$570.00 |
$570.00 |
$570.00 |
$374.40
|
|
Contrast exam abdominl aorta 75625-26
|
$3,490.00 |
$3,490.00 |
$3,490.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$3,160.00 |
$3,160.00 |
$3,160.00 |
$3,745.00
|
|
Contrast x-ray of ankle
|
$885.00 |
$885.00 |
$885.00 |
$684.00
|
|
Contrast x-ray of elbow
|
$750.00 |
$750.00 |
$750.00 |
$708.00
|
|
Contrast x-ray of hip
|
$885.00 |
$885.00 |
$885.00 |
$796.38
|
|
Contrast x-ray of knee joint
|
$885.00 |
$885.00 |
$885.00 |
$790.50
|
|
Contrast x-ray of wrist
|
$885.00 |
$885.00 |
$885.00 |
$667.50
|
|
Controller infinity pt dbs
|
$3,246.17 |
$3,246.17 |
$3,246.17 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$300.00 |
$300.00 |
$300.00 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$300.00 |
$300.00 |
$300.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$300.00 |
$300.00 |
$300.00 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$322.50 |
$322.50 |
$322.50 |
$620.00
|
|
Conversion ext bil drg cath
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$1,775.00 |
$1,775.00 |
$1,775.00 |
$2,777.60
|
|
Coombs direct
|
$77.50 |
$77.50 |
$77.50 |
$76.80
|
|
Coombs indirect titer reference
|
$170.00 |
$170.00 |
$170.00 |
$156.71
|
|
Copper cu 64 dotatate diag
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$2,820.66
|
|
Core ndl bx lng/med perq
|
$2,880.00 |
$2,880.00 |
$2,880.00 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$8,055.00 |
$8,055.00 |
$8,055.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$8,560.00 |
$8,560.00 |
$8,560.00 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$8,055.00 |
$8,055.00 |
$8,055.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$7,495.00 |
$7,495.00 |
$7,495.00 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,045.00 |
$7,045.00 |
$7,045.00 |
$7,988.40
|
|
Correction trichiasis epilation forcep 67820
|
$187.50 |
$187.50 |
$187.50 |
$176.00
|
|
Cortisol acth stimulation test - sendout
|
$185.00 |
$185.00 |
$185.00 |
$146.25
|
|
Cortisol total am
|
$117.50 |
$117.50 |
$117.50 |
$121.20
|
|
Covid-19 administration immunization im inj 1st/only component
|
$45.00 |
$45.00 |
$45.00 |
$49.13
|
|
Covid-19 convalescent plasma
|
$0.50 |
$0.50 |
$0.50 |
$590.80
|
|
#coxa-coxsackie a serotype a16
|
$80.00 |
$80.00 |
$80.00 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$470.00 |
$470.00 |
$470.00 |
$584.50
|
|
C-peptide
|
$100.00 |
$100.00 |
$100.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$975.00 |
$975.00 |
$975.00 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$1,660.00 |
$1,660.00 |
$1,660.00 |
$1,330.02
|
|
C-reactive protein
|
$37.50 |
$37.50 |
$37.50 |
$69.36
|
|
C-reactive protein high sensitivity
|
$85.00 |
$85.00 |
$85.00 |
$85.50
|
|
C-reactive protein, quantitative
|
$62.50 |
$62.50 |
$62.50 |
$65.16
|
|
Creatine kinase
|
$55.00 |
$55.00 |
$55.00 |
$66.30
|
|
Creatinine
|
$42.50 |
$42.50 |
$42.50 |
$46.20
|
|
Creatinine 24 hour urine
|
$82.50 |
$82.50 |
$82.50 |
$57.85
|
|
Creatinine clearance urine
|
$87.50 |
$87.50 |
$87.50 |
$90.26
|
|
#creutz-prot.,western blot
|
$400.00 |
$400.00 |
$400.00 |
$163.50
|
|
Crisis psychotherapy 90839
|
$240.00 |
$240.00 |
$240.00 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$120.00 |
$120.00 |
$120.00 |
$149.52
|
|
Critical care each additional 30 minutes
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$2,535.00
|
|
Cryo fib comp path redu each
|
$550.00 |
$550.00 |
$550.00 |
$520.00
|
|
Cryofibrinogen qualitative - sendout
|
$52.50 |
$52.50 |
$52.50 |
$52.50
|
|
Cryoprecipitate each unit
|
$150.00 |
$150.00 |
$150.00 |
$144.78
|
|
Crystal identification light microscopy
|
$52.50 |
$52.50 |
$52.50 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$585.00 |
$585.00 |
$585.00 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,150.00 |
$2,150.00 |
$2,150.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$1,940.00
|
