|
Cold agglutinin titer
|
$108.00 |
$108.00 |
$108.00 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$307.80 |
$307.80 |
$307.80 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$85.20 |
$85.20 |
$85.20 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$85.20 |
$85.20 |
$85.20 |
$213.89
|
|
Collection of venous blood by venipuncture
|
$25.80 |
$25.80 |
$25.80 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$184.80 |
$184.80 |
$184.80 |
$170.05
|
|
Compatibility test each unit electronic
|
$340.20 |
$340.20 |
$340.20 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$152.40 |
$152.40 |
$152.40 |
$169.52
|
|
Compatibility test incubate
|
$112.20 |
$112.20 |
$112.20 |
$155.40
|
|
Complement antigen each component c3
|
$372.60 |
$372.60 |
$372.60 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$560.40 |
$560.40 |
$560.40 |
$876.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,686.00 |
$1,686.00 |
$1,686.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$592.20 |
$592.20 |
$592.20 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$605.40 |
$605.40 |
$605.40 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,856.40 |
$1,856.40 |
$1,856.40 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$486.00 |
$486.00 |
$486.00 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$605.40 |
$605.40 |
$605.40 |
$502.50
|
|
Computed tomographic angiography head and neck with contrast
|
$2,362.80 |
$2,362.80 |
$2,362.80 |
$2,237.25
|
|
Concentration infection agents any type
|
$79.20 |
$79.20 |
$79.20 |
$49.95
|
|
Condylomata destruction 56420
|
$527.40 |
$527.40 |
$527.40 |
$469.00
|
|
Consultation pathology during surgery
|
$130.80 |
$130.80 |
$130.80 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$540.60 |
$540.60 |
$540.60 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$366.60 |
$366.60 |
$366.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$346.80 |
$346.80 |
$346.80 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$844.20 |
$844.20 |
$844.20 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$25.20 |
$25.20 |
$25.20 |
$171.65
|
|
Consult comp w/report rfrd material
|
$931.80 |
$931.80 |
$931.80 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$4,831.20 |
$4,831.20 |
$4,831.20 |
$3,458.54
|
|
Control nosebleed pack+caut 30905
|
$419.40 |
$419.40 |
$419.40 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$344.40 |
$344.40 |
$344.40 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$406.20 |
$406.20 |
$406.20 |
$355.50
|
|
Convert nephrostomy catheter
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$2,777.60
|
|
Coombs direct
|
$174.00 |
$174.00 |
$174.00 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$145.80 |
$145.80 |
$145.80 |
$102.90
|
|
Coombs indirect titer reference
|
$330.00 |
$330.00 |
$330.00 |
$146.40
|
|
Core ndl bx lng/med perq
|
$2,497.80 |
$2,497.80 |
$2,497.80 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$12,570.60 |
$12,570.60 |
$12,570.60 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$11,347.20 |
$11,347.20 |
$11,347.20 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$13,213.20 |
$13,213.20 |
$13,213.20 |
$11,228.50
|
|
Cortisol total am
|
$192.60 |
$192.60 |
$192.60 |
$120.63
|
|
Co-treatment - group 15 mins, st
|
$129.60 |
$129.60 |
$129.60 |
$110.00
|
|
#covid19rsv-rsv
|
$214.80 |
$214.80 |
$214.80 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$123.00 |
$123.00 |
$123.00 |
$60.00
|
|
C-peptide
|
$161.40 |
$161.40 |
$161.40 |
$97.30
|
|
C-reactive protein
|
$109.80 |
$109.80 |
$109.80 |
$68.38
|
|
C-reactive protein high sensitivity
|
$305.40 |
$305.40 |
$305.40 |
$85.00
|
|
C-reactive protein, quantitative
|
$178.20 |
$178.20 |
$178.20 |
$71.06
|
|
Creatine kinase
|
$128.40 |
$128.40 |
$128.40 |
$66.30
|
|
Creatine kinase isoenzymes
|
$50.40 |
$50.40 |
$50.40 |
$56.80
|
|
Creatine kinase mb
|
$190.80 |
$190.80 |
$190.80 |
$114.00
|
|
Creatinine
|
$72.60 |
$72.60 |
$72.60 |
$44.72
|
|
Creatinine 24 hour urine
|
$43.80 |
$43.80 |
$43.80 |
$58.85
|
|
Creatinine clearance urine
|
$241.20 |
$241.20 |
$241.20 |
$89.50
|
|
#creutz-prot.,western blot
|
$854.40 |
$854.40 |
$854.40 |
$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
|
$36.00 |
$36.00 |
$36.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$826.80 |
$826.80 |
$826.80 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$239.40 |
$239.40 |
$239.40 |
$89.70
|
|
Crystal identification light microscopy
|
$106.20 |
$106.20 |
$106.20 |
$62.50
|
|
Csf shunt reprogram 62252
|
$361.20 |
$361.20 |
$361.20 |
$524.81
|
|
CT 3d report other modality w/workstation
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,650.80 |
$2,650.80 |
$2,650.80 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,901.00 |
$2,901.00 |
$2,901.00 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,912.00 |
$3,912.00 |
$3,912.00 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,609.60 |
$3,609.60 |
$3,609.60 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,478.60 |
$2,478.60 |
$2,478.60 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,508.00 |
$2,508.00 |
$2,508.00 |
$1,996.80
|
|
CT angio pelvis
|
$2,785.20 |
$2,785.20 |
$2,785.20 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$3,670.80 |
$3,670.80 |
$3,670.80 |
$1,698.00
|
|
CT cerebral perf w cont & prcssng
|
$2,362.80 |
$2,362.80 |
$2,362.80 |
$803.40
|
|
CT guidance for needle placement
|
$2,502.00 |
$2,502.00 |
$2,502.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,595.60 |
$2,595.60 |
$2,595.60 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$117.00 |
$117.00 |
$117.00 |
$171.60
|
|
CT limited or localized follow-up study
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$3,736.20 |
$3,736.20 |
$3,736.20 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$3,670.80 |
$3,670.80 |
$3,670.80 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$3,670.80 |
$3,670.80 |
$3,670.80 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,550.60 |
$2,550.60 |
$2,550.60 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,243.20 |
$4,243.20 |
$4,243.20 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,534.00 |
$3,534.00 |
$3,534.00 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,307.20 |
$3,307.20 |
$3,307.20 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,606.40 |
$2,606.40 |
$2,606.40 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$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
|
$2,610.60 |
$2,610.60 |
$2,610.60 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$3,670.80 |
$3,670.80 |
$3,670.80 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$3,670.80 |
$3,670.80 |
$3,670.80 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$3,670.80 |
$3,670.80 |
$3,670.80 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$63.00 |
$63.00 |
$63.00 |
$68.64
|
|
Culture afb any source
|
$243.60 |
$243.60 |
$243.60 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$180.60 |
$180.60 |
$180.60 |
$79.00
|
|
Culture anaerobic except blood
|
$217.20 |
$217.20 |
$217.20 |
$120.00
|