|
Control nosebleed pack+caut 30905
|
$961.60 |
$961.60 |
$961.60 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$531.20 |
$531.20 |
$531.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$470.40 |
$470.40 |
$470.40 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$520.00 |
$520.00 |
$520.00 |
$634.80
|
|
Convert nephrostomy catheter
|
$1,679.20 |
$1,679.20 |
$1,679.20 |
$2,777.60
|
|
Coombs direct
|
$95.20 |
$95.20 |
$95.20 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$144.00 |
$144.00 |
$144.00 |
$102.90
|
|
Coombs indirect titer reference
|
$185.60 |
$185.60 |
$185.60 |
$146.40
|
|
Core ndl bx lng/med perq
|
$1,811.20 |
$1,811.20 |
$1,811.20 |
$2,678.00
|
|
Cortisol total am
|
$433.60 |
$433.60 |
$433.60 |
$120.63
|
|
#covid19rsv-rsv
|
$272.80 |
$272.80 |
$272.80 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$57.60 |
$57.60 |
$57.60 |
$60.00
|
|
C-peptide
|
$223.20 |
$223.20 |
$223.20 |
$97.30
|
|
C-reactive protein
|
$118.40 |
$118.40 |
$118.40 |
$68.38
|
|
C-reactive protein high sensitivity
|
$386.40 |
$386.40 |
$386.40 |
$85.00
|
|
C-reactive protein, quantitative
|
$145.60 |
$145.60 |
$145.60 |
$71.06
|
|
Creatine kinase
|
$145.60 |
$145.60 |
$145.60 |
$66.30
|
|
Creatine kinase isoenzymes
|
$63.20 |
$63.20 |
$63.20 |
$56.80
|
|
Creatine kinase mb
|
$176.00 |
$176.00 |
$176.00 |
$114.00
|
|
Creatinine
|
$110.40 |
$110.40 |
$110.40 |
$44.72
|
|
Creatinine 24 hour urine
|
$49.60 |
$49.60 |
$49.60 |
$58.85
|
|
Creatinine clearance urine
|
$180.80 |
$180.80 |
$180.80 |
$89.50
|
|
#creutz-prot.,western blot
|
$990.40 |
$990.40 |
$990.40 |
$166.20
|
|
Critical care 30-74 minutes
|
$2,350.40 |
$2,350.40 |
$2,350.40 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$572.00 |
$572.00 |
$572.00 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$44.00 |
$44.00 |
$44.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$189.60 |
$189.60 |
$189.60 |
$144.78
|
|
Crystal identification light microscopy
|
$136.00 |
$136.00 |
$136.00 |
$62.50
|
|
Csf shunt reprogram 62252
|
$404.80 |
$404.80 |
$404.80 |
$524.81
|
|
CT 3d report other modality w/workstation
|
$2,099.20 |
$2,099.20 |
$2,099.20 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,420.80 |
$2,420.80 |
$2,420.80 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,967.20 |
$2,967.20 |
$2,967.20 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,426.40 |
$5,426.40 |
$5,426.40 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$4,360.00 |
$4,360.00 |
$4,360.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,699.20 |
$5,699.20 |
$5,699.20 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,716.00 |
$3,716.00 |
$3,716.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$4,348.00 |
$4,348.00 |
$4,348.00 |
$1,996.80
|
|
CT angio pelvis
|
$3,622.40 |
$3,622.40 |
$3,622.40 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,388.80 |
$1,388.80 |
$1,388.80 |
$1,698.00
|
|
CT guidance for needle placement
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,343.20 |
$1,343.20 |
$1,343.20 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$156.00 |
$156.00 |
$156.00 |
$171.60
|
|
CT limited or localized follow-up study
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$3,444.80 |
$3,444.80 |
$3,444.80 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$2,825.60 |
$2,825.60 |
$2,825.60 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$3,270.40 |
$3,270.40 |
$3,270.40 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,584.80 |
$1,584.80 |
$1,584.80 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,981.60 |
$1,981.60 |
$1,981.60 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,456.00 |
$2,456.00 |
$2,456.00 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,702.40 |
$1,702.40 |
$1,702.40 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$388.80 |
$388.80 |
$388.80 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$6,385.60 |
$6,385.60 |
$6,385.60 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,717.60 |
$5,717.60 |
$5,717.60 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,614.40 |
$4,614.40 |
$4,614.40 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$3,068.80 |
$3,068.80 |
$3,068.80 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,315.20 |
$2,315.20 |
$2,315.20 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$235.20 |
$235.20 |
$235.20 |
$331.50
|
|
CT upper extremity w/contrast (both sides)
|
$3,247.20 |
$3,247.20 |
$3,247.20 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$2,858.40 |
$2,858.40 |
$2,858.40 |
$1,430.20
|
|
Culture aerobic additional method definitive id each
|
$72.00 |
$72.00 |
$72.00 |
$68.64
|
|
Culture afb any source
|
$218.40 |
$218.40 |
$218.40 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$234.40 |
$234.40 |
$234.40 |
$79.00
|
|
Culture anaerobic except blood
|
$171.20 |
$171.20 |
$171.20 |
$120.00
|
|
Culture bacteria anaerobic
|
$452.00 |
$452.00 |
$452.00 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$201.60 |
$201.60 |
$201.60 |
$51.45
|
|
Culture body fluid
|
$171.20 |
$171.20 |
$171.20 |
$126.75
|
|
Culture fungi definitive id mold
|
$132.00 |
$132.00 |
$132.00 |
$77.28
|
|
Culture fungi definitive id yeast
|
$156.00 |
$156.00 |
$156.00 |
$79.10
|
|
Culture fungi other (except blood)
|
$245.60 |
$245.60 |
$245.60 |
$108.00
|
|
Culture mycobacteria definitive id each isolate
|
$331.20 |
$331.20 |
$331.20 |
$89.70
|
|
Culture mycoplasma any source
|
$175.20 |
$175.20 |
$175.20 |
$85.26
|
|
Culture screening strep group a
|
$154.40 |
$154.40 |
$154.40 |
$81.00
|
|
Culture typing immunologic
|
$109.60 |
$109.60 |
$109.60 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$823.20 |
$823.20 |
$823.20 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$158.40 |
$158.40 |
$158.40 |
$133.90
|
|
Culture urine each isolate
|
$75.20 |
$75.20 |
$75.20 |
$57.00
|
|
Cv stress test/supervision only 93016
|
$75.20 |
$75.20 |
$75.20 |
$51.20
|
|
Cyclic citrullinated peptide antibody
|
$203.20 |
$203.20 |
$203.20 |
$70.72
|
|
Cyclosporine 2 hour
|
$211.20 |
$211.20 |
$211.20 |
$129.48
|
|
Cyp2c19 gene com variants
|
$1,986.40 |
$1,986.40 |
$1,986.40 |
$504.00
|
|
Cyp2d6 gene com variants
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
$554.00
|
|
Cystatin c
|
$145.60 |
$145.60 |
$145.60 |
$77.50
|
|
Cystic fibrosis cftr
|
$4,062.40 |
$4,062.40 |
$4,062.40 |
$1,100.00
|
|
Cystine urine quantitative
|
$658.40 |
$658.40 |
$658.40 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$690.40 |
$690.40 |
$690.40 |
$542.10
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,857.60 |
$2,857.60 |
$2,857.60 |
$3,065.15
|
|
Cytogenetics 25-99
|
$684.80 |
$684.80 |
$684.80 |
$190.00
|
|
Cytogenomic neo microra alys
|
$6,670.40 |
$6,670.40 |
$6,670.40 |
$2,020.20
|
|
Cytogenom microarray copy nmbr var
|
$1,697.60 |
$1,697.60 |
$1,697.60 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igg
|
$248.80 |
$248.80 |
$248.80 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$151.20 |
$151.20 |
$151.20 |
$97.50
|
|
Cytomegalovirus dfa
|
$258.40 |
$258.40 |
$258.40 |
$79.34
|
|
Cyto/molecular report
|
$165.60 |
$165.60 |
$165.60 |
$133.20
|
|
Cytopathology cellular enhancement technique non-gyn
|
$181.60 |
$181.60 |
$181.60 |
$159.45
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$206.40 |
$206.40 |
$206.40 |
$129.35
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$144.00 |
$144.00 |
$144.00 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$780.80 |
$780.80 |
$780.80 |
$209.23
|
|
Cytopath smear other source
|
$206.40 |
$206.40 |
$206.40 |
$88.13
|
