|
Computed tomographic angiography head and neck with contrast
|
$2,550.40 |
$2,550.40 |
$2,550.40 |
$2,313.35
|
|
Concentration infection agents any type
|
$144.00 |
$144.00 |
$144.00 |
$49.95
|
|
Condylomata destruction 56420
|
$1,105.60 |
$1,105.60 |
$1,105.60 |
$473.75
|
|
Consultation pathology during surgery
|
$175.20 |
$175.20 |
$175.20 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$709.60 |
$709.60 |
$709.60 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$196.80 |
$196.80 |
$196.80 |
$110.40
|
|
Consultation pathology during surgery frozen section first tissue block
|
$441.60 |
$441.60 |
$441.60 |
$222.97
|
|
Consultation/report referred slides prepared elsewhere
|
$171.20 |
$171.20 |
$171.20 |
$171.65
|
|
Consult comp w/report rfrd material
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$5,377.60 |
$5,377.60 |
$5,377.60 |
$3,480.00
|
|
Contrast x-ray of ankle
|
$975.20 |
$975.20 |
$975.20 |
$612.30
|
|
Contrast x-ray of elbow
|
$1,276.80 |
$1,276.80 |
$1,276.80 |
$647.20
|
|
Contrast x-ray of knee joint
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$719.40
|
|
Control nosebleed pack+caut 30905
|
$4,592.00 |
$4,592.00 |
$4,592.00 |
$426.40
|
|
Control of nosebleed ant comp 30903
|
$2,921.60 |
$2,921.60 |
$2,921.60 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$2,014.40 |
$2,014.40 |
$2,014.40 |
$364.96
|
|
Convert nephrostomy catheter
|
$1,661.60 |
$1,661.60 |
$1,661.60 |
$2,780.38
|
|
Coombs direct
|
$128.80 |
$128.80 |
$128.80 |
$72.78
|
|
Coombs indirect qualitative each reagent red cell reference
|
$233.60 |
$233.60 |
$233.60 |
$102.90
|
|
Coombs indirect titer reference
|
$233.60 |
$233.60 |
$233.60 |
$144.30
|
|
Core ndl bx lng/med perq
|
$2,345.60 |
$2,345.60 |
$2,345.60 |
$2,775.00
|
|
Cortisol total am
|
$264.80 |
$264.80 |
$264.80 |
$117.81
|
|
Co-treatment - group 15 mins, st
|
$172.80 |
$172.80 |
$172.80 |
$110.40
|
|
#covid19rsv-rsv
|
$282.40 |
$282.40 |
$282.40 |
$146.00
|
|
#coxa-coxsackie a serotype a16
|
$326.40 |
$326.40 |
$326.40 |
$60.00
|
|
C-peptide
|
$325.60 |
$325.60 |
$325.60 |
$90.27
|
|
C-reactive protein
|
$147.20 |
$147.20 |
$147.20 |
$62.40
|
|
C-reactive protein high sensitivity
|
$424.00 |
$424.00 |
$424.00 |
$78.91
|
|
C-reactive protein, quantitative
|
$233.60 |
$233.60 |
$233.60 |
$62.50
|
|
Creatine kinase
|
$161.60 |
$161.60 |
$161.60 |
$63.00
|
|
Creatine kinase isoenzymes
|
$159.20 |
$159.20 |
$159.20 |
$48.48
|
|
Creatine kinase mb
|
$263.20 |
$263.20 |
$263.20 |
$114.00
|
|
Creatinine
|
$84.00 |
$84.00 |
$84.00 |
$44.35
|
|
Creatinine 24 hour urine
|
$49.60 |
$49.60 |
$49.60 |
$55.25
|
|
Creatinine clearance urine
|
$237.60 |
$237.60 |
$237.60 |
$87.50
|
|
#creutz-prot.,western blot
|
$969.60 |
$969.60 |
$969.60 |
$159.00
|
|
Critical care 30-74 minutes
|
$2,350.40 |
$2,350.40 |
$2,350.40 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$572.00 |
$572.00 |
$572.00 |
$735.00
|
|
Cryofibrinogen qualitative - sendout
|
$49.60 |
$49.60 |
$49.60 |
$52.50
|
|
Crystal identification light microscopy
|
$162.40 |
$162.40 |
$162.40 |
$58.50
|
|
Csf shunt reprogram 62252
|
$407.20 |
$407.20 |
$407.20 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$2,965.60 |
$2,965.60 |
$2,965.60 |
$614.05
|
|
Cta abdomen without & /or w/contrast
|
$3,463.20 |
$3,463.20 |
$3,463.20 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,118.40 |
$3,118.40 |
$3,118.40 |
$1,934.40
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,420.80 |
$5,420.80 |
$5,420.80 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$1,940.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,332.80 |
$5,332.80 |
$5,332.80 |
$2,848.80
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,183.20 |
$3,183.20 |
$3,183.20 |
$1,940.00
|
|
CT Angiogram of the Head
|
$3,335.20 |
$3,335.20 |
$3,335.20 |
$2,005.44
|
|
CT angio hrt w/3d image
|
$3,183.20 |
$3,183.20 |
$3,183.20 |
$1,514.10
|
|
CT angio pelvis
|
$3,264.00 |
$3,264.00 |
$3,264.00 |
$1,842.75
|
|
Cta upper extremity w &/or without contrast left
|
$4,664.00 |
$4,664.00 |
$4,664.00 |
$1,697.80
|
|
CT colonography dx
|
$3,118.40 |
$3,118.40 |
$3,118.40 |
$770.90
|
|
CT colonography dx w/dye
|
$3,118.40 |
$3,118.40 |
$3,118.40 |
$1,016.80
|
|
CT colonography screening
|
$2,029.60 |
$2,029.60 |
$2,029.60 |
$1,084.20
|
|
CT guidance for needle placement
|
$3,576.80 |
$3,576.80 |
$3,576.80 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,100.80 |
$1,100.80 |
$1,100.80 |
$1,113.84
|
|
CT heart w/evaluation of calcium without contrast
|
$156.00 |
$156.00 |
$156.00 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,637.60 |
$2,637.60 |
$2,637.60 |
$1,371.50
|
|
CT hrt w/3d image
|
$3,183.20 |
$3,183.20 |
$3,183.20 |
$1,371.50
|
|
CT limited or localized follow-up study
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$4,716.80 |
$4,716.80 |
$4,716.80 |
$1,585.20
|
|
CT lower extremity without contrast (both sides)
|
$4,101.60 |
$4,101.60 |
$4,101.60 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$4,895.20 |
$4,895.20 |
$4,895.20 |
$1,851.60
|
|
CT neck soft tissue w/contrast
|
$2,696.80 |
$2,696.80 |
$2,696.80 |
$1,645.15
|
|
CT neck soft tissue without contrast
|
$2,404.00 |
$2,404.00 |
$2,404.00 |
$1,318.20
|
|
CT neck soft tissue without & w/contrast
|
$2,773.60 |
$2,773.60 |
$2,773.60 |
$1,946.21
|
|
CT orbit/sella/fossa w/wo contrast
|
$4,162.40 |
$4,162.40 |
$4,162.40 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$3,869.60 |
$3,869.60 |
$3,869.60 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$3,337.60 |
$3,337.60 |
$3,337.60 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$4,847.20 |
$4,847.20 |
$4,847.20 |
$450.77
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$6,075.20 |
$6,075.20 |
$6,075.20 |
$3,472.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$6,004.80 |
$6,004.80 |
$6,004.80 |
$2,883.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$5,098.40 |
$5,098.40 |
$5,098.40 |
$2,368.80
|
|
CT thoracic spine w/contrast
|
$3,068.80 |
$3,068.80 |
$3,068.80 |
$1,700.40
|
|
CT thoracic spine without contrast
|
$2,865.60 |
$2,865.60 |
$2,865.60 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$235.20 |
$235.20 |
$235.20 |
$346.80
|
|
CT t-spine w /wo contrast
|
$3,170.40 |
$3,170.40 |
$3,170.40 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$4,911.20 |
$4,911.20 |
$4,911.20 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$3,509.60 |
$3,509.60 |
$3,509.60 |
$1,440.00
|
|
CT uppr extremity w/o&w/dye
|
$4,896.00 |
$4,896.00 |
$4,896.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$72.00 |
$72.00 |
$72.00 |
$67.05
|
|
Culture afb any source
|
$336.00 |
$336.00 |
$336.00 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$241.60 |
$241.60 |
$241.60 |
$76.35
|
|
Culture anaerobic except blood
|
$444.00 |
$444.00 |
$444.00 |
$117.00
|
|
Culture bacteria anaerobic
|
$610.40 |
$610.40 |
$610.40 |
$43.55
|
|
Culture bact stool aero addl path ea
|
$170.40 |
$170.40 |
$170.40 |
$52.00
|
|
Culture body fluid
|
$389.60 |
$389.60 |
$389.60 |
$125.45
|
|
Culture fungi definitive id mold
|
$222.40 |
$222.40 |
$222.40 |
$74.83
|
|
Culture fungi definitive id yeast
|
$156.80 |
$156.80 |
$156.80 |
$78.12
|
|
Culture fungi other (except blood)
|
$324.80 |
$324.80 |
$324.80 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$218.40 |
$218.40 |
$218.40 |
$76.80
|
|
Culture mycobacteria definitive id each isolate
|
$447.20 |
$447.20 |
$447.20 |
$88.14
|
|
Culture quantitative aerobic other source
|
$319.20 |
$319.20 |
$319.20 |
$89.10
|
|
Culture screening strep group a
|
$154.40 |
$154.40 |
$154.40 |
$82.55
|
|
Culture type pulse field gel
|
$567.20 |
$567.20 |
$567.20 |
$38.58
|
|
Culture typing immunologic
|
$119.20 |
$119.20 |
$119.20 |
$40.32
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$828.00 |
$828.00 |
$828.00 |
$392.40
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$859.20 |
$859.20 |
$859.20 |
$123.76
|
|
Culture urine each isolate
|
$228.80 |
$228.80 |
$228.80 |
$51.30
|
