|
Consultation/report referred material w/preparation of slides
|
$920.15 |
$920.15 |
$920.15 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$920.15 |
$920.15 |
$920.15 |
$176.15
|
|
Consult comp w/report rfrd material
|
$877.25 |
$877.25 |
$877.25 |
$359.87
|
|
Contrast baths charges
|
$56.65 |
$56.65 |
$56.65 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$4,217.40 |
$4,217.40 |
$4,217.40 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$7,183.55 |
$7,183.55 |
$7,183.55 |
$4,178.00
|
|
Contrast x-ray of ankle
|
$723.25 |
$723.25 |
$723.25 |
$602.40
|
|
Contrast x-ray of elbow
|
$964.70 |
$964.70 |
$964.70 |
$637.14
|
|
Contrast x-ray of hip
|
$1,327.15 |
$1,327.15 |
$1,327.15 |
$768.00
|
|
Contrast x-ray of knee joint
|
$1,075.25 |
$1,075.25 |
$1,075.25 |
$683.20
|
|
Contrast x-ray of wrist
|
$723.25 |
$723.25 |
$723.25 |
$623.50
|
|
Controller infinity pt dbs
|
$979.46 |
$979.46 |
$979.46 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$191.95 |
$191.95 |
$191.95 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$201.30 |
$201.30 |
$201.30 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$324.50 |
$324.50 |
$324.50 |
$385.45
|
|
Coombs direct
|
$97.35 |
$97.35 |
$97.35 |
$73.26
|
|
Coombs indirect titer reference
|
$248.05 |
$248.05 |
$248.05 |
$146.00
|
|
Core ndl bx lng/med perq
|
$1,549.90 |
$1,549.90 |
$1,549.90 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$18,909.00 |
$18,909.00 |
$18,909.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$17,069.80 |
$17,069.80 |
$17,069.80 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$18,790.75 |
$18,790.75 |
$18,790.75 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$10,800.90 |
$10,800.90 |
$10,800.90 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,769.30 |
$7,769.30 |
$7,769.30 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$620.40 |
$620.40 |
$620.40 |
$489.00
|
|
Cortisol acth stimulation test - sendout
|
$141.35 |
$141.35 |
$141.35 |
$123.73
|
|
Cortisol total am
|
$248.60 |
$248.60 |
$248.60 |
$122.20
|
|
Co-treatment - group 15 mins, st
|
$127.60 |
$127.60 |
$127.60 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$53.35 |
$53.35 |
$53.35 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$975.85 |
$975.85 |
$975.85 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$50.05 |
$50.05 |
$50.05 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$484.55 |
$484.55 |
$484.55 |
$548.79
|
|
Covid-19 lab test non-cdc
|
$162.80 |
$162.80 |
$162.80 |
$56.44
|
|
#coxa-coxsackie a serotype a16
|
$406.45 |
$406.45 |
$406.45 |
$65.36
|
|
C-peptide
|
$47.30 |
$47.30 |
$47.30 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$1,466.97
|
|
C-reactive protein
|
$158.40 |
$158.40 |
$158.40 |
$63.00
|
|
C-reactive protein high sensitivity
|
$192.50 |
$192.50 |
$192.50 |
$91.65
|
|
Creatine kinase
|
$57.20 |
$57.20 |
$57.20 |
$59.78
|
|
Creatine kinase isoenzymes
|
$171.60 |
$171.60 |
$171.60 |
$46.34
|
|
Creatine kinase mb
|
$227.70 |
$227.70 |
$227.70 |
$111.00
|
|
Creatine - sendout
|
$52.25 |
$52.25 |
$52.25 |
$39.00
|
|
Creatinine
|
$81.40 |
$81.40 |
$81.40 |
$44.10
|
|
Creatinine 24 hour urine
|
$99.55 |
$99.55 |
$99.55 |
$59.80
|
|
Creatinine clearance urine
|
$230.45 |
$230.45 |
$230.45 |
$87.50
|
|
#creutz-prot.,western blot
|
$713.90 |
$713.90 |
$713.90 |
$173.00
|
|
Crisis psychotherapy additional 30 mins 90840
|
$180.40 |
$180.40 |
$180.40 |
$152.10
|
|
Critical care 30-74 minutes
|
$2,988.15 |
$2,988.15 |
$2,988.15 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$777.00
|
|
Cryofibrinogen qualitative - sendout
|
$79.75 |
$79.75 |
$79.75 |
$50.88
|
|
Cryoprecipitate each unit
|
$865.70 |
$865.70 |
$865.70 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$202.40 |
$202.40 |
$202.40 |
$70.00
|
|
Cryptosporidium antigen
|
$77.55 |
$77.55 |
$77.55 |
$56.00
|
|
Crystal identification light microscopy
|
$284.35 |
$284.35 |
$284.35 |
$65.25
|
|
Csf leakage imaging
|
$1,963.50 |
$1,963.50 |
$1,963.50 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$915.20 |
$915.20 |
$915.20 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$5,082.00 |
$5,082.00 |
$5,082.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,507.90 |
$3,507.90 |
$3,507.90 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,114.65 |
$3,114.65 |
$3,114.65 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$2,917.20 |
$2,917.20 |
$2,917.20 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,082.00 |
$5,082.00 |
$5,082.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,864.85 |
$3,864.85 |
$3,864.85 |
$1,955.80
|
|
CT Angiogram of the Head
|
$3,260.40 |
$3,260.40 |
$3,260.40 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,824.35 |
$1,824.35 |
$1,824.35 |
$1,588.60
|
|
CT angio pelvis
|
$2,191.75 |
$2,191.75 |
$2,191.75 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$3,144.90 |
$3,144.90 |
$3,144.90 |
$1,652.25
|
|
CT guidance for needle placement
|
$2,123.00 |
$2,123.00 |
$2,123.00 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,895.85 |
$1,895.85 |
$1,895.85 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,193.50 |
$1,193.50 |
$1,193.50 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$95.70 |
$95.70 |
$95.70 |
$192.00
|
|
CT limited or localized follow-up study
|
$990.00 |
$990.00 |
$990.00 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$2,477.20 |
$2,477.20 |
$2,477.20 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,941.50 |
$1,941.50 |
$1,941.50 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$2,781.35 |
$2,781.35 |
$2,781.35 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$2,059.20 |
$2,059.20 |
$2,059.20 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,973.30 |
$2,973.30 |
$2,973.30 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,334.20 |
$2,334.20 |
$2,334.20 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,972.85 |
$1,972.85 |
$1,972.85 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$265.65 |
$265.65 |
$265.65 |
$456.00
|
|
CT scan for therapy guide
|
$1,343.65 |
$1,343.65 |
$1,343.65 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,618.25 |
$5,618.25 |
$5,618.25 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,334.00 |
$4,334.00 |
$4,334.00 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,173.95 |
$4,173.95 |
$4,173.95 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$2,568.50 |
$2,568.50 |
$2,568.50 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$2,407.90 |
$2,407.90 |
$2,407.90 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$295.35 |
$295.35 |
$295.35 |
$400.20
|
|
CT t-spine w /wo contrast
|
$2,654.85 |
$2,654.85 |
$2,654.85 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$2,668.05 |
$2,668.05 |
$2,668.05 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$1,994.85 |
$1,994.85 |
$1,994.85 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$3,144.90 |
$3,144.90 |
$3,144.90 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$49.50 |
$49.50 |
$49.50 |
$63.75
|
|
Culture afb any source
|
$194.15 |
$194.15 |
$194.15 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$61.05 |
$61.05 |
$61.05 |
$77.31
|
|
Culture anaerobic except blood
|
$155.65 |
$155.65 |
$155.65 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$51.15 |
$51.15 |
$51.15 |
$52.80
|
|
Culture body fluid
|
$140.80 |
$140.80 |
$140.80 |
$130.50
|
|
Culture fungi definitive id mold
|
$42.35 |
$42.35 |
$42.35 |
$70.00
|
|
Culture fungi definitive id yeast
|
$66.00 |
$66.00 |
$66.00 |
$80.60
|
|
Culture fungi other (except blood)
|
$82.50 |
$82.50 |
$82.50 |
$105.60
|