|
Control of nosebleed ant comp 30903
|
$344.40 |
$344.40 |
$344.40 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$369.00 |
$369.00 |
$369.00 |
$355.50
|
|
Conversion ext bil drg cath
|
$4,791.60 |
$4,791.60 |
$4,791.60 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$7,062.00 |
$7,062.00 |
$7,062.00 |
$2,777.60
|
|
Coombs direct
|
$53.40 |
$53.40 |
$181.80 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$108.00 |
$108.00 |
$520.20 |
$102.90
|
|
Coombs indirect titer reference
|
$116.40 |
$116.40 |
$352.20 |
$146.40
|
|
Core ndl bx lng/med perq
|
$2,120.40 |
$2,120.40 |
$2,120.40 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$18,164.40 |
$18,164.40 |
$18,164.40 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$11,996.40 |
$11,996.40 |
$11,996.40 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$15,069.60 |
$15,069.60 |
$15,069.60 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$15,612.60 |
$15,612.60 |
$15,612.60 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$12,518.40 |
$12,518.40 |
$12,518.40 |
$7,914.00
|
|
Cortisol acth stimulation test - sendout
|
$529.20 |
$529.20 |
$529.20 |
$146.25
|
|
Cortisol total am
|
$76.20 |
$76.20 |
$307.80 |
$120.63
|
|
Co-treatment - group 15 mins, st
|
$129.60 |
$129.60 |
$129.60 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$63.60 |
$63.60 |
$63.60 |
$55.90
|
|
#covid19rsv-rsv
|
$222.00 |
$222.00 |
$222.00 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$133.80 |
$133.80 |
$133.80 |
$60.00
|
|
C-peptide
|
$107.40 |
$107.40 |
$107.40 |
$97.30
|
|
Cptr ophth dx img post segmt
|
$234.60 |
$234.60 |
$234.60 |
$105.00
|
|
Crbrospnl fld flw imag cistern
|
$1,017.60 |
$1,017.60 |
$2,001.00 |
$1,240.80
|
|
C-reactive protein
|
$57.60 |
$57.60 |
$157.20 |
$68.38
|
|
C-reactive protein high sensitivity
|
$53.40 |
$53.40 |
$323.40 |
$85.00
|
|
C-reactive protein, quantitative
|
$205.80 |
$205.80 |
$205.80 |
$71.06
|
|
Creatine kinase
|
$45.00 |
$45.00 |
$136.20 |
$66.30
|
|
Creatine kinase isoenzymes
|
$51.60 |
$51.60 |
$51.60 |
$56.80
|
|
Creatine kinase mb
|
$129.60 |
$129.60 |
$164.40 |
$114.00
|
|
Creatinine
|
$59.40 |
$59.40 |
$78.60 |
$44.72
|
|
Creatinine 24 hour urine
|
$52.20 |
$52.20 |
$52.20 |
$58.85
|
|
Creatinine clearance urine
|
$87.60 |
$87.60 |
$258.00 |
$89.50
|
|
#creutz-prot.,western blot
|
$916.20 |
$916.20 |
$916.20 |
$166.20
|
|
Crisis psychotherapy 90839
|
$307.20 |
$307.20 |
$307.20 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$154.20 |
$154.20 |
$154.20 |
$149.52
|
|
Critical care 30-74 minutes
|
$2,702.40 |
$2,702.40 |
$2,702.40 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$657.00 |
$657.00 |
$657.00 |
$731.40
|
|
Cryocautery of cervix 57511
|
$339.00 |
$339.00 |
$339.00 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$37.20 |
$37.20 |
$37.20 |
$52.50
|
|
Cryoprecipitate each unit
|
$146.40 |
$146.40 |
$985.80 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$262.80 |
$262.80 |
$262.80 |
$89.70
|
|
Crystal identification light microscopy
|
$142.80 |
$142.80 |
$142.80 |
$62.50
|
|
Csf leakage imaging
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,544.85
|
|
Csf shunt reprogram 62252
|
$431.40 |
$431.40 |
$431.40 |
$524.81
|
|
CT 3d report other modality w/workstation
|
$429.60 |
$429.60 |
$3,379.80 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,019.00 |
$2,019.00 |
$2,736.60 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,019.00 |
$2,019.00 |
$2,736.60 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,019.00 |
$2,019.00 |
$4,105.20 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,019.00 |
$2,019.00 |
$2,736.60 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,019.00 |
$2,019.00 |
$2,736.60 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,019.00 |
$2,019.00 |
$2,736.60 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,019.00 |
$2,019.00 |
$2,736.60 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$2,736.60 |
$2,736.60 |
$2,736.60 |
$1,500.38
|
|
CT angio pelvis
|
$2,493.60 |
$2,493.60 |
$3,380.40 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$4,105.20 |
$4,105.20 |
$4,105.20 |
$1,698.00
|
|
CT bone density axial
|
$647.40 |
$647.40 |
$1,632.60 |
$387.62
|
|
CT cerebral perf w cont & prcssng
|
$2,121.60 |
$2,121.60 |
$2,121.60 |
$803.40
|
|
CT colonography dx
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$791.00
|
|
CT colonography dx w/dye
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$1,037.00
|
|
CT colonography screening
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,632.60 |
$1,632.60 |
$2,253.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,632.60 |
$1,632.60 |
$4,214.40 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$4,486.20 |
$4,486.20 |
$4,486.20 |
$1,643.20
|
|
CT guid parench tis ablat
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$117.00 |
$117.00 |
$117.00 |
$171.60
|
|
CT hrt c+ strux cgen hrt ds
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$1,371.50
|
|
CT hrt w/3d image
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$1,098.00 |
$1,098.00 |
$1,632.60 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,448.60 |
$2,448.60 |
$3,379.80 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,632.60 |
$1,632.60 |
$3,379.80 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$2,682.60 |
$2,682.60 |
$3,636.60 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,632.60 |
$1,632.60 |
$2,253.00 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,632.60 |
$1,632.60 |
$2,253.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,788.60 |
$1,788.60 |
$2,424.60 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,788.60 |
$1,788.60 |
$2,424.60 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,632.60 |
$1,632.60 |
$2,253.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,632.60 |
$1,632.60 |
$2,253.00 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$527.40 |
$527.40 |
$527.40 |
$437.04
|
|
CT scan for localization
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,632.60 |
$1,632.60 |
$2,253.00 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,632.60 |
$1,632.60 |
$2,253.00 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,632.60 |
$1,632.60 |
$2,253.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,804.80 |
$1,804.80 |
$2,446.20 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,671.00 |
$1,671.00 |
$2,265.60 |
$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
|
$2,032.20 |
$2,032.20 |
$2,754.60 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,448.60 |
$2,448.60 |
$3,379.80 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,632.60 |
$1,632.60 |
$3,379.80 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$2,682.60 |
$2,682.60 |
$3,636.60 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$74.40 |
$74.40 |
$74.40 |
$68.64
|
|
Culture afb any source
|
$119.40 |
$119.40 |
$328.20 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$24.00 |
$24.00 |
$190.80 |
$79.00
|
|
Culture anaerobic except blood
|
$12.60 |
$12.60 |
$212.40 |
$120.00
|
|
Culture bacteria anaerobic
|
$451.80 |
$451.80 |
$451.80 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$44.40 |
$44.40 |
$124.80 |
$51.45
|
|
Culture body fluid
|
$76.20 |
$76.20 |
$249.60 |
$126.75
|
|
Culture fungi definitive id mold
|
$5.40 |
$5.40 |
$141.60 |
$77.28
|
|
Culture fungi definitive id yeast
|
$82.80 |
$82.80 |
$130.20 |
$79.10
|
|
Culture fungi other (except blood)
|
$96.60 |
$96.60 |
$105.00 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$133.20 |
$133.20 |
$133.20 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$527.40 |
$527.40 |
$527.40 |
$89.70
|