|
Compatibility test each unit electronic
|
$435.20 |
$435.20 |
$435.20 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$144.00 |
$144.00 |
$144.00 |
$169.52
|
|
Compatibility test incubate
|
$144.00 |
$144.00 |
$144.00 |
$155.40
|
|
Complement antigen each component c3
|
$547.20 |
$547.20 |
$547.20 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$514.40 |
$514.40 |
$514.40 |
$876.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$968.00 |
$968.00 |
$968.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$968.00 |
$968.00 |
$968.00 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$360.00 |
$360.00 |
$360.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$564.00 |
$564.00 |
$564.00 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,172.80 |
$1,172.80 |
$1,172.80 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$364.80 |
$364.80 |
$364.80 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$788.80 |
$788.80 |
$788.80 |
$502.50
|
|
Comprehensive hearing test
|
$380.00 |
$380.00 |
$380.00 |
$255.00
|
|
Computed tomographic angiography head and neck with contrast
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$2,237.25
|
|
Concentration infection agents any type
|
$100.80 |
$100.80 |
$100.80 |
$49.95
|
|
Conditioning play audiometry 92582
|
$340.00 |
$340.00 |
$340.00 |
$189.15
|
|
Condylomata destruction 56420
|
$936.80 |
$936.80 |
$936.80 |
$469.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$708.80 |
$708.80 |
$708.80 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$571.20 |
$571.20 |
$571.20 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$575.20 |
$575.20 |
$575.20 |
$225.96
|
|
Contrast exam abdominl aorta 75625-26
|
$3,088.00 |
$3,088.00 |
$3,088.00 |
$3,458.54
|
|
Contrast x-ray of hip
|
$1,993.60 |
$1,993.60 |
$1,993.60 |
$771.12
|
|
Contrast x-ray of wrist
|
$1,993.60 |
$1,993.60 |
$1,993.60 |
$637.00
|
|
Control nosebleed pack+caut 30905
|
$497.60 |
$497.60 |
$497.60 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$371.20 |
$371.20 |
$371.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$250.40 |
$250.40 |
$250.40 |
$355.50
|
|
Convert nephrostomy catheter
|
$1,634.40 |
$1,634.40 |
$1,634.40 |
$2,777.60
|
|
Coombs direct
|
$235.20 |
$235.20 |
$235.20 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$190.40 |
$190.40 |
$190.40 |
$102.90
|
|
Coombs indirect titer reference
|
$442.40 |
$442.40 |
$442.40 |
$146.40
|
|
Core ndl bx lng/med perq
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
$2,678.00
|
|
Cortisol total am
|
$253.60 |
$253.60 |
$253.60 |
$120.63
|
|
Co-treatment - group 15 mins, st
|
$172.80 |
$172.80 |
$172.80 |
$110.00
|
|
#covid19rsv-rsv
|
$268.00 |
$268.00 |
$268.00 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$177.60 |
$177.60 |
$177.60 |
$60.00
|
|
C-peptide
|
$220.00 |
$220.00 |
$220.00 |
$97.30
|
|
C-reactive protein
|
$147.20 |
$147.20 |
$147.20 |
$68.38
|
|
C-reactive protein high sensitivity
|
$468.80 |
$468.80 |
$468.80 |
$85.00
|
|
C-reactive protein, quantitative
|
$208.00 |
$208.00 |
$208.00 |
$71.06
|
|
Creatine kinase
|
$164.80 |
$164.80 |
$164.80 |
$66.30
|
|
Creatine kinase isoenzymes
|
$62.40 |
$62.40 |
$62.40 |
$56.80
|
|
Creatine kinase mb
|
$284.80 |
$284.80 |
$284.80 |
$114.00
|
|
Creatinine
|
$116.80 |
$116.80 |
$116.80 |
$44.72
|
|
Creatinine 24 hour urine
|
$58.40 |
$58.40 |
$58.40 |
$58.85
|
|
Creatinine clearance urine
|
$392.00 |
$392.00 |
$392.00 |
$89.50
|
|
#creutz-prot.,western blot
|
$1,272.80 |
$1,272.80 |
$1,272.80 |
$166.20
|
|
Critical care 30-74 minutes
|
$3,133.60 |
$3,133.60 |
$3,133.60 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$761.60 |
$761.60 |
$761.60 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$48.00 |
$48.00 |
$48.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$868.80 |
$868.80 |
$868.80 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$370.40 |
$370.40 |
$370.40 |
$89.70
|
|
Crystal identification light microscopy
|
$134.40 |
$134.40 |
$134.40 |
$62.50
|
|
Csf shunt reprogram 62252
|
$477.60 |
$477.60 |
$477.60 |
$524.81
|
|
CT 3d report other modality w/workstation
|
$959.20 |
$959.20 |
$959.20 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$4,778.40 |
$4,778.40 |
$4,778.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,054.40 |
$3,054.40 |
$3,054.40 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,168.80 |
$2,168.80 |
$2,168.80 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$3,244.80 |
$3,244.80 |
$3,244.80 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,778.40 |
$4,778.40 |
$4,778.40 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,311.20 |
$3,311.20 |
$3,311.20 |
$1,940.00
|
|
CT Angiogram of the Head
|
$3,028.80 |
$3,028.80 |
$3,028.80 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$2,927.20 |
$2,927.20 |
$2,927.20 |
$1,500.38
|
|
CT angio pelvis
|
$3,291.20 |
$3,291.20 |
$3,291.20 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,251.20 |
$2,251.20 |
$2,251.20 |
$1,698.00
|
|
CT colonography dx
|
$2,205.60 |
$2,205.60 |
$2,205.60 |
$791.00
|
|
CT colonography dx w/dye
|
$2,205.60 |
$2,205.60 |
$2,205.60 |
$1,037.00
|
|
CT colonography screening
|
$944.80 |
$944.80 |
$944.80 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,831.20 |
$2,831.20 |
$2,831.20 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$3,172.80 |
$3,172.80 |
$3,172.80 |
$1,178.52
|
|
CT guid parench tis ablat
|
$2,156.00 |
$2,156.00 |
$2,156.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$156.00 |
$156.00 |
$156.00 |
$171.60
|
|
CT hrt w/3d image
|
$2,629.60 |
$2,629.60 |
$2,629.60 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$1,599.20 |
$1,599.20 |
$1,599.20 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$5,407.20 |
$5,407.20 |
$5,407.20 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$3,923.20 |
$3,923.20 |
$3,923.20 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$4,964.80 |
$4,964.80 |
$4,964.80 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,815.20 |
$2,815.20 |
$2,815.20 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$2,216.00 |
$2,216.00 |
$2,216.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,975.20 |
$2,975.20 |
$2,975.20 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,031.20 |
$3,031.20 |
$3,031.20 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,484.00 |
$2,484.00 |
$2,484.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,341.60 |
$2,341.60 |
$2,341.60 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$497.60 |
$497.60 |
$497.60 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$6,403.20 |
$6,403.20 |
$6,403.20 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,639.20 |
$5,639.20 |
$5,639.20 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,655.20 |
$4,655.20 |
$4,655.20 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,805.60 |
$2,805.60 |
$2,805.60 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,691.20 |
$2,691.20 |
$2,691.20 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$235.20 |
$235.20 |
$235.20 |
$331.50
|
|
CT t-spine w /wo contrast
|
$3,176.00 |
$3,176.00 |
$3,176.00 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$4,276.80 |
$4,276.80 |
$4,276.80 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$3,533.60 |
$3,533.60 |
$3,533.60 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$5,044.80 |
$5,044.80 |
$5,044.80 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$84.00 |
$84.00 |
$84.00 |
$68.64
|
|
Culture afb any source
|
$364.80 |
$364.80 |
$364.80 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$236.80 |
$236.80 |
$236.80 |
$79.00
|
|
Culture anaerobic except blood
|
$274.40 |
$274.40 |
$274.40 |
$120.00
|
|
Culture bacteria anaerobic
|
$506.40 |
$506.40 |
$506.40 |
$84.24
|
|
Culture bact stool aero addl path ea
|
$139.20 |
$139.20 |
$139.20 |
$51.45
|
|
Culture body fluid
|
$279.20 |
$279.20 |
$279.20 |
$126.75
|
