|
Computed tomographic angiography head and neck with contrast
|
$2,550.40 |
$2,550.40 |
$2,550.40 |
$2,237.25
|
|
Concentration infection agents any type
|
$72.80 |
$72.80 |
$72.80 |
$49.95
|
|
Condylomata destruction 56420
|
$280.80 |
$280.80 |
$280.80 |
$469.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$700.80 |
$700.80 |
$700.80 |
$441.95
|
|
Contrast x-ray of ankle
|
$964.00 |
$964.00 |
$964.00 |
$612.30
|
|
Contrast x-ray of elbow
|
$904.00 |
$904.00 |
$904.00 |
$649.80
|
|
Contrast x-ray of hip
|
$865.60 |
$865.60 |
$865.60 |
$771.12
|
|
Contrast x-ray of knee joint
|
$1,150.40 |
$1,150.40 |
$1,150.40 |
$769.88
|
|
Contrast x-ray of wrist
|
$852.80 |
$852.80 |
$852.80 |
$637.00
|
|
Control nosebleed pack+caut 30905
|
$280.80 |
$280.80 |
$280.80 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$280.80 |
$280.80 |
$280.80 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$280.80 |
$280.80 |
$280.80 |
$355.50
|
|
Convert nephrostomy catheter
|
$1,534.40 |
$1,534.40 |
$1,534.40 |
$2,777.60
|
|
Coombs direct
|
$74.40 |
$74.40 |
$74.40 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$144.00 |
$144.00 |
$144.00 |
$102.90
|
|
Coombs indirect titer reference
|
$184.80 |
$184.80 |
$184.80 |
$146.40
|
|
Core ndl bx lng/med perq
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$2,678.00
|
|
Cortisol total am
|
$180.00 |
$180.00 |
$180.00 |
$120.63
|
|
#covid19rsv-rsv
|
$262.40 |
$262.40 |
$262.40 |
$145.60
|
|
C-peptide
|
$138.40 |
$138.40 |
$138.40 |
$97.30
|
|
C-reactive protein
|
$100.80 |
$100.80 |
$100.80 |
$68.38
|
|
C-reactive protein high sensitivity
|
$144.80 |
$144.80 |
$144.80 |
$85.00
|
|
Creatine kinase
|
$90.40 |
$90.40 |
$90.40 |
$66.30
|
|
Creatine kinase isoenzymes
|
$60.80 |
$60.80 |
$60.80 |
$56.80
|
|
Creatine kinase mb
|
$168.80 |
$168.80 |
$168.80 |
$114.00
|
|
Creatinine
|
$91.20 |
$91.20 |
$91.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$49.60 |
$49.60 |
$49.60 |
$58.85
|
|
Creatinine clearance urine
|
$216.80 |
$216.80 |
$216.80 |
$89.50
|
|
#creutz-prot.,western blot
|
$712.80 |
$712.80 |
$712.80 |
$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
|
$41.60 |
$41.60 |
$41.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$951.20 |
$951.20 |
$951.20 |
$144.78
|
|
Crystal identification light microscopy
|
$81.60 |
$81.60 |
$81.60 |
$62.50
|
|
Csf shunt reprogram 62252
|
$405.60 |
$405.60 |
$405.60 |
$524.81
|
|
CT 3d report other modality w/workstation
|
$926.40 |
$926.40 |
$926.40 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,649.60 |
$2,649.60 |
$2,649.60 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,765.60 |
$2,765.60 |
$2,765.60 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,512.00 |
$3,512.00 |
$3,512.00 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,182.40 |
$4,182.40 |
$4,182.40 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,076.80 |
$3,076.80 |
$3,076.80 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,891.20 |
$2,891.20 |
$2,891.20 |
$1,996.80
|
|
Cta upper extremity w &/or without contrast left
|
$4,263.20 |
$4,263.20 |
$4,263.20 |
$1,698.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,844.80 |
$1,844.80 |
$1,844.80 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$156.00 |
$156.00 |
$156.00 |
$171.60
|
|
CT lower extremity w/contrast (both sides)
|
$3,176.80 |
$3,176.80 |
$3,176.80 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$3,043.20 |
$3,043.20 |
$3,043.20 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$3,614.40 |
$3,614.40 |
$3,614.40 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,548.00 |
$2,548.00 |
$2,548.00 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,961.60 |
$1,961.60 |
$1,961.60 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,598.40 |
$2,598.40 |
$2,598.40 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,950.40 |
$2,950.40 |
$2,950.40 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,186.40 |
$2,186.40 |
$2,186.40 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,023.20 |
$2,023.20 |
$2,023.20 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$280.80 |
$280.80 |
$280.80 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,698.40 |
$5,698.40 |
$5,698.40 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,498.40 |
$4,498.40 |
$4,498.40 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,988.80 |
$3,988.80 |
$3,988.80 |
$2,370.63
|
|
CT thoracic spine without contrast
|
$2,154.40 |
$2,154.40 |
$2,154.40 |
$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)
|
$3,626.40 |
$3,626.40 |
$3,626.40 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$3,208.80 |
$3,208.80 |
$3,208.80 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$4,028.80 |
$4,028.80 |
$4,028.80 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$72.00 |
$72.00 |
$72.00 |
$68.64
|
|
Culture afb any source
|
$101.60 |
$101.60 |
$101.60 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$233.60 |
$233.60 |
$233.60 |
$79.00
|
|
Culture anaerobic except blood
|
$292.80 |
$292.80 |
$292.80 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$117.60 |
$117.60 |
$117.60 |
$51.45
|
|
Culture body fluid
|
$182.40 |
$182.40 |
$182.40 |
$126.75
|
|
Culture fungi definitive id mold
|
$116.00 |
$116.00 |
$116.00 |
$77.28
|
|
Culture fungi definitive id yeast
|
$93.60 |
$93.60 |
$93.60 |
$79.10
|
|
Culture fungi other (except blood)
|
$183.20 |
$183.20 |
$183.20 |
$108.00
|
|
Culture screening strep group a
|
$154.40 |
$154.40 |
$154.40 |
$81.00
|
|
Culture typing immunologic
|
$68.80 |
$68.80 |
$68.80 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$825.60 |
$825.60 |
$825.60 |
$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
|
$106.40 |
$106.40 |
$106.40 |
$57.00
|
|
Cyclic citrullinated peptide antibody
|
$54.40 |
$54.40 |
$54.40 |
$70.72
|
|
Cyclosporine 2 hour
|
$350.40 |
$350.40 |
$350.40 |
$129.48
|
|
Cystatin c
|
$98.40 |
$98.40 |
$98.40 |
$77.50
|
|
Cystic fibrosis cftr
|
$3,879.20 |
$3,879.20 |
$3,879.20 |
$1,100.00
|
|
Cystogram >= 3 views supervision & interpretation
|
$630.40 |
$630.40 |
$630.40 |
$542.10
|
|
Cystourethroscop/calib/dilat stric 52281
|
$2,728.00 |
$2,728.00 |
$2,728.00 |
$3,065.15
|
|
Cytogenetics 25-99
|
$680.80 |
$680.80 |
$680.80 |
$190.00
|
|
Cytogenomic neo microra alys
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$2,020.20
|
|
Cytomegalovirus (cmv) antibody igg
|
$248.80 |
$248.80 |
$248.80 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$24.80 |
$24.80 |
$24.80 |
$97.50
|
|
Cytopathology cellular enhancement technique non-gyn
|
$293.60 |
$293.60 |
$293.60 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$178.40 |
$178.40 |
$178.40 |
$91.84
|
|
Cytopathology concentration technique smears & interpretation
|
$109.60 |
$109.60 |
$109.60 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$101.60 |
$101.60 |
$101.60 |
$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
|
$745.60 |
$745.60 |
$745.60 |
$209.23
|
|
Cytopath smear other source
|
$48.80 |
$48.80 |
$48.80 |
$88.13
|
|
Cytotoxic antibody screening
|
$988.00 |
$988.00 |
$988.00 |
$133.25
|
|
Dch glucoscan
|
$34.40 |
$34.40 |
$34.40 |
$28.10
|
|
Dch validity tests
|
$27.20 |
$27.20 |
$27.20 |
$24.50
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$514.40 |
$514.40 |
$514.40 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$162.40 |
$162.40 |
$162.40 |
$260.61
|