|
Cmbn ant pst colprhy
|
$25,423.81 |
$25,423.81 |
$25,423.81 |
|
|
Cmv pcr-sendout
|
$58.40 |
$58.40 |
$155.20 |
|
|
Co2 monitor per day
|
$282.10 |
$282.10 |
$282.10 |
|
|
Coagulation time activated teg
|
$14.40 |
$14.40 |
$86.45 |
|
|
Cocaine 4 % nasal solution
|
$2,729.35 |
$2,729.35 |
$2,729.35 |
|
|
Cold agglutinin titer
|
$28.80 |
$31.20 |
$99.45 |
|
|
Collection blood specimen from completely implantable venous access device
|
$55.60 |
$55.60 |
$2,130.55 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$237.90 |
$237.90 |
$237.90 |
|
|
Collection of venous blood by venipuncture
|
$18.00 |
$36.80 |
$1,775.10 |
|
|
Colonoscopy (diagnostic)
|
$4,294.64 |
$4,294.64 |
$4,294.64 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$4,823.13 |
$4,823.13 |
$4,823.13 |
|
|
Colonoscopy submucous njx
|
$5,442.07 |
$5,442.07 |
$5,442.07 |
|
|
Colonoscopy thru stoma spx
|
$717.60 |
$717.60 |
$5,809.37 |
|
|
Colonoscopy w/control bleed
|
$5,713.26 |
$5,713.26 |
$5,713.26 |
|
|
Colonoscopy (with biopsy)
|
$4,710.86 |
$4,710.86 |
$4,710.86 |
|
|
Colonoscopy (with polyp removal)
|
$4,970.82 |
$4,970.82 |
$4,970.82 |
|
|
Compatibility test each unit antiglobulin technique
|
$89.60 |
$97.60 |
$132.60 |
|
|
Compatibility test each unit electronic
|
$274.95 |
$274.95 |
$274.95 |
|
|
Compatibility test each unit immediate spin technique
|
$93.60 |
$98.00 |
$124.15 |
|
|
Compatibility test incubate
|
$88.40 |
$88.40 |
$98.40 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$963.30 |
$963.30 |
$963.30 |
|
|
Complement antigen each component c3
|
$84.50 |
$84.50 |
$132.00 |
|
|
Complex cystometrogram 51726
|
$209.30 |
$209.30 |
$209.30 |
|
|
Complx repair fccmnaxghf 13132
|
$501.60 |
$501.60 |
$501.60 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$73.60 |
$73.60 |
$73.60 |
|
|
Computed tomographic angiography head and neck with contrast
|
$2,899.65 |
$2,899.65 |
$2,899.65 |
|
|
Concentration infection agents any type
|
$32.40 |
$62.00 |
$63.70 |
|
|
Condylomata destruction 56420
|
$262.00 |
$262.00 |
$262.00 |
|
|
Conization/cerv/loop electrode exc 57522
|
$10,044.11 |
$10,044.11 |
$10,044.11 |
|
|
Conization of cervix
|
$10,719.64 |
$10,719.64 |
$10,719.64 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,635.33 |
$1,635.33 |
$1,635.33 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$542.75 |
$542.75 |
$542.75 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$100.80 |
$100.80 |
$12,413.97 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$118.40 |
$118.40 |
$12,413.97 |
|
|
Consultation/report referred material w/preparation of slides
|
$108.80 |
$108.80 |
$108.80 |
|
|
Consult comp w/report rfrd material
|
$81.25 |
$81.25 |
$81.25 |
|
|
Contrast baths charges
|
$41.60 |
$41.60 |
$85.20 |
|
|
Contrast exam abdominl aorta 75625-26
|
$2,088.80 |
$2,088.80 |
$2,791.10 |
|
|
Contrast x-ray of elbow
|
$628.80 |
$628.80 |
$1,359.80 |
|
|
Contrast x-ray of hip
|
$628.80 |
$628.80 |
$1,543.75 |
|
|
Contrast x-ray of knee joint
|
$962.00 |
$962.00 |
$962.00 |
|
|
Contrast x-ray of wrist
|
$1,543.75 |
$1,543.75 |
$1,543.75 |
|
|
Control nosebleed pack+caut 30905
|
$176.40 |
$176.40 |
$176.40 |
|
|
Control of nosebleed ant comp 30903
|
$295.60 |
$295.60 |
$295.60 |
|
|
Control of nosebleedantersmpl 30901
|
$243.20 |
$243.20 |
$243.20 |
|
|
Coombs direct
|
$35.20 |
$42.00 |
$79.95 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$89.60 |
$98.40 |
$187.20 |
|
|
Copper cu 64 dotatate diag
|
$1,645.80 |
$1,645.80 |
$1,645.80 |
|
|
Core ndl bx lng/med perq
|
$9,375.37 |
$9,375.37 |
$9,375.37 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$4,732.40 |
$4,732.40 |
$7,440.55 |
|
|
Coronary angio/lv gram/lt heart
|
$3,761.20 |
$3,761.20 |
$7,440.55 |
|
|
Coronary angio/lv gram/rt< heart
|
$6,239.20 |
$6,239.20 |
$7,477.60 |
|
|
Coronary art/grft angio s&i
|
$3,774.40 |
$3,774.40 |
$4,434.30 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,044.95 |
$4,044.95 |
$4,750.80 |
|
|
Coronary thrombolysis/iv infusion 92977
|
$369.20 |
$369.20 |
$422.00 |
|
|
Cortisol acth stimulation test - sendout
|
$180.70 |
$180.70 |
$180.70 |
|
|
Cortisol total am
|
$46.40 |
$56.00 |
$135.85 |
|
|
Cosyntropin 0.25 mg solution for injection
|
$338.84 |
$338.84 |
$338.84 |
|
|
Co-treatment - group 15 mins, st
|
$60.00 |
$60.00 |
$70.00 |
|
|
Counseling smoke cess interm >10mins
|
$75.40 |
$75.40 |
$75.40 |
|
|
Covid-19 administration immunization im inj 1st/only component
|
$39.00 |
$39.00 |
$39.00 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$438.75 |
$438.75 |
$438.75 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$438.75 |
$438.75 |
$438.75 |
|
|
#covid19rsv-rsv
|
$75.60 |
$75.60 |
$215.80 |
|
|
#coxa-coxsackie a serotype a16
|
$36.80 |
$36.80 |
$61.20 |
|
|
C-peptide
|
$58.80 |
$139.60 |
$147.55 |
|
|
Crbrospnl fld flw imag cistern
|
$725.60 |
$725.60 |
$725.60 |
|
|
C-reactive protein
|
$39.20 |
$54.40 |
$100.10 |
|
|
C-reactive protein high sensitivity
|
$36.80 |
$86.00 |
$165.75 |
|
|
C-reactive protein, quantitative
|
$88.40 |
$88.40 |
$88.40 |
|
|
Create eardrum opening
|
$7,813.65 |
$7,813.65 |
$7,813.65 |
|
|
Creatine kinase
|
$30.80 |
$58.00 |
$74.75 |
|
|
Creatine kinase isoenzymes
|
$26.40 |
$26.40 |
$44.40 |
|
|
Creatine kinase mb
|
$40.00 |
$40.00 |
$102.40 |
|
|
Creatinine
|
$20.40 |
$41.60 |
$47.60 |
|
|
Creatinine 24 hour urine
|
$35.60 |
$58.00 |
$72.15 |
|
|
Creatinine clearance urine
|
$69.60 |
$98.80 |
$113.60 |
|
|
Crisis psychotherapy 90839
|
$220.00 |
$220.00 |
$220.00 |
|
|
Crisis psychotherapy additional 30 mins 90840
|
$49.20 |
$49.20 |
$49.20 |
|
|
Critical care 30-74 minutes
|
$635.20 |
$2,868.80 |
$2,965.30 |
|
|
Critical care each additional 30 minutes
|
$1,086.15 |
$1,086.15 |
$1,086.15 |
|
|
Cryofibrinogen qualitative - sendout
|
$31.20 |
$31.20 |
$31.20 |
|
|
Cryoprecipitate each unit
|
$390.00 |
$390.00 |
$390.00 |
|
|
Cryptococcus abs qn - sendout
|
$112.80 |
$112.80 |
$112.80 |
|
|
Crystal identification light microscopy
|
$64.40 |
$78.00 |
$93.60 |
|
|
Cta abdomen without & /or w/contrast
|
$812.40 |
$832.00 |
$2,625.35 |
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$836.40 |
$1,346.40 |
$2,425.80 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$916.40 |
$1,876.00 |
$2,269.15 |
|
|
Cta neck without &/or w/contrast
|
$906.00 |
$1,398.00 |
$2,562.30 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,402.40 |
$2,528.00 |
$5,671.90 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$898.40 |
$1,201.20 |
$2,625.35 |
|
|
CT Angiogram of the Head
|
$925.20 |
$959.20 |
$2,899.65 |
|
|
CT angio hrt w/3d image
|
$737.20 |
$737.20 |
$2,016.95 |
|
|
CT angio pelvis
|
$677.20 |
$677.20 |
$832.00 |
|
|
Cta upper extremity w &/or without contrast left
|
$944.80 |
$1,876.00 |
$3,716.05 |
|
|
CT cerebral perf w cont & prcssng
|
$858.00 |
$858.00 |
$858.00 |
|
|
CT colonography dx
|
$518.40 |
$518.40 |
$518.40 |
|
|
CT guidance for needle placement
|
$735.20 |
$735.20 |
$1,835.60 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$728.80 |
$728.80 |
$728.80 |
|
|
CT heart w/evaluation of calcium without contrast
|
$65.00 |
$65.00 |
$236.00 |
|
