|
Clsd tx iphal jnt disl w/manip req anes
|
$2,827.20 |
$2,827.20 |
$2,827.20 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$648.00 |
$648.00 |
$648.00 |
$987.60
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$287.40 |
$287.40 |
$287.40 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$304.20 |
$304.20 |
$304.20 |
$418.20
|
|
Clsd tx pelvic ring fx
|
$507.60 |
$507.60 |
$507.60 |
$416.35
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,827.20 |
$2,827.20 |
$2,827.20 |
$2,211.05
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$1,565.74
|
|
Cmv pcr-sendout
|
$288.00 |
$288.00 |
$288.00 |
$177.50
|
|
Cold agglutinin titer
|
$12.00 |
$12.00 |
$12.00 |
$50.00
|
|
Collection blood specimen from completely implantable venous access device
|
$155.40 |
$155.40 |
$155.40 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$155.40 |
$155.40 |
$155.40 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$17.40 |
$17.40 |
$17.40 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$135.00 |
$135.00 |
$135.00 |
$170.05
|
|
Complement antigen each component c3
|
$412.20 |
$412.20 |
$412.20 |
$108.55
|
|
Complx repair fccmnaxghf 13132
|
$942.60 |
$942.60 |
$942.60 |
$1,107.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$483.00 |
$483.00 |
$483.00 |
$502.50
|
|
Consultation pathology during surgery
|
$461.40 |
$461.40 |
$461.40 |
$100.00
|
|
Control nosebleed pack+caut 30905
|
$155.40 |
$155.40 |
$155.40 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$155.40 |
$155.40 |
$155.40 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$311.40 |
$311.40 |
$311.40 |
$355.50
|
|
Coombs direct
|
$83.40 |
$83.40 |
$83.40 |
$75.00
|
|
Cortisol total am
|
$183.60 |
$183.60 |
$183.60 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$392.40 |
$392.40 |
$392.40 |
$189.22
|
|
Counseling visit to discuss need for ldct g0296
|
$90.00 |
$90.00 |
$90.00 |
$98.14
|
|
Covid-19 lab test non-cdc
|
$93.00 |
$93.00 |
$93.00 |
$80.50
|
|
C-peptide
|
$184.20 |
$184.20 |
$184.20 |
$97.30
|
|
C-reactive protein
|
$97.80 |
$97.80 |
$97.80 |
$68.38
|
|
C-reactive protein high sensitivity
|
$96.00 |
$96.00 |
$96.00 |
$85.00
|
|
Creatine kinase
|
$82.20 |
$82.20 |
$82.20 |
$66.30
|
|
Creatine kinase isoenzymes
|
$29.40 |
$29.40 |
$29.40 |
$56.80
|
|
Creatine kinase mb
|
$176.40 |
$176.40 |
$176.40 |
$114.00
|
|
Creatinine
|
$85.20 |
$85.20 |
$85.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$221.40 |
$221.40 |
$221.40 |
$58.85
|
|
Critical care 30-74 minutes
|
$280.20 |
$280.20 |
$280.20 |
$2,505.60
|
|
Crystal identification light microscopy
|
$98.40 |
$98.40 |
$98.40 |
$62.50
|
|
Cta abdomen without & /or w/contrast
|
$2,464.20 |
$2,464.20 |
$2,464.20 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,464.20 |
$2,464.20 |
$2,464.20 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,928.40 |
$4,928.40 |
$4,928.40 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,464.20 |
$2,464.20 |
$2,464.20 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,686.80 |
$5,686.80 |
$5,686.80 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,163.20 |
$3,163.20 |
$3,163.20 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,464.20 |
$2,464.20 |
$2,464.20 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,781.40 |
$1,781.40 |
$1,781.40 |
$1,500.38
|
|
Cta upper extremity w &/or without contrast left
|
$2,464.20 |
$2,464.20 |
$2,464.20 |
$1,698.00
|
|
CT lower extremity w/contrast (both sides)
|
$4,723.20 |
$4,723.20 |
$4,723.20 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$3,739.20 |
$3,739.20 |
$3,739.20 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$2,686.20 |
$2,686.20 |
$2,686.20 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,361.60 |
$2,361.60 |
$2,361.60 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,686.20 |
$2,686.20 |
$2,686.20 |
$1,959.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,361.60 |
$2,361.60 |
$2,361.60 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$293.40 |
$293.40 |
$293.40 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$6,093.00 |
$6,093.00 |
$6,093.00 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,987.20 |
$4,987.20 |
$4,987.20 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,796.80 |
$3,796.80 |
$3,796.80 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,910.60 |
$2,910.60 |
$2,910.60 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,566.80 |
$2,566.80 |
$2,566.80 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$2,080.20 |
$2,080.20 |
$2,080.20 |
$331.50
|
|
CT t-spine w /wo contrast
|
$3,442.80 |
$3,442.80 |
$3,442.80 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,361.60 |
$2,361.60 |
$2,361.60 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$2,686.20 |
$2,686.20 |
$2,686.20 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$110.40 |
$110.40 |
$110.40 |
$68.64
|
|
Culture afb any source
|
$160.20 |
$160.20 |
$160.20 |
$109.20
|
|
Culture anaerobic except blood
|
$178.80 |
$178.80 |
$178.80 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$29.40 |
$29.40 |
$29.40 |
$51.45
|
|
Culture body fluid
|
$160.20 |
$160.20 |
$160.20 |
$126.75
|
|
Culture fungi skin/hair/nail
|
$25.20 |
$25.20 |
$25.20 |
$74.88
|
|
Culture screening strep group a
|
$14.40 |
$14.40 |
$14.40 |
$81.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$25.80 |
$25.80 |
$25.80 |
$392.50
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$120.60 |
$120.60 |
$120.60 |
$70.72
|
|
Cyclosporine 2 hour
|
$186.00 |
$186.00 |
$186.00 |
$129.48
|
|
Cystatin c
|
$123.00 |
$123.00 |
$123.00 |
$77.50
|
|
Cytomegalovirus (cmv) antibody igg
|
$82.20 |
$82.20 |
$82.20 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$95.40 |
$95.40 |
$95.40 |
$97.50
|
|
Cytopathology cellular enhancement technique non-gyn
|
$97.80 |
$97.80 |
$97.80 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$39.00 |
$39.00 |
$39.00 |
$91.84
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$116.40 |
$116.40 |
$116.40 |
$168.53
|
|
Dch glucoscan
|
$30.00 |
$30.00 |
$30.00 |
$28.10
|
|
Dch pulmonary stress test
|
$424.80 |
$424.80 |
$424.80 |
$963.30
|
|
Dch validity tests
|
$36.00 |
$36.00 |
$36.00 |
$24.50
|
|
Debridement (>20 cm) charge pt
|
$148.20 |
$148.20 |
$148.20 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$1,954.80 |
$1,954.80 |
$1,954.80 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,057.80 |
$1,057.80 |
$1,057.80 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$480.60 |
$480.60 |
$480.60 |
$810.50
|
|
Debride nail1-5 11720
|
$96.00 |
$96.00 |
$96.00 |
$148.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$907.80 |
$907.80 |
$907.80 |
$639.60
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$692.40 |
$692.40 |
$692.40 |
$1,129.45
|
|
Debr musc/fascia 20sq cm/< 11043
|
$727.80 |
$727.80 |
$727.80 |
$1,160.00
|
|
Decalcification
|
$26.40 |
$26.40 |
$26.40 |
$68.90
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,946.80 |
$3,946.80 |
$3,946.80 |
$6,324.98
|
|
Desmopressin 4 mcg/ml injection solution
|
$265.80 |
$265.80 |
$265.80 |
$89.78
|
|
Destruction benign lesions < 14 lesions
|
$97.20 |
$97.20 |
$97.20 |
$235.13
|
|
Dexamethasone 4 mg tablet
|
$4.20 |
$4.20 |
$4.20 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$18.00 |
$18.00 |
$18.00 |
$21.17
|
|
Dexmedetomidine film, 1 mcg
|
$422.40 |
$422.40 |
$422.40 |
$171.39
|
|
Dhea-s (dehydroepiand sulfate)
|
$275.40 |
$275.40 |
$275.40 |
$112.00
|