|
Complx repair trunk addl 5cm/< 13102
|
$186.00 |
$186.00 |
$186.00 |
$537.00
|
|
Concentration infection agents any type
|
$15.60 |
$15.60 |
$15.60 |
$49.95
|
|
Condylomata destruction 56420
|
$333.00 |
$333.00 |
$333.00 |
$469.00
|
|
Cont gluc mntr analysis i&r 95251
|
$63.60 |
$63.60 |
$63.60 |
$65.70
|
|
Control nosebleed pack+caut 30905
|
$269.40 |
$269.40 |
$269.40 |
$392.60
|
|
Control of nosebleedantersmpl 30901
|
$540.00 |
$540.00 |
$540.00 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$213.00 |
$213.00 |
$213.00 |
$634.80
|
|
Coombs direct
|
$35.40 |
$35.40 |
$35.40 |
$75.00
|
|
Copper intrauterine device
|
$2,695.80 |
$2,695.80 |
$2,695.80 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$97.80 |
$97.80 |
$97.80 |
$2,678.00
|
|
Cortisol total am
|
$76.80 |
$76.80 |
$76.80 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$392.40 |
$392.40 |
$392.40 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$184.80 |
$184.80 |
$184.80 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$42.00 |
$42.00 |
$42.00 |
$55.90
|
|
Counseling visit to discuss need for ldct g0296
|
$54.00 |
$54.00 |
$54.00 |
$98.14
|
|
Covid-19 administration immunization im inj 1st/only component
|
$50.40 |
$50.40 |
$50.40 |
$49.13
|
|
Covid-19 lab test non-cdc
|
$93.00 |
$93.00 |
$93.00 |
$80.50
|
|
#covid19rsv-rsv
|
$82.80 |
$82.80 |
$82.80 |
$145.60
|
|
C-peptide
|
$192.00 |
$192.00 |
$192.00 |
$97.30
|
|
Cptr-asst dir ms px
|
$330.00 |
$330.00 |
$330.00 |
$7,972.25
|
|
C-reactive protein
|
$101.40 |
$101.40 |
$101.40 |
$68.38
|
|
C-reactive protein high sensitivity
|
$101.40 |
$101.40 |
$101.40 |
$85.00
|
|
Create eardrum opening
|
$384.60 |
$384.60 |
$384.60 |
$3,062.80
|
|
Creatine kinase
|
$85.20 |
$85.20 |
$85.20 |
$66.30
|
|
Creatine kinase isoenzymes
|
$31.80 |
$31.80 |
$31.80 |
$56.80
|
|
Creatine kinase mb
|
$176.40 |
$176.40 |
$176.40 |
$114.00
|
|
Creatine - sendout
|
$12.00 |
$12.00 |
$12.00 |
$39.00
|
|
Creatinine
|
$98.40 |
$98.40 |
$98.40 |
$44.72
|
|
Creatinine 24 hour urine
|
$88.80 |
$88.80 |
$88.80 |
$58.85
|
|
Creatinine clearance urine
|
$184.20 |
$184.20 |
$184.20 |
$89.50
|
|
#creutz-prot.,western blot
|
$264.00 |
$264.00 |
$264.00 |
$166.20
|
|
Critical care 30-74 minutes
|
$280.20 |
$280.20 |
$280.20 |
$2,505.60
|
|
Crotalidae poly immune fab
|
$10,873.20 |
$10,873.20 |
$10,873.20 |
$5,590.35
|
|
Cta abdomen without & /or w/contrast
|
$2,345.40 |
$2,345.40 |
$2,345.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,450.60 |
$3,450.60 |
$3,450.60 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,691.40 |
$4,691.40 |
$4,691.40 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,409.60 |
$5,409.60 |
$5,409.60 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,010.20 |
$3,010.20 |
$3,010.20 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,345.40 |
$2,345.40 |
$2,345.40 |
$1,996.80
|
|
Cta upper extremity w &/or without contrast left
|
$4,691.40 |
$4,691.40 |
$4,691.40 |
$1,698.00
|
|
CT lower extremity w/contrast (both sides)
|
$2,344.20 |
$2,344.20 |
$2,344.20 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$4,268.40 |
$4,268.40 |
$4,268.40 |
$1,421.85
|
|
CT neck soft tissue w/contrast
|
$2,696.40 |
$2,696.40 |
$2,696.40 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$2,133.60 |
$2,133.60 |
$2,133.60 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$3,058.20 |
$3,058.20 |
$3,058.20 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,966.80 |
$1,966.80 |
$1,966.80 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,696.40 |
$2,696.40 |
$2,696.40 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,133.60 |
$2,133.60 |
$2,133.60 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,546.40 |
$5,546.40 |
$5,546.40 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,973.40 |
$4,973.40 |
$4,973.40 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,785.40 |
$3,785.40 |
$3,785.40 |
$2,370.63
|
|
CT thoracic spine without contrast
|
$2,931.00 |
$2,931.00 |
$2,931.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$2,073.00 |
$2,073.00 |
$2,073.00 |
$331.50
|
|
CT t-spine w /wo contrast
|
$3,920.40 |
$3,920.40 |
$3,920.40 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,343.00 |
$2,343.00 |
$2,343.00 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$2,133.60 |
$2,133.60 |
$2,133.60 |
$1,430.20
|
|
Culture aerobic additional method definitive id each
|
$110.40 |
$110.40 |
$110.40 |
$68.64
|
|
Culture afb any source
|
$176.40 |
$176.40 |
$176.40 |
$109.20
|
|
Culture anaerobic except blood
|
$184.20 |
$184.20 |
$184.20 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$28.80 |
$28.80 |
$28.80 |
$51.45
|
|
Culture body fluid
|
$124.20 |
$124.20 |
$124.20 |
$126.75
|
|
Culture fungi skin/hair/nail
|
$309.60 |
$309.60 |
$309.60 |
$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
|
|
Cv stress test i&r only 93018
|
$136.20 |
$136.20 |
$136.20 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$79.80 |
$79.80 |
$79.80 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$90.60 |
$90.60 |
$90.60 |
$70.72
|
|
Cyclophosphamide 25 mg capsule
|
$46.20 |
$46.20 |
$46.20 |
$19.49
|
|
Cystatin c
|
$130.20 |
$130.20 |
$130.20 |
$77.50
|
|
Cystine urine quantitative
|
$411.00 |
$411.00 |
$411.00 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$294.60 |
$294.60 |
$294.60 |
$542.10
|
|
Cystorrhaphy wound simple 51860
|
$1,407.00 |
$1,407.00 |
$1,407.00 |
$5,855.00
|
|
Cystostomy cystotomy w/drainage 51040
|
$1,112.40 |
$1,112.40 |
$1,112.40 |
$3,863.60
|
|
Cytomegalovirus (cmv) antibody igg
|
$40.20 |
$40.20 |
$40.20 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$100.80 |
$100.80 |
$100.80 |
$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
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$108.60 |
$108.60 |
$108.60 |
$87.50
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$102.60 |
$102.60 |
$102.60 |
$209.23
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$116.40 |
$116.40 |
$116.40 |
$168.53
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$26,504.40 |
$26,504.40 |
$26,504.40 |
$21,063.03
|
|
Dch glucoscan
|
$30.00 |
$30.00 |
$30.00 |
$28.10
|
|
Dch validity tests
|
$35.40 |
$35.40 |
$35.40 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$11.40 |
$11.40 |
$11.40 |
$43.60
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$66.60 |
$66.60 |
$66.60 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$178.80 |
$178.80 |
$178.80 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$1,589.40 |
$1,589.40 |
$1,589.40 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$542.40 |
$542.40 |
$542.40 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,589.40 |
$1,589.40 |
$1,589.40 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$542.40 |
$542.40 |
$542.40 |
$810.50
|
|
Debride nail6 or more 11721
|
$265.80 |
$265.80 |
$265.80 |
$169.60
|
|
Debride skn/sq/musc/abd wall 11004
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,683.60 |
$1,683.60 |
$1,683.60 |
$1,820.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$542.40 |
$542.40 |
$542.40 |
$639.60
|
|
Debrid mastoidectomy cavity simple 69220
|
$75.00 |
$75.00 |
$75.00 |
$235.13
|
|
Debr musc/fascia 20sq cm/< 11043
|
$542.40 |
$542.40 |
$542.40 |
$1,160.00
|
|
Decalcification
|
$17.40 |
$17.40 |
$17.40 |
$68.90
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$452.40 |
$452.40 |
$452.40 |
$543.00
|
