|
Cltx mndblr fx w/mnpj
|
$1,857.20 |
$1,857.20 |
$1,857.20 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$1,350.10 |
$1,350.10 |
$1,350.10 |
$3,986.00
|
|
Cltx palatal/max fx wire fix
|
$1,970.55 |
$1,970.55 |
$1,970.55 |
$4,377.24
|
|
Cltx post ankle fx
|
$580.35 |
$580.35 |
$580.35 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$2,771.10 |
$2,771.10 |
$2,771.10 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$817.85 |
$817.85 |
$817.85 |
$2,021.04
|
|
Cltx strnclav dislc w/mnpj
|
$708.60 |
$708.60 |
$708.60 |
$619.30
|
|
Cltx tmprmand dislc comp
|
$2,182.45 |
$2,182.45 |
$2,182.45 |
$3,740.85
|
|
#cmvcul-virus inoculation shell
|
$179.50 |
$179.50 |
$179.50 |
$89.76
|
|
Cmv pcr-sendout
|
$133.30 |
$133.30 |
$133.30 |
$175.70
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$332.00 |
$332.00 |
$332.00 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$198.45 |
$198.45 |
$198.45 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$202.45 |
$202.45 |
$202.45 |
$155.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,630.45 |
$1,630.45 |
$1,630.45 |
$3,907.93
|
|
Compatibility test each unit antiglobulin technique
|
$265.90 |
$265.90 |
$265.90 |
$173.50
|
|
Compatibility test each unit electronic
|
$339.15 |
$339.15 |
$339.15 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$175.50 |
$175.50 |
$175.50 |
$169.52
|
|
Complement antigen each component c3
|
$103.80 |
$103.80 |
$103.80 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$676.20 |
$676.20 |
$676.20 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$732.85 |
$732.85 |
$732.85 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$782.75 |
$782.75 |
$782.75 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$939.45 |
$939.45 |
$939.45 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$399.85 |
$399.85 |
$399.85 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$713.95 |
$713.95 |
$713.95 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$882.70 |
$882.70 |
$882.70 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$676.20 |
$676.20 |
$676.20 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$676.20 |
$676.20 |
$676.20 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$676.20 |
$676.20 |
$676.20 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$676.20 |
$676.20 |
$676.20 |
$537.00
|
|
Comprehensive hearing test
|
$288.80 |
$288.80 |
$288.80 |
$261.46
|
|
Compression stocking bk18-30
|
$90.00 |
$90.00 |
$90.00 |
$62.88
|
|
Concentration infection agents any type
|
$162.90 |
$162.90 |
$162.90 |
$51.32
|
|
Conditioning play audiometry 92582
|
$206.55 |
$206.55 |
$206.55 |
$189.15
|
|
Condylomata destruction 56420
|
$473.75 |
$473.75 |
$473.75 |
$467.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,188.40 |
$2,188.40 |
$2,188.40 |
$860.00
|
|
Connect omega .5mm
|
$248.19 |
$248.19 |
$248.19 |
$1,260.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$141.00 |
$141.00 |
$141.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$320.00 |
$320.00 |
$320.00 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$474.00 |
$474.00 |
$474.00 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$537.20 |
$537.20 |
$537.20 |
$176.28
|
|
Consult comp w/report rfrd material
|
$682.00 |
$682.00 |
$682.00 |
$374.40
|
|
Contact layer >16<= 48 sq in
|
$35.15 |
$35.15 |
$35.15 |
$36.17
|
|
Contrast x-ray of ankle
|
$1,025.75 |
$1,025.75 |
$1,025.75 |
$684.00
|
|
Contrast x-ray of elbow
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$708.00
|
|
Contrast x-ray of hip
|
$1,568.35 |
$1,568.35 |
$1,568.35 |
$796.38
|
|
Contrast x-ray of knee joint
|
$975.80 |
$975.80 |
$975.80 |
$790.50
|
|
Contrast x-ray of wrist
|
$877.25 |
$877.25 |
$877.25 |
$667.50
|
|
Control nosebleed pack+caut 30905
|
$500.75 |
$500.75 |
$500.75 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$462.90 |
$462.90 |
$462.90 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$325.25 |
$325.25 |
$325.25 |
$352.80
|
|
Coombs direct
|
$125.55 |
$125.55 |
$125.55 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$44.05 |
$44.05 |
$44.05 |
$107.25
|
|
Coombs indirect titer reference
|
$231.05 |
$231.05 |
$231.05 |
$156.71
|
|
Copper intrauterine device
|
$4,960.24 |
$4,960.24 |
$4,960.24 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,455.10 |
$2,455.10 |
$2,455.10 |
$2,904.48
|
|
Coronary thrombolysis/iv infusion 92977
|
$809.85 |
$809.85 |
$809.85 |
$484.37
|
|
Correction trichiasis epilation forcep 67820
|
$260.45 |
$260.45 |
$260.45 |
$176.00
|
|
Cortisol acth stimulation test - sendout
|
$383.30 |
$383.30 |
$383.30 |
$146.25
|
|
Cortisol total am
|
$194.75 |
$194.75 |
$194.75 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$648.52 |
$648.52 |
$648.52 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$421.15 |
$421.15 |
$421.15 |
$112.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$50.00 |
$50.00 |
$50.00 |
$49.13
|
|
Covid-19 lab test non-cdc
|
$107.00 |
$107.00 |
$107.00 |
$82.40
|
|
#covid19rsv-rsv
|
$187.50 |
$187.50 |
$187.50 |
$145.60
|
|
CPAP or BiPAP Setup (first day)
|
$684.25 |
$684.25 |
$684.25 |
$584.50
|
|
C-peptide
|
$183.55 |
$183.55 |
$183.55 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,537.30 |
$1,537.30 |
$1,537.30 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$86.00 |
$86.00 |
$86.00 |
$1,330.02
|
|
C-reactive protein
|
$163.30 |
$163.30 |
$163.30 |
$69.36
|
|
C-reactive protein high sensitivity
|
$95.60 |
$95.60 |
$95.60 |
$85.50
|
|
Creatine kinase
|
$89.10 |
$89.10 |
$89.10 |
$66.30
|
|
Creatine kinase isoenzymes
|
$21.30 |
$21.30 |
$21.30 |
$56.20
|
|
Creatine kinase mb
|
$198.45 |
$198.45 |
$198.45 |
$113.63
|
|
Creatinine
|
$29.70 |
$29.70 |
$29.70 |
$46.20
|
|
Creatinine 24 hour urine
|
$38.80 |
$38.80 |
$38.80 |
$57.85
|
|
Creatinine clearance urine
|
$198.45 |
$198.45 |
$198.45 |
$90.26
|
|
#creutz-prot.,western blot
|
$274.30 |
$274.30 |
$274.30 |
$163.50
|
|
Crisis psychotherapy 90839
|
$281.70 |
$281.70 |
$281.70 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$134.05 |
$134.05 |
$134.05 |
$149.52
|
|
Critical care each additional 30 minutes
|
$265.90 |
$265.90 |
$265.90 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$592.50 |
$592.50 |
$592.50 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$61.85 |
$61.85 |
$61.85 |
$52.50
|
|
Cryoprecipitate each unit
|
$182.25 |
$182.25 |
$182.25 |
$144.78
|
|
Crystal identification light microscopy
|
$83.75 |
$83.75 |
$83.75 |
$66.43
|
|
Csf leakage imaging
|
$3,638.75 |
$3,638.75 |
$3,638.75 |
$1,564.11
|
|
Csf ventriculography
|
$1,243.00 |
$1,243.00 |
$1,243.00 |
$877.00
|
|
CT 3d report other modality w/workstation
|
$213.20 |
$213.20 |
$213.20 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,803.25 |
$2,803.25 |
$2,803.25 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,725.10 |
$3,725.10 |
$3,725.10 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,371.60 |
$3,371.60 |
$3,371.60 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,725.10 |
$3,725.10 |
$3,725.10 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,630.70 |
$3,630.70 |
$3,630.70 |
$1,915.30
|
|
CT Angiogram of the Head
|
$3,038.15 |
$3,038.15 |
$3,038.15 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,542.95 |
$3,542.95 |
$3,542.95 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,214.85 |
$2,214.85 |
$2,214.85 |
$1,428.68
|
|
CT angio pelvis
|
$2,765.50 |
$2,765.50 |
$2,765.50 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,490.20 |
$2,490.20 |
$2,490.20 |
$1,691.30
|
|
CT colonography dx
|
$1,446.85 |
$1,446.85 |
$1,446.85 |
$811.41
|
|
CT colonography dx w/dye
|
$1,587.20 |
$1,587.20 |
$1,587.20 |
$1,069.25
|
|
CT colonography screening
|
$1,446.85 |
$1,446.85 |
$1,446.85 |
$1,084.20
|
