|
Consultation pathology during surgery frozen section each additional block
|
$135.65 |
$135.65 |
$135.65 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$191.65 |
$191.65 |
$191.65 |
$226.50
|
|
Consultation/report referred slides prepared elsewhere
|
$318.70 |
$318.70 |
$318.70 |
$176.28
|
|
Contrast x-ray gallbladder
|
$677.35 |
$677.35 |
$677.35 |
$341.00
|
|
Contrast x-ray of hip
|
$1,978.85 |
$1,978.85 |
$1,978.85 |
$796.38
|
|
Contrast x-ray of wrist
|
$1,523.70 |
$1,523.70 |
$1,523.70 |
$667.50
|
|
Control of nosebleed ant comp 30903
|
$184.15 |
$184.15 |
$184.15 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$275.00 |
$275.00 |
$275.00 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$621.45 |
$621.45 |
$621.45 |
$620.00
|
|
Coombs direct
|
$139.70 |
$139.70 |
$139.70 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$25.80 |
$25.80 |
$25.80 |
$107.25
|
|
Coombs indirect titer reference
|
$133.05 |
$133.05 |
$133.05 |
$156.71
|
|
Core ndl bx lng/med perq
|
$2,661.00 |
$2,661.00 |
$2,661.00 |
$2,904.48
|
|
Coronary thrombolysis/iv infusion 92977
|
$437.20 |
$437.20 |
$437.20 |
$484.37
|
|
Cortisol acth stimulation test - sendout
|
$513.60 |
$513.60 |
$513.60 |
$146.25
|
|
Cortisol total am
|
$270.15 |
$270.15 |
$270.15 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$144.85 |
$144.85 |
$144.85 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$102.95 |
$102.95 |
$102.95 |
$54.60
|
|
Covid-19 administration immunization im inj 1st/only component
|
$50.00 |
$50.00 |
$50.00 |
$49.13
|
|
#covid19rsv-rsv
|
$87.70 |
$87.70 |
$87.70 |
$145.60
|
|
CPAP or BiPAP Setup (first day)
|
$736.75 |
$736.75 |
$736.75 |
$584.50
|
|
C-peptide
|
$135.65 |
$135.65 |
$135.65 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$538.65 |
$538.65 |
$538.65 |
$777.71
|
|
C-reactive protein
|
$147.75 |
$147.75 |
$147.75 |
$69.36
|
|
C-reactive protein high sensitivity
|
$93.15 |
$93.15 |
$93.15 |
$85.50
|
|
Creatine kinase
|
$165.00 |
$165.00 |
$165.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$33.50 |
$33.50 |
$33.50 |
$56.20
|
|
Creatine kinase mb
|
$300.75 |
$300.75 |
$300.75 |
$113.63
|
|
Creatinine
|
$95.80 |
$95.80 |
$95.80 |
$46.20
|
|
Creatinine 24 hour urine
|
$62.05 |
$62.05 |
$62.05 |
$57.85
|
|
Creatinine clearance urine
|
$223.60 |
$223.60 |
$223.60 |
$90.26
|
|
#creutz-prot.,western blot
|
$314.35 |
$314.35 |
$314.35 |
$163.50
|
|
Critical care each additional 30 minutes
|
$1,227.45 |
$1,227.45 |
$1,227.45 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,569.15 |
$1,569.15 |
$1,569.15 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$50.40 |
$50.40 |
$50.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$355.30 |
$355.30 |
$355.30 |
$144.78
|
|
Crystal identification light microscopy
|
$54.55 |
$54.55 |
$54.55 |
$66.43
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,901.10 |
$1,901.10 |
$1,901.10 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,647.60 |
$1,647.60 |
$1,647.60 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,647.60 |
$1,647.60 |
$1,647.60 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,154.60 |
$2,154.60 |
$2,154.60 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,774.40 |
$1,774.40 |
$1,774.40 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,539.95 |
$1,539.95 |
$1,539.95 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,577.90 |
$1,577.90 |
$1,577.90 |
$1,881.75
|
|
CT angio pelvis
|
$1,647.60 |
$1,647.60 |
$1,647.60 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,774.40 |
$1,774.40 |
$1,774.40 |
$1,691.30
|
|
CT guidance for needle placement
|
$1,520.90 |
$1,520.90 |
$1,520.90 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$253.45 |
$253.45 |
$253.45 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$556.30 |
$556.30 |
$556.30 |
$2,039.76
|
|
CT lwr extremity w/o&w/dye
|
$2,395.45 |
$2,395.45 |
$2,395.45 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$128.40 |
$128.40 |
$128.40 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,901.10 |
$1,901.10 |
$1,901.10 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,837.75 |
$1,837.75 |
$1,837.75 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,267.40 |
$1,267.40 |
$1,267.40 |
$2,272.00
|
|
Culture aerobic additional method definitive id each
|
$105.20 |
$105.20 |
$105.20 |
$72.00
|
|
Culture afb any source
|
$141.00 |
$141.00 |
$141.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$87.70 |
$87.70 |
$87.70 |
$84.76
|
|
Culture anaerobic except blood
|
$266.20 |
$266.20 |
$266.20 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$37.25 |
$37.25 |
$37.25 |
$52.50
|
|
Culture body fluid
|
$136.45 |
$136.45 |
$136.45 |
$126.75
|
|
Culture fungi definitive id mold
|
$26.85 |
$26.85 |
$26.85 |
$80.00
|
|
Culture fungi definitive id yeast
|
$53.25 |
$53.25 |
$53.25 |
$80.00
|
|
Culture fungi other (except blood)
|
$165.00 |
$165.00 |
$165.00 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$220.95 |
$220.95 |
$220.95 |
$74.75
|
|
Culture quantitative aerobic other source
|
$288.80 |
$288.80 |
$288.80 |
$87.02
|
|
Culture screening strep group a
|
$85.10 |
$85.10 |
$85.10 |
$84.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$87.75 |
$87.75 |
$87.75 |
$140.80
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$48.64 |
$48.64 |
$48.64 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$232.85 |
$232.85 |
$232.85 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$1,796.53 |
$1,796.53 |
$1,796.53 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$206.30 |
$206.30 |
$206.30 |
$130.40
|
|
Cystatin c
|
$48.15 |
$48.15 |
$48.15 |
$77.60
|
|
Cystine urine quantitative
|
$173.40 |
$173.40 |
$173.40 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$2,227.75 |
$2,227.75 |
$2,227.75 |
$586.95
|
|
Cystostomy cystotomy w/drainage 51040
|
$4,820.40 |
$4,820.40 |
$4,820.40 |
$4,129.45
|
|
Cytogenetics 25-99
|
$427.20 |
$427.20 |
$427.20 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$546.95 |
$546.95 |
$546.95 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$259.55 |
$259.55 |
$259.55 |
$100.00
|
|
Cyto/molecular report
|
$150.30 |
$150.30 |
$150.30 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$147.75 |
$147.75 |
$147.75 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$33.35 |
$33.35 |
$33.35 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$141.00 |
$141.00 |
$141.00 |
$87.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$163.65 |
$163.65 |
$163.65 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$730.65 |
$730.65 |
$730.65 |
$213.85
|
|
Cytopath smear other source
|
$98.50 |
$98.50 |
$98.50 |
$92.50
|
|
Dalbavancin 500 mg intravenous solution
|
$2,181.75 |
$2,181.75 |
$2,181.75 |
$3,493.11
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$563.39 |
$563.39 |
$563.39 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$4,745.79 |
$4,745.79 |
$4,745.79 |
$6,281.29
|
|
Dch glucoscan
|
$10.65 |
$10.65 |
$10.65 |
$29.16
|
|
Dch validity tests
|
$18.35 |
$18.35 |
$18.35 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$15.25 |
$15.25 |
$15.25 |
$43.35
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$95.85 |
$95.85 |
$95.85 |
$668.55
|
|
Debridement (>20 cm) charge pt
|
$582.95 |
$582.95 |
$582.95 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$2,347.90 |
$2,347.90 |
$2,347.90 |
$2,320.80
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$2,347.90 |
$2,347.90 |
$2,347.90 |
$1,388.00
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$744.75 |
$744.75 |
$744.75 |
$835.20
|
|
Debride nail1-5 11720
|
$215.30 |
$215.30 |
$215.30 |
$149.60
|
|
Debride nail6 or more 11721
|
$239.30 |
$239.30 |
$239.30 |
$169.80
|
|
Debride skin bone at fx site
|
$1,040.25 |
$1,040.25 |
$1,040.25 |
$3,015.00
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$744.75 |
$744.75 |
$744.75 |
$663.30
|