|
Colonoscopy (with polyp removal)
|
$1,137.06 |
$1,137.06 |
$1,137.06 |
$2,288.00
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$677.00 |
$677.00 |
$677.00 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,418.00 |
$3,418.00 |
$3,418.00 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$229.00 |
$229.00 |
$229.00 |
$314.00
|
|
Colposcopy vulva 56820
|
$236.00 |
$236.00 |
$236.00 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$338.00 |
$338.00 |
$338.00 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$405.00 |
$405.00 |
$405.00 |
$485.50
|
|
Compatibility test each unit antiglobulin technique
|
$212.00 |
$212.00 |
$212.00 |
$173.50
|
|
Compatibility test each unit electronic
|
$212.00 |
$212.00 |
$212.00 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$212.00 |
$212.00 |
$212.00 |
$169.52
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$102.00 |
$102.00 |
$102.00 |
$110.00
|
|
Complex cystometrogram 51726
|
$948.00 |
$948.00 |
$948.00 |
$727.35
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$448.00 |
$448.00 |
$448.00 |
$344.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$859.00 |
$859.00 |
$859.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$363.00 |
$363.00 |
$363.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$597.00 |
$597.00 |
$597.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$348.00 |
$348.00 |
$348.00 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$595.00 |
$595.00 |
$595.00 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$960.00 |
$960.00 |
$960.00 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$429.00 |
$429.00 |
$429.00 |
$537.00
|
|
Comprehensive hearing test
|
$466.00 |
$466.00 |
$466.00 |
$261.46
|
|
Concentration infection agents any type
|
$16.00 |
$16.00 |
$16.00 |
$51.32
|
|
Conditioning play audiometry 92582
|
$466.00 |
$466.00 |
$466.00 |
$189.15
|
|
Condylomata destruction 56420
|
$444.00 |
$444.00 |
$444.00 |
$467.35
|
|
Consultation pathology during surgery
|
$89.00 |
$89.00 |
$89.00 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$815.00 |
$815.00 |
$815.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$89.00 |
$89.00 |
$89.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$185.00 |
$185.00 |
$185.00 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$360.00 |
$360.00 |
$360.00 |
$224.83
|
|
Contrast exam abdominl aorta 75625-26
|
$6,377.00 |
$6,377.00 |
$6,377.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$7,607.00 |
$7,607.00 |
$7,607.00 |
$3,745.00
|
|
Control nosebleed pack+caut 30905
|
$351.00 |
$351.00 |
$351.00 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$424.00 |
$424.00 |
$424.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$356.00 |
$356.00 |
$356.00 |
$352.80
|
|
Conversion ext bil drg cath
|
$4,270.00 |
$4,270.00 |
$4,270.00 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$6,059.00 |
$6,059.00 |
$6,059.00 |
$2,777.60
|
|
Coombs direct
|
$90.00 |
$90.00 |
$90.00 |
$76.80
|
|
Coombs indirect titer reference
|
$87.00 |
$87.00 |
$87.00 |
$156.71
|
|
Core ndl bx lng/med perq
|
$2,963.00 |
$2,963.00 |
$2,963.00 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,369.00 |
$9,369.00 |
$9,369.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$10,595.00 |
$10,595.00 |
$10,595.00 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$12,002.00 |
$12,002.00 |
$12,002.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$6,544.00 |
$6,544.00 |
$6,544.00 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,688.00 |
$5,688.00 |
$5,688.00 |
$7,988.40
|
|
Cortisol acth stimulation test - sendout
|
$385.00 |
$385.00 |
$385.00 |
$146.25
|
|
Cortisol total am
|
$65.00 |
$65.00 |
$65.00 |
$121.20
|
|
Counseling smoke cess interm >10mins
|
$91.00 |
$91.00 |
$91.00 |
$54.60
|
|
Cov-19 amp prb hgh thruput
|
$217.50 |
$217.50 |
$217.50 |
$156.40
|
|
Covid-19 administration immunization im inj 1st/only component
|
$80.00 |
$80.00 |
$80.00 |
$49.13
|
|
CPAP or BiPAP Setup (first day)
|
$442.00 |
$442.00 |
$442.00 |
$584.50
|
|
C-peptide
|
$75.00 |
$75.00 |
$75.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$823.00 |
$823.00 |
$823.00 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$618.00 |
$618.00 |
$618.00 |
$1,330.02
|
|
C-reactive protein
|
$44.00 |
$44.00 |
$44.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$148.00 |
$148.00 |
$148.00 |
$85.50
|
|
Creatine kinase
|
$27.00 |
$27.00 |
$27.00 |
$66.30
|
|
Creatine kinase mb
|
$29.00 |
$29.00 |
$29.00 |
$113.63
|
|
Creatinine
|
$40.00 |
$40.00 |
$40.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$57.85
|
|
Creatinine clearance urine
|
$38.00 |
$38.00 |
$38.00 |
$90.26
|
|
Critical care each additional 30 minutes
|
$363.00 |
$363.00 |
$363.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$7,059.00 |
$7,059.00 |
$7,059.00 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$230.85 |
$230.85 |
$230.85 |
$144.78
|
|
Cryopreserve stem cells
|
$2,958.00 |
$2,958.00 |
$2,958.00 |
$2,666.50
|
|
Cryosurgery penis lesion(s) 54056
|
$598.00 |
$598.00 |
$598.00 |
$271.20
|
|
Crystal identification light microscopy
|
$104.00 |
$104.00 |
$104.00 |
$66.43
|
|
Csf shunt reprogram 62252
|
$538.00 |
$538.00 |
$538.00 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$1,162.00 |
$1,162.00 |
$1,162.00 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,789.00 |
$5,789.00 |
$5,789.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,008.00 |
$4,008.00 |
$4,008.00 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,624.00 |
$2,624.00 |
$2,624.00 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
$1,428.68
|
|
CT angio pelvis
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,691.30
|
|
CT colonography dx
|
$846.00 |
$846.00 |
$846.00 |
$811.41
|
|
CT colonography screening
|
$1,455.00 |
$1,455.00 |
$1,455.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,271.00 |
$2,271.00 |
$2,271.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$869.00 |
$869.00 |
$869.00 |
$1,215.06
|
|
CT guid parench tis ablat
|
$3,426.00 |
$3,426.00 |
$3,426.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$150.00 |
$150.00 |
$150.00 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$881.00 |
$881.00 |
$881.00 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$2,687.00 |
$2,687.00 |
$2,687.00 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$314.00 |
$314.00 |
$314.00 |
$422.80
|
|
CT scan for therapy guide
|
$1,727.00 |
$1,727.00 |
$1,727.00 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,203.00 |
$4,203.00 |
$4,203.00 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,521.00 |
$3,521.00 |
$3,521.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$75.00 |
$75.00 |
$75.00 |
$72.00
|
