|
Colposcopy w/biopsy of cervix 57455
|
$355.00 |
$355.00 |
$355.00 |
$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
|
$1,685.00 |
$1,685.00 |
$1,685.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$102.00 |
$102.00 |
$102.00 |
$110.00
|
|
Complex cystometrogram 51726
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$727.35
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$403.00 |
$403.00 |
$403.00 |
$344.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$879.00 |
$879.00 |
$879.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$335.00 |
$335.00 |
$335.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$663.00 |
$663.00 |
$663.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,006.00 |
$1,006.00 |
$1,006.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$338.00 |
$338.00 |
$338.00 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$549.00 |
$549.00 |
$549.00 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$477.00 |
$477.00 |
$477.00 |
$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
|
$449.00 |
$449.00 |
$449.00 |
$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
|
$5,545.00 |
$5,545.00 |
$5,545.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$6,615.00 |
$6,615.00 |
$6,615.00 |
$3,745.00
|
|
Control nosebleed pack+caut 30905
|
$323.00 |
$323.00 |
$323.00 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$432.00 |
$432.00 |
$432.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$330.00 |
$330.00 |
$330.00 |
$352.80
|
|
Conversion ext bil drg cath
|
$3,843.00 |
$3,843.00 |
$3,843.00 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$5,453.00 |
$5,453.00 |
$5,453.00 |
$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
|
$3,292.00 |
$3,292.00 |
$3,292.00 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$10,410.00 |
$10,410.00 |
$10,410.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$11,772.00 |
$11,772.00 |
$11,772.00 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$13,335.00 |
$13,335.00 |
$13,335.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$7,271.00 |
$7,271.00 |
$7,271.00 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,320.00 |
$6,320.00 |
$6,320.00 |
$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
|
$83.00 |
$83.00 |
$83.00 |
$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)
|
$480.00 |
$480.00 |
$480.00 |
$584.50
|
|
C-peptide
|
$75.00 |
$75.00 |
$75.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$741.00 |
$741.00 |
$741.00 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$560.00 |
$560.00 |
$560.00 |
$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
|
$365.00 |
$365.00 |
$365.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$6,597.00 |
$6,597.00 |
$6,597.00 |
$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
|
$664.00 |
$664.00 |
$664.00 |
$271.20
|
|
Crystal identification light microscopy
|
$104.00 |
$104.00 |
$104.00 |
$66.43
|
|
Csf shunt reprogram 62252
|
$535.00 |
$535.00 |
$535.00 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$1,010.00 |
$1,010.00 |
$1,010.00 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,410.00 |
$5,410.00 |
$5,410.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,289.00 |
$4,289.00 |
$4,289.00 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,555.00 |
$1,555.00 |
$1,555.00 |
$1,428.68
|
|
CT angio pelvis
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$1,691.30
|
|
CT colonography dx
|
$791.00 |
$791.00 |
$791.00 |
$811.41
|
|
CT colonography screening
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,430.00 |
$2,430.00 |
$2,430.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$782.00 |
$782.00 |
$782.00 |
$1,215.06
|
|
CT guid parench tis ablat
|
$3,202.00 |
$3,202.00 |
$3,202.00 |
$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
|
$1,555.00 |
$1,555.00 |
$1,555.00 |
$1,395.79
|
|
CT hrt w/3d image
|
$2,018.00 |
$2,018.00 |
$2,018.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$943.00 |
$943.00 |
$943.00 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$2,511.00 |
$2,511.00 |
$2,511.00 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$323.00 |
$323.00 |
$323.00 |
$422.80
|
|
CT scan for therapy guide
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,497.00 |
$4,497.00 |
$4,497.00 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,767.00 |
$3,767.00 |
$3,767.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,431.00 |
$2,431.00 |
$2,431.00 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$75.00 |
$75.00 |
$75.00 |
$72.00
|
|
Culture afb any source
|
$72.00 |
$72.00 |
$72.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$86.00 |
$86.00 |
$86.00 |
$84.76
|
|
Culture anaerobic except blood
|
$63.00 |
$63.00 |
$63.00 |
$121.22
|
|
Culture body fluid
|
$58.00 |
$58.00 |
$58.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$91.00 |
$91.00 |
$91.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$68.00 |
$68.00 |
$68.00 |
$80.00
|
