|
Compatibility test each unit antiglobulin technique
|
$48.00 |
$48.00 |
$48.00 |
$173.50
|
|
Compatibility test each unit electronic
|
$39.00 |
$39.00 |
$39.00 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$132.00 |
$132.00 |
$132.00 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$360.00 |
$360.00 |
$360.00 |
$985.00
|
|
Complement antigen each component c3
|
$110.00 |
$110.00 |
$110.00 |
$110.00
|
|
Complex cystometrogram 51726
|
$279.00 |
$279.00 |
$279.00 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$792.00 |
$792.00 |
$792.00 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$967.00 |
$967.00 |
$967.00 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$10.00 |
$10.00 |
$10.00 |
$344.68
|
|
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
|
$209.00 |
$209.00 |
$209.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,093.00 |
$1,093.00 |
$1,093.00 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$317.00 |
$317.00 |
$317.00 |
$508.44
|
|
Concentration infection agents any type
|
$50.00 |
$50.00 |
$50.00 |
$51.32
|
|
Condylomata destruction 56420
|
$312.00 |
$312.00 |
$312.00 |
$467.35
|
|
Consultation pathology during surgery cytological exam initial site
|
$859.00 |
$859.00 |
$859.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$94.00 |
$94.00 |
$94.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$195.00 |
$195.00 |
$195.00 |
$226.50
|
|
Contrast exam abdominl aorta 75625-26
|
$4,136.00 |
$4,136.00 |
$4,136.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$4,178.00 |
$4,178.00 |
$4,178.00 |
$3,745.00
|
|
Control nosebleed pack+caut 30905
|
$289.00 |
$289.00 |
$289.00 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$321.00 |
$321.00 |
$321.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$289.00 |
$289.00 |
$289.00 |
$352.80
|
|
Convert nephrostomy catheter
|
$1,983.00 |
$1,983.00 |
$1,983.00 |
$2,777.60
|
|
Coombs direct
|
$52.00 |
$52.00 |
$52.00 |
$76.80
|
|
Coombs indirect titer reference
|
$42.00 |
$42.00 |
$42.00 |
$156.71
|
|
Core ndl bx lng/med perq
|
$2,372.00 |
$2,372.00 |
$2,372.00 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$8,419.00 |
$8,419.00 |
$8,419.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$9,260.00 |
$9,260.00 |
$9,260.00 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$8,199.00 |
$8,199.00 |
$8,199.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$7,301.00 |
$7,301.00 |
$7,301.00 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,422.00 |
$6,422.00 |
$6,422.00 |
$7,988.40
|
|
Cortisol acth stimulation test - sendout
|
$241.00 |
$241.00 |
$241.00 |
$146.25
|
|
Cortisol total am
|
$176.00 |
$176.00 |
$176.00 |
$121.20
|
|
Counseling smoke cess interm >10mins
|
$62.00 |
$62.00 |
$62.00 |
$54.60
|
|
CPAP or BiPAP Setup (first day)
|
$430.00 |
$430.00 |
$430.00 |
$584.50
|
|
C-peptide
|
$74.00 |
$74.00 |
$74.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$770.00 |
$770.00 |
$770.00 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$1,330.02
|
|
C-reactive protein
|
$56.00 |
$56.00 |
$56.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$129.00 |
$129.00 |
$129.00 |
$85.50
|
|
Creatine kinase
|
$70.00 |
$70.00 |
$70.00 |
$66.30
|
|
Creatinine
|
$52.00 |
$52.00 |
$52.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$50.00 |
$50.00 |
$50.00 |
$57.85
|
|
Creatinine clearance urine
|
$94.00 |
$94.00 |
$94.00 |
$90.26
|
|
Critical care each additional 30 minutes
|
$527.00 |
$527.00 |
$527.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,814.00 |
$2,814.00 |
$2,814.00 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$58.00 |
$58.00 |
$58.00 |
$144.78
|
|
Crystal identification light microscopy
|
$32.00 |
$32.00 |
$32.00 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$401.00 |
$401.00 |
$401.00 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,223.00 |
$4,223.00 |
$4,223.00 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,298.00 |
$3,298.00 |
$3,298.00 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,978.00 |
$3,978.00 |
$3,978.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,917.00 |
$2,917.00 |
$2,917.00 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,726.00 |
$1,726.00 |
$1,726.00 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,564.00 |
$1,564.00 |
$1,564.00 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,618.00 |
$1,618.00 |
$1,618.00 |
$1,428.68
|
|
CT angio pelvis
|
$2,390.00 |
$2,390.00 |
$2,390.00 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$1,691.30
|
|
CT colonography dx
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$811.41
|
|
CT colonography screening
|
$2,221.00 |
$2,221.00 |
$2,221.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,573.00 |
$1,573.00 |
$1,573.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$1,215.06
|
|
CT guid parench tis ablat
|
$2,089.00 |
$2,089.00 |
$2,089.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$150.00 |
$150.00 |
$150.00 |
$150.00
|
|
CT hrt w/3d image
|
$1,907.00 |
$1,907.00 |
$1,907.00 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$305.00 |
$305.00 |
$305.00 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$2,378.00 |
$2,378.00 |
$2,378.00 |
$1,818.96
|
|
CT scan for therapy guide
|
$608.00 |
$608.00 |
$608.00 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,522.00 |
$4,522.00 |
$4,522.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,947.00 |
$2,947.00 |
$2,947.00 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$4,121.00 |
$4,121.00 |
$4,121.00 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$2,287.00 |
$2,287.00 |
$2,287.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$87.00 |
$87.00 |
$87.00 |
$72.00
|
|
Culture afb any source
|
$112.00 |
$112.00 |
$112.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$139.00 |
$139.00 |
$139.00 |
$84.76
|
|
Culture anaerobic except blood
|
$102.00 |
$102.00 |
$102.00 |
$121.22
|
|
Culture body fluid
|
$93.00 |
$93.00 |
$93.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$81.00 |
$81.00 |
$81.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$111.00 |
$111.00 |
$111.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$63.00 |
$63.00 |
$63.00 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$52.00 |
$52.00 |
$52.00 |
$74.75
|
|
Culture mycoplasma any source
|
$95.00 |
$95.00 |
$95.00 |
$83.21
|
|
Culture quantitative aerobic other source
|
$45.00 |
$45.00 |
$45.00 |
$87.02
|
|
Culture screening strep group a
|
$52.00 |
$52.00 |
$52.00 |
$84.60
|
|
Culture typing immunologic
|
$32.00 |
$32.00 |
$32.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$494.00 |
$494.00 |
$494.00 |
$408.37
|
|
Cyclic citrullinated peptide antibody
|
$72.00 |
$72.00 |
$72.00 |
$72.36
|
|
Cyclosporine 2 hour
|
$87.00 |
$87.00 |
$87.00 |
$130.40
|
|
Cystatin c
|
$62.00 |
$62.00 |
$62.00 |
$77.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$856.00 |
$856.00 |
$856.00 |
$586.95
|
|
Cystoscopy and treatment
|
$220.00 |
$220.00 |
$220.00 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$117.00 |
$117.00 |
$117.00 |
$1,493.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$102.00 |
$102.00 |
$102.00 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$137.00 |
$137.00 |
$137.00 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$308.00 |
$308.00 |
$308.00 |
$159.90
|
