|
Clsd tx temporomandibular dislocat 21480
|
$597.60 |
$597.60 |
$597.60 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$447.20 |
$447.20 |
$447.20 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$538.40 |
$538.40 |
$538.40 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,530.40 |
$1,530.40 |
$1,530.40 |
$1,592.00
|
|
Clsd tx wrist carpal fx without manip 25630
|
$396.80 |
$396.80 |
$396.80 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$455.20 |
$455.20 |
$455.20 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$652.00 |
$652.00 |
$652.00 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$438.40 |
$438.40 |
$438.40 |
$487.15
|
|
Cmv pcr-sendout
|
$86.40 |
$86.40 |
$86.40 |
$175.70
|
|
Cocaine 4 % nasal solution
|
$403.40 |
$403.40 |
$403.40 |
$630.04
|
|
Cold agglutinin titer
|
$133.60 |
$133.60 |
$133.60 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$422.40 |
$422.40 |
$422.40 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$88.00 |
$88.00 |
$88.00 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$43.20 |
$43.20 |
$43.20 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$92.80 |
$92.80 |
$92.80 |
$224.11
|
|
Collection blood specimen from completely implantable venous access device
|
$124.80 |
$124.80 |
$124.80 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$125.60 |
$125.60 |
$125.60 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$255.20 |
$255.20 |
$255.20 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$136.80 |
$136.80 |
$136.80 |
$169.52
|
|
Compatibility test incubate
|
$103.20 |
$103.20 |
$103.20 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$372.80 |
$372.80 |
$372.80 |
$985.00
|
|
Complement antigen each component c3
|
$136.80 |
$136.80 |
$136.80 |
$110.00
|
|
Complx repair fccmnaxghf 13132
|
$1,351.20 |
$1,351.20 |
$1,351.20 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$781.60 |
$781.60 |
$781.60 |
$521.16
|
|
Computed tomographic angiography head and neck with contrast
|
$3,008.00 |
$3,008.00 |
$3,008.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$89.60 |
$89.60 |
$89.60 |
$51.32
|
|
Conjugated estrogens 25 mg solution for injection
|
$619.00 |
$619.00 |
$619.00 |
$860.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$143.20 |
$143.20 |
$143.20 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$63.20 |
$63.20 |
$63.20 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$120.00 |
$120.00 |
$120.00 |
$226.50
|
|
Contrast baths charges
|
$110.40 |
$110.40 |
$110.40 |
$75.60
|
|
Control nosebleed pack+caut 30905
|
$360.80 |
$360.80 |
$360.80 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$237.60 |
$237.60 |
$237.60 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$307.20 |
$307.20 |
$307.20 |
$352.80
|
|
Coombs direct
|
$56.00 |
$56.00 |
$56.00 |
$76.80
|
|
Coombs indirect titer reference
|
$40.80 |
$40.80 |
$40.80 |
$156.71
|
|
Cortisol total am
|
$167.20 |
$167.20 |
$167.20 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$74.84 |
$74.84 |
$74.84 |
$189.22
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
$49.13
|
|
Covid-19 convalescent plasma
|
$906.40 |
$906.40 |
$906.40 |
$590.80
|
|
#covid19rsv-rsv
|
$171.20 |
$171.20 |
$171.20 |
$145.60
|
|
CPAP or BiPAP Setup (first day)
|
$922.40 |
$922.40 |
$922.40 |
$584.50
|
|
C-peptide
|
$112.00 |
$112.00 |
$112.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,293.60 |
$1,293.60 |
$1,293.60 |
$777.71
|
|
C-reactive protein
|
$116.00 |
$116.00 |
$116.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$148.00 |
$148.00 |
$148.00 |
$85.50
|
|
Creatine kinase
|
$120.80 |
$120.80 |
$120.80 |
$66.30
|
|
Creatine kinase isoenzymes
|
$232.00 |
$232.00 |
$232.00 |
$56.20
|
|
Creatine kinase mb
|
$179.20 |
$179.20 |
$179.20 |
$113.63
|
|
Creatinine
|
$85.60 |
$85.60 |
$85.60 |
$46.20
|
|
Creatinine 24 hour urine
|
$87.20 |
$87.20 |
$87.20 |
$57.85
|
|
Creatinine clearance urine
|
$133.60 |
$133.60 |
$133.60 |
$90.26
|
|
#creutz-prot.,western blot
|
$103.20 |
$103.20 |
$103.20 |
$163.50
|
|
Critical care each additional 30 minutes
|
$870.40 |
$870.40 |
$870.40 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,927.20 |
$2,927.20 |
$2,927.20 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$57.60 |
$57.60 |
$57.60 |
$52.50
|
|
Crystal identification light microscopy
|
$84.00 |
$84.00 |
$84.00 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$944.80 |
$944.80 |
$944.80 |
$661.13
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,780.00 |
$4,780.00 |
$4,780.00 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,599.20 |
$3,599.20 |
$3,599.20 |
$1,994.52
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,927.20 |
$2,927.20 |
$2,927.20 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$1,881.75
|
|
CT angio pelvis
|
$2,888.80 |
$2,888.80 |
$2,888.80 |
$1,806.60
|
|
CT lwr extremity w/o&w/dye
|
$2,359.20 |
$2,359.20 |
$2,359.20 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$425.60 |
$425.60 |
$425.60 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,261.60 |
$5,261.60 |
$5,261.60 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,656.00 |
$4,656.00 |
$4,656.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,885.60 |
$3,885.60 |
$3,885.60 |
$2,272.00
|
|
CT uppr extremity w/o&w/dye
|
$2,369.60 |
$2,369.60 |
$2,369.60 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$113.60 |
$113.60 |
$113.60 |
$72.00
|
|
Culture afb any source
|
$136.00 |
$136.00 |
$136.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$161.60 |
$161.60 |
$161.60 |
$84.76
|
|
Culture anaerobic except blood
|
$166.40 |
$166.40 |
$166.40 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$56.00 |
$56.00 |
$56.00 |
$52.50
|
|
Culture body fluid
|
$136.00 |
$136.00 |
$136.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$202.40 |
$202.40 |
$202.40 |
$80.00
|
|
Culture fungi definitive id yeast
|
$176.00 |
$176.00 |
$176.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$148.00 |
$148.00 |
$148.00 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$116.00 |
$116.00 |
$116.00 |
$74.75
|
|
Culture screening strep group a
|
$97.60 |
$97.60 |
$97.60 |
$84.60
|
|
Culture typing immunologic
|
$90.40 |
$90.40 |
$90.40 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$604.80 |
$604.80 |
$604.80 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$169.60 |
$169.60 |
$169.60 |
$140.80
|
|
Culture urine each isolate
|
$113.60 |
$113.60 |
$113.60 |
$55.50
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$60.69 |
$60.69 |
$60.69 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$173.60 |
$173.60 |
$173.60 |
$72.36
|
|
Cyclosporine 2 hour
|
$53.60 |
$53.60 |
$53.60 |
$130.40
|
|
Cystatin c
|
$99.20 |
$99.20 |
$99.20 |
$77.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$856.00 |
$856.00 |
$856.00 |
$586.95
|
|
Cystoscopy (Bladder Scope)
|
$3,840.80 |
$3,840.80 |
$3,840.80 |
$1,493.80
|
|
Cytogenetics 25-99
|
$103.20 |
$103.20 |
$103.20 |
$189.80
|
|
Cytogenetics 3-5
|
$99.20 |
$99.20 |
$99.20 |
$147.36
|
|
Cytomegalovirus (cmv) antibody igg
|
$149.60 |
$149.60 |
$149.60 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$149.60 |
$149.60 |
$149.60 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$154.40 |
$154.40 |
$154.40 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$108.00 |
$108.00 |
$108.00 |
$92.40
|
|
Cytopathology concentration technique smears & interpretation
|
$467.20 |
$467.20 |
$467.20 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$151.20 |
$151.20 |
$151.20 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$395.20 |
$395.20 |
$395.20 |
$191.66
|
