|
Clearance of airways
|
$45.24 |
$45.24 |
$45.24 |
$208.86
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$83.07 |
$83.07 |
$83.07 |
$55.20
|
|
Clofarabine 1 mg/ml intravenous solution
|
$3,655.24 |
$3,655.24 |
$3,655.24 |
$4,784.71
|
|
Closed tx humerus fx w/manip 24505
|
$952.64 |
$952.64 |
$952.64 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$157.04 |
$157.04 |
$157.04 |
$376.96
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$266.76 |
$266.76 |
$266.76 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$1,350.96 |
$1,350.96 |
$1,350.96 |
$2,326.08
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$157.04 |
$157.04 |
$157.04 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$544.44 |
$544.44 |
$544.44 |
$476.80
|
|
Clsd tx/clavicular fx without manip 23500
|
$124.80 |
$124.80 |
$124.80 |
$448.80
|
|
Clsd tx elbow dislocation child 24640
|
$157.04 |
$157.04 |
$157.04 |
$462.80
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$163.28 |
$163.28 |
$163.28 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$163.28 |
$163.28 |
$163.28 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$952.64 |
$952.64 |
$952.64 |
$1,656.90
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,625.52 |
$1,625.52 |
$1,625.52 |
$1,571.25
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$157.04 |
$157.04 |
$157.04 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$163.28 |
$163.28 |
$163.28 |
$606.00
|
|
Clsd tx patella disloc without anes 27560
|
$124.80 |
$124.80 |
$124.80 |
$566.72
|
|
Clsd tx pelvic ring fx
|
$167.44 |
$167.44 |
$167.44 |
$416.35
|
|
Clsd tx pelvic ring fx
|
$167.44 |
$167.44 |
$167.44 |
$660.40
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$952.64 |
$952.64 |
$952.64 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,220.92 |
$2,220.92 |
$2,220.92 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$306.28 |
$306.28 |
$306.28 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$124.80 |
$124.80 |
$124.80 |
$400.00
|
|
Cltx carpl scphd fx w/mnpj
|
$2,327.52 |
$2,327.52 |
$2,327.52 |
$1,893.86
|
|
Cltx lunate dislc w/mnpj
|
$2,420.60 |
$2,420.60 |
$2,420.60 |
$2,437.00
|
|
Cold agglutinin titer
|
$42.64 |
$42.64 |
$42.64 |
$50.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$237.64 |
$237.64 |
$237.64 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$14.56 |
$14.56 |
$14.56 |
$21.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,770.48 |
$4,770.48 |
$4,770.48 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$150.80 |
$150.80 |
$150.80 |
$170.05
|
|
Compatibility test each unit immediate spin technique
|
$176.80 |
$176.80 |
$176.80 |
$169.52
|
|
Complement antigen each component c3
|
$309.92 |
$309.92 |
$309.92 |
$108.55
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$481.52 |
$481.52 |
$481.52 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$261.56 |
$261.56 |
$261.56 |
$1,194.25
|
|
Complx repair fccmnaxghf 13131
|
$380.12 |
$380.12 |
$380.12 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$380.12 |
$380.12 |
$380.12 |
$1,107.60
|
|
Concentration infection agents any type
|
$79.56 |
$79.56 |
$79.56 |
$49.95
|
|
Condylomata destruction 56420
|
$143.52 |
$143.52 |
$143.52 |
$469.00
|
|
Consultation/report referred slides prepared elsewhere
|
$135.72 |
$135.72 |
$135.72 |
$171.65
|
|
Contrast baths charges
|
$82.68 |
$82.68 |
$82.68 |
$70.50
|
|
Control nosebleed pack+caut 30905
|
$98.28 |
$98.28 |
$98.28 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$154.44 |
$154.44 |
$154.44 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$75.92 |
$75.92 |
$75.92 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$195.00 |
$195.00 |
$195.00 |
$634.80
|
|
Coombs direct
|
$88.92 |
$88.92 |
$88.92 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$17.16 |
$17.16 |
$17.16 |
$102.90
|
|
Coombs indirect titer reference
|
$45.76 |
$45.76 |
$45.76 |
$146.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$171.60 |
$171.60 |
$171.60 |
$476.00
|
|
Cortisol total am
|
$48.88 |
$48.88 |
$48.88 |
$120.63
|
|
Co-treatment - group 15 mins, st
|
$98.28 |
$98.28 |
$98.28 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$61.36 |
$61.36 |
$61.36 |
$55.90
|
|
Covid-19 administration immunization im inj 1st/only component
|
$67.60 |
$67.60 |
$67.60 |
$49.13
|
|
Covid-19 convalescent plasma
|
$1,316.12 |
$1,316.12 |
$1,316.12 |
$582.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$821.08 |
$821.08 |
$821.08 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$821.08 |
$821.08 |
$821.08 |
$551.64
|
|
Covid-19 lab test non-cdc
|
$96.72 |
$96.72 |
$96.72 |
$80.50
|
|
#coxa-coxsackie a serotype a16
|
$18.20 |
$18.20 |
$18.20 |
$60.00
|
|
C-peptide
|
$35.88 |
$35.88 |
$35.88 |
$97.30
|
|
C-reactive protein
|
$16.64 |
$16.64 |
$16.64 |
$68.38
|
|
C-reactive protein high sensitivity
|
$26.00 |
$26.00 |
$26.00 |
$85.00
|
|
Creatine kinase
|
$34.84 |
$34.84 |
$34.84 |
$66.30
|
|
Creatine kinase mb
|
$53.04 |
$53.04 |
$53.04 |
$114.00
|
|
Creatinine
|
$34.84 |
$34.84 |
$34.84 |
$44.72
|
|
Creatinine 24 hour urine
|
$49.92 |
$49.92 |
$49.92 |
$58.85
|
|
Creatinine clearance urine
|
$28.60 |
$28.60 |
$28.60 |
$89.50
|
|
Critical care 30-74 minutes
|
$469.56 |
$469.56 |
$469.56 |
$2,505.60
|
|
Cryptosporidium antigen
|
$22.88 |
$22.88 |
$22.88 |
$52.08
|
|
Crystal identification light microscopy
|
$16.64 |
$16.64 |
$16.64 |
$62.50
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,088.88 |
$1,088.88 |
$1,088.88 |
$1,940.00
|
|
Cta neck without &/or w/contrast
|
$2,182.96 |
$2,182.96 |
$2,182.96 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,565.72 |
$1,565.72 |
$1,565.72 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$982.28 |
$982.28 |
$982.28 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,182.96 |
$2,182.96 |
$2,182.96 |
$1,996.80
|
|
CT bone density axial
|
$420.68 |
$420.68 |
$420.68 |
$387.62
|
|
CT heart w/evaluation of calcium without contrast
|
$139.88 |
$139.88 |
$139.88 |
$171.60
|
|
CT lower extremity w/contrast (both sides)
|
$833.56 |
$833.56 |
$833.56 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$833.56 |
$833.56 |
$833.56 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$853.84 |
$853.84 |
$853.84 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$982.28 |
$982.28 |
$982.28 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$939.12 |
$939.12 |
$939.12 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$853.84 |
$853.84 |
$853.84 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,005.12 |
$2,005.12 |
$2,005.12 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$524.16 |
$524.16 |
$524.16 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,565.72 |
$1,565.72 |
$1,565.72 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,351.48 |
$1,351.48 |
$1,351.48 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,281.28 |
$1,281.28 |
$1,281.28 |
$2,370.63
|
|
CT thoracic spine without contrast
|
$960.44 |
$960.44 |
$960.44 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$115.44 |
$115.44 |
$115.44 |
$331.50
|
|
CT upper extremity w/contrast (both sides)
|
$833.56 |
$833.56 |
$833.56 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$833.56 |
$833.56 |
$833.56 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$853.84 |
$853.84 |
$853.84 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$19.76 |
$19.76 |
$19.76 |
$68.64
|
|
Culture afb any source
|
$42.64 |
$42.64 |
$42.64 |
$109.20
|
|
Culture anaerobic except blood
|
$147.16 |
$147.16 |
$147.16 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$17.68 |
$17.68 |
$17.68 |
$51.45
|
|
Culture body fluid
|
$53.04 |
$53.04 |
$53.04 |
$126.75
|
|
Culture fungi definitive id yeast
|
$65.52 |
$65.52 |
$65.52 |
$79.10
|
|
Culture fungi other (except blood)
|
$135.20 |
$135.20 |
$135.20 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$15.08 |
$15.08 |
$15.08 |
$74.88
|