|
Contrast exam abdominl aorta 75625-26
|
$1,559.60 |
$1,559.60 |
$1,559.60 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$1,328.00 |
$1,328.00 |
$1,328.00 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$112.80 |
$112.80 |
$112.80 |
$350.22
|
|
Contrast x-ray of elbow
|
$263.20 |
$263.20 |
$263.20 |
$649.80
|
|
Contrast x-ray of hip
|
$241.00 |
$241.00 |
$241.00 |
$781.13
|
|
Contrast x-ray of knee joint
|
$250.60 |
$250.60 |
$250.60 |
$769.88
|
|
Contrast x-ray of wrist
|
$252.40 |
$252.40 |
$252.40 |
$639.00
|
|
Control nosebleed pack+caut 30905
|
$37.80 |
$37.80 |
$37.80 |
$396.00
|
|
Control of nosebleed ant comp 30903
|
$62.60 |
$62.60 |
$62.60 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$68.00 |
$68.00 |
$68.00 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$157.00 |
$157.00 |
$157.00 |
$634.80
|
|
Contrst x-ray uppr gi tract
|
$327.00 |
$327.00 |
$327.00 |
$737.75
|
|
Conversion ext bil drg cath
|
$1,962.00 |
$1,962.00 |
$1,962.00 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$723.20 |
$723.20 |
$723.20 |
$2,777.60
|
|
Coombs direct
|
$63.40 |
$63.40 |
$63.40 |
$74.75
|
|
Coombs indirect qualitative each reagent red cell reference
|
$63.00 |
$63.00 |
$63.00 |
$102.90
|
|
Coombs indirect titer reference
|
$64.40 |
$64.40 |
$64.40 |
$146.40
|
|
Core ndl bx lng/med perq
|
$925.40 |
$925.40 |
$925.40 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$3,446.40 |
$3,446.40 |
$3,446.40 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$3,352.80 |
$3,352.80 |
$3,352.80 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$3,578.00 |
$3,578.00 |
$3,578.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$2,787.60 |
$2,787.60 |
$2,787.60 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,693.40 |
$2,693.40 |
$2,693.40 |
$7,914.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$98.60 |
$98.60 |
$98.60 |
$476.00
|
|
Cortisol total am
|
$78.20 |
$78.20 |
$78.20 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$93.91 |
$93.91 |
$93.91 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$72.40 |
$72.40 |
$72.40 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$23.60 |
$23.60 |
$23.60 |
$55.90
|
|
Covid-19 administration immunization im inj 1st/only component
|
$26.00 |
$26.00 |
$26.00 |
$49.13
|
|
Covid-19 convalescent plasma
|
$506.20 |
$506.20 |
$506.20 |
$582.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$315.80 |
$315.80 |
$315.80 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$315.80 |
$315.80 |
$315.80 |
$551.64
|
|
Covid-19 lab test non-cdc
|
$37.20 |
$37.20 |
$37.20 |
$80.50
|
|
#coxa-coxsackie a serotype a16
|
$24.60 |
$24.60 |
$24.60 |
$60.00
|
|
C-peptide
|
$74.20 |
$74.20 |
$74.20 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$500.60 |
$500.60 |
$500.60 |
$1,240.80
|
|
C-reactive protein
|
$28.20 |
$28.20 |
$28.20 |
$68.38
|
|
C-reactive protein high sensitivity
|
$7.00 |
$7.00 |
$7.00 |
$85.00
|
|
Creatine kinase
|
$50.80 |
$50.80 |
$50.80 |
$66.30
|
|
Creatine kinase isoenzymes
|
$33.00 |
$33.00 |
$33.00 |
$57.50
|
|
Creatine kinase mb
|
$74.20 |
$74.20 |
$74.20 |
$114.00
|
|
Creatine - sendout
|
$47.20 |
$47.20 |
$47.20 |
$38.35
|
|
Creatinine
|
$44.40 |
$44.40 |
$44.40 |
$44.72
|
|
Creatinine 24 hour urine
|
$40.40 |
$40.40 |
$40.40 |
$58.85
|
|
Creatinine clearance urine
|
$87.00 |
$87.00 |
$87.00 |
$89.50
|
|
#creutz-prot.,western blot
|
$410.40 |
$410.40 |
$410.40 |
$166.20
|
|
Critical care 30-74 minutes
|
$644.60 |
$644.60 |
$644.60 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$540.20 |
$540.20 |
$540.20 |
$731.40
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$691.60 |
$691.60 |
$691.60 |
$2,423.75
|
|
Cryofibrinogen qualitative - sendout
|
$31.60 |
$31.60 |
$31.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$111.00 |
$111.00 |
$111.00 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$9.60 |
$9.60 |
$9.60 |
$89.70
|
|
Cryptosporidium antigen
|
$58.00 |
$58.00 |
$58.00 |
$52.08
|
|
Crystal identification light microscopy
|
$23.60 |
$23.60 |
$23.60 |
$62.40
|
|
CT 3d report other modality w/workstation
|
$433.60 |
$433.60 |
$433.60 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$856.60 |
$856.60 |
$856.60 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$856.60 |
$856.60 |
$856.60 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$742.60 |
$742.60 |
$742.60 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$690.00 |
$690.00 |
$690.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,714.80 |
$1,714.80 |
$1,714.80 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$875.80 |
$875.80 |
$875.80 |
$1,940.00
|
|
CT Angiogram of the Head
|
$828.60 |
$828.60 |
$828.60 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$989.20 |
$989.20 |
$989.20 |
$1,501.56
|
|
CT angio pelvis
|
$856.60 |
$856.60 |
$856.60 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$742.60 |
$742.60 |
$742.60 |
$1,697.80
|
|
CT guidance for needle placement
|
$584.20 |
$584.20 |
$584.20 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$329.60 |
$329.60 |
$329.60 |
$1,168.20
|
|
CT guid parench tis ablat
|
$330.40 |
$330.40 |
$330.40 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$53.80 |
$53.80 |
$53.80 |
$171.60
|
|
CT hrt w/3d image
|
$833.80 |
$833.80 |
$833.80 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$519.20 |
$519.20 |
$519.20 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$683.40 |
$683.40 |
$683.40 |
$1,619.25
|
|
CT lower extremity without contrast (both sides)
|
$649.20 |
$649.20 |
$649.20 |
$1,420.00
|
|
CT lwr extremity w/o&w/dye
|
$707.60 |
$707.60 |
$707.60 |
$1,851.60
|
|
CT neck soft tissue w/contrast
|
$647.20 |
$647.20 |
$647.20 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$594.80 |
$594.80 |
$594.80 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$657.20 |
$657.20 |
$657.20 |
$1,952.25
|
|
CT orbit/sella/fossa w/wo contrast
|
$986.20 |
$986.20 |
$986.20 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$917.40 |
$917.40 |
$917.40 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$757.20 |
$757.20 |
$757.20 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$62.40 |
$62.40 |
$62.40 |
$444.50
|
|
CT scan for therapy guide
|
$448.80 |
$448.80 |
$448.80 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,142.80 |
$2,142.80 |
$2,142.80 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,795.00 |
$1,795.00 |
$1,795.00 |
$2,945.40
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
$2,368.80
|
|
CT thoracic spine w/contrast
|
$719.20 |
$719.20 |
$719.20 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$702.20 |
$702.20 |
$702.20 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$44.40 |
$44.40 |
$44.40 |
$331.50
|
|
CT t-spine w /wo contrast
|
$749.40 |
$749.40 |
$749.40 |
$2,025.00
|
|
CT upper extremity w/contrast (both sides)
|
$683.40 |
$683.40 |
$683.40 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$649.20 |
$649.20 |
$649.20 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$707.60 |
$707.60 |
$707.60 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$16.80 |
$16.80 |
$16.80 |
$68.64
|
|
Culture afb any source
|
$22.80 |
$22.80 |
$22.80 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$119.20 |
$119.20 |
$119.20 |
$79.00
|
|
Culture anaerobic except blood
|
$119.20 |
$119.20 |
$119.20 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$127.20 |
$127.20 |
$127.20 |
$51.51
|
|
Culture body fluid
|
$119.20 |
$119.20 |
$119.20 |
$126.72
|
|
Culture fungi definitive id mold
|
$19.20 |
$19.20 |
$19.20 |
$76.72
|
|
Culture fungi definitive id yeast
|
$19.20 |
$19.20 |
$19.20 |
$79.10
|