|
Compatibility test each unit immediate spin technique
|
$60.80 |
$60.80 |
$60.80 |
$169.52
|
|
Compatibility test incubate
|
$60.80 |
$60.80 |
$60.80 |
$155.40
|
|
Complement antigen each component c3
|
$33.60 |
$33.60 |
$33.60 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$808.96 |
$808.96 |
$808.96 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$808.96 |
$808.96 |
$808.96 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$808.96 |
$808.96 |
$808.96 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$808.96 |
$808.96 |
$808.96 |
$1,194.25
|
|
Complx repair fccmnaxghf 13131
|
$526.08 |
$526.08 |
$526.08 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$808.96 |
$808.96 |
$808.96 |
$1,107.60
|
|
Condylomata destruction 56420
|
$277.76 |
$277.76 |
$277.76 |
$469.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,181.53 |
$1,181.53 |
$1,181.53 |
$871.08
|
|
Consultation pathology during surgery cytological exam initial site
|
$41.60 |
$41.60 |
$41.60 |
$441.95
|
|
Consultation pathology during surgery frozen section first tissue block
|
$46.85 |
$46.85 |
$46.85 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$62.08 |
$62.08 |
$62.08 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$160.00 |
$160.00 |
$160.00 |
$171.65
|
|
Contrast baths charges
|
$28.80 |
$28.80 |
$28.80 |
$70.50
|
|
Contrast x-ray gallbladder
|
$166.59 |
$166.59 |
$166.59 |
$350.22
|
|
Contrast x-ray of hip
|
$41.60 |
$41.60 |
$41.60 |
$771.12
|
|
Control nosebleed pack+caut 30905
|
$400.00 |
$400.00 |
$400.00 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$178.56 |
$178.56 |
$178.56 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$182.40 |
$182.40 |
$182.40 |
$355.50
|
|
Coombs direct
|
$43.52 |
$43.52 |
$43.52 |
$75.00
|
|
Core ndl bx lng/med perq
|
$649.28 |
$649.28 |
$649.28 |
$2,678.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$212.96 |
$212.96 |
$212.96 |
$476.00
|
|
Corrj halux rigdus without implt
|
$800.00 |
$800.00 |
$800.00 |
$3,839.54
|
|
Cortisol total am
|
$44.80 |
$44.80 |
$44.80 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$388.81 |
$388.81 |
$388.81 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$48.00 |
$48.00 |
$48.00 |
$55.90
|
|
C-peptide
|
$38.40 |
$38.40 |
$38.40 |
$97.30
|
|
C-reactive protein
|
$26.88 |
$26.88 |
$26.88 |
$68.38
|
|
Creatine kinase
|
$25.60 |
$25.60 |
$25.60 |
$66.30
|
|
Creatinine
|
$24.32 |
$24.32 |
$24.32 |
$44.72
|
|
Creatinine 24 hour urine
|
$41.60 |
$41.60 |
$41.60 |
$58.85
|
|
Creatinine clearance urine
|
$76.80 |
$76.80 |
$76.80 |
$89.50
|
|
#creutz-prot.,western blot
|
$57.60 |
$57.60 |
$57.60 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,239.04 |
$1,239.04 |
$1,239.04 |
$2,505.60
|
|
Crotalidae poly immune fab
|
$7,982.21 |
$7,982.21 |
$7,982.21 |
$5,590.35
|
|
Crystal identification light microscopy
|
$26.88 |
$26.88 |
$26.88 |
$62.50
|
|
C-Section Delivery (full care)
|
$2,319.20 |
$2,319.20 |
$2,319.20 |
$4,721.40
|
|
C-section delivery incl p/p care 59515
|
$1,496.80 |
$1,496.80 |
$1,496.80 |
$2,577.60
|
|
Cta abdomen without & /or w/contrast
|
$646.72 |
$646.72 |
$646.72 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$618.88 |
$618.88 |
$618.88 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$646.72 |
$646.72 |
$646.72 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$646.72 |
$646.72 |
$646.72 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,512.64 |
$2,512.64 |
$2,512.64 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$672.00 |
$672.00 |
$672.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$646.72 |
$646.72 |
$646.72 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$604.16 |
$604.16 |
$604.16 |
$1,500.38
|
|
CT angio pelvis
|
$601.92 |
$601.92 |
$601.92 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$646.72 |
$646.72 |
$646.72 |
$1,698.00
|
|
CT heart w/evaluation of calcium without contrast
|
$96.00 |
$96.00 |
$96.00 |
$171.60
|
|
CT lower extremity w/contrast (both sides)
|
$512.00 |
$512.00 |
$512.00 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$456.96 |
$456.96 |
$456.96 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$596.80 |
$596.80 |
$596.80 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$521.28 |
$521.28 |
$521.28 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$430.08 |
$430.08 |
$430.08 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$564.48 |
$564.48 |
$564.48 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$685.44 |
$685.44 |
$685.44 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$665.28 |
$665.28 |
$665.28 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$645.12 |
$645.12 |
$645.12 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,699.84 |
$1,699.84 |
$1,699.84 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,699.84 |
$1,699.84 |
$1,699.84 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,699.84 |
$1,699.84 |
$1,699.84 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$706.24 |
$706.24 |
$706.24 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$736.00 |
$736.00 |
$736.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$160.00 |
$160.00 |
$160.00 |
$331.50
|
|
CT t-spine w /wo contrast
|
$764.42 |
$764.42 |
$764.42 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$512.00 |
$512.00 |
$512.00 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$456.96 |
$456.96 |
$456.96 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$596.80 |
$596.80 |
$596.80 |
$1,845.36
|
|
Cult skin grft t/arm/leg
|
$836.80 |
$836.80 |
$836.80 |
$2,441.40
|
|
Culture aerobic additional method definitive id each
|
$43.52 |
$43.52 |
$43.52 |
$68.64
|
|
Culture afb any source
|
$67.20 |
$67.20 |
$67.20 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$16.45 |
$16.45 |
$16.45 |
$79.00
|
|
Culture anaerobic except blood
|
$99.20 |
$99.20 |
$99.20 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$25.60 |
$25.60 |
$25.60 |
$51.45
|
|
Culture body fluid
|
$48.00 |
$48.00 |
$48.00 |
$126.75
|
|
Culture fungi skin/hair/nail
|
$43.71 |
$43.71 |
$43.71 |
$74.88
|
|
Culture screening strep group a
|
$26.88 |
$26.88 |
$26.88 |
$81.00
|
|
Cv line/pic reposition
|
$464.00 |
$464.00 |
$464.00 |
$1,720.93
|
|
Cv stress test i&r only 93018
|
$92.80 |
$92.80 |
$92.80 |
$40.20
|
|
Cyclic citrullinated peptide antibody
|
$25.60 |
$25.60 |
$25.60 |
$70.72
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$148.36 |
$148.36 |
$148.36 |
$140.78
|
|
Cyclosporine 2 hour
|
$51.20 |
$51.20 |
$51.20 |
$129.48
|
|
Cystogram >= 3 views supervision & interpretation
|
$297.28 |
$297.28 |
$297.28 |
$542.10
|
|
Cystoscopy & ureter catheter
|
$2,913.28 |
$2,913.28 |
$2,913.28 |
$3,786.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$47.04 |
$47.04 |
$47.04 |
$97.50
|
|
Cyto/molecular report
|
$196.80 |
$196.80 |
$196.80 |
$133.20
|
|
Cytopath fl nongyn filter
|
$60.16 |
$60.16 |
$60.16 |
$92.63
|
|
Cytopathology cellular enhancement technique non-gyn
|
$51.84 |
$51.84 |
$51.84 |
$159.45
|
|
Cytopathology concentration technique smears & interpretation
|
$55.04 |
$55.04 |
$55.04 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$46.85 |
$46.85 |
$46.85 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$7.68 |
$7.68 |
$7.68 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$21.12 |
$21.12 |
$21.12 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$78.78 |
$78.78 |
$78.78 |
$209.23
|
|
Cytopath smear other source
|
$40.45 |
$40.45 |
$40.45 |
$88.13
|
|
Cytopath smear other source
|
$53.12 |
$53.12 |
$53.12 |
$140.00
|
|
Cytopath smear oth prep screen & interp
|
$37.12 |
$37.12 |
$37.12 |
$96.20
|
|
Dalbavancin 500 mg intravenous solution
|
$4,440.71 |
$4,440.71 |
$4,440.71 |
$3,480.35
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$97.54 |
$97.54 |
$97.54 |
$168.53
|