|
Control nosebleed pack+caut 30905
|
$37.80 |
$45.36 |
$113.40 |
|
|
Control of nosebleed ant comp 30903
|
$51.84 |
$71.07 |
$97.20 |
|
|
Control of nosebleedantersmpl 30901
|
$44.39 |
$48.25 |
$80.55 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$148.01 |
$162.45 |
$181.25 |
|
|
Contrst x-ray uppr gi tract
|
$327.00 |
$376.05 |
$408.75 |
|
|
Conversion ext bil drg cath
|
$1,962.00 |
$2,256.30 |
$2,452.50 |
|
|
Convert nephrostomy catheter
|
$723.20 |
$818.57 |
$833.50 |
|
|
Coombs direct
|
$37.26 |
$52.89 |
$72.48 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$63.00 |
$63.00 |
$68.88 |
|
|
Coombs indirect titer reference
|
$37.92 |
$64.40 |
$101.25 |
|
|
Core ndl bx lng/med perq
|
$925.40 |
$1,258.08 |
$1,370.00 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$3,446.40 |
$3,698.86 |
$4,308.00 |
|
|
Coronary angio/lv gram/lt heart
|
$3,352.80 |
$3,554.42 |
$4,288.50 |
|
|
Coronary angio/lv gram/rt< heart
|
$3,578.00 |
$3,813.17 |
$4,555.25 |
|
|
Coronary art/grft angio s&i
|
$2,787.60 |
$3,205.74 |
$3,484.50 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,693.40 |
$3,276.58 |
$3,443.25 |
|
|
Coronary thrombolysis/iv infusion 92977
|
$82.32 |
$98.60 |
$283.50 |
|
|
Cortisol total am
|
$57.04 |
$78.20 |
$162.90 |
|
|
Cosyntropin 0.25 mg solution for injection
|
$93.91 |
$107.99 |
$117.38 |
|
|
Co-treatment - group 15 mins, st
|
$68.50 |
$83.26 |
$158.85 |
|
|
Counseling smoke cess interm >10mins
|
$23.60 |
$28.32 |
$53.10 |
|
|
Covid-19 administration immunization im inj 1st/only component
|
$26.00 |
$31.20 |
$58.50 |
|
|
Covid-19 convalescent plasma
|
$506.20 |
$607.44 |
$1,138.95 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$315.80 |
$378.96 |
$710.55 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$315.80 |
$378.96 |
$710.55 |
|
|
Covid-19 lab test non-cdc
|
$37.20 |
$44.64 |
$83.70 |
|
|
#covid19rsv-rsv
|
$52.44 |
$93.48 |
$102.60 |
|
|
#coxa-coxsackie a serotype a16
|
$9.60 |
$17.25 |
$117.45 |
|
|
C-peptide
|
$74.20 |
$79.92 |
$181.50 |
|
|
Crbrospnl fld flw imag cistern
|
$500.60 |
$500.60 |
$773.52 |
|
|
C-reactive protein
|
$27.14 |
$32.40 |
$40.50 |
|
|
C-reactive protein high sensitivity
|
$7.00 |
$15.75 |
$54.00 |
|
|
Creatine kinase
|
$36.90 |
$46.23 |
$63.00 |
|
|
Creatine kinase isoenzymes
|
$33.00 |
$49.45 |
$65.25 |
|
|
Creatine kinase mb
|
$45.92 |
$74.20 |
$97.75 |
|
|
Creatine - sendout
|
$26.88 |
$47.20 |
$59.00 |
|
|
Creatinine
|
$24.60 |
$44.40 |
$51.06 |
|
|
Creatinine 24 hour urine
|
$31.05 |
$49.68 |
$84.15 |
|
|
Creatinine clearance urine
|
$53.30 |
$65.55 |
$121.20 |
|
|
#creutz-prot.,western blot
|
$52.32 |
$112.00 |
$410.40 |
|
|
Crisis psychotherapy 90839
|
$100.80 |
$100.80 |
$100.80 |
|
|
Critical care 30-74 minutes
|
$405.84 |
$504.71 |
$644.60 |
|
|
Critical care each additional 30 minutes
|
$322.69 |
$405.84 |
$540.20 |
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$691.60 |
$691.60 |
$795.34 |
|
|
Cryofibrinogen qualitative - sendout
|
$11.50 |
$17.48 |
$31.60 |
|
|
Cryoprecipitate each unit
|
$66.24 |
$83.25 |
$138.23 |
|
|
Cryptococcus abs qn - sendout
|
$9.60 |
$27.00 |
$137.50 |
|
|
Cryptosporidium antigen
|
$23.00 |
$53.71 |
$109.75 |
|
|
Crystal identification light microscopy
|
$13.50 |
$23.60 |
$84.15 |
|
|
CT 3d report other modality w/workstation
|
$304.75 |
$433.60 |
$520.32 |
|
|
Cta abdomen without & /or w/contrast
|
$856.60 |
$1,186.95 |
$1,302.75 |
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$856.60 |
$1,020.50 |
$1,539.90 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$742.60 |
$999.50 |
$1,539.90 |
|
|
Cta neck without &/or w/contrast
|
$690.00 |
$919.54 |
$1,007.52 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,241.48 |
$1,714.80 |
$2,347.38 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$875.80 |
$1,132.42 |
$1,303.75 |
|
|
CT Angiogram of the Head
|
$828.60 |
$919.54 |
$1,007.52 |
|
|
CT angio hrt w/3d image
|
$927.36 |
$999.50 |
$1,184.40 |
|
|
CT angio pelvis
|
$856.60 |
$1,007.52 |
$1,149.08 |
|
|
Cta upper extremity w &/or without contrast left
|
$742.60 |
$999.50 |
$1,816.65 |
|
|
CT bone density axial
|
$165.60 |
$331.69 |
$364.05 |
|
|
CT colonography dx
|
$846.50 |
$846.50 |
$846.50 |
|
|
CT colonography screening
|
$297.16 |
$297.16 |
$323.00 |
|
|
CT guidance for needle placement
|
$584.20 |
$820.08 |
$952.89 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$329.60 |
$373.00 |
$379.04 |
|
|
CT guid cryo ablat intramuscular
|
$174.00 |
$174.00 |
$174.00 |
|
|
CT guid parench tis ablat
|
$330.40 |
$362.71 |
$388.50 |
|
|
CT heart w/evaluation of calcium without contrast
|
$53.80 |
$64.56 |
$121.05 |
|
|
CT hrt w/3d image
|
$833.80 |
$927.36 |
$958.87 |
|
|
CT limited or localized follow-up study
|
$147.60 |
$334.00 |
$773.49 |
|
|
CT lower extremity w/contrast (both sides)
|
$683.40 |
$783.75 |
$947.70 |
|
|
CT lower extremity without contrast (both sides)
|
$649.20 |
$711.12 |
$829.35 |
|
|
CT lwr extremity w/o&w/dye
|
$707.60 |
$827.00 |
$1,754.55 |
|
|
CT neck soft tissue w/contrast
|
$647.20 |
$829.35 |
$1,021.20 |
|
|
CT neck soft tissue without contrast
|
$594.80 |
$769.50 |
$798.75 |
|
|
CT neck soft tissue without & w/contrast
|
$657.20 |
$887.85 |
$1,075.94 |
|
|
CT orbit/sella/fossa w/wo contrast
|
$688.80 |
$851.69 |
$1,244.00 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$724.73 |
$917.40 |
$1,394.10 |
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$584.25 |
$659.87 |
$827.00 |
|
|
Ctrl nosebld postir subsq 30906
|
$62.40 |
$70.38 |
$98.10 |
|
|
CT scan for therapy guide
|
$448.80 |
$477.94 |
$534.25 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,268.13 |
$1,568.40 |
$2,236.52 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,186.95 |
$1,479.60 |
$2,145.21 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$922.50 |
$1,224.80 |
$1,631.62 |
|
|
CT thoracic spine w/contrast
|
$719.20 |
$863.04 |
$1,066.05 |
|
|
CT thoracic spine without contrast
|
$702.20 |
$773.49 |
$1,040.75 |
|
|
CT thorax low dose for lung screening without contrast
|
$44.40 |
$52.48 |
$57.60 |
|
|
CT t-spine w /wo contrast
|
$749.40 |
$905.05 |
$1,302.75 |
|
|
CT upper extremity w/contrast (both sides)
|
$683.40 |
$783.75 |
$947.70 |
|
|
CT upper extremity without contrast (both sides)
|
$649.20 |
$711.12 |
$829.35 |
|
|
CT uppr extremity w/o&w/dye
|
$707.60 |
$849.12 |
$953.10 |
|
|
Culture aerobic additional method definitive id each
|
$16.80 |
$38.13 |
$96.48 |
|
|
Culture afb any source
|
$22.80 |
$27.36 |
$46.80 |
|
|
Culture anaerobic additional method definitive id each
|
$5.52 |
$50.88 |
$119.20 |
|
|
Culture anaerobic except blood
|
$63.25 |
$88.50 |
$179.55 |
|
|
Culture bact stool aero addl path ea
|
$15.25 |
$49.91 |
$127.20 |
|
|
Culture body fluid
|
$6.90 |
$53.55 |
$149.00 |
|
|
Culture fungi definitive id mold
|
$19.20 |
$19.20 |
$19.20 |
|
|
Culture fungi definitive id yeast
|
$19.20 |
$29.90 |
$50.40 |
|
|
Culture fungi other (except blood)
|
$59.45 |
$72.91 |
$134.20 |
|
