|
Cold agglutinin titer
|
$58.50 |
$58.50 |
$58.50 |
$48.57
|
|
Collection blood specimen from completely implantable venous access device
|
$5,415.96 |
$5,415.96 |
$5,415.96 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$968.50 |
$968.50 |
$968.50 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$620.10 |
$620.10 |
$620.10 |
$20.30
|
|
Colonoscopy (diagnostic)
|
$5,406.71 |
$5,406.71 |
$5,406.71 |
$1,500.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$7,007.65 |
$7,007.65 |
$7,007.65 |
$1,846.40
|
|
Colonoscopy stoma w/snare 44394
|
$6,794.64 |
$6,794.64 |
$6,794.64 |
$1,368.00
|
|
Colonoscopy submucous njx
|
$9,443.86 |
$9,443.86 |
$9,443.86 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$6,473.36 |
$6,473.36 |
$6,473.36 |
$1,261.31
|
|
Colonoscopy w/ablation
|
$6,545.70 |
$6,545.70 |
$6,545.70 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$7,875.28 |
$7,875.28 |
$7,875.28 |
$1,497.60
|
|
Colonoscopy w/control bleed
|
$6,899.76 |
$6,899.76 |
$6,899.76 |
$2,019.60
|
|
Colonoscopy (with biopsy)
|
$6,996.60 |
$6,996.60 |
$6,996.60 |
$2,074.50
|
|
Colonoscopy with biopsy
|
$6,794.64 |
$6,794.64 |
$6,794.64 |
$1,368.00
|
|
Colonoscopy (with polyp removal)
|
$7,286.51 |
$7,286.51 |
$7,286.51 |
$2,074.50
|
|
Colonoscopy w/resection
|
$9,150.24 |
$9,150.24 |
$9,150.24 |
$3,214.09
|
|
Compatibility test each unit antiglobulin technique
|
$178.75 |
$178.75 |
$178.75 |
$156.60
|
|
Compatibility test each unit electronic
|
$306.15 |
$306.15 |
$306.15 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$114.40 |
$114.40 |
$114.40 |
$156.24
|
|
Compatibility test incubate
|
$66.95 |
$66.95 |
$66.95 |
$140.00
|
|
Complement antigen each component c3
|
$240.50 |
$240.50 |
$240.50 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$182.65 |
$182.65 |
$182.65 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$29,873.27 |
$29,873.27 |
$29,873.27 |
$1,357.20
|
|
Complx repair fccmnaxghf 13132
|
$263.90 |
$263.90 |
$263.90 |
$1,193.40
|
|
Complx repair sal addl 5 cm/> 13122
|
$26,419.37 |
$26,419.37 |
$26,419.37 |
$546.29
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$26,329.32 |
$26,329.32 |
$26,329.32 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$21,420.20 |
$21,420.20 |
$21,420.20 |
$716.95
|
|
Comprehensive hearing test
|
$164.45 |
$164.45 |
$164.45 |
$255.00
|
|
Computed tomographic angiography head and neck with contrast
|
$2,060.50 |
$2,060.50 |
$2,060.50 |
$2,544.75
|
|
Concentration infection agents any type
|
$45.50 |
$45.50 |
$45.50 |
$48.00
|
|
Conization/cerv/loop electrode exc 57522
|
$14,402.13 |
$14,402.13 |
$14,402.13 |
$4,198.50
|
|
Conization of cervix
|
$16,773.26 |
$16,773.26 |
$16,773.26 |
$3,519.29
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,257.94 |
$1,257.94 |
$1,257.94 |
$768.50
|
|
Consultation pathology during surgery cytological exam initial site
|
$25,698.89 |
$25,698.89 |
$25,698.89 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,212.90 |
$1,212.90 |
$1,212.90 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$2,425.80 |
$2,425.80 |
$2,425.80 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$6,752.45 |
$6,752.45 |
$6,752.45 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$5,235.10 |
$5,235.10 |
$5,235.10 |
$176.15
|
|
Consult comp w/report rfrd material
|
$24,890.05 |
$24,890.05 |
$24,890.05 |
$365.60
|
|
Cont gluc mntr analysis i&r 95251
|
$59.80 |
$59.80 |
$59.80 |
$80.00
|
|
Contrast exam abdominl aorta 75625-26
|
$4,737.85 |
$4,737.85 |
$4,737.85 |
$3,458.54
|
|
Contrast x-ray of elbow
|
$313.95 |
$313.95 |
$313.95 |
$566.28
|
|
Contrast x-ray of hip
|
$1,091.35 |
$1,091.35 |
$1,091.35 |
$676.12
|
|
Contrast x-ray of knee joint
|
$1,161.55 |
$1,161.55 |
$1,161.55 |
$623.50
|
|
Contrast x-ray of wrist
|
$642.85 |
$642.85 |
$642.85 |
$541.20
|
|
Coombs direct
|
$118.30 |
$118.30 |
$118.30 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$116.35 |
$116.35 |
$116.35 |
$76.70
|
|
Coombs indirect titer reference
|
$125.45 |
$125.45 |
$125.45 |
$122.85
|
|
Copper cu 64 dotatate diag
|
$1,997.45 |
$1,997.45 |
$1,997.45 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$7,467.45 |
$7,467.45 |
$7,467.45 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$14,868.75 |
$14,868.75 |
$14,868.75 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$12,976.60 |
$12,976.60 |
$12,976.60 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$16,782.35 |
$16,782.35 |
$16,782.35 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$11,520.60 |
$11,520.60 |
$11,520.60 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,524.80 |
$10,524.80 |
$10,524.80 |
$9,198.18
|
|
Cortisol acth stimulation test - sendout
|
$163.80 |
$163.80 |
$163.80 |
$143.40
|
|
Cortisol total am
|
$183.95 |
$183.95 |
$183.95 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$346.38 |
$346.38 |
$346.38 |
$218.95
|
|
Co-treatment - group 15 mins, st
|
$245.70 |
$245.70 |
$245.70 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$48.10 |
$48.10 |
$48.10 |
$57.85
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$484.25 |
$484.25 |
$484.25 |
$831.60
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$605.80 |
$605.80 |
$605.80 |
$605.80
|
|
#covid19rsv-rsv
|
$157.95 |
$157.95 |
$157.95 |
$140.80
|
|
C-peptide
|
$200.85 |
$200.85 |
$200.85 |
$111.20
|
|
Crbrospnl fld flw imag cistern
|
$453.05 |
$453.05 |
$453.05 |
$1,170.64
|
|
C-reactive protein
|
$49.40 |
$49.40 |
$49.40 |
$54.43
|
|
C-reactive protein high sensitivity
|
$126.10 |
$126.10 |
$126.10 |
$91.65
|
|
Creatine kinase
|
$100.10 |
$100.10 |
$100.10 |
$55.00
|
|
Creatine kinase mb
|
$178.10 |
$178.10 |
$178.10 |
$100.75
|
|
Creatinine
|
$100.10 |
$100.10 |
$100.10 |
$40.00
|
|
Creatinine 24 hour urine
|
$120.25 |
$120.25 |
$120.25 |
$54.40
|
|
Creatinine clearance urine
|
$176.15 |
$176.15 |
$176.15 |
$73.86
|
|
#creutz-prot.,western blot
|
$237.90 |
$237.90 |
$237.90 |
$178.10
|
|
Crisis psychotherapy 90839
|
$143.65 |
$143.65 |
$143.65 |
$326.34
|
|
Crisis psychotherapy additional 30 mins 90840
|
$70.85 |
$70.85 |
$70.85 |
$156.80
|
|
Critical care 30-74 minutes
|
$2,145.00 |
$2,145.00 |
$2,145.00 |
$2,540.23
|
|
Crotalidae poly immune fab
|
$6,236.10 |
$6,236.10 |
$6,236.10 |
$3,996.74
|
|
Cryoprecipitate each unit
|
$317.20 |
$317.20 |
$317.20 |
$182.25
|
|
Cryosurgery penis lesion(s) 54056
|
$89.05 |
$89.05 |
$89.05 |
$346.40
|
|
Crystal identification light microscopy
|
$88.40 |
$88.40 |
$88.40 |
$56.44
|
|
Csf leakage imaging
|
$2,358.85 |
$2,358.85 |
$2,358.85 |
$1,426.73
|
|
CT 3d report other modality w/workstation
|
$582.40 |
$582.40 |
$582.40 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,225.25 |
$1,225.25 |
$1,225.25 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,275.05 |
$4,275.05 |
$4,275.05 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$2,555.80 |
$2,555.80 |
$2,555.80 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,225.25 |
$1,225.25 |
$1,225.25 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,866.50 |
$2,866.50 |
$2,866.50 |
$1,728.80
|
|
CT Angiogram of the Head
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
$1,951.50
|
|
CT angio hrt w/3d image
|
$2,146.95 |
$2,146.95 |
$2,146.95 |
$1,618.00
|
|
CT angio pelvis
|
$2,361.45 |
$2,361.45 |
$2,361.45 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,964.95 |
$1,964.95 |
$1,964.95 |
$1,650.60
|
|
CT cerebral perf w cont & prcssng
|
$585.00 |
$585.00 |
$585.00 |
$911.95
|
|
CT guidance for needle placement
|
$1,858.35 |
$1,858.35 |
$1,858.35 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$887.25 |
$887.25 |
$887.25 |
$1,007.29
|
|
CT heart w/evaluation of calcium without contrast
|
$84.50 |
$84.50 |
$84.50 |
$176.89
|
|
CT hrt c+ strux cgen hrt ds
|
$1,850.55 |
$1,850.55 |
$1,850.55 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,575.60 |
$1,575.60 |
$1,575.60 |
$1,513.20
|
|
CT lower extremity w/contrast (both sides)
|
$1,864.85 |
$1,864.85 |
$1,864.85 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,864.85 |
$1,864.85 |
$1,864.85 |
$1,302.00
|