|
Colonoscopy submucous njx
|
$4,116.45 |
$4,116.45 |
$4,116.45 |
$2,063.25
|
|
Colonoscopy w/control bleed
|
$3,874.13 |
$3,874.13 |
$3,874.13 |
$2,019.60
|
|
Colonoscopy (with biopsy)
|
$3,931.01 |
$3,931.01 |
$3,931.01 |
$2,074.50
|
|
Colonoscopy (with polyp removal)
|
$2,693.62 |
$2,693.62 |
$2,693.62 |
$2,074.50
|
|
Compatibility test each unit antiglobulin technique
|
$107.90 |
$107.90 |
$107.90 |
$156.60
|
|
Compatibility test each unit electronic
|
$56.55 |
$56.55 |
$56.55 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$70.20 |
$70.20 |
$70.20 |
$156.24
|
|
Compatibility test incubate
|
$48.10 |
$48.10 |
$48.10 |
$140.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$740.35 |
$740.35 |
$740.35 |
$978.47
|
|
Complement antigen each component c3
|
$121.55 |
$121.55 |
$121.55 |
$110.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,678.95 |
$1,678.95 |
$1,678.95 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$209.30 |
$209.30 |
$209.30 |
$353.50
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$864.50 |
$864.50 |
$864.50 |
$1,244.80
|
|
Complx repair fccmnaxghf 13132
|
$1,009.45 |
$1,009.45 |
$1,009.45 |
$1,193.40
|
|
Complx repair fccmnaxghf 13133
|
$300.30 |
$300.30 |
$300.30 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$260.65 |
$260.65 |
$260.65 |
$546.29
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,329.90 |
$1,329.90 |
$1,329.90 |
$716.95
|
|
Computed tomographic angiography head and neck with contrast
|
$2,819.70 |
$2,819.70 |
$2,819.70 |
$2,544.75
|
|
Concentration infection agents any type
|
$65.00 |
$65.00 |
$65.00 |
$48.00
|
|
Condylomata destruction 56420
|
$397.15 |
$397.15 |
$397.15 |
$472.50
|
|
Conization/cerv/loop electrode exc 57522
|
$6,346.46 |
$6,346.46 |
$6,346.46 |
$4,198.50
|
|
Consultation pathology during surgery frozen section each additional block
|
$102.05 |
$102.05 |
$102.05 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$143.65 |
$143.65 |
$143.65 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$202.15 |
$202.15 |
$202.15 |
$231.75
|
|
Contrast baths charges
|
$55.25 |
$55.25 |
$55.25 |
$77.98
|
|
Contrast x-ray of hip
|
$700.05 |
$700.05 |
$700.05 |
$676.12
|
|
Contrast x-ray of wrist
|
$657.80 |
$657.80 |
$657.80 |
$541.20
|
|
Control nosebleed pack+caut 30905
|
$452.40 |
$452.40 |
$452.40 |
$457.60
|
|
Control of nosebleed ant comp 30903
|
$429.00 |
$429.00 |
$429.00 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$245.05 |
$245.05 |
$245.05 |
$336.00
|
|
Coombs direct
|
$60.45 |
$60.45 |
$60.45 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$94.25 |
$94.25 |
$94.25 |
$76.70
|
|
Coombs indirect titer reference
|
$145.60 |
$145.60 |
$145.60 |
$122.85
|
|
Cortisol acth stimulation test - sendout
|
$165.75 |
$165.75 |
$165.75 |
$143.40
|
|
Cortisol total am
|
$117.00 |
$117.00 |
$117.00 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$338.84 |
$338.84 |
$338.84 |
$218.95
|
|
Co-treatment - group 15 mins, st
|
$134.55 |
$134.55 |
$134.55 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$50.05 |
$50.05 |
$50.05 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$40.30 |
$40.30 |
$40.30 |
$64.50
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$451.75 |
$451.75 |
$451.75 |
$831.60
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$451.75 |
$451.75 |
$451.75 |
$605.80
|
|
#covid19rsv-rsv
|
$128.70 |
$128.70 |
$128.70 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$43.55 |
$43.55 |
$43.55 |
$65.36
|
|
C-peptide
|
$126.75 |
$126.75 |
$126.75 |
$111.20
|
|
C-reactive protein
|
$46.15 |
$46.15 |
$46.15 |
$54.43
|
|
C-reactive protein high sensitivity
|
$57.85 |
$57.85 |
$57.85 |
$91.65
|
|
C-reactive protein, quantitative
|
$79.30 |
$79.30 |
$79.30 |
$77.50
|
|
Creatine kinase
|
$80.60 |
$80.60 |
$80.60 |
$55.00
|
|
Creatine kinase isoenzymes
|
$107.90 |
$107.90 |
$107.90 |
$66.00
|
|
Creatine kinase mb
|
$98.80 |
$98.80 |
$98.80 |
$100.75
|
|
Creatinine
|
$52.00 |
$52.00 |
$52.00 |
$40.00
|
|
Creatinine 24 hour urine
|
$57.85 |
$57.85 |
$57.85 |
$54.40
|
|
Creatinine clearance urine
|
$129.35 |
$129.35 |
$129.35 |
$73.86
|
|
#creutz-prot.,western blot
|
$215.80 |
$215.80 |
$215.80 |
$178.10
|
|
Critical care 30-74 minutes
|
$1,396.85 |
$1,396.85 |
$1,396.85 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$488.15 |
$488.15 |
$488.15 |
$663.00
|
|
Crotalidae poly immune fab
|
$7,275.45 |
$7,275.45 |
$7,275.45 |
$3,996.74
|
|
Cryofibrinogen qualitative - sendout
|
$88.40 |
$88.40 |
$88.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$155.35 |
$155.35 |
$155.35 |
$182.25
|
|
Crystal identification light microscopy
|
$64.35 |
$64.35 |
$64.35 |
$56.44
|
|
CT 3d report other modality w/workstation
|
$741.65 |
$741.65 |
$741.65 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$1,948.70 |
$1,948.70 |
$1,948.70 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,634.45 |
$2,634.45 |
$2,634.45 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$2,180.10 |
$2,180.10 |
$2,180.10 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,096.30 |
$4,096.30 |
$4,096.30 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,057.90 |
$2,057.90 |
$2,057.90 |
$1,728.80
|
|
CT Angiogram of the Head
|
$1,359.80 |
$1,359.80 |
$1,359.80 |
$1,951.50
|
|
CT angio pelvis
|
$2,039.05 |
$2,039.05 |
$2,039.05 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,834.95 |
$1,834.95 |
$1,834.95 |
$1,650.60
|
|
CT guidance for needle placement
|
$1,805.05 |
$1,805.05 |
$1,805.05 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,223.30 |
$1,223.30 |
$1,223.30 |
$1,007.29
|
|
CT lower extremity w/contrast (both sides)
|
$2,543.45 |
$2,543.45 |
$2,543.45 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,652.30 |
$1,652.30 |
$1,652.30 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$1,732.90 |
$1,732.90 |
$1,732.90 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$2,007.85 |
$2,007.85 |
$2,007.85 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$1,389.70 |
$1,389.70 |
$1,389.70 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$2,059.85 |
$2,059.85 |
$2,059.85 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,855.10 |
$1,855.10 |
$1,855.10 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,540.50 |
$1,540.50 |
$1,540.50 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,428.05 |
$1,428.05 |
$1,428.05 |
$1,250.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,674.10 |
$2,674.10 |
$2,674.10 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,199.60 |
$2,199.60 |
$2,199.60 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,925.95 |
$1,925.95 |
$1,925.95 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$1,602.90 |
$1,602.90 |
$1,602.90 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$1,326.65 |
$1,326.65 |
$1,326.65 |
$1,381.20
|
|
CT t-spine w /wo contrast
|
$2,174.90 |
$2,174.90 |
$2,174.90 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$1,448.20 |
$1,448.20 |
$1,448.20 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$1,291.55 |
$1,291.55 |
$1,291.55 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$1,688.70 |
$1,688.70 |
$1,688.70 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$42.90 |
$42.90 |
$42.90 |
$61.03
|
|
Culture afb any source
|
$155.35 |
$155.35 |
$155.35 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$70.20 |
$70.20 |
$70.20 |
$73.00
|
|
Culture anaerobic except blood
|
$172.25 |
$172.25 |
$172.25 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$73.45 |
$73.45 |
$73.45 |
$49.40
|
|
Culture body fluid
|
$143.00 |
$143.00 |
$143.00 |
$111.15
|
|
Culture fungi definitive id mold
|
$66.95 |
$66.95 |
$66.95 |
$70.00
|
|
Culture fungi definitive id yeast
|
$73.45 |
$73.45 |
$73.45 |
$68.00
|
|
Culture fungi other (except blood)
|
$92.95 |
$92.95 |
$92.95 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$85.15 |
$85.15 |
$85.15 |
$74.75
|