|
Complx repair enel 2.6-7.5 cm 13152
|
$787.38 |
$787.38 |
$787.38 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$866.58 |
$866.58 |
$866.58 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$524.04 |
$524.04 |
$524.04 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$1,824.90 |
$1,824.90 |
$1,824.90 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$524.04 |
$524.04 |
$524.04 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$400.62 |
$400.62 |
$400.62 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$549.78 |
$549.78 |
$549.78 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$547.14 |
$547.14 |
$547.14 |
$683.25
|
|
Concentration infection agents any type
|
$47.85 |
$47.85 |
$47.85 |
$51.32
|
|
Condylomata destruction 56420
|
$389.40 |
$389.40 |
$389.40 |
$509.81
|
|
Connect omega .5mm
|
$3,633.59 |
$3,633.59 |
$3,633.59 |
$1,069.43
|
|
Consultation pathology during surgery
|
$73.15 |
$73.15 |
$73.15 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$186.45 |
$186.45 |
$186.45 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$160.05 |
$160.05 |
$160.05 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$204.60 |
$204.60 |
$204.60 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$120.45 |
$120.45 |
$120.45 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$120.45 |
$120.45 |
$120.45 |
$176.15
|
|
Consult comp w/report rfrd material
|
$59.95 |
$59.95 |
$59.95 |
$359.87
|
|
Contrast baths charges
|
$45.17 |
$45.17 |
$45.17 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$3,502.62 |
$3,502.62 |
$3,502.62 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$2,929.74 |
$2,929.74 |
$2,929.74 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$2,929.74 |
$2,929.74 |
$2,929.74 |
$4,178.00
|
|
Contrast x-ray of elbow
|
$1,046.10 |
$1,046.10 |
$1,046.10 |
$637.14
|
|
Contrast x-ray of hip
|
$708.18 |
$708.18 |
$708.18 |
$768.00
|
|
Contrast x-ray of knee joint
|
$487.85 |
$487.85 |
$487.85 |
$683.20
|
|
Contrast x-ray of wrist
|
$506.00 |
$506.00 |
$506.00 |
$623.50
|
|
Controller infinity pt dbs
|
$1,509.85 |
$1,509.85 |
$1,509.85 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$133.32 |
$133.32 |
$133.32 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$513.48 |
$513.48 |
$513.48 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$559.02 |
$559.02 |
$559.02 |
$385.45
|
|
Conversion ext bil drg cath
|
$3,118.80 |
$3,118.80 |
$3,118.80 |
$4,661.80
|
|
Coombs direct
|
$114.40 |
$114.40 |
$114.40 |
$73.26
|
|
Coombs indirect titer reference
|
$71.50 |
$71.50 |
$71.50 |
$146.00
|
|
Core ndl bx lng/med perq
|
$4,561.92 |
$4,561.92 |
$4,561.92 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,804.19 |
$9,804.19 |
$9,804.19 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$8,772.25 |
$8,772.25 |
$8,772.25 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$7,223.56 |
$7,223.56 |
$7,223.56 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$4,390.57 |
$4,390.57 |
$4,390.57 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,822.61 |
$3,822.61 |
$3,822.61 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$216.84 |
$216.84 |
$216.84 |
$489.00
|
|
Correction trichiasis epilation forcep 67820
|
$256.74 |
$256.74 |
$256.74 |
$152.54
|
|
Cortisol total am
|
$86.35 |
$86.35 |
$86.35 |
$122.20
|
|
Counseling smoke cess interm >10mins
|
$53.78 |
$53.78 |
$53.78 |
$57.85
|
|
Counseling visit to discuss need for ldct g0296
|
$24.16 |
$24.16 |
$24.16 |
$109.46
|
|
Coveredge 32 lead kit 40cm 48
|
$1,273.39 |
$1,273.39 |
$1,273.39 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$49.50 |
$49.50 |
$49.50 |
$58.61
|
|
#coxa-coxsackie a serotype a16
|
$39.05 |
$39.05 |
$39.05 |
$65.36
|
|
C-peptide
|
$136.95 |
$136.95 |
$136.95 |
$100.00
|
|
Cr-51 sodium chromate
|
$920.17 |
$920.17 |
$920.17 |
$2,646.78
|
|
Crbrospnl fld flw imag cistern
|
$1,175.46 |
$1,175.46 |
$1,175.46 |
$1,466.97
|
|
C-reactive protein
|
$72.60 |
$72.60 |
$72.60 |
$63.00
|
|
C-reactive protein high sensitivity
|
$46.75 |
$46.75 |
$46.75 |
$91.65
|
|
C-reactive protein, quantitative
|
$28.60 |
$28.60 |
$28.60 |
$62.50
|
|
Creatine kinase
|
$41.25 |
$41.25 |
$41.25 |
$59.78
|
|
Creatine kinase isoenzymes
|
$217.80 |
$217.80 |
$217.80 |
$46.34
|
|
Creatine kinase mb
|
$129.80 |
$129.80 |
$129.80 |
$111.00
|
|
Creatine - sendout
|
$88.55 |
$88.55 |
$88.55 |
$39.00
|
|
Creatinine
|
$35.20 |
$35.20 |
$35.20 |
$44.10
|
|
Creatinine 24 hour urine
|
$45.10 |
$45.10 |
$45.10 |
$59.80
|
|
Creatinine clearance urine
|
$121.00 |
$121.00 |
$121.00 |
$87.50
|
|
#creutz-prot.,western blot
|
$180.40 |
$180.40 |
$180.40 |
$173.00
|
|
Critical care 30-74 minutes
|
$2,560.82 |
$2,560.82 |
$2,560.82 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$660.82 |
$660.82 |
$660.82 |
$777.00
|
|
Cryoprecipitate each unit
|
$178.75 |
$178.75 |
$178.75 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$102.85 |
$102.85 |
$102.85 |
$70.00
|
|
Cryptosporidium antigen
|
$28.05 |
$28.05 |
$28.05 |
$56.00
|
|
Crystal identification light microscopy
|
$32.45 |
$32.45 |
$32.45 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$394.68 |
$394.68 |
$394.68 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,302.84 |
$1,302.84 |
$1,302.84 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,791.90 |
$1,791.90 |
$1,791.90 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,302.84 |
$1,302.84 |
$1,302.84 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$968.88 |
$968.88 |
$968.88 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,302.84 |
$1,302.84 |
$1,302.84 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,873.08 |
$1,873.08 |
$1,873.08 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,191.96 |
$1,191.96 |
$1,191.96 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$648.12 |
$648.12 |
$648.12 |
$1,588.60
|
|
CT angio pelvis
|
$895.62 |
$895.62 |
$895.62 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,302.84 |
$1,302.84 |
$1,302.84 |
$1,652.25
|
|
CT guidance for needle placement
|
$848.10 |
$848.10 |
$848.10 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,269.84 |
$1,269.84 |
$1,269.84 |
$1,085.05
|
|
CT guid cryo ablat intramuscular
|
$3,414.54 |
$3,414.54 |
$3,414.54 |
$2,136.75
|
|
CT guid parench tis ablat
|
$708.84 |
$708.84 |
$708.84 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$81.18 |
$81.18 |
$81.18 |
$192.00
|
|
CT limited or localized follow-up study
|
$339.24 |
$339.24 |
$339.24 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$998.58 |
$998.58 |
$998.58 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$844.80 |
$844.80 |
$844.80 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,228.92 |
$1,228.92 |
$1,228.92 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$998.58 |
$998.58 |
$998.58 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$844.80 |
$844.80 |
$844.80 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$1,228.92 |
$1,228.92 |
$1,228.92 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,191.96 |
$1,191.96 |
$1,191.96 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$968.88 |
$968.88 |
$968.88 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$819.72 |
$819.72 |
$819.72 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$125.40 |
$125.40 |
$125.40 |
$456.00
|
|
CT scan for therapy guide
|
$895.62 |
$895.62 |
$895.62 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,362.14 |
$2,362.14 |
$2,362.14 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,117.28 |
$2,117.28 |
$2,117.28 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,873.08 |
$1,873.08 |
$1,873.08 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$998.58 |
$998.58 |
$998.58 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$844.80 |
$844.80 |
$844.80 |
$1,443.00
|