|
Compatibility test each unit immediate spin technique
|
$105.60 |
$105.60 |
$105.60 |
$163.80
|
|
Compatibility test incubate
|
$94.05 |
$94.05 |
$94.05 |
$143.65
|
|
Comp cystometrogram/void presssure 51728
|
$1,060.95 |
$1,060.95 |
$1,060.95 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,820.50 |
$1,820.50 |
$1,820.50 |
$1,099.00
|
|
Complement antigen each component c3
|
$113.30 |
$113.30 |
$113.30 |
$112.45
|
|
Complex cystometrogram 51726
|
$893.75 |
$893.75 |
$893.75 |
$710.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$912.80
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,464.10 |
$1,464.10 |
$1,464.10 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$289.30 |
$289.30 |
$289.30 |
$353.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,742.95 |
$1,742.95 |
$1,742.95 |
$1,252.90
|
|
Complx repair enel addl 5cm/< 13153
|
$767.80 |
$767.80 |
$767.80 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$1,393.70 |
$1,393.70 |
$1,393.70 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$1,742.95 |
$1,742.95 |
$1,742.95 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$917.95 |
$917.95 |
$917.95 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$803.55 |
$803.55 |
$803.55 |
$590.20
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,312.85 |
$1,312.85 |
$1,312.85 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$779.35 |
$779.35 |
$779.35 |
$741.60
|
|
Composite graft/pri close/don area 15760
|
$2,364.45 |
$2,364.45 |
$2,364.45 |
$2,364.45
|
|
Concentration infection agents any type
|
$53.35 |
$53.35 |
$53.35 |
$51.32
|
|
Condylomata destruction 56420
|
$698.50 |
$698.50 |
$698.50 |
$503.67
|
|
Connect omega .5mm
|
$398.31 |
$398.31 |
$398.31 |
$847.52
|
|
Connector tis 2x10mm
|
$2,229.18 |
$2,229.18 |
$2,229.18 |
$3,180.28
|
|
Consultation pathology during surgery cytological exam initial site
|
$381.15 |
$381.15 |
$381.15 |
$412.99
|
|
Consultation pathology during surgery frozen section each additional block
|
$96.80 |
$96.80 |
$96.80 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$174.90 |
$174.90 |
$174.90 |
$211.90
|
|
Consultation/report referred material w/preparation of slides
|
$390.50 |
$390.50 |
$390.50 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$154.00 |
$154.00 |
$154.00 |
$176.15
|
|
Contrast baths charges
|
$74.25 |
$74.25 |
$74.25 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$2,425.50 |
$2,425.50 |
$2,425.50 |
$3,389.09
|
|
Contrast exam thoracic aorta
|
$2,633.40 |
$2,633.40 |
$2,633.40 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$2,910.05 |
$2,910.05 |
$2,910.05 |
$3,780.00
|
|
Contrast x-ray gallbladder
|
$444.95 |
$444.95 |
$444.95 |
$280.14
|
|
Contrast x-ray of ankle
|
$879.45 |
$879.45 |
$879.45 |
$575.82
|
|
Contrast x-ray of brain
|
$679.80 |
$679.80 |
$679.80 |
$445.20
|
|
Contrast x-ray of brain
|
$981.75 |
$981.75 |
$981.75 |
$900.00
|
|
Contrast x-ray of elbow
|
$985.05 |
$985.05 |
$985.05 |
$625.35
|
|
Contrast x-ray of hip
|
$693.00 |
$693.00 |
$693.00 |
$766.40
|
|
Contrast x-ray of knee joint
|
$655.05 |
$655.05 |
$655.05 |
$668.00
|
|
Contrast x-ray of wrist
|
$527.45 |
$527.45 |
$527.45 |
$592.40
|
|
Controller infinity pt dbs
|
$1,251.59 |
$1,251.59 |
$1,251.59 |
$3,401.81
|
|
Control nosebleed pack+caut 30905
|
$697.40 |
$697.40 |
$697.40 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$602.25 |
$602.25 |
$602.25 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$441.10 |
$441.10 |
$441.10 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$788.15 |
$788.15 |
$788.15 |
$602.63
|
|
Conversion ext bil drg cath
|
$3,371.50 |
$3,371.50 |
$3,371.50 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$2,084.50 |
$2,084.50 |
$2,084.50 |
$3,749.60
|
|
Coombs direct
|
$45.10 |
$45.10 |
$45.10 |
$72.78
|
|
Coombs indirect titer reference
|
$129.25 |
$129.25 |
$129.25 |
$144.00
|
|
Core ndl bx lng/med perq
|
$4,924.70 |
$4,924.70 |
$4,924.70 |
$2,938.49
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$8,061.35 |
$8,061.35 |
$8,061.35 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$7,272.10 |
$7,272.10 |
$7,272.10 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$7,179.70 |
$7,179.70 |
$7,179.70 |
$11,240.08
|
|
Coronary art/grft angio s&i
|
$6,858.50 |
$6,858.50 |
$6,858.50 |
$7,814.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,697.25 |
$7,697.25 |
$7,697.25 |
$7,697.25
|
|
Coronary thrombolysis/iv infusion 92977
|
$367.40 |
$367.40 |
$367.40 |
$484.37
|
|
Correct rectal prolapse
|
$3,581.60 |
$3,581.60 |
$3,581.60 |
$3,276.24
|
|
Cortisol total am
|
$73.15 |
$73.15 |
$73.15 |
$122.54
|
|
Co-treatment - group 15 mins, st
|
$95.15 |
$95.15 |
$95.15 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$48.95 |
$48.95 |
$48.95 |
$57.77
|
|
Counseling visit to discuss need for ldct g0296
|
$42.37 |
$42.37 |
$42.37 |
$102.47
|
|
Coveredge 32 lead kit 40cm 48
|
$2,133.42 |
$2,133.42 |
$2,133.42 |
$2,990.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$95.46 |
$95.46 |
$95.46 |
$59.05
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$292.60 |
$292.60 |
$292.60 |
$569.31
|
|
#coxa-coxsackie a serotype a16
|
$85.25 |
$85.25 |
$85.25 |
$65.00
|
|
C-peptide
|
$62.70 |
$62.70 |
$62.70 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$767.25 |
$767.25 |
$767.25 |
$1,409.85
|
|
C-reactive protein
|
$41.80 |
$41.80 |
$41.80 |
$61.20
|
|
C-reactive protein high sensitivity
|
$44.00 |
$44.00 |
$44.00 |
$91.65
|
|
C-reactive protein, quantitative
|
$8.80 |
$8.80 |
$8.80 |
$63.07
|
|
Create eardrum opening
|
$1,994.30 |
$1,994.30 |
$1,994.30 |
$3,006.50
|
|
Creatine kinase
|
$85.25 |
$85.25 |
$85.25 |
$61.92
|
|
Creatine kinase isoenzymes
|
$27.50 |
$27.50 |
$27.50 |
$48.60
|
|
Creatine kinase mb
|
$78.65 |
$78.65 |
$78.65 |
$109.20
|
|
Creatine - sendout
|
$93.50 |
$93.50 |
$93.50 |
$39.00
|
|
Creatinine
|
$57.75 |
$57.75 |
$57.75 |
$44.10
|
|
Creatinine 24 hour urine
|
$74.80 |
$74.80 |
$74.80 |
$62.40
|
|
Creatinine clearance urine
|
$42.35 |
$42.35 |
$42.35 |
$87.20
|
|
#creutz-prot.,western blot
|
$595.10 |
$595.10 |
$595.10 |
$178.61
|
|
Crisis psychotherapy 90839
|
$198.55 |
$198.55 |
$198.55 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$124.30 |
$124.30 |
$124.30 |
$147.50
|
|
Critical care 30-74 minutes
|
$2,395.80 |
$2,395.80 |
$2,395.80 |
$2,627.30
|
|
Critical care each additional 30 minutes
|
$1,206.15 |
$1,206.15 |
$1,206.15 |
$777.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$2,002.55 |
$2,002.55 |
$2,002.55 |
$2,649.05
|
|
Cryoablate prostate
|
$21,299.30 |
$21,299.30 |
$21,299.30 |
$10,890.00
|
|
Cryocautery of cervix 57511
|
$1,010.35 |
$1,010.35 |
$1,010.35 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$52.25 |
$52.25 |
$52.25 |
$50.88
|
|
Cryoprecipitate each unit
|
$423.50 |
$423.50 |
$423.50 |
$198.60
|
|
Cryosurgery penis lesion(s) 54056
|
$176.22 |
$176.22 |
$176.22 |
$288.05
|
|
Cryptococcus abs qn - sendout
|
$80.85 |
$80.85 |
$80.85 |
$76.20
|
|
Cryptosporidium antigen
|
$127.05 |
$127.05 |
$127.05 |
$56.35
|
|
Crystal identification light microscopy
|
$48.95 |
$48.95 |
$48.95 |
$65.25
|
|
Csf leakage imaging
|
$844.25 |
$844.25 |
$844.25 |
$1,433.25
|
|
Csf ventriculography
|
$714.45 |
$714.45 |
$714.45 |
$714.87
|
|
CT 3d report other modality w/workstation
|
$896.50 |
$896.50 |
$896.50 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,018.60 |
$1,018.60 |
$1,018.60 |
$1,977.25
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$2,839.85
|