|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$188.00 |
$188.00 |
$188.00 |
$321.10
|
|
Colposcopy vulva 56820
|
$185.60 |
$185.60 |
$185.60 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$248.80 |
$248.80 |
$248.80 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$240.80 |
$240.80 |
$240.80 |
$573.30
|
|
Colpotomy drng of abscess 57010
|
$678.40 |
$678.40 |
$678.40 |
$3,309.79
|
|
Colpotomy w/exploration 57000
|
$300.00 |
$300.00 |
$300.00 |
$3,474.84
|
|
Compatibility test each unit antiglobulin technique
|
$148.00 |
$148.00 |
$148.00 |
$158.51
|
|
Compatibility test each unit immediate spin technique
|
$171.20 |
$171.20 |
$171.20 |
$158.27
|
|
Compatibility test incubate
|
$215.20 |
$215.20 |
$215.20 |
$133.70
|
|
Comp cystometrogram/void presssure 51728
|
$504.00 |
$504.00 |
$504.00 |
$969.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$581.60 |
$581.60 |
$581.60 |
$1,111.03
|
|
Complement antigen each component c3
|
$110.40 |
$110.40 |
$110.40 |
$113.30
|
|
Complex cystometrogram 51726
|
$412.80 |
$412.80 |
$412.80 |
$710.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$524.80 |
$524.80 |
$524.80 |
$952.60
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$590.40 |
$590.40 |
$590.40 |
$1,445.50
|
|
Complex uroflowmetry (electronic) 51741
|
$20.80 |
$20.80 |
$20.80 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$627.20 |
$627.20 |
$627.20 |
$1,247.95
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$735.20 |
$735.20 |
$735.20 |
$1,279.20
|
|
Complx repair enel addl 5cm/< 13153
|
$272.80 |
$272.80 |
$272.80 |
$486.20
|
|
Complx repair fccmnaxghf 13131
|
$575.20 |
$575.20 |
$575.20 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$698.40 |
$698.40 |
$698.40 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$417.60 |
$417.60 |
$417.60 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$188.00 |
$188.00 |
$188.00 |
$590.20
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$504.00 |
$504.00 |
$504.00 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$523.20 |
$523.20 |
$523.20 |
$741.60
|
|
Computed tomographic angiography head and neck with contrast
|
$238.40 |
$238.40 |
$238.40 |
$2,544.75
|
|
Concentration infection agents any type
|
$98.40 |
$98.40 |
$98.40 |
$51.32
|
|
Condylomata destruction 56420
|
$286.40 |
$286.40 |
$286.40 |
$509.81
|
|
Conization/cerv/loop electrode exc 57522
|
$452.80 |
$452.80 |
$452.80 |
$4,198.50
|
|
Conization of cervix
|
$526.40 |
$526.40 |
$526.40 |
$3,577.50
|
|
Conjugated estrogens 25 mg solution for injection
|
$989.10 |
$989.10 |
$989.10 |
$839.07
|
|
Consultation pathology during surgery frozen section each additional block
|
$43.20 |
$43.20 |
$43.20 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$73.60 |
$73.60 |
$73.60 |
$214.00
|
|
Consultation/report referred slides prepared elsewhere
|
$560.00 |
$560.00 |
$560.00 |
$176.15
|
|
Cont gluc mntr analysis i&r 95251
|
$51.20 |
$51.20 |
$51.20 |
$80.00
|
|
Contrast x-ray of hip
|
$912.80 |
$912.80 |
$912.80 |
$785.60
|
|
Contrast x-ray of knee joint
|
$1,151.20 |
$1,151.20 |
$1,151.20 |
$660.00
|
|
Contrast x-ray of wrist
|
$619.20 |
$619.20 |
$619.20 |
$583.92
|
|
Control nosebleed pack+caut 30905
|
$528.80 |
$528.80 |
$528.80 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$369.60 |
$369.60 |
$369.60 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$236.80 |
$236.80 |
$236.80 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$237.60 |
$237.60 |
$237.60 |
$632.80
|
|
Control throat bleeding
|
$778.40 |
$778.40 |
$778.40 |
$3,723.23
|
|
Coombs direct
|
$151.20 |
$151.20 |
$151.20 |
$72.45
|
|
Copper intrauterine device
|
$1,007.20 |
$1,007.20 |
$1,007.20 |
$2,304.44
|
|
Cor artery disease mrna
|
$2,132.80 |
$2,132.80 |
$2,132.80 |
$1,155.00
|
|
Cor hlx vlgs prx phlx osteot
|
$1,229.60 |
$1,229.60 |
$1,229.60 |
$4,627.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$716.00 |
$716.00 |
$716.00 |
$484.37
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$4,047.20 |
$4,047.20 |
$4,047.20 |
$3,821.05
|
|
Corrj halux rigdus without implt
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$3,786.00
|
|
Cortisol acth stimulation test - sendout
|
$96.00 |
$96.00 |
$96.00 |
$123.73
|
|
Cortisol total am
|
$110.40 |
$110.40 |
$110.40 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$382.10 |
$382.10 |
$382.10 |
$258.83
|
|
Counseling smoke cess interm >10mins
|
$41.60 |
$41.60 |
$41.60 |
$57.85
|
|
Counseling visit to discuss need for ldct g0296
|
$42.40 |
$42.40 |
$42.40 |
$58.21
|
|
Covid-19 administration immunization im inj 1st/only component
|
$52.80 |
$52.80 |
$52.80 |
$64.50
|
|
#covid19rsv-rsv
|
$147.20 |
$147.20 |
$147.20 |
$140.95
|
|
#coxa-coxsackie a serotype a16
|
$276.80 |
$276.80 |
$276.80 |
$65.36
|
|
C-peptide
|
$117.60 |
$117.60 |
$117.60 |
$101.60
|
|
C-reactive protein
|
$81.60 |
$81.60 |
$81.60 |
$63.50
|
|
C-reactive protein high sensitivity
|
$47.20 |
$47.20 |
$47.20 |
$91.65
|
|
Create eardrum opening
|
$234.40 |
$234.40 |
$234.40 |
$3,006.50
|
|
Creatine kinase
|
$35.20 |
$35.20 |
$35.20 |
$59.78
|
|
Creatine kinase mb
|
$188.80 |
$188.80 |
$188.80 |
$109.20
|
|
Creatinine
|
$48.00 |
$48.00 |
$48.00 |
$44.10
|
|
Creatinine 24 hour urine
|
$89.60 |
$89.60 |
$89.60 |
$62.00
|
|
Creatinine clearance urine
|
$118.40 |
$118.40 |
$118.40 |
$86.40
|
|
#creutz-prot.,western blot
|
$580.80 |
$580.80 |
$580.80 |
$189.80
|
|
Crisis psychotherapy 90839
|
$207.20 |
$207.20 |
$207.20 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$103.20 |
$103.20 |
$103.20 |
$152.10
|
|
Critical care 30-74 minutes
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$2,627.30
|
|
Critical care each additional 30 minutes
|
$649.60 |
$649.60 |
$649.60 |
$756.00
|
|
Cryoablate prostate
|
$1,141.60 |
$1,141.60 |
$1,141.60 |
$10,235.30
|
|
Cryocautery of cervix 57511
|
$300.80 |
$300.80 |
$300.80 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$36.80 |
$36.80 |
$36.80 |
$52.25
|
|
Cryoprecipitate each unit
|
$64.00 |
$64.00 |
$64.00 |
$198.60
|
|
Cryosurgery penis lesion(s) 54056
|
$209.60 |
$209.60 |
$209.60 |
$309.95
|
|
Cryotherapy of acne 17340
|
$79.20 |
$79.20 |
$79.20 |
$101.79
|
|
Cryptococcus abs qn - sendout
|
$60.00 |
$60.00 |
$60.00 |
$80.85
|
|
Crystal identification light microscopy
|
$120.00 |
$120.00 |
$120.00 |
$64.35
|
|
C-Section Delivery (full care)
|
$3,296.80 |
$3,296.80 |
$3,296.80 |
$4,739.20
|
|
C-section delivery incl p/p care 59515
|
$1,768.00 |
$1,768.00 |
$1,768.00 |
$3,040.89
|
|
CT 3d report other modality w/workstation
|
$363.20 |
$363.20 |
$363.20 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$2,084.86
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$943.20 |
$943.20 |
$943.20 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$943.20 |
$943.20 |
$943.20 |
$2,079.00
|
|
Cta neck without &/or w/contrast
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$1,987.50
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,628.80 |
$3,628.80 |
$3,628.80 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$2,057.90
|
|
CT Angiogram of the Head
|
$1,233.60 |
$1,233.60 |
$1,233.60 |
$2,080.00
|
|
CT angio hrt w/3d image
|
$452.80 |
$452.80 |
$452.80 |
$1,610.08
|
|
CT angio pelvis
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$1,819.20
|
|
Cta upper extremity w &/or without contrast left
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$1,697.80
|
|
CT colonography dx
|
$542.40 |
$542.40 |
$542.40 |
$770.90
|
|
CT colonography dx w/dye
|
$943.20 |
$943.20 |
$943.20 |
$1,009.98
|
|
CT colonography screening
|
$935.20 |
$935.20 |
$935.20 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,330.40 |
$1,330.40 |
$1,330.40 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$1,058.40
|
|
CT heart w/evaluation of calcium without contrast
|
$238.40 |
$238.40 |
$238.40 |
$196.67
|
|
CT lower extremity w/contrast (both sides)
|
$1,578.40 |
$1,578.40 |
$1,578.40 |
$1,693.20
|
