|
Cmv pcr-sendout
|
$72.82 |
$72.82 |
$72.82 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$0.72 |
$0.72 |
$0.72 |
$11,888.50
|
|
Coil axium 3d 14mmx40cm qc
|
$289.28 |
$289.28 |
$289.28 |
$308.00
|
|
Cold agglutinin titer
|
$44.54 |
$44.54 |
$44.54 |
$52.00
|
|
Collagen imp urinary 2.5 ml
|
$13,401.08 |
$13,401.08 |
$13,401.08 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$254.17 |
$254.17 |
$254.17 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$162.26 |
$162.26 |
$162.26 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$114.91 |
$114.91 |
$114.91 |
$155.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$161.20 |
$161.20 |
$161.20 |
$314.00
|
|
Compatibility test each unit antiglobulin technique
|
$224.63 |
$224.63 |
$224.63 |
$173.50
|
|
Compatibility test each unit electronic
|
$224.63 |
$224.63 |
$224.63 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$224.63 |
$224.63 |
$224.63 |
$169.52
|
|
Complement antigen each component c3
|
$224.26 |
$224.26 |
$224.26 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$262.27 |
$262.27 |
$262.27 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$280.19 |
$280.19 |
$280.19 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$317.11 |
$317.11 |
$317.11 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$382.27 |
$382.27 |
$382.27 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$158.01 |
$158.01 |
$158.01 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$276.39 |
$276.39 |
$276.39 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$345.35 |
$345.35 |
$345.35 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$144.98 |
$144.98 |
$144.98 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$95.03 |
$95.03 |
$95.03 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$228.06 |
$228.06 |
$228.06 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$82.54 |
$82.54 |
$82.54 |
$537.00
|
|
Concentration infection agents any type
|
$87.94 |
$87.94 |
$87.94 |
$51.32
|
|
Condylomata destruction 56420
|
$116.75 |
$116.75 |
$116.75 |
$467.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$569.00 |
$569.00 |
$569.00 |
$860.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$911.91 |
$911.91 |
$911.91 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$41.38 |
$41.38 |
$41.38 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$215.69 |
$215.69 |
$215.69 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$67.72 |
$67.72 |
$67.72 |
$224.83
|
|
Contrast baths charges
|
$38.74 |
$38.74 |
$38.74 |
$75.60
|
|
Contrast x-ray gallbladder
|
$317.36 |
$317.36 |
$317.36 |
$341.00
|
|
Contrast x-ray of hip
|
$673.89 |
$673.89 |
$673.89 |
$796.38
|
|
Controller infinity pt dbs
|
$9,240.18 |
$9,240.18 |
$9,240.18 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$120.55 |
$120.55 |
$120.55 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$134.12 |
$134.12 |
$134.12 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$96.65 |
$96.65 |
$96.65 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$185.71 |
$185.71 |
$185.71 |
$620.00
|
|
Coombs direct
|
$92.16 |
$92.16 |
$92.16 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$264.19 |
$264.19 |
$264.19 |
$107.25
|
|
Cortisol total am
|
$198.00 |
$198.00 |
$198.00 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$52.27 |
$52.27 |
$52.27 |
$112.00
|
|
Coveredge 32 lead kit 40cm 48
|
$5,083.26 |
$5,083.26 |
$5,083.26 |
$4,180.79
|
|
#covid19rsv-rsv
|
$144.96 |
$144.96 |
$144.96 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$40.70 |
$40.70 |
$40.70 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$500.91 |
$500.91 |
$500.91 |
$584.50
|
|
C-peptide
|
$38.62 |
$38.62 |
$38.62 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$494.46 |
$494.46 |
$494.46 |
$777.71
|
|
Cptr ophth dx img post segmt
|
$79.80 |
$79.80 |
$79.80 |
$105.00
|
|
Cptrz oph img pst sg rta oct
|
$250.04 |
$250.04 |
$250.04 |
$357.00
|
|
Crbrospnl fld flw imag cistern
|
$749.65 |
$749.65 |
$749.65 |
$1,330.02
|
|
C-reactive protein
|
$55.30 |
$55.30 |
$55.30 |
$69.36
|
|
C-reactive protein high sensitivity
|
$100.61 |
$100.61 |
$100.61 |
$85.50
|
|
C-reactive protein, quantitative
|
$62.21 |
$62.21 |
$62.21 |
$65.16
|
|
Create eardrum opening
|
$219.67 |
$219.67 |
$219.67 |
$3,340.97
|
|
Creatine kinase
|
$12.26 |
$12.26 |
$12.26 |
$66.30
|
|
Creatine kinase isoenzymes
|
$36.17 |
$36.17 |
$36.17 |
$56.20
|
|
Creatine kinase mb
|
$21.45 |
$21.45 |
$21.45 |
$113.63
|
|
Creatine - sendout
|
$36.78 |
$36.78 |
$36.78 |
$41.25
|
|
Creatinine
|
$34.33 |
$34.33 |
$34.33 |
$46.20
|
|
Creatinine 24 hour urine
|
$49.04 |
$49.04 |
$49.04 |
$57.85
|
|
Creatinine clearance urine
|
$17.78 |
$17.78 |
$17.78 |
$90.26
|
|
#creutz-prot.,western blot
|
$95.02 |
$95.02 |
$95.02 |
$163.50
|
|
Critical care each additional 30 minutes
|
$546.24 |
$546.24 |
$546.24 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,092.48 |
$1,092.48 |
$1,092.48 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$50.64 |
$50.64 |
$50.64 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$102.15 |
$102.15 |
$102.15 |
$271.20
|
|
Cryptosporidium antigen
|
$76.26 |
$76.26 |
$76.26 |
$52.08
|
|
Crystal identification light microscopy
|
$14.37 |
$14.37 |
$14.37 |
$66.43
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,647.32 |
$1,647.32 |
$1,647.32 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,134.75 |
$2,134.75 |
$2,134.75 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,370.42 |
$1,370.42 |
$1,370.42 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,105.84 |
$2,105.84 |
$2,105.84 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,526.73 |
$1,526.73 |
$1,526.73 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,445.54 |
$1,445.54 |
$1,445.54 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,588.14 |
$1,588.14 |
$1,588.14 |
$1,881.75
|
|
CT angio pelvis
|
$2,997.96 |
$2,997.96 |
$2,997.96 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,275.11 |
$2,275.11 |
$2,275.11 |
$1,691.30
|
|
CT bone density axial
|
$414.70 |
$414.70 |
$414.70 |
$385.15
|
|
CT guidance for needle placement
|
$957.39 |
$957.39 |
$957.39 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$857.98 |
$857.98 |
$857.98 |
$1,215.06
|
|
CT heart w/evaluation of calcium without contrast
|
$117.03 |
$117.03 |
$117.03 |
$150.00
|
|
CT limited or localized follow-up study
|
$700.06 |
$700.06 |
$700.06 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$1,568.84 |
$1,568.84 |
$1,568.84 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$153.67 |
$153.67 |
$153.67 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,032.67 |
$2,032.67 |
$2,032.67 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,693.89 |
$1,693.89 |
$1,693.89 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,355.11 |
$1,355.11 |
$1,355.11 |
$2,272.00
|
|
CT uppr extremity w/o&w/dye
|
$2,166.65 |
$2,166.65 |
$2,166.65 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$70.76 |
$70.76 |
$70.76 |
$72.00
|
|
Culture afb any source
|
$43.28 |
$43.28 |
$43.28 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$81.07 |
$81.07 |
$81.07 |
$84.76
|
|
Culture anaerobic except blood
|
$19.92 |
$19.92 |
$19.92 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$43.28 |
$43.28 |
$43.28 |
$52.50
|
|
Culture body fluid
|
$76.94 |
$76.94 |
$76.94 |
$126.75
|
|
Culture fungi definitive id mold
|
$94.81 |
$94.81 |
$94.81 |
$80.00
|
|
Culture fungi definitive id yeast
|
$42.59 |
$42.59 |
$42.59 |
$80.00
|
|
Culture fungi other (except blood)
|
$60.46 |
$60.46 |
$60.46 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$40.53 |
$40.53 |
$40.53 |
$74.75
|
