|
Complx repair trunk addl 5cm/< 13102
|
$449.40 |
$449.40 |
$449.40 |
$537.00
|
|
Comprehensive hearing test
|
$157.08 |
$157.08 |
$157.08 |
$255.00
|
|
Concentration infection agents any type
|
$96.60 |
$96.60 |
$96.60 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$781.04 |
$781.04 |
$781.04 |
$3,322.20
|
|
Condylomata destruction 56420
|
$532.56 |
$532.56 |
$532.56 |
$469.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,447.70 |
$1,447.70 |
$1,447.70 |
$871.08
|
|
Connect omega .5mm
|
$821.90 |
$821.90 |
$821.90 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,577.77 |
$3,577.77 |
$3,577.77 |
$4,091.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$279.72 |
$279.72 |
$279.72 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$263.76 |
$263.76 |
$263.76 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$290.64 |
$290.64 |
$290.64 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$279.72 |
$279.72 |
$279.72 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$1,303.68 |
$1,303.68 |
$1,303.68 |
$171.65
|
|
Consult comp w/report rfrd material
|
$564.48 |
$564.48 |
$564.48 |
$365.60
|
|
Contact layer >16<= 48 sq in
|
$62.00 |
$62.00 |
$62.00 |
$36.17
|
|
Contrast baths charges
|
$68.88 |
$68.88 |
$68.88 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$2,943.36 |
$2,943.36 |
$2,943.36 |
$3,458.54
|
|
Contrast x-ray of hip
|
$614.88 |
$614.88 |
$614.88 |
$771.12
|
|
Contrast x-ray of knee joint
|
$656.88 |
$656.88 |
$656.88 |
$769.88
|
|
Controller infinity pt dbs
|
$4,611.60 |
$4,611.60 |
$4,611.60 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$840.00 |
$840.00 |
$840.00 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$588.00 |
$588.00 |
$588.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$374.64 |
$374.64 |
$374.64 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$875.28 |
$875.28 |
$875.28 |
$634.80
|
|
Contrst x-ray uppr gi tract
|
$645.12 |
$645.12 |
$645.12 |
$737.75
|
|
Conv gtube to jtube
|
$446.88 |
$446.88 |
$446.88 |
$2,099.70
|
|
Coombs direct
|
$81.48 |
$81.48 |
$81.48 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$15.96 |
$15.96 |
$15.96 |
$102.90
|
|
Coombs indirect titer reference
|
$279.72 |
$279.72 |
$279.72 |
$146.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$190.68 |
$190.68 |
$190.68 |
$476.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$1,367.52 |
$1,367.52 |
$1,367.52 |
$3,839.54
|
|
Correction trichiasis epilation forcep 67820
|
$116.76 |
$116.76 |
$116.76 |
$176.00
|
|
Cortisol total am
|
$206.64 |
$206.64 |
$206.64 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$105.64 |
$105.64 |
$105.64 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$102.48 |
$102.48 |
$102.48 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$25.20 |
$25.20 |
$25.20 |
$55.90
|
|
Cov-19 amp prb hgh thruput
|
$154.56 |
$154.56 |
$154.56 |
$156.40
|
|
Coveredge 32 lead kit 40cm 48
|
$13,834.80 |
$13,834.80 |
$13,834.80 |
$3,908.16
|
|
Covid-19 administration immunization im inj 1st/only component
|
$115.08 |
$115.08 |
$115.08 |
$49.13
|
|
Covid-19 lab test non-cdc
|
$168.00 |
$168.00 |
$168.00 |
$80.50
|
|
#coxa-coxsackie a serotype a16
|
$270.48 |
$270.48 |
$270.48 |
$60.00
|
|
C-peptide
|
$204.12 |
$204.12 |
$204.12 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$884.52 |
$884.52 |
$884.52 |
$1,240.80
|
|
C-reactive protein
|
$126.00 |
$126.00 |
$126.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$199.92 |
$199.92 |
$199.92 |
$85.00
|
|
Creatine kinase
|
$142.80 |
$142.80 |
$142.80 |
$66.30
|
|
Creatine kinase isoenzymes
|
$184.80 |
$184.80 |
$184.80 |
$56.80
|
|
Creatine kinase mb
|
$196.56 |
$196.56 |
$196.56 |
$114.00
|
|
Creatine - sendout
|
$749.28 |
$749.28 |
$749.28 |
$39.00
|
|
Creatinine
|
$94.08 |
$94.08 |
$94.08 |
$44.72
|
|
Creatinine 24 hour urine
|
$94.08 |
$94.08 |
$94.08 |
$58.85
|
|
Creatinine clearance urine
|
$186.48 |
$186.48 |
$186.48 |
$89.50
|
|
#creutz-prot.,western blot
|
$113.40 |
$113.40 |
$113.40 |
$166.20
|
|
Critical care 30-74 minutes
|
$3,868.20 |
$3,868.20 |
$3,868.20 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$889.56 |
$889.56 |
$889.56 |
$731.40
|
|
Crotalidae poly immune fab
|
$7,520.63 |
$7,520.63 |
$7,520.63 |
$5,590.35
|
|
Cryocautery of cervix 57511
|
$236.88 |
$236.88 |
$236.88 |
$429.60
|
|
Cryoprecipitate each unit
|
$700.56 |
$700.56 |
$700.56 |
$144.78
|
|
Cryotherapy of acne 17340
|
$95.76 |
$95.76 |
$95.76 |
$101.79
|
|
Crystal identification light microscopy
|
$90.72 |
$90.72 |
$90.72 |
$62.50
|
|
Csf leakage imaging
|
$759.36 |
$759.36 |
$759.36 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$708.12 |
$708.12 |
$708.12 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,447.36 |
$3,447.36 |
$3,447.36 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,540.60 |
$3,540.60 |
$3,540.60 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,763.60 |
$2,763.60 |
$2,763.60 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$3,221.40 |
$3,221.40 |
$3,221.40 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$7,659.12 |
$7,659.12 |
$7,659.12 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,433.08 |
$3,433.08 |
$3,433.08 |
$1,940.00
|
|
CT Angiogram of the Head
|
$3,189.48 |
$3,189.48 |
$3,189.48 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$2,572.08 |
$2,572.08 |
$2,572.08 |
$1,500.38
|
|
CT angio pelvis
|
$2,588.88 |
$2,588.88 |
$2,588.88 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,787.96 |
$2,787.96 |
$2,787.96 |
$1,698.00
|
|
CT bone density axial
|
$404.04 |
$404.04 |
$404.04 |
$387.62
|
|
CT colonography dx
|
$2,657.76 |
$2,657.76 |
$2,657.76 |
$791.00
|
|
CT colonography dx w/dye
|
$2,079.84 |
$2,079.84 |
$2,079.84 |
$1,037.00
|
|
CT guidance for needle placement
|
$2,242.80 |
$2,242.80 |
$2,242.80 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,930.32 |
$1,930.32 |
$1,930.32 |
$1,178.52
|
|
CT hrt c+ strux cgen hrt ds
|
$2,500.68 |
$2,500.68 |
$2,500.68 |
$1,371.50
|
|
CT hrt w/3d image
|
$2,053.80 |
$2,053.80 |
$2,053.80 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$1,324.68 |
$1,324.68 |
$1,324.68 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,948.40 |
$2,948.40 |
$2,948.40 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$2,704.80 |
$2,704.80 |
$2,704.80 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$3,281.04 |
$3,281.04 |
$3,281.04 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,794.68 |
$2,794.68 |
$2,794.68 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$2,459.52 |
$2,459.52 |
$2,459.52 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$3,241.56 |
$3,241.56 |
$3,241.56 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,001.32 |
$3,001.32 |
$3,001.32 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,506.56 |
$2,506.56 |
$2,506.56 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,293.20 |
$2,293.20 |
$2,293.20 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$882.84 |
$882.84 |
$882.84 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$7,641.48 |
$7,641.48 |
$7,641.48 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,878.32 |
$5,878.32 |
$5,878.32 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$5,525.52 |
$5,525.52 |
$5,525.52 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,718.24 |
$2,718.24 |
$2,718.24 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,564.52 |
$2,564.52 |
$2,564.52 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$180.60 |
$180.60 |
$180.60 |
$331.50
|
|
CT t-spine w /wo contrast
|
$3,231.48 |
$3,231.48 |
$3,231.48 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,154.60 |
$2,154.60 |
$2,154.60 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$2,262.12 |
$2,262.12 |
$2,262.12 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$2,882.88 |
$2,882.88 |
$2,882.88 |
$1,845.36
|
