|
Complx repair trunk addl 5cm/< 13102
|
$454.75 |
$454.75 |
$454.75 |
$537.00
|
|
Comprehensive hearing test
|
$158.95 |
$158.95 |
$158.95 |
$255.00
|
|
Concentration infection agents any type
|
$97.75 |
$97.75 |
$97.75 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$790.33 |
$790.33 |
$790.33 |
$3,322.20
|
|
Condylomata destruction 56420
|
$538.90 |
$538.90 |
$538.90 |
$469.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,464.94 |
$1,464.94 |
$1,464.94 |
$871.08
|
|
Connect omega .5mm
|
$831.69 |
$831.69 |
$831.69 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,620.37 |
$3,620.37 |
$3,620.37 |
$4,091.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$283.05 |
$283.05 |
$283.05 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$266.90 |
$266.90 |
$266.90 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$294.10 |
$294.10 |
$294.10 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$283.05 |
$283.05 |
$283.05 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$1,319.20 |
$1,319.20 |
$1,319.20 |
$171.65
|
|
Consult comp w/report rfrd material
|
$571.20 |
$571.20 |
$571.20 |
$365.60
|
|
Contact layer >16<= 48 sq in
|
$62.73 |
$62.73 |
$62.73 |
$36.17
|
|
Contrast baths charges
|
$69.70 |
$69.70 |
$69.70 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$2,978.40 |
$2,978.40 |
$2,978.40 |
$3,458.54
|
|
Contrast x-ray of hip
|
$622.20 |
$622.20 |
$622.20 |
$771.12
|
|
Contrast x-ray of knee joint
|
$664.70 |
$664.70 |
$664.70 |
$769.88
|
|
Controller infinity pt dbs
|
$4,666.50 |
$4,666.50 |
$4,666.50 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$850.00 |
$850.00 |
$850.00 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$595.00 |
$595.00 |
$595.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$379.10 |
$379.10 |
$379.10 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$885.70 |
$885.70 |
$885.70 |
$634.80
|
|
Contrst x-ray uppr gi tract
|
$652.80 |
$652.80 |
$652.80 |
$737.75
|
|
Conv gtube to jtube
|
$452.20 |
$452.20 |
$452.20 |
$2,099.70
|
|
Coombs direct
|
$82.45 |
$82.45 |
$82.45 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$16.15 |
$16.15 |
$16.15 |
$102.90
|
|
Coombs indirect titer reference
|
$283.05 |
$283.05 |
$283.05 |
$146.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$192.95 |
$192.95 |
$192.95 |
$476.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$1,383.80 |
$1,383.80 |
$1,383.80 |
$3,839.54
|
|
Correction trichiasis epilation forcep 67820
|
$118.15 |
$118.15 |
$118.15 |
$176.00
|
|
Cortisol total am
|
$209.10 |
$209.10 |
$209.10 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$106.90 |
$106.90 |
$106.90 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$103.70 |
$103.70 |
$103.70 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$25.50 |
$25.50 |
$25.50 |
$55.90
|
|
Cov-19 amp prb hgh thruput
|
$156.40 |
$156.40 |
$156.40 |
$156.40
|
|
Coveredge 32 lead kit 40cm 48
|
$13,999.50 |
$13,999.50 |
$13,999.50 |
$3,908.16
|
|
Covid-19 administration immunization im inj 1st/only component
|
$116.45 |
$116.45 |
$116.45 |
$49.13
|
|
Covid-19 lab test non-cdc
|
$170.00 |
$170.00 |
$170.00 |
$80.50
|
|
#coxa-coxsackie a serotype a16
|
$273.70 |
$273.70 |
$273.70 |
$60.00
|
|
C-peptide
|
$206.55 |
$206.55 |
$206.55 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$895.05 |
$895.05 |
$895.05 |
$1,240.80
|
|
C-reactive protein
|
$127.50 |
$127.50 |
$127.50 |
$68.38
|
|
C-reactive protein high sensitivity
|
$202.30 |
$202.30 |
$202.30 |
$85.00
|
|
Creatine kinase
|
$144.50 |
$144.50 |
$144.50 |
$66.30
|
|
Creatine kinase isoenzymes
|
$187.00 |
$187.00 |
$187.00 |
$56.80
|
|
Creatine kinase mb
|
$198.90 |
$198.90 |
$198.90 |
$114.00
|
|
Creatine - sendout
|
$758.20 |
$758.20 |
$758.20 |
$39.00
|
|
Creatinine
|
$95.20 |
$95.20 |
$95.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$95.20 |
$95.20 |
$95.20 |
$58.85
|
|
Creatinine clearance urine
|
$188.70 |
$188.70 |
$188.70 |
$89.50
|
|
#creutz-prot.,western blot
|
$114.75 |
$114.75 |
$114.75 |
$166.20
|
|
Critical care 30-74 minutes
|
$3,914.25 |
$3,914.25 |
$3,914.25 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$900.15 |
$900.15 |
$900.15 |
$731.40
|
|
Crotalidae poly immune fab
|
$7,610.17 |
$7,610.17 |
$7,610.17 |
$5,590.35
|
|
Cryocautery of cervix 57511
|
$239.70 |
$239.70 |
$239.70 |
$429.60
|
|
Cryoprecipitate each unit
|
$708.90 |
$708.90 |
$708.90 |
$144.78
|
|
Cryotherapy of acne 17340
|
$96.90 |
$96.90 |
$96.90 |
$101.79
|
|
Crystal identification light microscopy
|
$91.80 |
$91.80 |
$91.80 |
$62.50
|
|
Csf leakage imaging
|
$768.40 |
$768.40 |
$768.40 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$716.55 |
$716.55 |
$716.55 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,488.40 |
$3,488.40 |
$3,488.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,582.75 |
$3,582.75 |
$3,582.75 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,796.50 |
$2,796.50 |
$2,796.50 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$3,259.75 |
$3,259.75 |
$3,259.75 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$7,750.30 |
$7,750.30 |
$7,750.30 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,473.95 |
$3,473.95 |
$3,473.95 |
$1,940.00
|
|
CT Angiogram of the Head
|
$3,227.45 |
$3,227.45 |
$3,227.45 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$2,602.70 |
$2,602.70 |
$2,602.70 |
$1,500.38
|
|
CT angio pelvis
|
$2,619.70 |
$2,619.70 |
$2,619.70 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,821.15 |
$2,821.15 |
$2,821.15 |
$1,698.00
|
|
CT bone density axial
|
$408.85 |
$408.85 |
$408.85 |
$387.62
|
|
CT colonography dx
|
$2,689.40 |
$2,689.40 |
$2,689.40 |
$791.00
|
|
CT colonography dx w/dye
|
$2,104.60 |
$2,104.60 |
$2,104.60 |
$1,037.00
|
|
CT guidance for needle placement
|
$2,269.50 |
$2,269.50 |
$2,269.50 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,953.30 |
$1,953.30 |
$1,953.30 |
$1,178.52
|
|
CT hrt c+ strux cgen hrt ds
|
$2,530.45 |
$2,530.45 |
$2,530.45 |
$1,371.50
|
|
CT hrt w/3d image
|
$2,078.25 |
$2,078.25 |
$2,078.25 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$1,340.45 |
$1,340.45 |
$1,340.45 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,983.50 |
$2,983.50 |
$2,983.50 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$2,737.00 |
$2,737.00 |
$2,737.00 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$3,320.10 |
$3,320.10 |
$3,320.10 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,827.95 |
$2,827.95 |
$2,827.95 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$2,488.80 |
$2,488.80 |
$2,488.80 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$3,280.15 |
$3,280.15 |
$3,280.15 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$3,037.05 |
$3,037.05 |
$3,037.05 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,536.40 |
$2,536.40 |
$2,536.40 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,320.50 |
$2,320.50 |
$2,320.50 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$893.35 |
$893.35 |
$893.35 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$7,732.45 |
$7,732.45 |
$7,732.45 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,948.30 |
$5,948.30 |
$5,948.30 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$5,591.30 |
$5,591.30 |
$5,591.30 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,750.60 |
$2,750.60 |
$2,750.60 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,595.05 |
$2,595.05 |
$2,595.05 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$182.75 |
$182.75 |
$182.75 |
$331.50
|
|
CT t-spine w /wo contrast
|
$3,269.95 |
$3,269.95 |
$3,269.95 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,180.25 |
$2,180.25 |
$2,180.25 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$2,289.05 |
$2,289.05 |
$2,289.05 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$2,917.20 |
$2,917.20 |
$2,917.20 |
$1,845.36
|
