|
Correct metacarpal flaw
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Correct rectal prolapse
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,581.60
|
|
Correct skin color 6.0 cm/<
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$876.00
|
|
Corrj halux rigdus w/implt
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,280.06
|
|
Corrj halux rigdus without implt
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Cortisol acth stimulation test - sendout
|
$35.88 |
$35.88 |
$35.88 |
$120.13
|
|
Cortisol total am
|
$17.93 |
$17.93 |
$17.93 |
$122.00
|
|
Costotransversectomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Counseling smoke cess interm >10mins
|
$20.08 |
$20.08 |
$20.08 |
$57.60
|
|
Cover eye w/membrane
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,827.97
|
|
Cover eye w/membrane suture
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,462.45
|
|
Covid-19 administration immunization im inj 1st/only component
|
$11.44 |
$11.44 |
$11.44 |
$62.15
|
|
Covid-19 lab test non-cdc
|
$56.44 |
$56.44 |
$56.44 |
$56.44
|
|
#covid19rsv-rsv
|
$77.22 |
$77.22 |
$77.22 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$14.33 |
$14.33 |
$14.33 |
$65.36
|
|
C-peptide
|
$22.89 |
$22.89 |
$22.89 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$542.64 |
$542.64 |
$542.64 |
$1,409.85
|
|
C-reactive protein
|
$5.70 |
$5.70 |
$5.70 |
$61.10
|
|
C-reactive protein high sensitivity
|
$14.25 |
$14.25 |
$14.25 |
$91.20
|
|
C-reactive protein, quantitative
|
$11.70 |
$11.70 |
$11.70 |
$63.07
|
|
Creat artery-vein fistula autograft 36825
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,988.54
|
|
Create eardrum opening
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,006.50
|
|
Create passage to kidney
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,769.31
|
|
Create tear duct drain
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,177.59
|
|
Create tear duct drain
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,462.45
|
|
Create tear sac drain
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,173.97
|
|
Creatine isoforms
|
$13.06 |
$13.06 |
$13.06 |
$13.06
|
|
Creatine kinase
|
$7.16 |
$7.16 |
$7.16 |
$58.30
|
|
Creatine kinase isoenzymes
|
$14.73 |
$14.73 |
$14.73 |
$49.40
|
|
Creatine kinase mb
|
$12.71 |
$12.71 |
$12.71 |
$105.95
|
|
Creatine - sendout
|
$5.10 |
$5.10 |
$5.10 |
$40.59
|
|
Creatinine
|
$5.63 |
$5.63 |
$5.63 |
$42.50
|
|
Creatinine 24 hour urine
|
$5.70 |
$5.70 |
$5.70 |
$59.80
|
|
Creatinine clearance urine
|
$10.41 |
$10.41 |
$10.41 |
$85.80
|
|
#creutz-prot.,western blot
|
$32.13 |
$32.13 |
$32.13 |
$179.28
|
|
Cricopharyngeal myotomy 43030
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Cricotracheal resection
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,741.00
|
|
Crisis psychotherapy 90839
|
$125.19 |
$125.19 |
$125.19 |
$313.30
|
|
Critical care 30-74 minutes
|
$1,044.73 |
$1,044.73 |
$1,044.73 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$334.10 |
$334.10 |
$334.10 |
$756.00
|
|
Cross-over vein graft
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,339.00
|
|
Cryoablate prostate
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$10,890.00
|
|
Cryocautery of cervix 57511
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$15.55 |
$15.55 |
$15.55 |
$50.88
|
|
Cryoprecipitate each unit
|
$171.74 |
$171.74 |
$171.74 |
$190.20
|
|
Cryopreserve stem cells
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,588.88
|
|
Cryosurg ablate fa each
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,531.42
|
|
Cryosurgery penis lesion(s) 54056
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$288.05
|
|
Cryotherapy of acne 17340
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$101.79
|
|
Cryptococcus abs qn - sendout
|
$15.85 |
$15.85 |
$15.85 |
$80.85
|
|
Cryptosporidium antigen
|
$13.18 |
$13.18 |
$13.18 |
$58.94
|
|
Crystal identification light microscopy
|
$8.06 |
$8.06 |
$8.06 |
$58.50
|
|
Csf shunt reprogram 62252
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$494.40
|
|
Cta abdomen without & /or w/contrast
|
$798.85 |
$798.85 |
$798.85 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$776.51 |
$776.51 |
$776.51 |
$2,092.73
|
|
Cta neck without &/or w/contrast
|
$610.21 |
$610.21 |
$610.21 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$808.61 |
$808.61 |
$808.61 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$753.99 |
$753.99 |
$753.99 |
$2,017.89
|
|
CT Angiogram of the Head
|
$489.52 |
$489.52 |
$489.52 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$428.89 |
$428.89 |
$428.89 |
$1,601.60
|
|
CT angio pelvis
|
$488.02 |
$488.02 |
$488.02 |
$1,778.40
|
|
CT guidance for needle placement
|
$506.97 |
$506.97 |
$506.97 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$294.68 |
$294.68 |
$294.68 |
$1,058.40
|
|
CT guid cryo ablat intramuscular
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,056.00
|
|
CT guid parench tis ablat
|
$426.45 |
$426.45 |
$426.45 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$10.51 |
$10.51 |
$10.51 |
$192.00
|
|
CT limited or localized follow-up study
|
$175.31 |
$175.31 |
$175.31 |
$630.50
|
|
CT neck soft tissue w/contrast
|
$564.03 |
$564.03 |
$564.03 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$403.36 |
$403.36 |
$403.36 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$580.93 |
$580.93 |
$580.93 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$468.49 |
$468.49 |
$468.49 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$444.66 |
$444.66 |
$444.66 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$377.84 |
$377.84 |
$377.84 |
$1,345.05
|
|
Ctrl nosebld postir subsq 30906
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$456.00
|
|
CT scan for therapy guide
|
$262.78 |
$262.78 |
$262.78 |
$777.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$853.84 |
$853.84 |
$853.84 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$676.65 |
$676.65 |
$676.65 |
$2,883.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$570.60 |
$570.60 |
$570.60 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$464.55 |
$464.55 |
$464.55 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$376.90 |
$376.90 |
$376.90 |
$1,436.50
|
|
CT thorax low dose for lung screening without contrast
|
$386.09 |
$386.09 |
$386.09 |
$420.60
|
|
CT t-spine w /wo contrast
|
$573.04 |
$573.04 |
$573.04 |
$2,030.60
|
|
Cult skin graft fnhfg 15155
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,528.11
|
|
Cult skin grft t/arm/leg
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,164.64
|
|
Culture aerobic additional method definitive id each
|
$8.89 |
$8.89 |
$8.89 |
$62.65
|
|
Culture afb any source
|
$11.88 |
$11.88 |
$11.88 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$8.89 |
$8.89 |
$8.89 |
$75.29
|
|
Culture anaerobic except blood
|
$10.42 |
$10.42 |
$10.42 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$10.38 |
$10.38 |
$10.38 |
$52.50
|
|
Culture body fluid
|
$9.48 |
$9.48 |
$9.48 |
$129.21
|
|
Culture fungi definitive id mold
|
$11.35 |
$11.35 |
$11.35 |
$70.00
|
|
Culture fungi definitive id yeast
|
$11.35 |
$11.35 |
$11.35 |
$79.00
|
|
Culture fungi other (except blood)
|
$9.25 |
$9.25 |
$9.25 |
$94.90
|
|
Culture fungi skin/hair/nail
|
$8.48 |
$8.48 |
$8.48 |
$76.05
|
|
Culture mycobacteria definitive id each isolate
|
$16.07 |
$16.07 |
$16.07 |
$88.14
|
|
Culture mycoplasma any source
|
$16.93 |
$16.93 |
$16.93 |
$90.37
|
|
Culture quantitative aerobic other source
|
$10.88 |
$10.88 |
$10.88 |
$85.80
|
|
Culture screening strep group a
|
$7.29 |
$7.29 |
$7.29 |
$78.47
|
|
Culture typing added method
|
$8.51 |
$8.51 |
$8.51 |
$34.45
|
|
Culture typing immunologic
|
$5.70 |
$5.70 |
$5.70 |
$41.19
|
