|
Clsd tx/ulnar shaft fx without manip 25530
|
$580.85 |
$580.85 |
$580.85 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$495.44 |
$495.44 |
$495.44 |
$648.34
|
|
Clsd tx wrist carpal fx without manip 25630
|
$580.85 |
$580.85 |
$580.85 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$654.26 |
$654.26 |
$654.26 |
$535.60
|
|
Cls tx of heel fracture w/manip 28405
|
$654.26 |
$654.26 |
$654.26 |
$725.40
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$3,478.79 |
$3,478.79 |
$3,478.79 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$494.49 |
$494.49 |
$494.49 |
$525.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$654.23 |
$654.23 |
$654.23 |
$535.60
|
|
Cltx mndblr fx w/mnpj
|
$2,909.88 |
$2,909.88 |
$2,909.88 |
$2,343.00
|
|
Cltx post ankle fx w/mnpj
|
$3,638.80 |
$3,638.80 |
$3,638.80 |
$1,939.00
|
|
#cms hgb-sulfhemoglobin
|
$73.16 |
$73.16 |
$73.16 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$70.78 |
$70.78 |
$70.78 |
$89.76
|
|
Cmv pcr-sendout
|
$127.02 |
$127.02 |
$127.02 |
$175.70
|
|
Cnbp gene detc abnor allele
|
$303.73 |
$303.73 |
$303.73 |
$313.60
|
|
Coagulation time activated teg
|
$15.42 |
$15.42 |
$15.42 |
$52.47
|
|
Cold agglutinin screen (arc)
|
$24.24 |
$24.24 |
$24.24 |
$48.10
|
|
Cold agglutinin titer
|
$29.17 |
$29.17 |
$29.17 |
$52.00
|
|
Collagenase, clost hist inj
|
$173.35 |
$173.35 |
$173.35 |
$12,906.28
|
|
Collagen imp urinary 2.5 ml
|
$834.57 |
$834.57 |
$834.57 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$201.75 |
$201.75 |
$201.75 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$47.60 |
$47.60 |
$47.60 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$114.85 |
$114.85 |
$114.85 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$262.55 |
$262.55 |
$262.55 |
$224.11
|
|
Collar cerv patriot adlt
|
$221.85 |
$221.85 |
$221.85 |
$134.66
|
|
Collar extrication adult univ
|
$938.39 |
$938.39 |
$938.39 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$255.27 |
$255.27 |
$255.27 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$255.27 |
$255.27 |
$255.27 |
$155.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$435.22 |
$435.22 |
$435.22 |
$314.00
|
|
Colposcopy w/biopsy of cervix 57455
|
$742.46 |
$742.46 |
$742.46 |
$485.50
|
|
Compatibility test each unit antiglobulin technique
|
$318.32 |
$318.32 |
$318.32 |
$173.50
|
|
Compatibility test each unit electronic
|
$599.07 |
$599.07 |
$599.07 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$599.07 |
$599.07 |
$599.07 |
$169.52
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,482.50 |
$1,482.50 |
$1,482.50 |
$1,111.03
|
|
Complement antigen each component c3
|
$43.41 |
$43.41 |
$43.41 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,256.37 |
$1,256.37 |
$1,256.37 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,256.37 |
$1,256.37 |
$1,256.37 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$366.43 |
$366.43 |
$366.43 |
$344.68
|
|
Complx repair fccmnaxghf 13132
|
$1,256.37 |
$1,256.37 |
$1,256.37 |
$1,107.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$84.18 |
$84.18 |
$84.18 |
$508.44
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,693.03 |
$1,693.03 |
$1,693.03 |
$1,350.27
|
|
Computed tomographic angiography head and neck with contrast
|
$554.00 |
$554.00 |
$554.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$24.15 |
$24.15 |
$24.15 |
$51.32
|
|
Condylomata destruction 56420
|
$456.72 |
$456.72 |
$456.72 |
$467.35
|
|
Connect omega .5mm
|
$640.58 |
$640.58 |
$640.58 |
$1,260.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$177.40 |
$177.40 |
$177.40 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$152.93 |
$152.93 |
$152.93 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$497.61 |
$497.61 |
$497.61 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$660.15 |
$660.15 |
$660.15 |
$224.83
|
|
Contrast exam abdominl aorta 75625-26
|
$5,491.15 |
$5,491.15 |
$5,491.15 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$9,536.59 |
$9,536.59 |
$9,536.59 |
$3,745.00
|
|
Contrast x-ray of wrist
|
$732.28 |
$732.28 |
$732.28 |
$667.50
|
|
Control nosebleed pack+caut 30905
|
$255.27 |
$255.27 |
$255.27 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$255.27 |
$255.27 |
$255.27 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$255.27 |
$255.27 |
$255.27 |
$352.80
|
|
Coombs direct
|
$70.52 |
$70.52 |
$70.52 |
$76.80
|
|
Coombs indirect titer reference
|
$383.21 |
$383.21 |
$383.21 |
$156.71
|
|
Copper intrauterine device
|
$2,406.14 |
$2,406.14 |
$2,406.14 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$3,740.87 |
$3,740.87 |
$3,740.87 |
$2,904.48
|
|
Cortisol acth stimulation test - sendout
|
$118.04 |
$118.04 |
$118.04 |
$146.25
|
|
Cortisol total am
|
$58.99 |
$58.99 |
$58.99 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$35.44 |
$35.44 |
$35.44 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$83.12 |
$83.12 |
$83.12 |
$54.60
|
|
Cover wrist
|
$734.81 |
$734.81 |
$734.81 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$106.35 |
$106.35 |
$106.35 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$823.15 |
$823.15 |
$823.15 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$823.15 |
$823.15 |
$823.15 |
$540.00
|
|
Covid-19 lab test non-cdc
|
$143.24 |
$143.24 |
$143.24 |
$82.40
|
|
#covid19rsv-rsv
|
$254.02 |
$254.02 |
$254.02 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$47.14 |
$47.14 |
$47.14 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$401.62 |
$401.62 |
$401.62 |
$584.50
|
|
C-peptide
|
$75.34 |
$75.34 |
$75.34 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$829.29 |
$829.29 |
$829.29 |
$777.71
|
|
Cptrz oph img pst sg rta oct
|
$637.83 |
$637.83 |
$637.83 |
$357.00
|
|
C-reactive protein
|
$18.74 |
$18.74 |
$18.74 |
$69.36
|
|
C-reactive protein high sensitivity
|
$46.85 |
$46.85 |
$46.85 |
$85.50
|
|
C-reactive protein, quantitative
|
$38.49 |
$38.49 |
$38.49 |
$65.16
|
|
Creatine kinase
|
$23.57 |
$23.57 |
$23.57 |
$66.30
|
|
Creatine kinase isoenzymes
|
$48.45 |
$48.45 |
$48.45 |
$56.20
|
|
Creatine kinase mb
|
$41.81 |
$41.81 |
$41.81 |
$113.63
|
|
Creatinine
|
$18.56 |
$18.56 |
$18.56 |
$46.20
|
|
Creatinine 24 hour urine
|
$18.74 |
$18.74 |
$18.74 |
$57.85
|
|
Creatinine clearance urine
|
$34.21 |
$34.21 |
$34.21 |
$90.26
|
|
#creutz-prot.,western blot
|
$85.62 |
$85.62 |
$85.62 |
$163.50
|
|
Crisis psychotherapy 90839
|
$294.41 |
$294.41 |
$294.41 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$100.26 |
$100.26 |
$100.26 |
$149.52
|
|
Critical care each additional 30 minutes
|
$511.82 |
$511.82 |
$511.82 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,830.98 |
$1,830.98 |
$1,830.98 |
$2,535.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$2,785.63 |
$2,785.63 |
$2,785.63 |
$2,522.88
|
|
Cryofibrinogen qualitative - sendout
|
$41.45 |
$41.45 |
$41.45 |
$52.50
|
|
Cryoprecipitate each unit
|
$91.63 |
$91.63 |
$91.63 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$52.14 |
$52.14 |
$52.14 |
$89.70
|
|
Cryptosporidium antigen
|
$43.39 |
$43.39 |
$43.39 |
$52.08
|
|
Crystal identification light microscopy
|
$25.88 |
$25.88 |
$25.88 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$312.06 |
$312.06 |
$312.06 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$799.16 |
$799.16 |
$799.16 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$799.16 |
$799.16 |
$799.16 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$799.16 |
$799.16 |
$799.16 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$799.16 |
$799.16 |
$799.16 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$799.16 |
$799.16 |
$799.16 |
$1,915.30
|
|
CT Angiogram of the Head
|
$799.16 |
$799.16 |
$799.16 |
$1,940.00
|
