|
Consultation pathology during surgery frozen section each additional block
|
$240.00 |
$240.00 |
$240.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,391.00 |
$1,391.00 |
$1,391.00 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$309.00 |
$309.00 |
$309.00 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$79.00 |
$79.00 |
$79.00 |
$176.15
|
|
Contrast x-ray of brain
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$930.42
|
|
Contrast x-ray of elbow
|
$3,515.00 |
$3,515.00 |
$3,515.00 |
$637.14
|
|
Contrast x-ray of hip
|
$1,601.00 |
$1,601.00 |
$1,601.00 |
$768.00
|
|
Control nosebleed pack+caut 30905
|
$4,380.00 |
$4,380.00 |
$4,380.00 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$747.00 |
$747.00 |
$747.00 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$2,328.00 |
$2,328.00 |
$2,328.00 |
$385.45
|
|
Coombs direct
|
$33.00 |
$33.00 |
$33.00 |
$73.26
|
|
Coombs indirect titer reference
|
$83.00 |
$83.00 |
$83.00 |
$146.00
|
|
Copper intrauterine device
|
$2,829.75 |
$2,829.75 |
$2,829.75 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$7,165.35 |
$7,165.35 |
$7,165.35 |
$2,963.00
|
|
Cor hlx vlgs double osteot
|
$6,754.91 |
$6,754.91 |
$6,754.91 |
$5,110.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$26,433.71 |
$26,433.71 |
$26,433.71 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$23,322.43 |
$23,322.43 |
$23,322.43 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$25,288.88 |
$25,288.88 |
$25,288.88 |
$11,280.10
|
|
Corticorelin ovine triflutal
|
$2,971.01 |
$2,971.01 |
$2,971.01 |
$654.00
|
|
Cortisol total am
|
$426.00 |
$426.00 |
$426.00 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$65.45 |
$65.45 |
$65.45 |
$249.41
|
|
Co-treatment - group 15 mins, st
|
$563.00 |
$563.00 |
$563.00 |
$108.81
|
|
Counseling visit to discuss need for ldct g0296
|
$285.00 |
$285.00 |
$285.00 |
$98.14
|
|
Covid-19 administration immunization im inj 1st/only component
|
$141.00 |
$141.00 |
$141.00 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$603.65
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$569.31
|
|
#covid19rsv-rsv
|
$237.00 |
$237.00 |
$237.00 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$49.00 |
$49.00 |
$49.00 |
$65.36
|
|
C-peptide
|
$188.00 |
$188.00 |
$188.00 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$2,848.00 |
$2,848.00 |
$2,848.00 |
$1,466.97
|
|
C-reactive protein
|
$155.00 |
$155.00 |
$155.00 |
$63.00
|
|
C-reactive protein high sensitivity
|
$197.00 |
$197.00 |
$197.00 |
$91.65
|
|
C-reactive protein, quantitative
|
$400.00 |
$400.00 |
$400.00 |
$62.50
|
|
Creat artery-vein fistula autograft 36825
|
$6,587.63 |
$6,587.63 |
$6,587.63 |
$5,988.54
|
|
Creatine kinase
|
$116.00 |
$116.00 |
$116.00 |
$59.78
|
|
Creatine kinase isoenzymes
|
$12.00 |
$12.00 |
$12.00 |
$46.34
|
|
Creatine kinase mb
|
$115.00 |
$115.00 |
$115.00 |
$111.00
|
|
Creatinine
|
$80.00 |
$80.00 |
$80.00 |
$44.10
|
|
Creatinine 24 hour urine
|
$288.00 |
$288.00 |
$288.00 |
$59.80
|
|
Creatinine clearance urine
|
$280.00 |
$280.00 |
$280.00 |
$87.50
|
|
#creutz-prot.,western blot
|
$607.00 |
$607.00 |
$607.00 |
$173.00
|
|
Critical care 30-74 minutes
|
$4,204.00 |
$4,204.00 |
$4,204.00 |
$2,745.69
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$858.53 |
$858.53 |
$858.53 |
$568.31
|
|
Cromolyn sodium noncomp unit
|
$10.57 |
$10.57 |
$10.57 |
$8.93
|
|
Crotalidae poly immune fab
|
$4,477.20 |
$4,477.20 |
$4,477.20 |
$5,654.46
|
|
Cryofibrinogen qualitative - sendout
|
$12.00 |
$12.00 |
$12.00 |
$50.88
|
|
Cryopreserve stem cells
|
$10,791.00 |
$10,791.00 |
$10,791.00 |
$2,588.88
|
|
Cryptococcus abs qn - sendout
|
$302.00 |
$302.00 |
$302.00 |
$70.00
|
|
Cryptosporidium antigen
|
$155.00 |
$155.00 |
$155.00 |
$56.00
|
|
Crystal identification light microscopy
|
$148.00 |
$148.00 |
$148.00 |
$65.25
|
|
Csf leakage imaging
|
$3,073.00 |
$3,073.00 |
$3,073.00 |
$1,446.24
|
|
Csf ventriculography
|
$2,848.00 |
$2,848.00 |
$2,848.00 |
$746.61
|
|
CT 3d report other modality w/workstation
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,479.00 |
$3,479.00 |
$3,479.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$6,955.00 |
$6,955.00 |
$6,955.00 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$6,631.00 |
$6,631.00 |
$6,631.00 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$3,479.00 |
$3,479.00 |
$3,479.00 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$6,966.00 |
$6,966.00 |
$6,966.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,479.00 |
$3,479.00 |
$3,479.00 |
$1,955.80
|
|
CT Angiogram of the Head
|
$3,479.00 |
$3,479.00 |
$3,479.00 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$2,674.00 |
$2,674.00 |
$2,674.00 |
$1,588.60
|
|
CT angio pelvis
|
$3,479.00 |
$3,479.00 |
$3,479.00 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$6,631.00 |
$6,631.00 |
$6,631.00 |
$1,652.25
|
|
CT colonography dx
|
$2,035.00 |
$2,035.00 |
$2,035.00 |
$770.90
|
|
CT colonography dx w/dye
|
$2,035.00 |
$2,035.00 |
$2,035.00 |
$1,009.98
|
|
CT colonography screening
|
$2,035.00 |
$2,035.00 |
$2,035.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$4,602.00 |
$4,602.00 |
$4,602.00 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$5,063.00 |
$5,063.00 |
$5,063.00 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,798.00 |
$1,798.00 |
$1,798.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$48.00 |
$48.00 |
$48.00 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,074.00 |
$2,074.00 |
$2,074.00 |
$1,217.45
|
|
CT hrt w/3d image
|
$2,115.00 |
$2,115.00 |
$2,115.00 |
$1,418.60
|
|
CT lower extremity w/contrast (both sides)
|
$4,221.00 |
$4,221.00 |
$4,221.00 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$3,359.00 |
$3,359.00 |
$3,359.00 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$4,601.00 |
$4,601.00 |
$4,601.00 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$3,455.00 |
$3,455.00 |
$3,455.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$2,690.00 |
$2,690.00 |
$2,690.00 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$6,136.00 |
$6,136.00 |
$6,136.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$6,248.00 |
$6,248.00 |
$6,248.00 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$3,359.00 |
$3,359.00 |
$3,359.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,896.00 |
$2,896.00 |
$2,896.00 |
$1,351.20
|
|
CT scan for localization
|
$1,798.00 |
$1,798.00 |
$1,798.00 |
$1,202.37
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$9,203.00 |
$9,203.00 |
$9,203.00 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$7,672.00 |
$7,672.00 |
$7,672.00 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$6,675.00 |
$6,675.00 |
$6,675.00 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$3,911.00 |
$3,911.00 |
$3,911.00 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$2,691.00 |
$2,691.00 |
$2,691.00 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$2,757.00 |
$2,757.00 |
$2,757.00 |
$400.20
|
|
CT t-spine w /wo contrast
|
$4,797.00 |
$4,797.00 |
$4,797.00 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$4,220.00 |
$4,220.00 |
$4,220.00 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$4,600.00 |
$4,600.00 |
$4,600.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$227.00 |
$227.00 |
$227.00 |
$63.75
|
|
Culture afb any source
|
$193.00 |
$193.00 |
$193.00 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$158.00 |
$158.00 |
$158.00 |
$77.31
|
|
Culture anaerobic except blood
|
$263.00 |
$263.00 |
$263.00 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$62.00 |
$62.00 |
$62.00 |
$52.80
|
|
Culture body fluid
|
$233.00 |
$233.00 |
$233.00 |
$130.50
|
|
Culture fungi definitive id mold
|
$158.00 |
$158.00 |
$158.00 |
$70.00
|
|
Culture fungi definitive id yeast
|
$158.00 |
$158.00 |
$158.00 |
$80.60
|
