|
Complx repair fccmnaxghf 13131
|
$778.92 |
$778.92 |
$778.92 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,713.10 |
$1,713.10 |
$1,713.10 |
$1,107.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$285.80 |
$285.80 |
$285.80 |
$508.44
|
|
Computed tomographic angiography head and neck with contrast
|
$554.00 |
$554.00 |
$554.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$45.32 |
$45.32 |
$45.32 |
$51.32
|
|
Condylomata destruction 56420
|
$352.64 |
$352.64 |
$352.64 |
$467.35
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,934.95 |
$1,934.95 |
$1,934.95 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$159.46 |
$159.46 |
$159.46 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$333.56 |
$333.56 |
$333.56 |
$226.50
|
|
Contrast baths charges
|
$43.39 |
$43.39 |
$43.39 |
$75.60
|
|
Contrast x-ray of hip
|
$757.36 |
$757.36 |
$757.36 |
$796.38
|
|
Contrast x-ray of knee joint
|
$555.38 |
$555.38 |
$555.38 |
$790.50
|
|
Contrast x-ray of wrist
|
$729.70 |
$729.70 |
$729.70 |
$667.50
|
|
Control nosebleed pack+caut 30905
|
$297.41 |
$297.41 |
$297.41 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$342.44 |
$342.44 |
$342.44 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$261.29 |
$261.29 |
$261.29 |
$352.80
|
|
Coombs direct
|
$35.37 |
$35.37 |
$35.37 |
$76.80
|
|
Coombs indirect titer reference
|
$333.56 |
$333.56 |
$333.56 |
$156.71
|
|
Copper intrauterine device
|
$425.34 |
$425.34 |
$425.34 |
$1,953.00
|
|
Cortisol total am
|
$134.40 |
$134.40 |
$134.40 |
$121.20
|
|
Counseling smoke cess interm >10mins
|
$73.20 |
$73.20 |
$73.20 |
$54.60
|
|
Counseling visit to discuss need for ldct g0296
|
$264.56 |
$264.56 |
$264.56 |
$102.38
|
|
Covid-19 administration immunization im inj 1st/only component
|
$107.24 |
$107.24 |
$107.24 |
$49.13
|
|
#covid19rsv-rsv
|
$213.12 |
$213.12 |
$213.12 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$27.68 |
$27.68 |
$27.68 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$173.45 |
$173.45 |
$173.45 |
$584.50
|
|
C-peptide
|
$210.63 |
$210.63 |
$210.63 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$659.96 |
$659.96 |
$659.96 |
$777.71
|
|
C-reactive protein
|
$75.48 |
$75.48 |
$75.48 |
$69.36
|
|
C-reactive protein high sensitivity
|
$135.14 |
$135.14 |
$135.14 |
$85.50
|
|
Creatine kinase
|
$43.48 |
$43.48 |
$43.48 |
$66.30
|
|
Creatine kinase isoenzymes
|
$4,292.42 |
$4,292.42 |
$4,292.42 |
$56.20
|
|
Creatine kinase mb
|
$60.05 |
$60.05 |
$60.05 |
$113.63
|
|
Creatinine
|
$34.63 |
$34.63 |
$34.63 |
$46.20
|
|
Creatinine 24 hour urine
|
$61.89 |
$61.89 |
$61.89 |
$57.85
|
|
Creatinine clearance urine
|
$86.18 |
$86.18 |
$86.18 |
$90.26
|
|
Crisis psychotherapy 90839
|
$301.57 |
$301.57 |
$301.57 |
$313.30
|
|
Critical care each additional 30 minutes
|
$462.40 |
$462.40 |
$462.40 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,628.52 |
$1,628.52 |
$1,628.52 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$201.40 |
$201.40 |
$201.40 |
$144.78
|
|
Cryptosporidium antigen
|
$25.45 |
$25.45 |
$25.45 |
$52.08
|
|
Crystal identification light microscopy
|
$97.22 |
$97.22 |
$97.22 |
$66.43
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,514.51 |
$1,514.51 |
$1,514.51 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,208.60 |
$2,208.60 |
$2,208.60 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,988.76 |
$1,988.76 |
$1,988.76 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,208.60 |
$2,208.60 |
$2,208.60 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,988.76 |
$1,988.76 |
$1,988.76 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,765.60 |
$1,765.60 |
$1,765.60 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,765.60 |
$1,765.60 |
$1,765.60 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,819.73 |
$1,819.73 |
$1,819.73 |
$1,428.68
|
|
CT angio pelvis
|
$879.20 |
$879.20 |
$879.20 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,514.51 |
$1,514.51 |
$1,514.51 |
$1,691.30
|
|
CT colonography dx
|
$2,208.60 |
$2,208.60 |
$2,208.60 |
$811.41
|
|
CT colonography dx w/dye
|
$288.38 |
$288.38 |
$288.38 |
$1,069.25
|
|
CT colonography screening
|
$2,261.24 |
$2,261.24 |
$2,261.24 |
$1,084.20
|
|
CT guidance for needle placement
|
$373.18 |
$373.18 |
$373.18 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$416.21 |
$416.21 |
$416.21 |
$1,215.06
|
|
CT heart w/evaluation of calcium without contrast
|
$203.65 |
$203.65 |
$203.65 |
$150.00
|
|
CT lwr extremity w/o&w/dye
|
$1,009.89 |
$1,009.89 |
$1,009.89 |
$1,818.96
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,764.67 |
$3,764.67 |
$3,764.67 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,013.15 |
$3,013.15 |
$3,013.15 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,545.87 |
$2,545.87 |
$2,545.87 |
$2,272.00
|
|
CT uppr extremity w/o&w/dye
|
$288.38 |
$288.38 |
$288.38 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$38.30 |
$38.30 |
$38.30 |
$72.00
|
|
Culture afb any source
|
$40.51 |
$40.51 |
$40.51 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$48.26 |
$48.26 |
$48.26 |
$84.76
|
|
Culture anaerobic except blood
|
$28.74 |
$28.74 |
$28.74 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$64.82 |
$64.82 |
$64.82 |
$52.50
|
|
Culture body fluid
|
$27.44 |
$27.44 |
$27.44 |
$126.75
|
|
Culture fungi definitive id mold
|
$65.57 |
$65.57 |
$65.57 |
$80.00
|
|
Culture fungi definitive id yeast
|
$138.08 |
$138.08 |
$138.08 |
$80.00
|
|
Culture fungi other (except blood)
|
$93.18 |
$93.18 |
$93.18 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$24.52 |
$24.52 |
$24.52 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$29.84 |
$29.84 |
$29.84 |
$100.00
|
|
Culture mycoplasma any source
|
$69.96 |
$69.96 |
$69.96 |
$83.21
|
|
Culture screening strep group a
|
$50.45 |
$50.45 |
$50.45 |
$84.60
|
|
Culture typing added method
|
$16.44 |
$16.44 |
$16.44 |
$42.60
|
|
Culture typing immunologic
|
$11.00 |
$11.00 |
$11.00 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$445.41 |
$445.41 |
$445.41 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$91.32 |
$91.32 |
$91.32 |
$140.80
|
|
Culture urine each isolate
|
$43.48 |
$43.48 |
$43.48 |
$55.50
|
|
Cyanocobalamin unsat binding capacity
|
$180.07 |
$180.07 |
$180.07 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.93 |
$3.93 |
$3.93 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$285.76 |
$285.76 |
$285.76 |
$72.36
|
|
Cyclosporine 2 hour
|
$238.99 |
$238.99 |
$238.99 |
$130.40
|
|
Cystatin c
|
$44.94 |
$44.94 |
$44.94 |
$77.60
|
|
Cystine urine quantitative
|
$117.48 |
$117.48 |
$117.48 |
$100.70
|
|
Cystogram >= 3 views supervision & interpretation
|
$347.28 |
$347.28 |
$347.28 |
$586.95
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,356.67 |
$3,356.67 |
$3,356.67 |
$3,245.90
|
|
Cytogenetics 25-99
|
$105.70 |
$105.70 |
$105.70 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$140.32 |
$140.32 |
$140.32 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$141.06 |
$141.06 |
$141.06 |
$100.00
|
|
Cyto/molecular report
|
$65.92 |
$65.92 |
$65.92 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$100.68 |
$100.68 |
$100.68 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$97.22 |
$97.22 |
$97.22 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$286.50 |
$286.50 |
$286.50 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$78.01 |
$78.01 |
$78.01 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$82.89 |
$82.89 |
$82.89 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$384.34 |
$384.34 |
$384.34 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$286.11 |
$286.11 |
$286.11 |
$213.85
|
