|
Control nosebleed pack+caut 30905
|
$370.83 |
$370.83 |
$370.83 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$263.09 |
$263.09 |
$263.09 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$294.00 |
$294.00 |
$294.00 |
$352.80
|
|
Coombs direct
|
$54.75 |
$54.75 |
$54.75 |
$76.80
|
|
Coombs indirect titer reference
|
$393.43 |
$393.43 |
$393.43 |
$156.71
|
|
Copper intrauterine device
|
$425.34 |
$425.34 |
$425.34 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,447.78 |
$2,447.78 |
$2,447.78 |
$2,904.48
|
|
Corneal smear
|
$568.93 |
$568.93 |
$568.93 |
$472.21
|
|
Correction trichiasis epilation forcep 67820
|
$96.04 |
$96.04 |
$96.04 |
$176.00
|
|
Cortisol total am
|
$186.34 |
$186.34 |
$186.34 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$111.13 |
$111.13 |
$111.13 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$74.26 |
$74.26 |
$74.26 |
$54.60
|
|
Counseling visit to discuss need for ldct g0296
|
$268.34 |
$268.34 |
$268.34 |
$102.38
|
|
Cover eye w/membrane
|
$1,948.39 |
$1,948.39 |
$1,948.39 |
$2,827.97
|
|
Covid-19 administration immunization im inj 1st/only component
|
$108.77 |
$108.77 |
$108.77 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$814.53 |
$814.53 |
$814.53 |
$592.49
|
|
#covid19rsv-rsv
|
$251.37 |
$251.37 |
$251.37 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$32.65 |
$32.65 |
$32.65 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$214.56 |
$214.56 |
$214.56 |
$584.50
|
|
C-peptide
|
$224.13 |
$224.13 |
$224.13 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$818.50 |
$818.50 |
$818.50 |
$777.71
|
|
Cptrized corneal topography
|
$64.30 |
$64.30 |
$64.30 |
$148.20
|
|
Cptr ophth dx img post segmt
|
$43.43 |
$43.43 |
$43.43 |
$105.00
|
|
C-reactive protein
|
$98.18 |
$98.18 |
$98.18 |
$69.36
|
|
C-reactive protein high sensitivity
|
$96.43 |
$96.43 |
$96.43 |
$85.50
|
|
Creatine kinase
|
$64.30 |
$64.30 |
$64.30 |
$66.30
|
|
Creatine kinase isoenzymes
|
$4,753.85 |
$4,753.85 |
$4,753.85 |
$56.20
|
|
Creatine kinase mb
|
$63.43 |
$63.43 |
$63.43 |
$113.63
|
|
Creatinine
|
$62.56 |
$62.56 |
$62.56 |
$46.20
|
|
Creatinine 24 hour urine
|
$28.68 |
$28.68 |
$28.68 |
$57.85
|
|
Creatinine clearance urine
|
$144.20 |
$144.20 |
$144.20 |
$90.26
|
|
#creutz-prot.,western blot
|
$124.23 |
$124.23 |
$124.23 |
$163.50
|
|
Crisis psychotherapy 90839
|
$305.88 |
$305.88 |
$305.88 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$152.94 |
$152.94 |
$152.94 |
$149.52
|
|
Critical care each additional 30 minutes
|
$585.48 |
$585.48 |
$585.48 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,920.82 |
$1,920.82 |
$1,920.82 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$204.28 |
$204.28 |
$204.28 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$313.20 |
$313.20 |
$313.20 |
$271.20
|
|
Cryptosporidium antigen
|
$30.02 |
$30.02 |
$30.02 |
$52.08
|
|
Crystal identification light microscopy
|
$98.18 |
$98.18 |
$98.18 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$499.32 |
$499.32 |
$499.32 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,045.84 |
$2,045.84 |
$2,045.84 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,172.65 |
$4,172.65 |
$4,172.65 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,233.24 |
$2,233.24 |
$2,233.24 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,357.33 |
$2,357.33 |
$2,357.33 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,357.33 |
$2,357.33 |
$2,357.33 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,146.35 |
$2,146.35 |
$2,146.35 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,182.82 |
$2,182.82 |
$2,182.82 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,831.52 |
$1,831.52 |
$1,831.52 |
$1,428.68
|
|
CT angio pelvis
|
$879.20 |
$879.20 |
$879.20 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,045.84 |
$2,045.84 |
$2,045.84 |
$1,691.30
|
|
CT colonography dx
|
$553.81 |
$553.81 |
$553.81 |
$811.41
|
|
CT colonography dx w/dye
|
$288.38 |
$288.38 |
$288.38 |
$1,069.25
|
|
CT colonography screening
|
$427.13 |
$427.13 |
$427.13 |
$1,084.20
|
|
CT guidance for needle placement
|
$388.12 |
$388.12 |
$388.12 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$737.03 |
$737.03 |
$737.03 |
$1,215.06
|
|
CT heart w/evaluation of calcium without contrast
|
$286.85 |
$286.85 |
$286.85 |
$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)
|
$3,094.16 |
$3,094.16 |
$3,094.16 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,872.84 |
$2,872.84 |
$2,872.84 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,254.62 |
$2,254.62 |
$2,254.62 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,681.65 |
$1,681.65 |
$1,681.65 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$288.38 |
$288.38 |
$288.38 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$94.24 |
$94.24 |
$94.24 |
$72.00
|
|
Culture afb any source
|
$146.83 |
$146.83 |
$146.83 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$94.24 |
$94.24 |
$94.24 |
$84.76
|
|
Culture anaerobic except blood
|
$33.89 |
$33.89 |
$33.89 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$46.48 |
$46.48 |
$46.48 |
$52.50
|
|
Culture body fluid
|
$32.36 |
$32.36 |
$32.36 |
$126.75
|
|
Culture fungi definitive id mold
|
$77.34 |
$77.34 |
$77.34 |
$80.00
|
|
Culture fungi definitive id yeast
|
$79.06 |
$79.06 |
$79.06 |
$80.00
|
|
Culture fungi other (except blood)
|
$88.61 |
$88.61 |
$88.61 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$28.92 |
$28.92 |
$28.92 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$35.20 |
$35.20 |
$35.20 |
$100.00
|
|
Culture mycoplasma any source
|
$77.48 |
$77.48 |
$77.48 |
$83.21
|
|
Culture screening strep group a
|
$49.53 |
$49.53 |
$49.53 |
$84.60
|
|
Culture typing added method
|
$19.40 |
$19.40 |
$19.40 |
$42.60
|
|
Culture typing immunologic
|
$12.98 |
$12.98 |
$12.98 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$525.36 |
$525.36 |
$525.36 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$107.70 |
$107.70 |
$107.70 |
$140.80
|
|
Culture urine each isolate
|
$52.99 |
$52.99 |
$52.99 |
$55.50
|
|
Cyanocobalamin unsat binding capacity
|
$51.28 |
$51.28 |
$51.28 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$17.19 |
$17.19 |
$17.19 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$382.65 |
$382.65 |
$382.65 |
$72.36
|
|
Cyclosporine 2 hour
|
$314.03 |
$314.03 |
$314.03 |
$130.40
|
|
Cystatin c
|
$53.01 |
$53.01 |
$53.01 |
$77.60
|
|
Cystogram >= 3 views supervision & interpretation
|
$328.37 |
$328.37 |
$328.37 |
$586.95
|
|
Cystoscopy and treatment
|
$3,885.46 |
$3,885.46 |
$3,885.46 |
$2,424.12
|
|
Cystoscopy and treatment
|
$5,405.98 |
$5,405.98 |
$5,405.98 |
$2,867.70
|
|
Cystoscopy (Bladder Scope)
|
$755.86 |
$755.86 |
$755.86 |
$1,493.80
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,717.51 |
$3,717.51 |
$3,717.51 |
$3,245.90
|
|
Cytogenetics 25-99
|
$124.67 |
$124.67 |
$124.67 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$153.76 |
$153.76 |
$153.76 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$170.72 |
$170.72 |
$170.72 |
$100.00
|
|
Cyto/molecular report
|
$73.84 |
$73.84 |
$73.84 |
$144.75
|
|
Cytopathology cellular enhancement technique non-gyn
|
$118.75 |
$118.75 |
$118.75 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$95.55 |
$95.55 |
$95.55 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$189.38 |
$189.38 |
$189.38 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$92.01 |
$92.01 |
$92.01 |
$127.50
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$91.81 |
$91.81 |
$91.81 |
$68.06
|
