|
Collection blood specimen from completely implantable venous access device
|
$127.00 |
$127.00 |
$127.00 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$127.00 |
$127.00 |
$127.00 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$16.50 |
$16.50 |
$16.50 |
$21.00
|
|
Collj & interpj data ea 30 d
|
$86.50 |
$86.50 |
$86.50 |
$172.35
|
|
Colonoscopy (diagnostic)
|
$931.50 |
$931.50 |
$931.50 |
$1,899.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,549.50 |
$1,549.50 |
$1,549.50 |
$3,762.53
|
|
Colposcopy w/biopsy of cervix 57455
|
$494.50 |
$494.50 |
$494.50 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$74.00 |
$74.00 |
$74.00 |
$170.05
|
|
Compatibility test each unit electronic
|
$167.00 |
$167.00 |
$167.00 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$118.50 |
$118.50 |
$118.50 |
$169.52
|
|
Compatibility test incubate
|
$80.00 |
$80.00 |
$80.00 |
$155.40
|
|
Comp cystometrogram/void presssure 51728
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$958.81
|
|
Complement antigen each component c3
|
$104.50 |
$104.50 |
$104.50 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$463.50 |
$463.50 |
$463.50 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$904.00 |
$904.00 |
$904.00 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$730.00 |
$730.00 |
$730.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,013.50 |
$1,013.50 |
$1,013.50 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$965.00 |
$965.00 |
$965.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$574.50 |
$574.50 |
$574.50 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$662.00 |
$662.00 |
$662.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$325.00 |
$325.00 |
$325.00 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$118.50 |
$118.50 |
$118.50 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$348.00 |
$348.00 |
$348.00 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$406.00 |
$406.00 |
$406.00 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$733.30 |
$733.30 |
$733.30 |
$1,350.27
|
|
Comprehensive hearing test
|
$268.00 |
$268.00 |
$268.00 |
$255.00
|
|
Concentration infection agents any type
|
$19.00 |
$19.00 |
$19.00 |
$49.95
|
|
Condylomata destruction 56420
|
$796.50 |
$796.50 |
$796.50 |
$469.00
|
|
Conform band n/s w>=3"<5"/yd
|
$9.32 |
$9.32 |
$9.32 |
$1.04
|
|
Consultation pathology during surgery
|
$93.00 |
$93.00 |
$93.00 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$499.00 |
$499.00 |
$499.00 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$115.50 |
$115.50 |
$115.50 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$139.50 |
$139.50 |
$139.50 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$79.50 |
$79.50 |
$79.50 |
$224.80
|
|
Contact layer >16<= 48 sq in
|
$15.01 |
$15.01 |
$15.01 |
$36.17
|
|
Contrast baths charges
|
$92.00 |
$92.00 |
$92.00 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$2,746.50 |
$2,746.50 |
$2,746.50 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$2,851.50 |
$2,851.50 |
$2,851.50 |
$3,728.24
|
|
Contrast x-ray of ankle
|
$798.00 |
$798.00 |
$798.00 |
$612.30
|
|
Contrast x-ray of brain
|
$1,062.50 |
$1,062.50 |
$1,062.50 |
$981.75
|
|
Contrast x-ray of elbow
|
$746.00 |
$746.00 |
$746.00 |
$649.80
|
|
Contrast x-ray of hip
|
$672.00 |
$672.00 |
$672.00 |
$771.12
|
|
Contrast x-ray of knee joint
|
$798.00 |
$798.00 |
$798.00 |
$769.88
|
|
Contrast x-ray of wrist
|
$388.00 |
$388.00 |
$388.00 |
$637.00
|
|
Control nosebleed pack+caut 30905
|
$196.00 |
$196.00 |
$196.00 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$360.00 |
$360.00 |
$360.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$408.00 |
$408.00 |
$408.00 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$719.00 |
$719.00 |
$719.00 |
$634.80
|
|
Control throat bleeding
|
$3,984.00 |
$3,984.00 |
$3,984.00 |
$3,984.00
|
|
Conversion ext bil drg cath
|
$3,602.00 |
$3,602.00 |
$3,602.00 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$2,257.00 |
$2,257.00 |
$2,257.00 |
$2,777.60
|
|
Conv gtube to jtube
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$2,099.70
|
|
Coombs direct
|
$41.00 |
$41.00 |
$41.00 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$8.00 |
$8.00 |
$8.00 |
$102.90
|
|
Coombs indirect titer reference
|
$103.00 |
$103.00 |
$103.00 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$752.85 |
$752.85 |
$752.85 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$1,475.50 |
$1,475.50 |
$1,475.50 |
$2,678.00
|
|
Corf skilled nursing service
|
$54.50 |
$54.50 |
$54.50 |
$17.60
|
|
Corneal smear
|
$404.50 |
$404.50 |
$404.50 |
$472.21
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$5,942.50 |
$5,942.50 |
$5,942.50 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$6,297.00 |
$6,297.00 |
$6,297.00 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$6,177.00 |
$6,177.00 |
$6,177.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$5,826.50 |
$5,826.50 |
$5,826.50 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,059.00 |
$6,059.00 |
$6,059.00 |
$7,914.00
|
|
Cortisol total am
|
$143.00 |
$143.00 |
$143.00 |
$120.63
|
|
Co-treatment - group 15 mins, st
|
$75.00 |
$75.00 |
$75.00 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$51.00 |
$51.00 |
$51.00 |
$55.90
|
|
Coveredge 32 lead kit 40cm 48
|
$2,144.00 |
$2,144.00 |
$2,144.00 |
$3,908.16
|
|
Covid-19 administration immunization im inj 1st/only component
|
$20.00 |
$20.00 |
$20.00 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$225.00 |
$225.00 |
$225.00 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$225.00 |
$225.00 |
$225.00 |
$551.64
|
|
#covid19rsv-rsv
|
$146.50 |
$146.50 |
$146.50 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$45.50 |
$45.50 |
$45.50 |
$60.00
|
|
C-peptide
|
$81.00 |
$81.00 |
$81.00 |
$97.30
|
|
Cptrized corneal topography
|
$167.00 |
$167.00 |
$167.00 |
$148.20
|
|
Crbrospnl fld flw imag cistern
|
$1,164.50 |
$1,164.50 |
$1,164.50 |
$1,240.80
|
|
C-reactive protein
|
$72.00 |
$72.00 |
$72.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$34.50 |
$34.50 |
$34.50 |
$85.00
|
|
Create passage to kidney
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,081.37
|
|
Creatine kinase
|
$62.00 |
$62.00 |
$62.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$112.00 |
$112.00 |
$112.00 |
$56.80
|
|
Creatine kinase mb
|
$124.00 |
$124.00 |
$124.00 |
$114.00
|
|
Creatine - sendout
|
$20.50 |
$20.50 |
$20.50 |
$39.00
|
|
Creatinine
|
$35.00 |
$35.00 |
$35.00 |
$44.72
|
|
Creatinine 24 hour urine
|
$86.00 |
$86.00 |
$86.00 |
$58.85
|
|
Creatinine clearance urine
|
$36.50 |
$36.50 |
$36.50 |
$89.50
|
|
#creutz-prot.,western blot
|
$61.50 |
$61.50 |
$61.50 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,488.00 |
$1,488.00 |
$1,488.00 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$328.00 |
$328.00 |
$328.00 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$62.50 |
$62.50 |
$62.50 |
$52.50
|
|
Cryoprecipitate each unit
|
$273.50 |
$273.50 |
$273.50 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$194.00 |
$194.00 |
$194.00 |
$272.50
|
|
Cryptococcus abs qn - sendout
|
$99.00 |
$99.00 |
$99.00 |
$89.70
|
|
Crystal identification light microscopy
|
$72.00 |
$72.00 |
$72.00 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$654.00 |
$654.00 |
$654.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,979.50 |
$1,979.50 |
$1,979.50 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,151.50 |
$1,151.50 |
$1,151.50 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,979.50 |
$1,979.50 |
$1,979.50 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,503.50 |
$1,503.50 |
$1,503.50 |
$1,931.40
|
