|
Consultation pathology during surgery frozen section first tissue block
|
$93.60 |
$93.60 |
$93.60 |
$226.50
|
|
Contrast baths charges
|
$80.00 |
$80.00 |
$80.00 |
$75.60
|
|
Control nosebleed pack+caut 30905
|
$548.80 |
$548.80 |
$548.80 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$400.80 |
$400.80 |
$400.80 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$264.80 |
$264.80 |
$264.80 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$632.80 |
$632.80 |
$632.80 |
$620.00
|
|
Coombs direct
|
$33.60 |
$33.60 |
$33.60 |
$76.80
|
|
Coombs indirect titer reference
|
$37.60 |
$37.60 |
$37.60 |
$156.71
|
|
Cortisol total am
|
$83.20 |
$83.20 |
$83.20 |
$121.20
|
|
Counseling smoke cess interm >10mins
|
$81.60 |
$81.60 |
$81.60 |
$54.60
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
$49.13
|
|
#covid19rsv-rsv
|
$171.20 |
$171.20 |
$171.20 |
$145.60
|
|
CPAP or BiPAP Setup (first day)
|
$392.80 |
$392.80 |
$392.80 |
$584.50
|
|
C-peptide
|
$117.60 |
$117.60 |
$117.60 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$955.20 |
$955.20 |
$955.20 |
$777.71
|
|
C-reactive protein
|
$42.40 |
$42.40 |
$42.40 |
$69.36
|
|
C-reactive protein high sensitivity
|
$77.60 |
$77.60 |
$77.60 |
$85.50
|
|
Creatine kinase
|
$42.40 |
$42.40 |
$42.40 |
$66.30
|
|
Creatine kinase mb
|
$71.20 |
$71.20 |
$71.20 |
$113.63
|
|
Creatinine
|
$28.00 |
$28.00 |
$28.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$42.40 |
$42.40 |
$42.40 |
$57.85
|
|
Creatinine clearance urine
|
$59.20 |
$59.20 |
$59.20 |
$90.26
|
|
#creutz-prot.,western blot
|
$120.00 |
$120.00 |
$120.00 |
$163.50
|
|
Critical care each additional 30 minutes
|
$813.60 |
$813.60 |
$813.60 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,549.60 |
$2,549.60 |
$2,549.60 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$57.60 |
$57.60 |
$57.60 |
$52.50
|
|
Crystal identification light microscopy
|
$45.60 |
$45.60 |
$45.60 |
$66.43
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,526.40 |
$4,526.40 |
$4,526.40 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,568.80 |
$2,568.80 |
$2,568.80 |
$1,994.52
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,441.60 |
$2,441.60 |
$2,441.60 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,516.00 |
$2,516.00 |
$2,516.00 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,516.00 |
$2,516.00 |
$2,516.00 |
$1,881.75
|
|
CT limited or localized follow-up study
|
$808.80 |
$808.80 |
$808.80 |
$636.55
|
|
Ctrl nosebld postir subsq 30906
|
$496.00 |
$496.00 |
$496.00 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,004.00 |
$3,004.00 |
$3,004.00 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,492.80 |
$2,492.80 |
$2,492.80 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$2,272.00
|
|
CT uppr extremity w/o&w/dye
|
$2,277.60 |
$2,277.60 |
$2,277.60 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$90.40 |
$90.40 |
$90.40 |
$72.00
|
|
Culture afb any source
|
$70.40 |
$70.40 |
$70.40 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$43.20 |
$43.20 |
$43.20 |
$84.76
|
|
Culture anaerobic except blood
|
$55.20 |
$55.20 |
$55.20 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$56.00 |
$56.00 |
$56.00 |
$52.50
|
|
Culture body fluid
|
$54.40 |
$54.40 |
$54.40 |
$126.75
|
|
Culture fungi definitive id mold
|
$62.40 |
$62.40 |
$62.40 |
$80.00
|
|
Culture fungi definitive id yeast
|
$66.40 |
$66.40 |
$66.40 |
$80.00
|
|
Culture fungi other (except blood)
|
$65.60 |
$65.60 |
$65.60 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$49.60 |
$49.60 |
$49.60 |
$74.75
|
|
Culture screening strep group a
|
$36.00 |
$36.00 |
$36.00 |
$84.60
|
|
Culture typing immunologic
|
$33.60 |
$33.60 |
$33.60 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$576.00 |
$576.00 |
$576.00 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$176.00 |
$176.00 |
$176.00 |
$140.80
|
|
Culture urine each isolate
|
$44.80 |
$44.80 |
$44.80 |
$55.50
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$27.16 |
$27.16 |
$27.16 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$96.80 |
$96.80 |
$96.80 |
$72.36
|
|
Cyclosporine 2 hour
|
$112.80 |
$112.80 |
$112.80 |
$130.40
|
|
Cyp2c19 gene com variants
|
$256.00 |
$256.00 |
$256.00 |
$524.00
|
|
Cystatin c
|
$99.20 |
$99.20 |
$99.20 |
$77.60
|
|
Cystine urine quantitative
|
$101.60 |
$101.60 |
$101.60 |
$100.70
|
|
Cystoscopy (Bladder Scope)
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$1,493.80
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,036.00 |
$3,036.00 |
$3,036.00 |
$3,245.90
|
|
Cytogenetics 25-99
|
$103.20 |
$103.20 |
$103.20 |
$189.80
|
|
Cytogenetics 3-5
|
$99.20 |
$99.20 |
$99.20 |
$147.36
|
|
Cytomegalovirus (cmv) antibody igg
|
$86.40 |
$86.40 |
$86.40 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$96.80 |
$96.80 |
$96.80 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$100.80 |
$100.80 |
$100.80 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$100.80 |
$100.80 |
$100.80 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$106.40 |
$106.40 |
$106.40 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$147.20 |
$147.20 |
$147.20 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$108.00 |
$108.00 |
$108.00 |
$127.50
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$52.00 |
$52.00 |
$52.00 |
$191.66
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$216.80 |
$216.80 |
$216.80 |
$213.85
|
|
Cytopath smear other source
|
$110.40 |
$110.40 |
$110.40 |
$92.50
|
|
Cytopath smear oth prep screen & interp
|
$109.60 |
$109.60 |
$109.60 |
$96.20
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$244.36 |
$244.36 |
$244.36 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,399.20 |
$1,399.20 |
$1,399.20 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$327.60 |
$327.60 |
$327.60 |
$7.20
|
|
Dch glucoscan
|
$16.00 |
$16.00 |
$16.00 |
$29.16
|
|
Dch validity tests
|
$16.00 |
$16.00 |
$16.00 |
$25.00
|
|
Deamidated gliadin antibody iga
|
$54.40 |
$54.40 |
$54.40 |
$43.35
|
|
Debridement (>20 cm) charge pt
|
$359.20 |
$359.20 |
$359.20 |
$284.00
|
|
Debrid/rmv fgn bdy/open fx/skin/sq 11010
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,149.50
|
|
Decalcification
|
$51.20 |
$51.20 |
$51.20 |
$68.34
|
|
Deferoxamine 500 mg solution for injection
|
$33.73 |
$33.73 |
$33.73 |
$95.85
|
|
Delivery of placenta 59414
|
$1,064.80 |
$1,064.80 |
$1,064.80 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$208.80 |
$208.80 |
$208.80 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$2,714.98 |
$2,714.98 |
$2,714.98 |
$6,324.98
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$401.60 |
$401.60 |
$401.60 |
$401.60
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$291.20 |
$291.20 |
$291.20 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$3.52 |
$3.52 |
$3.52 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$26.95 |
$26.95 |
$26.95 |
$20.76
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$60.00 |
$60.00 |
$60.00 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$128.00 |
$128.00 |
$128.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$55.20 |
$55.20 |
$55.20 |
$79.30
|
|
Diab manage trn ind/group
|
$64.00 |
$64.00 |
$64.00 |
$54.99
|
|
Diagnostic Mammogram (both breasts)
|
$494.40 |
$494.40 |
$494.40 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$389.60 |
$389.60 |
$389.60 |
$314.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$33.95 |
$33.95 |
$33.95 |
$79.71
|
|
Diffusing capacity
|
$360.80 |
$360.80 |
$360.80 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$28.30 |
$28.30 |
$28.30 |
$65.84
|
