|
Colonoscopy with biopsy
|
$2,624.70 |
$2,624.70 |
$2,624.70 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$2,205.33
|
|
Colonoscopy w/resection
|
$2,658.50 |
$2,658.50 |
$2,658.50 |
$3,252.60
|
|
Colonoscopy w/stent plcmt
|
$3,705.00 |
$3,705.00 |
$3,705.00 |
$4,445.35
|
|
Colonoscopy w/ultrasound
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$2,495.25
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$241.80 |
$241.80 |
$241.80 |
$326.30
|
|
Colposcopy w/biopsy of cervix 57455
|
$425.75 |
$425.75 |
$425.75 |
$544.70
|
|
Compatibility test each unit antiglobulin technique
|
$100.10 |
$100.10 |
$100.10 |
$173.25
|
|
Compatibility test each unit electronic
|
$77.35 |
$77.35 |
$77.35 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$126.75 |
$126.75 |
$126.75 |
$169.52
|
|
Compatibility test incubate
|
$17.55 |
$17.55 |
$17.55 |
$143.65
|
|
Complement antigen each component c3
|
$253.50 |
$253.50 |
$253.50 |
$111.15
|
|
Complement fixation each
|
$149.50 |
$149.50 |
$149.50 |
$24.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,481.48 |
$1,481.48 |
$1,481.48 |
$1,051.20
|
|
Concentration infection agents any type
|
$119.60 |
$119.60 |
$119.60 |
$51.32
|
|
Condylomata destruction 56420
|
$542.10 |
$542.10 |
$542.10 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,157.42 |
$1,157.42 |
$1,157.42 |
$986.92
|
|
Consultation pathology during surgery
|
$104.65 |
$104.65 |
$104.65 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$160.55 |
$160.55 |
$160.55 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$194.35 |
$194.35 |
$194.35 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$343.20 |
$343.20 |
$343.20 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$312.00 |
$312.00 |
$312.00 |
$239.85
|
|
Consult comp w/report rfrd material
|
$117.00 |
$117.00 |
$117.00 |
$359.87
|
|
Contrast baths charges
|
$105.30 |
$105.30 |
$105.30 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$9,537.45 |
$9,537.45 |
$9,537.45 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$7,944.30 |
$7,944.30 |
$7,944.30 |
$4,178.00
|
|
Contrast x-ray of ankle
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$602.40
|
|
Contrast x-ray of elbow
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$637.14
|
|
Contrast x-ray of hip
|
$2,238.60 |
$2,238.60 |
$2,238.60 |
$768.00
|
|
Contrast x-ray of knee joint
|
$1,829.10 |
$1,829.10 |
$1,829.10 |
$683.20
|
|
Contrast x-ray of wrist
|
$1,747.20 |
$1,747.20 |
$1,747.20 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$11,723.40 |
$11,723.40 |
$11,723.40 |
$11,518.85
|
|
Control nosebleed pack+caut 30905
|
$1,661.40 |
$1,661.40 |
$1,661.40 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$817.70 |
$817.70 |
$817.70 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$635.70 |
$635.70 |
$635.70 |
$618.80
|
|
Conversion ext bil drg cath
|
$5,309.20 |
$5,309.20 |
$5,309.20 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$10,725.00 |
$10,725.00 |
$10,725.00 |
$3,569.60
|
|
Coombs direct
|
$96.85 |
$96.85 |
$96.85 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$107.25 |
$107.25 |
$107.25 |
$94.90
|
|
Coombs indirect titer reference
|
$383.50 |
$383.50 |
$383.50 |
$146.00
|
|
Copper intrauterine device
|
$2,195.34 |
$2,195.34 |
$2,195.34 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$8,371.35 |
$8,371.35 |
$8,371.35 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,282.00 |
$9,282.00 |
$9,282.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$8,772.40 |
$8,772.40 |
$8,772.40 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$9,657.70 |
$9,657.70 |
$9,657.70 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$8,658.00 |
$8,658.00 |
$8,658.00 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,117.50 |
$7,117.50 |
$7,117.50 |
$7,769.30
|
|
Cortisol acth stimulation test - sendout
|
$215.15 |
$215.15 |
$215.15 |
$123.73
|
|
Cortisol total am
|
$87.75 |
$87.75 |
$87.75 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$81.67 |
$81.67 |
$81.67 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$144.30 |
$144.30 |
$144.30 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$16.90 |
$16.90 |
$16.90 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$2,733.67 |
$2,733.67 |
$2,733.67 |
$3,151.80
|
|
Cover wrist
|
$707.47 |
$707.47 |
$707.47 |
$308.82
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$956.80 |
$956.80 |
$956.80 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$956.80 |
$956.80 |
$956.80 |
$533.10
|
|
#covid19rsv-rsv
|
$182.00 |
$182.00 |
$182.00 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$168.35 |
$168.35 |
$168.35 |
$65.36
|
|
C-peptide
|
$24.70 |
$24.70 |
$24.70 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$920.40 |
$920.40 |
$920.40 |
$1,466.97
|
|
C-reactive protein
|
$26.65 |
$26.65 |
$26.65 |
$63.00
|
|
C-reactive protein high sensitivity
|
$26.65 |
$26.65 |
$26.65 |
$91.65
|
|
C-reactive protein, quantitative
|
$139.75 |
$139.75 |
$139.75 |
$62.50
|
|
Creatine kinase
|
$33.15 |
$33.15 |
$33.15 |
$59.78
|
|
Creatine kinase isoenzymes
|
$46.15 |
$46.15 |
$46.15 |
$46.34
|
|
Creatine kinase mb
|
$65.00 |
$65.00 |
$65.00 |
$111.00
|
|
Creatine - sendout
|
$39.00 |
$39.00 |
$39.00 |
$39.00
|
|
Creatinine
|
$5.20 |
$5.20 |
$5.20 |
$44.10
|
|
Creatinine 24 hour urine
|
$31.20 |
$31.20 |
$31.20 |
$59.80
|
|
Creatinine clearance urine
|
$24.70 |
$24.70 |
$24.70 |
$87.50
|
|
#creutz-prot.,western blot
|
$273.65 |
$273.65 |
$273.65 |
$173.00
|
|
Critical care 30-74 minutes
|
$3,068.65 |
$3,068.65 |
$3,068.65 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$375.70 |
$375.70 |
$375.70 |
$777.00
|
|
Crotalidae poly immune fab
|
$9,659.46 |
$9,659.46 |
$9,659.46 |
$5,160.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$3,806.40 |
$3,806.40 |
$3,806.40 |
$2,649.05
|
|
Crutches underarm other than wood adjustable or e0114
|
$75.87 |
$75.87 |
$75.87 |
$72.70
|
|
Cryo fib comp path redu each
|
$0.65 |
$0.65 |
$0.65 |
$369.51
|
|
Cryofibrinogen qualitative - sendout
|
$59.80 |
$59.80 |
$59.80 |
$50.88
|
|
Cryoprecipitate each unit
|
$248.30 |
$248.30 |
$248.30 |
$185.64
|
|
Crystal identification light microscopy
|
$113.75 |
$113.75 |
$113.75 |
$65.25
|
|
Csf leakage imaging
|
$2,041.65 |
$2,041.65 |
$2,041.65 |
$1,446.24
|
|
Csf shunt reprogram 62252
|
$271.05 |
$271.05 |
$271.05 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$458.25 |
$458.25 |
$458.25 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,163.85 |
$2,163.85 |
$2,163.85 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,139.80 |
$2,139.80 |
$2,139.80 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,521.70 |
$3,521.70 |
$3,521.70 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,373.15 |
$2,373.15 |
$2,373.15 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,855.10 |
$1,855.10 |
$1,855.10 |
$1,955.80
|
|
CT Angiogram of the Head
|
$2,447.25 |
$2,447.25 |
$2,447.25 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$2,165.80 |
$2,165.80 |
$2,165.80 |
$1,588.60
|
|
CT angio pelvis
|
$1,854.45 |
$1,854.45 |
$1,854.45 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,874.60 |
$1,874.60 |
$1,874.60 |
$1,652.25
|
|
CT colonography dx
|
$1,466.40 |
$1,466.40 |
$1,466.40 |
$770.90
|
|
CT colonography screening
|
$1,173.25 |
$1,173.25 |
$1,173.25 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,221.05 |
$2,221.05 |
$2,221.05 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,161.90 |
$2,161.90 |
$2,161.90 |
$1,085.05
|
|
CT guid parench tis ablat
|
$2,488.20 |
$2,488.20 |
$2,488.20 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$260.65 |
$260.65 |
$260.65 |
$192.00
|
