|
Collection blood specimen using established central/peripheral catheter venous nos
|
$569.40 |
$569.40 |
$569.40 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$12.35 |
$12.35 |
$12.35 |
$20.30
|
|
Compatibility test each unit antiglobulin technique
|
$118.95 |
$118.95 |
$118.95 |
$156.60
|
|
Compatibility test each unit immediate spin technique
|
$118.95 |
$118.95 |
$118.95 |
$156.24
|
|
Compatibility test incubate
|
$109.85 |
$109.85 |
$109.85 |
$140.00
|
|
Comp cystometrogram/void presssure 51728
|
$664.30 |
$664.30 |
$664.30 |
$933.75
|
|
Comp cystometrogram/void/uret pres 51729
|
$792.35 |
$792.35 |
$792.35 |
$978.47
|
|
Complement antigen each component c3
|
$96.85 |
$96.85 |
$96.85 |
$110.00
|
|
Complex cystometrogram 51726
|
$1,049.75 |
$1,049.75 |
$1,049.75 |
$710.40
|
|
Complex uroflowmetry (electronic) 51741
|
$232.05 |
$232.05 |
$232.05 |
$353.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$763.75 |
$763.75 |
$763.75 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,006.85 |
$1,006.85 |
$1,006.85 |
$1,244.80
|
|
Complx repair fccmnaxghf 13132
|
$1,004.25 |
$1,004.25 |
$1,004.25 |
$1,193.40
|
|
Complx repair fccmnaxghf 13133
|
$386.75 |
$386.75 |
$386.75 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$287.30 |
$287.30 |
$287.30 |
$546.29
|
|
Computed tomographic angiography head and neck with contrast
|
$2,027.35 |
$2,027.35 |
$2,027.35 |
$2,544.75
|
|
Concentration infection agents any type
|
$49.40 |
$49.40 |
$49.40 |
$48.00
|
|
Condylomata destruction 56420
|
$403.65 |
$403.65 |
$403.65 |
$472.50
|
|
Consult comp w/report rfrd material
|
$179.40 |
$179.40 |
$179.40 |
$365.60
|
|
Contrast baths charges
|
$58.50 |
$58.50 |
$58.50 |
$77.98
|
|
Contrast x-ray of hip
|
$672.75 |
$672.75 |
$672.75 |
$676.12
|
|
Control nosebleed pack+caut 30905
|
$592.15 |
$592.15 |
$592.15 |
$457.60
|
|
Control of nosebleed ant comp 30903
|
$412.75 |
$412.75 |
$412.75 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$237.25 |
$237.25 |
$237.25 |
$336.00
|
|
Control oropharyngeal hemorr/simp 42960
|
$339.95 |
$339.95 |
$339.95 |
$599.72
|
|
Coombs direct
|
$72.80 |
$72.80 |
$72.80 |
$70.74
|
|
Coombs indirect titer reference
|
$103.35 |
$103.35 |
$103.35 |
$122.85
|
|
Cortisol acth stimulation test - sendout
|
$199.55 |
$199.55 |
$199.55 |
$143.40
|
|
Cortisol total am
|
$113.10 |
$113.10 |
$113.10 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$466.24 |
$466.24 |
$466.24 |
$218.95
|
|
Co-treatment - group 15 mins, st
|
$79.30 |
$79.30 |
$79.30 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$57.85 |
$57.85 |
$57.85 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$42.90 |
$42.90 |
$42.90 |
$64.50
|
|
#covid19rsv-rsv
|
$158.60 |
$158.60 |
$158.60 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$66.30 |
$66.30 |
$66.30 |
$65.36
|
|
C-peptide
|
$124.15 |
$124.15 |
$124.15 |
$111.20
|
|
C-reactive protein
|
$62.40 |
$62.40 |
$62.40 |
$54.43
|
|
C-reactive protein high sensitivity
|
$93.60 |
$93.60 |
$93.60 |
$91.65
|
|
C-reactive protein, quantitative
|
$89.70 |
$89.70 |
$89.70 |
$77.50
|
|
Creatine kinase
|
$56.55 |
$56.55 |
$56.55 |
$55.00
|
|
Creatine kinase isoenzymes
|
$72.15 |
$72.15 |
$72.15 |
$66.00
|
|
Creatine kinase mb
|
$105.95 |
$105.95 |
$105.95 |
$100.75
|
|
Creatine - sendout
|
$48.10 |
$48.10 |
$48.10 |
$35.10
|
|
Creatinine
|
$36.40 |
$36.40 |
$36.40 |
$40.00
|
|
Creatinine 24 hour urine
|
$53.30 |
$53.30 |
$53.30 |
$54.40
|
|
Creatinine clearance urine
|
$91.65 |
$91.65 |
$91.65 |
$73.86
|
|
#creutz-prot.,western blot
|
$189.80 |
$189.80 |
$189.80 |
$178.10
|
|
Crisis psychotherapy 90839
|
$226.85 |
$226.85 |
$226.85 |
$326.34
|
|
Crisis psychotherapy additional 30 mins 90840
|
$97.50 |
$97.50 |
$97.50 |
$156.80
|
|
Critical care 30-74 minutes
|
$1,456.65 |
$1,456.65 |
$1,456.65 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$642.85 |
$642.85 |
$642.85 |
$663.00
|
|
Crystal identification light microscopy
|
$58.50 |
$58.50 |
$58.50 |
$56.44
|
|
Cta abdomen without & /or w/contrast
|
$2,643.55 |
$2,643.55 |
$2,643.55 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,538.60 |
$3,538.60 |
$3,538.60 |
$2,092.73
|
|
Cta neck without &/or w/contrast
|
$2,049.45 |
$2,049.45 |
$2,049.45 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,175.90 |
$3,175.90 |
$3,175.90 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,899.30 |
$1,899.30 |
$1,899.30 |
$1,728.80
|
|
CT Angiogram of the Head
|
$2,059.85 |
$2,059.85 |
$2,059.85 |
$1,951.50
|
|
CT guidance for needle placement
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$1,425.85
|
|
CT lower extremity w/contrast (both sides)
|
$2,262.65 |
$2,262.65 |
$2,262.65 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$2,398.50 |
$2,398.50 |
$2,398.50 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$1,829.75 |
$1,829.75 |
$1,829.75 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$1,756.30 |
$1,756.30 |
$1,756.30 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$1,327.95 |
$1,327.95 |
$1,327.95 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$2,167.10 |
$2,167.10 |
$2,167.10 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,323.75 |
$2,323.75 |
$2,323.75 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,241.85 |
$2,241.85 |
$2,241.85 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,683.50 |
$1,683.50 |
$1,683.50 |
$1,250.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,138.50 |
$2,138.50 |
$2,138.50 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,862.25 |
$1,862.25 |
$1,862.25 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$1,878.50 |
$1,878.50 |
$1,878.50 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$1,816.75 |
$1,816.75 |
$1,816.75 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$447.20 |
$447.20 |
$447.20 |
$418.50
|
|
CT t-spine w /wo contrast
|
$2,306.85 |
$2,306.85 |
$2,306.85 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$1,619.80 |
$1,619.80 |
$1,619.80 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$1,621.10 |
$1,621.10 |
$1,621.10 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$1,875.25 |
$1,875.25 |
$1,875.25 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$46.80 |
$46.80 |
$46.80 |
$61.03
|
|
Culture afb any source
|
$113.75 |
$113.75 |
$113.75 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$92.30 |
$92.30 |
$92.30 |
$73.00
|
|
Culture anaerobic except blood
|
$117.00 |
$117.00 |
$117.00 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$59.15 |
$59.15 |
$59.15 |
$49.40
|
|
Culture body fluid
|
$122.85 |
$122.85 |
$122.85 |
$111.15
|
|
Culture fungi definitive id mold
|
$81.25 |
$81.25 |
$81.25 |
$70.00
|
|
Culture fungi definitive id yeast
|
$81.25 |
$81.25 |
$81.25 |
$68.00
|
|
Culture fungi other (except blood)
|
$109.20 |
$109.20 |
$109.20 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$75.40 |
$75.40 |
$75.40 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$73.45 |
$73.45 |
$73.45 |
$79.00
|
|
Culture mycoplasma any source
|
$153.40 |
$153.40 |
$153.40 |
$94.00
|
|
Culture screening strep group a
|
$82.55 |
$82.55 |
$82.55 |
$76.00
|
|
Culture typing immunologic
|
$46.15 |
$46.15 |
$46.15 |
$38.58
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$754.65 |
$754.65 |
$754.65 |
$392.40
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$32.50 |
$32.50 |
$32.50 |
$100.20
|
|
Culture urine each isolate
|
$58.50 |
$58.50 |
$58.50 |
$44.80
|
|
Cyanocobalamin unsat binding capacity
|
$68.90 |
$68.90 |
$68.90 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$17.58
|
|
Cyclic citrullinated peptide antibody
|
$105.95 |
$105.95 |
$105.95 |
$91.20
|
|
Cyclosporine 2 hour
|
$160.55 |
$160.55 |
$160.55 |
$126.10
|
|
Cystatin c
|
$91.65 |
$91.65 |
$91.65 |
$83.20
|