|
Clsd tx/scapular fx without manip 23570
|
$417.95 |
$417.95 |
$417.95 |
$454.50
|
|
Clsd tx toe dislocation without anes28660
|
$274.95 |
$274.95 |
$274.95 |
$400.20
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$665.60 |
$665.60 |
$665.60 |
$543.23
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$631.15 |
$631.15 |
$631.15 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$430.30 |
$430.30 |
$430.30 |
$494.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$650.65 |
$650.65 |
$650.65 |
$525.75
|
|
#cmvcul-virus inoculation shell
|
$126.10 |
$126.10 |
$126.10 |
$109.80
|
|
Cmv pcr-sendout
|
$215.80 |
$215.80 |
$215.80 |
$177.50
|
|
Coagulation time activated teg
|
$75.40 |
$75.40 |
$75.40 |
$37.05
|
|
Cold agglutinin titer
|
$53.30 |
$53.30 |
$53.30 |
$49.20
|
|
Collar cerv ascend 172 reg
|
$24.70 |
$24.70 |
$24.70 |
$151.05
|
|
Collection blood specimen from completely implantable venous access device
|
$116.35 |
$116.35 |
$116.35 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$116.35 |
$116.35 |
$116.35 |
$173.83
|
|
Collection of venous blood by venipuncture
|
$13.00 |
$13.00 |
$13.00 |
$20.70
|
|
Compatibility test each unit antiglobulin technique
|
$166.40 |
$166.40 |
$166.40 |
$156.60
|
|
Compatibility test each unit immediate spin technique
|
$128.05 |
$128.05 |
$128.05 |
$156.24
|
|
Compatibility test incubate
|
$143.65 |
$143.65 |
$143.65 |
$140.00
|
|
Comp cystometrogram/void presssure 51728
|
$629.85 |
$629.85 |
$629.85 |
$933.75
|
|
Complement antigen each component c3
|
$99.45 |
$99.45 |
$99.45 |
$112.45
|
|
Complex uroflowmetry (electronic) 51741
|
$249.60 |
$249.60 |
$249.60 |
$353.50
|
|
Complx repair fccmnaxghf 13131
|
$718.25 |
$718.25 |
$718.25 |
$911.40
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$163.15 |
$163.15 |
$163.15 |
$163.15
|
|
Computed tomographic angiography head and neck with contrast
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$2,544.75
|
|
Concentration infection agents any type
|
$44.85 |
$44.85 |
$44.85 |
$48.68
|
|
Condylomata destruction 56420
|
$407.55 |
$407.55 |
$407.55 |
$472.50
|
|
Consultation pathology during surgery frozen section each additional block
|
$148.20 |
$148.20 |
$148.20 |
$117.67
|
|
Consultation pathology during surgery frozen section first tissue block
|
$254.15 |
$254.15 |
$254.15 |
$200.00
|
|
Consultation/report referred slides prepared elsewhere
|
$183.30 |
$183.30 |
$183.30 |
$171.65
|
|
Contrast exam abdominl aorta 75625-26
|
$2,958.15 |
$2,958.15 |
$2,958.15 |
$3,483.84
|
|
Contrast exam thoracic aorta 75605-26
|
$3,121.95 |
$3,121.95 |
$3,121.95 |
$3,304.98
|
|
Contrast x-ray gallbladder
|
$316.55 |
$316.55 |
$316.55 |
$260.14
|
|
Contrast x-ray of hip
|
$956.80 |
$956.80 |
$956.80 |
$719.40
|
|
Contrast x-ray of knee joint
|
$858.65 |
$858.65 |
$858.65 |
$623.50
|
|
Control nosebleed pack+caut 30905
|
$541.45 |
$541.45 |
$541.45 |
$457.60
|
|
Control of nosebleed ant comp 30903
|
$384.15 |
$384.15 |
$384.15 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$225.55 |
$225.55 |
$225.55 |
$356.00
|
|
Coombs direct
|
$72.80 |
$72.80 |
$72.80 |
$71.50
|
|
Coombs indirect qualitative each reagent red cell reference
|
$93.60 |
$93.60 |
$93.60 |
$76.70
|
|
Coombs indirect titer reference
|
$101.40 |
$101.40 |
$101.40 |
$124.74
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$10,742.55 |
$10,742.55 |
$10,742.55 |
$12,021.10
|
|
Coronary angio/lv gram/lt heart
|
$9,919.00 |
$9,919.00 |
$9,919.00 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$10,719.80 |
$10,719.80 |
$10,719.80 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$9,778.60 |
$9,778.60 |
$9,778.60 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,229.35 |
$9,229.35 |
$9,229.35 |
$9,016.20
|
|
Cortisol total am
|
$126.10 |
$126.10 |
$126.10 |
$118.40
|
|
Co-treatment - group 15 mins, st
|
$136.50 |
$136.50 |
$136.50 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$53.95 |
$53.95 |
$53.95 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$42.90 |
$42.90 |
$42.90 |
$64.50
|
|
#covid19rsv-rsv
|
$141.05 |
$141.05 |
$141.05 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$65.00 |
$65.00 |
$65.00 |
$65.36
|
|
C-peptide
|
$118.30 |
$118.30 |
$118.30 |
$115.05
|
|
Crbrospnl fld flw imag cistern
|
$1,409.85 |
$1,409.85 |
$1,409.85 |
$1,170.64
|
|
C-reactive protein
|
$50.70 |
$50.70 |
$50.70 |
$56.40
|
|
C-reactive protein high sensitivity
|
$100.75 |
$100.75 |
$100.75 |
$91.65
|
|
C-reactive protein, quantitative
|
$84.50 |
$84.50 |
$84.50 |
$84.50
|
|
Creatine kinase
|
$76.05 |
$76.05 |
$76.05 |
$55.00
|
|
Creatine kinase isoenzymes
|
$72.80 |
$72.80 |
$72.80 |
$64.28
|
|
Creatine kinase mb
|
$114.40 |
$114.40 |
$114.40 |
$102.40
|
|
Creatinine
|
$40.30 |
$40.30 |
$40.30 |
$40.00
|
|
Creatinine 24 hour urine
|
$54.60 |
$54.60 |
$54.60 |
$55.25
|
|
Creatinine clearance urine
|
$94.25 |
$94.25 |
$94.25 |
$73.86
|
|
#creutz-prot.,western blot
|
$178.10 |
$178.10 |
$178.10 |
$173.45
|
|
Critical care 30-74 minutes
|
$1,477.45 |
$1,477.45 |
$1,477.45 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$494.65 |
$494.65 |
$494.65 |
$663.00
|
|
Cryofibrinogen qualitative - sendout
|
$48.10 |
$48.10 |
$48.10 |
$55.20
|
|
Cryoprecipitate each unit
|
$163.80 |
$163.80 |
$163.80 |
$184.37
|
|
Crystal identification light microscopy
|
$57.85 |
$57.85 |
$57.85 |
$56.44
|
|
CT 3d report other modality w/workstation
|
$541.45 |
$541.45 |
$541.45 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$2,376.40 |
$2,376.40 |
$2,376.40 |
$2,050.23
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,090.75 |
$3,090.75 |
$3,090.75 |
$2,060.50
|
|
Cta neck without &/or w/contrast
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,881.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,777.80 |
$3,777.80 |
$3,777.80 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,191.80 |
$2,191.80 |
$2,191.80 |
$1,774.40
|
|
CT Angiogram of the Head
|
$2,146.95 |
$2,146.95 |
$2,146.95 |
$1,972.80
|
|
CT angio pelvis
|
$2,017.60 |
$2,017.60 |
$2,017.60 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,374.75 |
$1,374.75 |
$1,374.75 |
$1,652.25
|
|
CT bone density axial
|
$384.80 |
$384.80 |
$384.80 |
$321.75
|
|
CT guidance for needle placement
|
$1,677.00 |
$1,677.00 |
$1,677.00 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$995.15 |
$995.15 |
$995.15 |
$1,007.29
|
|
CT heart w/evaluation of calcium without contrast
|
$219.70 |
$219.70 |
$219.70 |
$192.00
|
|
CT limited or localized follow-up study
|
$741.65 |
$741.65 |
$741.65 |
$640.48
|
|
CT lower extremity w/contrast (both sides)
|
$2,507.05 |
$2,507.05 |
$2,507.05 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$2,632.50 |
$2,632.50 |
$2,632.50 |
$1,343.00
|
|
CT lwr extremity w/o&w/dye
|
$2,913.30 |
$2,913.30 |
$2,913.30 |
$1,620.48
|
|
CT neck soft tissue w/contrast
|
$1,577.55 |
$1,577.55 |
$1,577.55 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$1,243.45 |
$1,243.45 |
$1,243.45 |
$1,197.95
|
|
CT neck soft tissue without & w/contrast
|
$2,160.60 |
$2,160.60 |
$2,160.60 |
$1,790.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,606.80 |
$1,606.80 |
$1,606.80 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,432.60 |
$1,432.60 |
$1,432.60 |
$1,524.90
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$916.50 |
$916.50 |
$916.50 |
$1,301.36
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,328.00 |
$3,328.00 |
$3,328.00 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,724.15 |
$2,724.15 |
$2,724.15 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,300.35 |
$2,300.35 |
$2,300.35 |
$2,245.00
|
|
CT thoracic spine w/contrast
|
$2,103.40 |
$2,103.40 |
$2,103.40 |
$1,623.05
|
|
CT thoracic spine without contrast
|
$1,815.45 |
$1,815.45 |
$1,815.45 |
$1,382.10
|
|
CT t-spine w /wo contrast
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$1,826.74
|
|
CT upper extremity w/contrast (both sides)
|
$1,651.65 |
$1,651.65 |
$1,651.65 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$2,497.30 |
$2,497.30 |
$2,497.30 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$2,442.70 |
$2,442.70 |
$2,442.70 |
$1,707.60
|
|
Culture aerobic additional method definitive id each
|
$69.55 |
$69.55 |
$69.55 |
$61.03
|
