|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$60.00 |
$60.00 |
$60.00 |
$39.00
|
|
Circumcise/surg/28 days or < 54160
|
$586.00 |
$586.00 |
$586.00 |
$1,479.87
|
|
C-kit mutation liquid tumor - sendout
|
$868.00 |
$868.00 |
$868.00 |
$606.06
|
|
Clearance of airways
|
$243.00 |
$243.00 |
$243.00 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$88.88 |
$88.88 |
$88.88 |
$49.74
|
|
Clot factor xii hageman
|
$197.00 |
$197.00 |
$197.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$185.00 |
$185.00 |
$185.00 |
$84.50
|
|
Clot factor xiii fibrin stab
|
$194.00 |
$194.00 |
$194.00 |
$97.20
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$865.00 |
$865.00 |
$865.00 |
$716.95
|
|
Clsd tx elbow dislocation child 24640
|
$365.00 |
$365.00 |
$365.00 |
$520.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
$1,014.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,316.00 |
$1,316.00 |
$1,316.00 |
$2,235.05
|
|
Clsd tx toe dislocation without anes28660
|
$50.00 |
$50.00 |
$50.00 |
$400.20
|
|
#cmvcul-virus inoculation shell
|
$194.00 |
$194.00 |
$194.00 |
$109.80
|
|
Coagulation time activated teg
|
$116.00 |
$116.00 |
$116.00 |
$37.05
|
|
Cold agglutinin screen (arc)
|
$60.00 |
$60.00 |
$60.00 |
$48.57
|
|
Cold agglutinin titer
|
$82.00 |
$82.00 |
$82.00 |
$50.70
|
|
Collection blood specimen from completely implantable venous access device
|
$179.00 |
$179.00 |
$179.00 |
$156.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$179.00 |
$179.00 |
$179.00 |
$176.65
|
|
Collection of venous blood by venipuncture
|
$311.00 |
$311.00 |
$311.00 |
$20.40
|
|
Compatibility test each unit antiglobulin technique
|
$256.00 |
$256.00 |
$256.00 |
$165.00
|
|
Compatibility test each unit immediate spin technique
|
$197.00 |
$197.00 |
$197.00 |
$156.24
|
|
Compatibility test incubate
|
$221.00 |
$221.00 |
$221.00 |
$140.00
|
|
Comp cystometrogram/void presssure 51728
|
$969.00 |
$969.00 |
$969.00 |
$933.75
|
|
Complement antigen each component c3
|
$80.00 |
$80.00 |
$153.00 |
$112.45
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$940.00 |
$940.00 |
$940.00 |
$887.25
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$973.00 |
$973.00 |
$973.00 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$384.00 |
$384.00 |
$384.00 |
$353.50
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,604.00 |
$1,604.00 |
$1,604.00 |
$1,244.80
|
|
Complx repair fccmnaxghf 13131
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$1,193.40
|
|
Complx repair sal addl 5 cm/> 13122
|
$380.00 |
$380.00 |
$380.00 |
$546.29
|
|
Computed tomographic angiography head and neck with contrast
|
$3,466.00 |
$3,466.00 |
$3,466.00 |
$2,544.75
|
|
Concentration infection agents any type
|
$69.00 |
$69.00 |
$69.00 |
$48.10
|
|
Consultation pathology during surgery cytological exam initial site
|
$77.00 |
$77.00 |
$77.00 |
$364.01
|
|
Consultation pathology during surgery frozen section each additional block
|
$228.00 |
$228.00 |
$228.00 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$391.00 |
$391.00 |
$391.00 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$226.00 |
$226.00 |
$226.00 |
$230.32
|
|
Consultation/report referred slides prepared elsewhere
|
$282.00 |
$282.00 |
$282.00 |
$171.65
|
|
Consult comp w/report rfrd material
|
$304.00 |
$304.00 |
$304.00 |
$401.12
|
|
Contrast exam abdominl aorta 75625-26
|
$4,551.00 |
$4,551.00 |
$4,551.00 |
$3,486.86
|
|
Contrast exam thoracic aorta 75605-26
|
$4,803.00 |
$4,803.00 |
$4,803.00 |
$3,606.00
|
|
Contrast x-ray gallbladder
|
$487.00 |
$487.00 |
$487.00 |
$260.14
|
|
Contrast x-ray of hip
|
$1,472.00 |
$1,472.00 |
$1,472.00 |
$700.05
|
|
Contrast x-ray of knee joint
|
$1,321.00 |
$1,321.00 |
$1,321.00 |
$623.50
|
|
Control of nosebleed ant comp 30903
|
$503.00 |
$503.00 |
$503.00 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$294.00 |
$294.00 |
$294.00 |
$356.00
|
|
Coombs direct
|
$112.00 |
$112.00 |
$112.00 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$144.00 |
$144.00 |
$144.00 |
$76.70
|
|
Coombs indirect titer reference
|
$156.00 |
$156.00 |
$156.00 |
$125.45
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$16,527.00 |
$16,527.00 |
$16,527.00 |
$12,021.10
|
|
Coronary angio/lv gram/lt heart
|
$15,260.00 |
$15,260.00 |
$15,260.00 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$16,492.00 |
$16,492.00 |
$16,492.00 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$15,044.00 |
$15,044.00 |
$15,044.00 |
$9,171.68
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$14,199.00 |
$14,199.00 |
$14,199.00 |
$8,860.20
|
|
Cortisol acth stimulation test - sendout
|
$179.00 |
$179.00 |
$179.00 |
$146.25
|
|
Cortisol total am
|
$122.00 |
$122.00 |
$122.00 |
$119.60
|
|
Co-treatment - group 15 mins, st
|
$210.00 |
$210.00 |
$210.00 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$83.00 |
$83.00 |
$83.00 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$66.00 |
$66.00 |
$66.00 |
$64.50
|
|
#covid19rsv-rsv
|
$217.00 |
$217.00 |
$217.00 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$103.00 |
$103.00 |
$103.00 |
$66.30
|
|
C-peptide
|
$90.00 |
$90.00 |
$182.00 |
$115.20
|
|
Crbrospnl fld flw imag cistern
|
$2,169.00 |
$2,169.00 |
$2,169.00 |
$1,176.60
|
|
C-reactive protein
|
$38.00 |
$38.00 |
$44.00 |
$57.20
|
|
C-reactive protein high sensitivity
|
$46.00 |
$46.00 |
$53.00 |
$91.65
|
|
C-reactive protein, quantitative
|
$130.00 |
$130.00 |
$130.00 |
$84.50
|
|
Creatine kinase
|
$36.00 |
$36.00 |
$53.00 |
$55.00
|
|
Creatine kinase isoenzymes
|
$112.00 |
$112.00 |
$112.00 |
$64.28
|
|
Creatine kinase mb
|
$160.00 |
$160.00 |
$176.00 |
$105.95
|
|
Creatinine
|
$58.00 |
$58.00 |
$62.00 |
$40.00
|
|
Creatinine 24 hour urine
|
$42.00 |
$42.00 |
$84.00 |
$55.25
|
|
Creatinine clearance urine
|
$78.00 |
$78.00 |
$145.00 |
$73.86
|
|
#creutz-prot.,western blot
|
$26.00 |
$26.00 |
$302.00 |
$176.80
|
|
Critical care 30-74 minutes
|
$2,273.00 |
$2,273.00 |
$2,273.00 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$761.00 |
$761.00 |
$761.00 |
$663.00
|
|
Cryofibrinogen qualitative - sendout
|
$40.00 |
$40.00 |
$74.00 |
$55.80
|
|
Cryoprecipitate each unit
|
$252.00 |
$252.00 |
$252.00 |
$190.20
|
|
Cryptosporidium antigen
|
$70.00 |
$70.00 |
$70.00 |
$65.55
|
|
Crystal identification light microscopy
|
$89.00 |
$89.00 |
$89.00 |
$56.44
|
|
CT 3d report other modality w/workstation
|
$833.00 |
$833.00 |
$833.00 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$3,656.00 |
$3,656.00 |
$3,656.00 |
$2,050.23
|
|
Cta neck without &/or w/contrast
|
$3,466.00 |
$3,466.00 |
$3,466.00 |
$1,890.85
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,949.00 |
$4,949.00 |
$4,949.00 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,372.00 |
$3,372.00 |
$3,372.00 |
$1,820.84
|
|
CT Angiogram of the Head
|
$3,303.00 |
$3,303.00 |
$3,303.00 |
$1,985.61
|
|
CT angio pelvis
|
$3,104.00 |
$3,104.00 |
$3,104.00 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,115.00 |
$2,115.00 |
$2,115.00 |
$1,652.25
|
|
CT bone density axial
|
$592.00 |
$592.00 |
$592.00 |
$279.00
|
|
CT guidance for needle placement
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,531.00 |
$1,531.00 |
$1,531.00 |
$1,058.40
|
|
CT heart w/evaluation of calcium without contrast
|
$338.00 |
$338.00 |
$338.00 |
$192.00
|
|
CT limited or localized follow-up study
|
$1,141.00 |
$1,141.00 |
$1,141.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$3,857.00 |
$3,857.00 |
$3,857.00 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$1,346.25
|
|
CT lwr extremity w/o&w/dye
|
$4,482.00 |
$4,482.00 |
$4,482.00 |
$1,689.33
|
|
CT neck soft tissue w/contrast
|
$2,427.00 |
$2,427.00 |
$2,427.00 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$1,237.60
|
|
CT neck soft tissue without & w/contrast
|
$3,324.00 |
$3,324.00 |
$3,324.00 |
$1,792.70
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$1,661.25
|
