|
Complx repair enel 1.1-2.5 cm 13151
|
$4,869.62 |
$4,869.62 |
$4,869.62 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$4,464.11 |
$4,464.11 |
$4,464.11 |
$1,244.80
|
|
Complx repair fccmnaxghf 13131
|
$878.15 |
$878.15 |
$878.15 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$8,163.06 |
$8,163.06 |
$8,163.06 |
$1,193.40
|
|
Complx repair fccmnaxghf 13133
|
$14,207.35 |
$14,207.35 |
$14,207.35 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$13,130.56 |
$13,130.56 |
$13,130.56 |
$546.29
|
|
Complx repair trunk addl 5cm/< 13102
|
$13,899.13 |
$13,899.13 |
$13,899.13 |
$716.95
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$155.35 |
$155.35 |
$155.35 |
$163.15
|
|
Computed tomographic angiography head and neck with contrast
|
$3,682.90 |
$3,682.90 |
$3,682.90 |
$2,544.75
|
|
Concentration infection agents any type
|
$50.70 |
$50.70 |
$50.70 |
$48.00
|
|
Conization/cerv/loop electrode exc 57522
|
$5,691.04 |
$5,691.04 |
$5,691.04 |
$4,198.50
|
|
Conization of cervix
|
$6,000.40 |
$6,000.40 |
$6,000.40 |
$3,519.29
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
$768.50
|
|
Connect omega .5mm
|
$747.50 |
$747.50 |
$747.50 |
$847.52
|
|
Connector tis 2x10mm
|
$3,238.95 |
$3,238.95 |
$3,238.95 |
$3,167.05
|
|
Consultation pathology during surgery
|
$19,950.10 |
$19,950.10 |
$19,950.10 |
$89.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$9,638.87 |
$9,638.87 |
$9,638.87 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$22,757.75 |
$22,757.75 |
$22,757.75 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$20,491.48 |
$20,491.48 |
$20,491.48 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$6,648.36 |
$6,648.36 |
$6,648.36 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$6,369.90 |
$6,369.90 |
$6,369.90 |
$176.15
|
|
Consult comp w/report rfrd material
|
$7,811.36 |
$7,811.36 |
$7,811.36 |
$365.60
|
|
Contrast baths charges
|
$61.10 |
$61.10 |
$61.10 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$2,971.80 |
$2,971.80 |
$2,971.80 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$2,822.95 |
$2,822.95 |
$2,822.95 |
$3,167.26
|
|
Contrast x-ray gallbladder
|
$872.95 |
$872.95 |
$872.95 |
$260.14
|
|
Contrast x-ray of ankle
|
$412.10 |
$412.10 |
$412.10 |
$517.26
|
|
Contrast x-ray of elbow
|
$1,045.85 |
$1,045.85 |
$1,045.85 |
$566.28
|
|
Contrast x-ray of hip
|
$739.05 |
$739.05 |
$739.05 |
$676.12
|
|
Contrast x-ray of knee joint
|
$578.50 |
$578.50 |
$578.50 |
$623.50
|
|
Contrast x-ray of wrist
|
$790.40 |
$790.40 |
$790.40 |
$541.20
|
|
Controller infinity pt dbs
|
$28,356.25 |
$28,356.25 |
$28,356.25 |
$4,678.20
|
|
Control nosebleed pack+caut 30905
|
$392.60 |
$392.60 |
$392.60 |
$457.60
|
|
Control of nosebleedantersmpl 30901
|
$3,626.54 |
$3,626.54 |
$3,626.54 |
$336.00
|
|
Convert nephrostomy catheter
|
$6,268.29 |
$6,268.29 |
$6,268.29 |
$4,197.30
|
|
Coombs direct
|
$90.35 |
$90.35 |
$90.35 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$151.45 |
$151.45 |
$151.45 |
$76.70
|
|
Coombs indirect titer reference
|
$103.35 |
$103.35 |
$103.35 |
$122.85
|
|
Copper cu 64 dotatate diag
|
$1,870.70 |
$1,870.70 |
$1,870.70 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$5,769.60 |
$5,769.60 |
$5,769.60 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$15,888.60 |
$15,888.60 |
$15,888.60 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$14,483.95 |
$14,483.95 |
$14,483.95 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$16,823.30 |
$16,823.30 |
$16,823.30 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$11,939.85 |
$11,939.85 |
$11,939.85 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$12,076.35 |
$12,076.35 |
$12,076.35 |
$9,198.18
|
|
Cortisol acth stimulation test - sendout
|
$116.35 |
$116.35 |
$116.35 |
$143.40
|
|
Cortisol total am
|
$247.65 |
$247.65 |
$247.65 |
$117.81
|
|
Co-treatment - group 15 mins, st
|
$113.75 |
$113.75 |
$113.75 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$65.00 |
$65.00 |
$65.00 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$7,683.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$39.00 |
$39.00 |
$39.00 |
$64.50
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$377.65 |
$377.65 |
$377.65 |
$831.60
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$947.70 |
$947.70 |
$947.70 |
$605.80
|
|
#covid19rsv-rsv
|
$146.25 |
$146.25 |
$146.25 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$109.20 |
$109.20 |
$109.20 |
$65.36
|
|
C-peptide
|
$110.50 |
$110.50 |
$110.50 |
$111.20
|
|
Cr-51 sodium chromate
|
$3,947.45 |
$3,947.45 |
$3,947.45 |
$4,440.15
|
|
Crbrospnl fld flw imag cistern
|
$6,615.70 |
$6,615.70 |
$6,615.70 |
$1,170.64
|
|
C-reactive protein
|
$94.90 |
$94.90 |
$94.90 |
$54.43
|
|
C-reactive protein high sensitivity
|
$139.10 |
$139.10 |
$139.10 |
$91.65
|
|
C-reactive protein, quantitative
|
$158.60 |
$158.60 |
$158.60 |
$77.50
|
|
Create eardrum opening
|
$3,353.74 |
$3,353.74 |
$3,353.74 |
$2,133.48
|
|
Creatine kinase
|
$64.35 |
$64.35 |
$64.35 |
$55.00
|
|
Creatine kinase isoenzymes
|
$120.90 |
$120.90 |
$120.90 |
$66.00
|
|
Creatine kinase mb
|
$165.10 |
$165.10 |
$165.10 |
$100.75
|
|
Creatinine
|
$33.80 |
$33.80 |
$33.80 |
$40.00
|
|
Creatinine 24 hour urine
|
$63.70 |
$63.70 |
$63.70 |
$54.40
|
|
Creatinine clearance urine
|
$85.15 |
$85.15 |
$85.15 |
$73.86
|
|
#creutz-prot.,western blot
|
$771.55 |
$771.55 |
$771.55 |
$178.10
|
|
Critical care 30-74 minutes
|
$4,576.00 |
$4,576.00 |
$4,576.00 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$518.70 |
$518.70 |
$518.70 |
$663.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$8,996.34 |
$8,996.34 |
$8,996.34 |
$1,026.00
|
|
Cryoablate prostate
|
$17,624.18 |
$17,624.18 |
$17,624.18 |
$10,653.32
|
|
Cryofibrinogen qualitative - sendout
|
$40.95 |
$40.95 |
$40.95 |
$52.50
|
|
Cryoprecipitate each unit
|
$667.55 |
$667.55 |
$667.55 |
$182.25
|
|
Cryptosporidium antigen
|
$200.20 |
$200.20 |
$200.20 |
$65.55
|
|
Crystal identification light microscopy
|
$31.85 |
$31.85 |
$31.85 |
$56.44
|
|
Csf leakage imaging
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$1,426.73
|
|
CT 3d report other modality w/workstation
|
$1,160.90 |
$1,160.90 |
$1,160.90 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$2,148.25 |
$2,148.25 |
$2,148.25 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,685.50 |
$3,685.50 |
$3,685.50 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,905.85 |
$3,905.85 |
$3,905.85 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$1,698.45 |
$1,698.45 |
$1,698.45 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,001.05 |
$3,001.05 |
$3,001.05 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,015.65 |
$2,015.65 |
$2,015.65 |
$1,728.80
|
|
CT Angiogram of the Head
|
$1,784.25 |
$1,784.25 |
$1,784.25 |
$1,951.50
|
|
CT angio pelvis
|
$1,575.60 |
$1,575.60 |
$1,575.60 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$2,781.35 |
$2,781.35 |
$2,781.35 |
$1,650.60
|
|
CT cerebral perf w cont & prcssng
|
$911.95 |
$911.95 |
$911.95 |
$911.95
|
|
CT guidance for needle placement
|
$1,648.40 |
$1,648.40 |
$1,648.40 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,471.30 |
$2,471.30 |
$2,471.30 |
$1,007.29
|
|
CT guid parench tis ablat
|
$1,424.80 |
$1,424.80 |
$1,424.80 |
$1,228.50
|
|
CT limited or localized follow-up study
|
$732.55 |
$732.55 |
$732.55 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$3,488.55 |
$3,488.55 |
$3,488.55 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$2,021.50 |
$2,021.50 |
$2,021.50 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$3,979.30 |
$3,979.30 |
$3,979.30 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$2,284.10 |
$2,284.10 |
$2,284.10 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$2,933.45 |
$2,933.45 |
$2,933.45 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,784.90 |
$1,784.90 |
$1,784.90 |
$1,647.20
|