|
Complex repair trunk 2.6-7.5cm 13101
|
$250.03 |
$250.03 |
$250.03 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$503.02 |
$503.02 |
$503.02 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$289.99 |
$289.99 |
$289.99 |
$1,244.80
|
|
Complx repair enel addl 5cm/< 13153
|
$356.68 |
$356.68 |
$356.68 |
$470.40
|
|
Complx repair fccmnaxghf 13131
|
$200.45 |
$200.45 |
$200.45 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$262.52 |
$262.52 |
$262.52 |
$1,193.40
|
|
Complx repair fccmnaxghf 13133
|
$238.10 |
$238.10 |
$238.10 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$103.32 |
$103.32 |
$103.32 |
$546.29
|
|
Complx repair trunk addl 5cm/< 13102
|
$222.65 |
$222.65 |
$222.65 |
$716.95
|
|
Composite graft/pri close/don area 15760
|
$2,156.55 |
$2,156.55 |
$2,156.55 |
$2,156.55
|
|
Concentration infection agents any type
|
$58.28 |
$58.28 |
$58.28 |
$48.00
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$2,423.65 |
$2,423.65 |
$2,423.65 |
$2,242.57
|
|
Condylomata destruction 56420
|
$79.46 |
$79.46 |
$79.46 |
$472.50
|
|
Conjugated estrogens 25 mg solution for injection
|
$315.17 |
$315.17 |
$315.17 |
$768.50
|
|
Connect omega .5mm
|
$847.52 |
$847.52 |
$847.52 |
$847.52
|
|
Connector tis 2x10mm
|
$2,904.59 |
$2,904.59 |
$2,904.59 |
$3,167.05
|
|
Consultation pathology during surgery cytological exam initial site
|
$138.66 |
$138.66 |
$138.66 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$38.39 |
$38.39 |
$38.39 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$86.49 |
$86.49 |
$86.49 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$82.33 |
$82.33 |
$82.33 |
$231.75
|
|
Contrast exam thoracic aorta 75605-26
|
$2,701.56 |
$2,701.56 |
$2,701.56 |
$3,167.26
|
|
Contrast x-ray of ankle
|
$517.26 |
$517.26 |
$517.26 |
$517.26
|
|
Contrast x-ray of elbow
|
$517.26 |
$517.26 |
$517.26 |
$566.28
|
|
Contrast x-ray of hip
|
$497.28 |
$497.28 |
$497.28 |
$676.12
|
|
Contrast x-ray of knee joint
|
$497.28 |
$497.28 |
$497.28 |
$623.50
|
|
Contrast x-ray of wrist
|
$497.28 |
$497.28 |
$497.28 |
$541.20
|
|
Control nosebleed pack+caut 30905
|
$160.49 |
$160.49 |
$160.49 |
$457.60
|
|
Control of nosebleed ant comp 30903
|
$213.86 |
$213.86 |
$213.86 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$213.86 |
$213.86 |
$213.86 |
$336.00
|
|
Control oropharyngeal hemorr/simp 42960
|
$487.48 |
$487.48 |
$487.48 |
$599.72
|
|
Conv gtube to jtube
|
$816.96 |
$816.96 |
$816.96 |
$2,011.50
|
|
Coombs direct
|
$61.98 |
$61.98 |
$61.98 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$17.95 |
$17.95 |
$17.95 |
$76.70
|
|
Coombs indirect titer reference
|
$86.49 |
$86.49 |
$86.49 |
$122.85
|
|
Coronary thrombolysis/iv infusion 92977
|
$335.96 |
$335.96 |
$335.96 |
$537.60
|
|
Cortisol acth stimulation test - sendout
|
$110.82 |
$110.82 |
$110.82 |
$143.40
|
|
Cortisol total am
|
$61.70 |
$61.70 |
$61.70 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$45.79 |
$45.79 |
$45.79 |
$218.95
|
|
Counseling smoke cess interm >10mins
|
$91.48 |
$91.48 |
$91.48 |
$57.85
|
|
#covid19rsv-rsv
|
$77.92 |
$77.92 |
$77.92 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$32.91 |
$32.91 |
$32.91 |
$65.36
|
|
C-peptide
|
$79.64 |
$79.64 |
$79.64 |
$111.20
|
|
C-reactive protein
|
$36.17 |
$36.17 |
$36.17 |
$54.43
|
|
C-reactive protein high sensitivity
|
$43.48 |
$43.48 |
$43.48 |
$91.65
|
|
C-reactive protein, quantitative
|
$113.50 |
$113.50 |
$113.50 |
$77.50
|
|
Creatine kinase
|
$44.22 |
$44.22 |
$44.22 |
$55.00
|
|
Creatine kinase isoenzymes
|
$44.22 |
$44.22 |
$44.22 |
$66.00
|
|
Creatine kinase mb
|
$42.55 |
$42.55 |
$42.55 |
$100.75
|
|
Creatine - sendout
|
$53.10 |
$53.10 |
$53.10 |
$35.10
|
|
Creatinine
|
$19.70 |
$19.70 |
$19.70 |
$40.00
|
|
Creatinine 24 hour urine
|
$186.61 |
$186.61 |
$186.61 |
$54.40
|
|
Creatinine clearance urine
|
$50.88 |
$50.88 |
$50.88 |
$73.86
|
|
#creutz-prot.,western blot
|
$365.93 |
$365.93 |
$365.93 |
$178.10
|
|
Critical care 30-74 minutes
|
$1,211.94 |
$1,211.94 |
$1,211.94 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$282.50 |
$282.50 |
$282.50 |
$663.00
|
|
Crotalidae poly immune fab
|
$3,996.74 |
$3,996.74 |
$3,996.74 |
$3,996.74
|
|
Cryofibrinogen qualitative - sendout
|
$24.98 |
$24.98 |
$24.98 |
$52.50
|
|
Cryptococcus abs qn - sendout
|
$52.63 |
$52.63 |
$52.63 |
$89.70
|
|
Crystal identification light microscopy
|
$23.50 |
$23.50 |
$23.50 |
$56.44
|
|
Csf shunt reprogram 62252
|
$296.93 |
$296.93 |
$296.93 |
$502.78
|
|
CT 3d report other modality w/workstation
|
$191.01 |
$191.01 |
$191.01 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$1,341.62 |
$1,341.62 |
$1,341.62 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,528.75 |
$1,528.75 |
$1,528.75 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,658.27 |
$2,658.27 |
$2,658.27 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$1,315.72 |
$1,315.72 |
$1,315.72 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,483.63 |
$2,483.63 |
$2,483.63 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,499.24 |
$1,499.24 |
$1,499.24 |
$1,728.80
|
|
CT Angiogram of the Head
|
$1,328.95 |
$1,328.95 |
$1,328.95 |
$1,951.50
|
|
CT angio hrt w/3d image
|
$1,166.70 |
$1,166.70 |
$1,166.70 |
$1,618.00
|
|
CT angio pelvis
|
$1,012.14 |
$1,012.14 |
$1,012.14 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,229.70 |
$1,229.70 |
$1,229.70 |
$1,650.60
|
|
CT guidance for needle placement
|
$584.14 |
$584.14 |
$584.14 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$562.49 |
$562.49 |
$562.49 |
$1,007.29
|
|
CT guid cryo ablat intramuscular
|
$2,614.14 |
$2,614.14 |
$2,614.14 |
$1,056.00
|
|
CT guid parench tis ablat
|
$325.51 |
$325.51 |
$325.51 |
$1,228.50
|
|
CT heart w/evaluation of calcium without contrast
|
$277.50 |
$277.50 |
$277.50 |
$176.89
|
|
CT hrt w/3d image
|
$514.67 |
$514.67 |
$514.67 |
$1,513.20
|
|
CT limited or localized follow-up study
|
$275.00 |
$275.00 |
$275.00 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,978.58 |
$1,978.58 |
$1,978.58 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,646.50 |
$1,646.50 |
$1,646.50 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$1,581.38 |
$1,581.38 |
$1,581.38 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$917.14 |
$917.14 |
$917.14 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$725.29 |
$725.29 |
$725.29 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$1,042.01 |
$1,042.01 |
$1,042.01 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,023.14 |
$1,023.14 |
$1,023.14 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$753.23 |
$753.23 |
$753.23 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$790.88 |
$790.88 |
$790.88 |
$1,250.00
|
|
Ctrl nosebld postir subsq 30906
|
$130.33 |
$130.33 |
$130.33 |
$449.60
|
|
CT scan for therapy guide
|
$360.75 |
$360.75 |
$360.75 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,216.01 |
$1,216.01 |
$1,216.01 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,187.61 |
$1,187.61 |
$1,187.61 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$920.93 |
$920.93 |
$920.93 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$859.79 |
$859.79 |
$859.79 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$843.69 |
$843.69 |
$843.69 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$952.66 |
$952.66 |
$952.66 |
$418.50
|
|
CT t-spine w /wo contrast
|
$715.30 |
$715.30 |
$715.30 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$1,771.19 |
$1,771.19 |
$1,771.19 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$1,587.30 |
$1,587.30 |
$1,587.30 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$1,476.49 |
$1,476.49 |
$1,476.49 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$27.38 |
$27.38 |
$27.38 |
$61.03
|
