|
Complx repair fccmnaxghf 13131
|
$1,440.60 |
$1,440.60 |
$1,440.60 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,965.00 |
$1,965.00 |
$1,965.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$660.60 |
$660.60 |
$660.60 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$418.20 |
$418.20 |
$418.20 |
$508.44
|
|
Composite drsg <= 16 sq in
|
$3.00 |
$3.00 |
$3.00 |
$6.62
|
|
Concentration infection agents any type
|
$34.80 |
$34.80 |
$34.80 |
$51.32
|
|
Condylomata destruction 56420
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$467.35
|
|
Conivaptan hcl
|
$54.60 |
$54.60 |
$54.60 |
$1,625.08
|
|
Conjugated estrogens 25 mg solution for injection
|
$789.60 |
$789.60 |
$789.60 |
$860.00
|
|
Connect omega .5mm
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$1,260.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$100.20 |
$100.20 |
$100.20 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$229.80 |
$229.80 |
$229.80 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$229.80 |
$229.80 |
$229.80 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$82.80 |
$82.80 |
$82.80 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$298.20 |
$298.20 |
$298.20 |
$176.28
|
|
Consult comp w/report rfrd material
|
$334.20 |
$334.20 |
$334.20 |
$374.40
|
|
Contact layer >16<= 48 sq in
|
$3.00 |
$3.00 |
$3.00 |
$36.17
|
|
Contrast baths charges
|
$130.80 |
$130.80 |
$130.80 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$2,782.20 |
$2,782.20 |
$2,782.20 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$3,778.20 |
$3,778.20 |
$3,778.20 |
$3,745.00
|
|
Contrast x-ray of brain
|
$4,984.80 |
$4,984.80 |
$4,984.80 |
$1,077.92
|
|
Controller infinity pt dbs
|
$4,347.00 |
$4,347.00 |
$4,347.00 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$561.60 |
$561.60 |
$561.60 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$3,378.00 |
$3,378.00 |
$3,378.00 |
$620.00
|
|
Conversion ext bil drg cath
|
$2,273.40 |
$2,273.40 |
$2,273.40 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$2,405.40 |
$2,405.40 |
$2,405.40 |
$2,777.60
|
|
Coombs direct
|
$46.80 |
$46.80 |
$46.80 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$32.40 |
$32.40 |
$32.40 |
$107.25
|
|
Coombs indirect titer reference
|
$217.20 |
$217.20 |
$217.20 |
$156.71
|
|
Copper cu 64 dotatate diag
|
$2,125.80 |
$2,125.80 |
$2,125.80 |
$2,820.66
|
|
Copper intrauterine device
|
$3,448.80 |
$3,448.80 |
$3,448.80 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,911.80 |
$2,911.80 |
$2,911.80 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$10,891.20 |
$10,891.20 |
$10,891.20 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$9,964.80 |
$9,964.80 |
$9,964.80 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$11,731.80 |
$11,731.80 |
$11,731.80 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$10,002.00 |
$10,002.00 |
$10,002.00 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,344.40 |
$9,344.40 |
$9,344.40 |
$7,988.40
|
|
Correct rectal prolapse
|
$9,169.80 |
$9,169.80 |
$9,169.80 |
$3,861.00
|
|
Cortisol total am
|
$190.20 |
$190.20 |
$190.20 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$316.80 |
$316.80 |
$316.80 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$48.00 |
$48.00 |
$48.00 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$4,909.80 |
$4,909.80 |
$4,909.80 |
$4,180.79
|
|
Covid-19 administration immunization im inj 1st/only component
|
$24.00 |
$24.00 |
$24.00 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$592.49
|
|
#coxa-coxsackie a serotype a16
|
$358.20 |
$358.20 |
$358.20 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$690.60 |
$690.60 |
$690.60 |
$584.50
|
|
C-peptide
|
$197.40 |
$197.40 |
$197.40 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$663.00 |
$663.00 |
$663.00 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$1,525.80 |
$1,525.80 |
$1,525.80 |
$1,330.02
|
|
C-reactive protein
|
$60.60 |
$60.60 |
$60.60 |
$69.36
|
|
C-reactive protein high sensitivity
|
$66.60 |
$66.60 |
$66.60 |
$85.50
|
|
Creatine kinase
|
$103.20 |
$103.20 |
$103.20 |
$66.30
|
|
Creatine kinase isoenzymes
|
$135.60 |
$135.60 |
$135.60 |
$56.20
|
|
Creatine kinase mb
|
$146.40 |
$146.40 |
$146.40 |
$113.63
|
|
Creatine - sendout
|
$45.60 |
$45.60 |
$45.60 |
$41.25
|
|
Creatinine
|
$61.80 |
$61.80 |
$61.80 |
$46.20
|
|
Creatinine 24 hour urine
|
$57.00 |
$57.00 |
$57.00 |
$57.85
|
|
Creatinine clearance urine
|
$141.60 |
$141.60 |
$141.60 |
$90.26
|
|
#creutz-prot.,western blot
|
$192.00 |
$192.00 |
$192.00 |
$163.50
|
|
Critical care each additional 30 minutes
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,460.60 |
$2,460.60 |
$2,460.60 |
$2,535.00
|
|
Crotalidae poly immune fab
|
$6,691.20 |
$6,691.20 |
$6,691.20 |
$5,760.00
|
|
Cryofibrinogen qualitative - sendout
|
$55.20 |
$55.20 |
$55.20 |
$52.50
|
|
Cryoprecipitate each unit
|
$863.40 |
$863.40 |
$863.40 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$607.80 |
$607.80 |
$607.80 |
$271.20
|
|
Cryptococcus abs qn - sendout
|
$216.00 |
$216.00 |
$216.00 |
$89.70
|
|
Cryptosporidium antigen
|
$154.80 |
$154.80 |
$154.80 |
$52.08
|
|
Crystal identification light microscopy
|
$62.40 |
$62.40 |
$62.40 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$869.40 |
$869.40 |
$869.40 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,079.00 |
$2,079.00 |
$2,079.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,415.60 |
$2,415.60 |
$2,415.60 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,804.80 |
$1,804.80 |
$1,804.80 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,376.60 |
$2,376.60 |
$2,376.60 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,413.60 |
$1,413.60 |
$1,413.60 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$1,881.75
|
|
CT angio pelvis
|
$1,804.80 |
$1,804.80 |
$1,804.80 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,650.60 |
$1,650.60 |
$1,650.60 |
$1,691.30
|
|
CT guidance for needle placement
|
$1,565.40 |
$1,565.40 |
$1,565.40 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$542.40 |
$542.40 |
$542.40 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$4,064.40 |
$4,064.40 |
$4,064.40 |
$2,039.76
|
|
CT guid parench tis ablat
|
$3,177.00 |
$3,177.00 |
$3,177.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$120.00 |
$120.00 |
$120.00 |
$150.00
|
|
CT hrt w/3d image
|
$1,846.20 |
$1,846.20 |
$1,846.20 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$816.00 |
$816.00 |
$816.00 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$422.80
|
|
CT scan for localization
|
$1,572.00 |
$1,572.00 |
$1,572.00 |
$1,216.80
|
|
CT scan for therapy guide
|
$997.80 |
$997.80 |
$997.80 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,301.80 |
$3,301.80 |
$3,301.80 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,737.80 |
$2,737.80 |
$2,737.80 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,368.80 |
$2,368.80 |
$2,368.80 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,784.40 |
$1,784.40 |
$1,784.40 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$48.00 |
$48.00 |
$48.00 |
$72.00
|
|
Culture afb any source
|
$217.20 |
$217.20 |
$217.20 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$200.40 |
$200.40 |
$200.40 |
$84.76
|
|
Culture anaerobic except blood
|
$292.20 |
$292.20 |
$292.20 |
$121.22
|