|
Clsd tx pelvic ring fx
|
$448.00 |
$448.00 |
$448.00 |
$419.21
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$811.20 |
$811.20 |
$811.20 |
$414.40
|
|
Clsd tx radius fracture w/manip 24655
|
$1,056.80 |
$1,056.80 |
$1,056.80 |
$1,772.97
|
|
Clsd tx temporomandibular dislocat 21480
|
$688.00 |
$688.00 |
$688.00 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$610.40 |
$610.40 |
$610.40 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$470.40 |
$470.40 |
$470.40 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,334.40 |
$2,334.40 |
$2,334.40 |
$1,565.74
|
|
Clsd tx wrist carpal fx without manip 25630
|
$584.00 |
$584.00 |
$584.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$1,369.60 |
$1,369.60 |
$1,369.60 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$611.10
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$463.20 |
$463.20 |
$463.20 |
$487.15
|
|
Cltx hum epcndylr fx wo mnpj
|
$812.00 |
$812.00 |
$812.00 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,542.40 |
$2,542.40 |
$2,542.40 |
$1,851.78
|
|
C motor evoked upr&lwr limbs
|
$1,219.20 |
$1,219.20 |
$1,219.20 |
$1,308.00
|
|
Cmv pcr-sendout
|
$175.20 |
$175.20 |
$175.20 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$37,844.00 |
$37,844.00 |
$37,844.00 |
$12,560.76
|
|
Coagulation time activated teg
|
$28.80 |
$28.80 |
$28.80 |
$53.55
|
|
Cocaine 4 % nasal solution
|
$414.80 |
$414.80 |
$414.80 |
$629.41
|
|
Cold agglutinin titer
|
$33.60 |
$33.60 |
$33.60 |
$51.60
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$216.00 |
$216.00 |
$216.00 |
$62.40
|
|
Collar cerv ascend 172 reg
|
$19.20 |
$19.20 |
$19.20 |
$213.89
|
|
Collar cerv patriot adlt
|
$19.20 |
$19.20 |
$19.20 |
$134.66
|
|
Collection blood specimen from completely implantable venous access device
|
$100.00 |
$100.00 |
$100.00 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$100.00 |
$100.00 |
$100.00 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$5.00 |
$5.00 |
$5.00 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$653.60 |
$653.60 |
$653.60 |
$172.00
|
|
Compatibility test each unit electronic
|
$653.60 |
$653.60 |
$653.60 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$653.60 |
$653.60 |
$653.60 |
$167.17
|
|
Complement antigen each component c3
|
$49.60 |
$49.60 |
$49.60 |
$110.00
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$494.34
|
|
Concentration infection agents any type
|
$33.60 |
$33.60 |
$33.60 |
$51.32
|
|
Condylomata destruction 56420
|
$701.60 |
$701.60 |
$701.60 |
$463.98
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,000.40 |
$1,000.40 |
$1,000.40 |
$839.07
|
|
Connect omega .5mm
|
$3,791.57 |
$3,791.57 |
$3,791.57 |
$1,260.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$142.40 |
$142.40 |
$142.40 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$113.60 |
$113.60 |
$113.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$577.60 |
$577.60 |
$577.60 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$211.20 |
$211.20 |
$211.20 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$143.20 |
$143.20 |
$143.20 |
$176.15
|
|
Contrast baths charges
|
$91.20 |
$91.20 |
$91.20 |
$74.25
|
|
Contrast exam abdominl aorta 75625-26
|
$6,960.00 |
$6,960.00 |
$6,960.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$10,811.20 |
$10,811.20 |
$10,811.20 |
$3,663.60
|
|
Controller infinity pt dbs
|
$2,757.42 |
$2,757.42 |
$2,757.42 |
$5,123.14
|
|
Control of nosebleedantersmpl 30901
|
$1,337.60 |
$1,337.60 |
$1,337.60 |
$352.80
|
|
Convert nephrostomy catheter
|
$3,669.60 |
$3,669.60 |
$3,669.60 |
$2,777.60
|
|
Coombs direct
|
$238.40 |
$238.40 |
$238.40 |
$76.44
|
|
Coombs indirect qualitative each reagent red cell reference
|
$653.60 |
$653.60 |
$653.60 |
$102.90
|
|
Copper intrauterine device
|
$2,673.60 |
$2,673.60 |
$2,673.60 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$3,215.20 |
$3,215.20 |
$3,215.20 |
$2,862.11
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$12,666.40 |
$12,666.40 |
$12,666.40 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$11,786.40 |
$11,786.40 |
$11,786.40 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$12,182.40 |
$12,182.40 |
$12,182.40 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$8,673.60 |
$8,673.60 |
$8,673.60 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,976.80 |
$7,976.80 |
$7,976.80 |
$7,950.49
|
|
Cortisol acth stimulation test - sendout
|
$136.00 |
$136.00 |
$136.00 |
$146.25
|
|
Cortisol total am
|
$68.00 |
$68.00 |
$68.00 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$83.60 |
$83.60 |
$83.60 |
$189.02
|
|
Coveredge 32 lead kit 40cm 48
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$4,395.30
|
|
Covid-19 administration immunization im inj 1st/only component
|
$58.40 |
$58.40 |
$58.40 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$500.80 |
$500.80 |
$500.80 |
$588.08
|
|
#coxa-coxsackie a serotype a16
|
$64.80 |
$64.80 |
$64.80 |
$60.00
|
|
C-peptide
|
$86.40 |
$86.40 |
$86.40 |
$93.60
|
|
C-reactive protein
|
$20.00 |
$20.00 |
$20.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$54.40 |
$54.40 |
$54.40 |
$85.00
|
|
C-reactive protein, quantitative
|
$53.60 |
$53.60 |
$53.60 |
$62.50
|
|
Creatine kinase
|
$32.80 |
$32.80 |
$32.80 |
$65.60
|
|
Creatine kinase mb
|
$57.60 |
$57.60 |
$57.60 |
$113.63
|
|
Creatinine
|
$15.00 |
$15.00 |
$15.00 |
$45.65
|
|
Creatinine 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$57.60
|
|
Creatinine clearance urine
|
$39.20 |
$39.20 |
$39.20 |
$89.28
|
|
#creutz-prot.,western blot
|
$121.60 |
$121.60 |
$121.60 |
$163.50
|
|
Critical care 30-74 minutes
|
$3,573.60 |
$3,573.60 |
$3,573.60 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$567.20 |
$567.20 |
$567.20 |
$686.86
|
|
Cryofibrinogen qualitative - sendout
|
$59.20 |
$59.20 |
$59.20 |
$52.50
|
|
Cryoprecipitate each unit
|
$328.80 |
$328.80 |
$328.80 |
$144.78
|
|
Crystal identification light microscopy
|
$30.40 |
$30.40 |
$30.40 |
$65.50
|
|
CT 3d report other modality w/workstation
|
$691.20 |
$691.20 |
$691.20 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$532.50 |
$532.50 |
$532.50 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$397.50 |
$397.50 |
$397.50 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$528.50 |
$528.50 |
$528.50 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$538.00 |
$538.00 |
$538.00 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$517.50 |
$517.50 |
$517.50 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$531.50 |
$531.50 |
$531.50 |
$1,912.50
|
|
CT Angiogram of the Head
|
$538.00 |
$538.00 |
$538.00 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$407.00 |
$407.00 |
$407.00 |
$1,424.40
|
|
CT angio pelvis
|
$534.00 |
$534.00 |
$534.00 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$535.50 |
$535.50 |
$535.50 |
$1,681.50
|
|
CT guidance for needle placement
|
$1,810.40 |
$1,810.40 |
$1,810.40 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,862.40 |
$1,862.40 |
$1,862.40 |
$1,178.52
|
|
CT guid parench tis ablat
|
$1,668.80 |
$1,668.80 |
$1,668.80 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$85.50 |
$85.50 |
$85.50 |
$156.00
|
|
CT hrt w/3d image
|
$445.50 |
$445.50 |
$445.50 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$288.00 |
$288.00 |
$288.00 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$475.50 |
$475.50 |
$475.50 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$285.50 |
$285.50 |
$285.50 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$572.00 |
$572.00 |
$572.00 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$461.50 |
$461.50 |
$461.50 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$268.00 |
$268.00 |
$268.00 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$557.50 |
$557.50 |
$557.50 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$557.50 |
$557.50 |
$557.50 |
$1,705.20
|