|
Clsd tx wrist ulnar styloid fx 25650
|
$594.60 |
$594.60 |
$594.60 |
$612.80
|
|
Cltx humrl cndylr fx wo mnpj
|
$3,207.60 |
$3,207.60 |
$3,207.60 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$2,384.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$3,576.00 |
$3,576.00 |
$3,576.00 |
$2,021.04
|
|
Cltx strnclav dislc w/mnpj
|
$3,539.40 |
$3,539.40 |
$3,539.40 |
$619.30
|
|
#cmvcul-virus inoculation shell
|
$250.20 |
$250.20 |
$250.20 |
$89.76
|
|
Cmv pcr-sendout
|
$559.20 |
$559.20 |
$559.20 |
$175.70
|
|
Cold agglutinin screen (arc)
|
$105.00 |
$105.00 |
$105.00 |
$48.10
|
|
Cold agglutinin titer
|
$49.80 |
$49.80 |
$49.80 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$100.20 |
$100.20 |
$100.20 |
$303.73
|
|
Collar cerv patriot adlt
|
$213.60 |
$213.60 |
$213.60 |
$134.66
|
|
Collection blood specimen from completely implantable venous access device
|
$189.00 |
$189.00 |
$189.00 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$266.40 |
$266.40 |
$266.40 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$2,448.60 |
$2,448.60 |
$2,448.60 |
$2,288.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$4,419.60 |
$4,419.60 |
$4,419.60 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$3,913.20 |
$3,913.20 |
$3,913.20 |
$2,147.00
|
|
Colonoscopy for foreign body
|
$3,232.80 |
$3,232.80 |
$3,232.80 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$3,691.80 |
$3,691.80 |
$3,691.80 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$3,576.60 |
$3,576.60 |
$3,576.60 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$5,152.80 |
$5,152.80 |
$5,152.80 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$3,576.00 |
$3,576.00 |
$3,576.00 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$4,516.80 |
$4,516.80 |
$4,516.80 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$4,476.60 |
$4,476.60 |
$4,476.60 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$2,449.20 |
$2,449.20 |
$2,449.20 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$4,788.00 |
$4,788.00 |
$4,788.00 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$2,448.60 |
$2,448.60 |
$2,448.60 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$2,448.60 |
$2,448.60 |
$2,448.60 |
$2,495.25
|
|
Colonoscopy w/fb removal
|
$5,239.80 |
$5,239.80 |
$5,239.80 |
$1,645.43
|
|
Colonoscopy w/injection
|
$2,448.60 |
$2,448.60 |
$2,448.60 |
$2,449.20
|
|
Colonoscopy with ablation
|
$2,467.80 |
$2,467.80 |
$2,467.80 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$1,656.60 |
$1,656.60 |
$1,656.60 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$3,373.80 |
$3,373.80 |
$3,373.80 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$1,581.00 |
$1,581.00 |
$1,581.00 |
$2,288.00
|
|
Colpotomy w/exploration 57000
|
$3,346.80 |
$3,346.80 |
$3,346.80 |
$4,075.20
|
|
Compatibility test each unit antiglobulin technique
|
$186.00 |
$186.00 |
$186.00 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$125.40 |
$125.40 |
$125.40 |
$169.52
|
|
Complement antigen each component c3
|
$66.60 |
$66.60 |
$66.60 |
$110.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$5,765.40 |
$5,765.40 |
$5,765.40 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$5,608.80 |
$5,608.80 |
$5,608.80 |
$1,212.00
|
|
Complx repair fccmnaxghf 13131
|
$4,893.00 |
$4,893.00 |
$4,893.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$604.80 |
$604.80 |
$604.80 |
$521.16
|
|
Concentration infection agents any type
|
$66.60 |
$66.60 |
$66.60 |
$51.32
|
|
Condylomata destruction 56420
|
$3,207.60 |
$3,207.60 |
$3,207.60 |
$467.35
|
|
Consultation pathology during surgery cytological exam initial site
|
$235.20 |
$235.20 |
$235.20 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$75.00 |
$75.00 |
$75.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$133.20 |
$133.20 |
$133.20 |
$226.50
|
|
Controller infinity pt dbs
|
$4,558.20 |
$4,558.20 |
$4,558.20 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$3,207.60 |
$3,207.60 |
$3,207.60 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$289.20 |
$289.20 |
$289.20 |
$352.80
|
|
Coombs direct
|
$41.40 |
$41.40 |
$41.40 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$94.80 |
$94.80 |
$94.80 |
$107.25
|
|
Coombs indirect titer reference
|
$111.60 |
$111.60 |
$111.60 |
$156.71
|
|
Copper intrauterine device
|
$3,515.20 |
$3,515.20 |
$3,515.20 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$2,904.48
|
|
Cortisol total am
|
$83.40 |
$83.40 |
$83.40 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$646.40 |
$646.40 |
$646.40 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$48.00 |
$48.00 |
$48.00 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$526.20 |
$526.20 |
$526.20 |
$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
|
$59.40 |
$59.40 |
$59.40 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$519.60 |
$519.60 |
$519.60 |
$584.50
|
|
C-peptide
|
$100.20 |
$100.20 |
$100.20 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$797.40 |
$797.40 |
$797.40 |
$777.71
|
|
C-reactive protein
|
$58.80 |
$58.80 |
$58.80 |
$69.36
|
|
C-reactive protein high sensitivity
|
$68.40 |
$68.40 |
$68.40 |
$85.50
|
|
Creatine kinase
|
$41.40 |
$41.40 |
$41.40 |
$66.30
|
|
Creatine kinase isoenzymes
|
$165.00 |
$165.00 |
$165.00 |
$56.20
|
|
Creatine kinase mb
|
$49.80 |
$49.80 |
$49.80 |
$113.63
|
|
Creatinine
|
$33.00 |
$33.00 |
$33.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$33.00 |
$33.00 |
$33.00 |
$57.85
|
|
Creatinine clearance urine
|
$49.80 |
$49.80 |
$49.80 |
$90.26
|
|
#creutz-prot.,western blot
|
$108.60 |
$108.60 |
$108.60 |
$163.50
|
|
Critical care each additional 30 minutes
|
$319.20 |
$319.20 |
$319.20 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,087.80 |
$1,087.80 |
$1,087.80 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$146.40 |
$146.40 |
$146.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$722.40 |
$722.40 |
$722.40 |
$144.78
|
|
Cryptosporidium antigen
|
$194.40 |
$194.40 |
$194.40 |
$52.08
|
|
Crystal identification light microscopy
|
$33.00 |
$33.00 |
$33.00 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$583.80 |
$583.80 |
$583.80 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,089.60 |
$4,089.60 |
$4,089.60 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,248.60 |
$1,248.60 |
$1,248.60 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,841.20 |
$3,841.20 |
$3,841.20 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,248.60 |
$1,248.60 |
$1,248.60 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$1,881.75
|
|
Cta upper extremity w &/or without contrast left
|
$2,478.00 |
$2,478.00 |
$2,478.00 |
$1,691.30
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$652.20 |
$652.20 |
$652.20 |
$1,215.06
|
|
CT lwr extremity w/o&w/dye
|
$957.60 |
$957.60 |
$957.60 |
$1,818.96
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,166.60 |
$2,166.60 |
$2,166.60 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,700.40 |
$1,700.40 |
$1,700.40 |
$2,272.00
|
|
Culture aerobic additional method definitive id each
|
$58.80 |
$58.80 |
$58.80 |
$72.00
|
|
Culture afb any source
|
$83.40 |
$83.40 |
$83.40 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$100.20 |
$100.20 |
$100.20 |
$84.76
|
|
Culture anaerobic except blood
|
$66.60 |
$66.60 |
$66.60 |
$121.22
|
