|
Clsd tx/patellar fx without manip 27520
|
$803.20 |
$803.20 |
$803.20 |
$495.80
|
|
Clsd tx pelvic ring fx
|
$448.00 |
$448.00 |
$448.00 |
$419.21
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$703.20 |
$703.20 |
$703.20 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$399.20 |
$399.20 |
$399.20 |
$451.68
|
|
Clsd tx radius fracture w/manip 24655
|
$958.40 |
$958.40 |
$958.40 |
$1,772.97
|
|
Clsd tx/scapular fx without manip 23570
|
$1,196.80 |
$1,196.80 |
$1,196.80 |
$452.40
|
|
Clsd tx toe dislocation without anes28660
|
$553.60 |
$553.60 |
$553.60 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$924.00 |
$924.00 |
$924.00 |
$1,565.74
|
|
Cmv pcr-sendout
|
$143.20 |
$143.20 |
$143.20 |
$177.50
|
|
Coagulation time activated teg
|
$28.00 |
$28.00 |
$28.00 |
$53.55
|
|
Cold agglutinin titer
|
$33.60 |
$33.60 |
$33.60 |
$51.60
|
|
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
|
|
Concentration infection agents any type
|
$27.20 |
$27.20 |
$27.20 |
$51.32
|
|
Condylomata destruction 56420
|
$492.80 |
$492.80 |
$492.80 |
$463.98
|
|
Consultation pathology during surgery cytological exam initial site
|
$110.40 |
$110.40 |
$110.40 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$252.80 |
$252.80 |
$252.80 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$463.20 |
$463.20 |
$463.20 |
$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
|
|
Control nosebleed pack+caut 30905
|
$502.40 |
$502.40 |
$502.40 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$384.00 |
$384.00 |
$384.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$384.00 |
$384.00 |
$384.00 |
$352.80
|
|
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
|
|
Coombs indirect titer reference
|
$653.60 |
$653.60 |
$653.60 |
$155.40
|
|
Copper cu 64 dotatate diag
|
$3,172.80 |
$3,172.80 |
$3,172.80 |
$2,293.68
|
|
Core ndl bx lng/med perq
|
$1,321.60 |
$1,321.60 |
$1,321.60 |
$2,862.11
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$17,189.60 |
$17,189.60 |
$17,189.60 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$12,967.20 |
$12,967.20 |
$12,967.20 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$14,119.20 |
$14,119.20 |
$14,119.20 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$21,613.60 |
$21,613.60 |
$21,613.60 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$17,392.00 |
$17,392.00 |
$17,392.00 |
$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
|
$187.60 |
$187.60 |
$187.60 |
$189.02
|
|
Counseling smoke cess interm >10mins
|
$60.00 |
$60.00 |
$60.00 |
$54.12
|
|
#coxa-coxsackie a serotype a16
|
$54.40 |
$54.40 |
$54.40 |
$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
|
$44.00 |
$44.00 |
$44.00 |
$62.50
|
|
Creatine kinase
|
$27.20 |
$27.20 |
$27.20 |
$65.60
|
|
Creatine kinase mb
|
$47.20 |
$47.20 |
$47.20 |
$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
|
$6,340.80 |
$6,340.80 |
$6,340.80 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$567.20 |
$567.20 |
$567.20 |
$686.86
|
|
Crotalidae poly immune fab
|
$11,945.00 |
$11,945.00 |
$11,945.00 |
$5,760.00
|
|
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 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 orbit/sella/fossa w/wo contrast
|
$557.50 |
$557.50 |
$557.50 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$461.50 |
$461.50 |
$461.50 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$268.00 |
$268.00 |
$268.00 |
$1,345.05
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$525.00 |
$525.00 |
$525.00 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$437.50 |
$437.50 |
$437.50 |
$2,871.05
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$242.50 |
$242.50 |
$242.50 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$472.00 |
$472.00 |
$472.00 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$286.50 |
$286.50 |
$286.50 |
$1,430.20
|
|
CT thorax low dose for lung screening without contrast
|
$266.00 |
$266.00 |
$266.00 |
$332.00
|
|
CT upper extremity w/contrast (both sides)
|
$475.50 |
$475.50 |
$475.50 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$285.50 |
$285.50 |
$285.50 |
$1,404.36
|
|
Culture aerobic additional method definitive id each
|
$33.60 |
$33.60 |
$33.60 |
$71.40
|
|
Culture afb any source
|
$44.00 |
$44.00 |
$44.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$32.80 |
$32.80 |
$32.80 |
$84.76
|
|
Culture anaerobic except blood
|
$38.40 |
$38.40 |
$38.40 |
$120.54
|
|
Culture bact stool aero addl path ea
|
$38.40 |
$38.40 |
$38.40 |
$52.50
|
|
Culture body fluid
|
$35.20 |
$35.20 |
$35.20 |
$126.00
|
|
Culture fungi definitive id mold
|
$44.00 |
$44.00 |
$44.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$42.40 |
$42.40 |
$42.40 |
$79.50
|
|
Culture fungi other (except blood)
|
$34.40 |
$34.40 |
$34.40 |
$109.20
|
|
Culture fungi skin/hair/nail
|
$32.80 |
$32.80 |
$32.80 |
$74.40
|