|
Colonoscopy (diagnostic)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$2,565.60 |
$2,565.60 |
$2,565.60 |
$2,147.00
|
|
Colonoscopy submucous njx
|
$3,696.60 |
$3,696.60 |
$3,696.60 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$2,704.20 |
$2,704.20 |
$2,704.20 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$2,597.40 |
$2,597.40 |
$2,597.40 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$2,449.20 |
$2,449.20 |
$2,449.20 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,101.71
|
|
Colonoscopy w/fb removal
|
$3,080.40 |
$3,080.40 |
$3,080.40 |
$1,645.43
|
|
Colonoscopy w/injection
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$2,449.20
|
|
Colonoscopy with ablation
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,288.00
|
|
Colpotomy w/exploration 57000
|
$2,431.20 |
$2,431.20 |
$2,431.20 |
$4,075.20
|
|
Compatibility test each unit antiglobulin technique
|
$109.20 |
$109.20 |
$109.20 |
$173.50
|
|
Compatibility test each unit electronic
|
$109.20 |
$109.20 |
$109.20 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$109.20 |
$109.20 |
$109.20 |
$169.52
|
|
Complement antigen each component c3
|
$88.20 |
$88.20 |
$88.20 |
$110.00
|
|
Complement fixation each
|
$73.80 |
$73.80 |
$73.80 |
$29.12
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$3,328.20 |
$3,328.20 |
$3,328.20 |
$893.41
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$2,087.40 |
$2,087.40 |
$2,087.40 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$4,024.20 |
$4,024.20 |
$4,024.20 |
$1,212.00
|
|
Complx repair fccmnaxghf 13131
|
$3,508.20 |
$3,508.20 |
$3,508.20 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$4,898.40 |
$4,898.40 |
$4,898.40 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,305.60 |
$1,305.60 |
$1,305.60 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$872.40 |
$872.40 |
$872.40 |
$508.44
|
|
Concentration infection agents any type
|
$112.80 |
$112.80 |
$112.80 |
$51.32
|
|
Condylomata destruction 56420
|
$1,957.80 |
$1,957.80 |
$1,957.80 |
$467.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$860.00 |
$860.00 |
$860.00 |
$860.00
|
|
Connect omega .5mm
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$1,260.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$456.60 |
$456.60 |
$456.60 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$72.00 |
$72.00 |
$72.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$441.60 |
$441.60 |
$441.60 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$60.60 |
$60.60 |
$60.60 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$204.00 |
$204.00 |
$204.00 |
$176.28
|
|
Consult comp w/report rfrd material
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$374.40
|
|
Controller infinity pt dbs
|
$4,558.20 |
$4,558.20 |
$4,558.20 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$1,783.80 |
$1,783.80 |
$1,783.80 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$2,419.20 |
$2,419.20 |
$2,419.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$478.80 |
$478.80 |
$478.80 |
$352.80
|
|
Coombs direct
|
$62.40 |
$62.40 |
$62.40 |
$76.80
|
|
Coombs indirect titer reference
|
$109.20 |
$109.20 |
$109.20 |
$156.71
|
|
Copper intrauterine device
|
$3,495.20 |
$3,495.20 |
$3,495.20 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$2,904.48
|
|
Cortisol total am
|
$114.60 |
$114.60 |
$114.60 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$693.60 |
$693.60 |
$693.60 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$48.00 |
$48.00 |
$48.00 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$4,086.60 |
$4,086.60 |
$4,086.60 |
$4,180.79
|
|
#coxa-coxsackie a serotype a16
|
$76.80 |
$76.80 |
$76.80 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$519.60 |
$519.60 |
$519.60 |
$584.50
|
|
C-peptide
|
$108.60 |
$108.60 |
$108.60 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$846.00 |
$846.00 |
$846.00 |
$777.71
|
|
C-reactive protein
|
$102.60 |
$102.60 |
$102.60 |
$69.36
|
|
C-reactive protein high sensitivity
|
$102.60 |
$102.60 |
$102.60 |
$85.50
|
|
Creatine kinase
|
$39.00 |
$39.00 |
$39.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$66.00 |
$66.00 |
$66.00 |
$56.20
|
|
Creatine kinase mb
|
$48.00 |
$48.00 |
$48.00 |
$113.63
|
|
Creatine - sendout
|
$34.20 |
$34.20 |
$34.20 |
$41.25
|
|
Creatinine
|
$27.00 |
$27.00 |
$27.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$36.60 |
$36.60 |
$36.60 |
$57.85
|
|
Creatinine clearance urine
|
$86.40 |
$86.40 |
$86.40 |
$90.26
|
|
#creutz-prot.,western blot
|
$400.20 |
$400.20 |
$400.20 |
$163.50
|
|
Critical care each additional 30 minutes
|
$552.60 |
$552.60 |
$552.60 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,274.40 |
$1,274.40 |
$1,274.40 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$379.20 |
$379.20 |
$379.20 |
$4,288.58
|
|
Cryofibrinogen qualitative - sendout
|
$96.00 |
$96.00 |
$96.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$240.00 |
$240.00 |
$240.00 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$147.60 |
$147.60 |
$147.60 |
$89.70
|
|
Cryptosporidium antigen
|
$115.20 |
$115.20 |
$115.20 |
$52.08
|
|
Crystal identification light microscopy
|
$70.20 |
$70.20 |
$70.20 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,416.20 |
$5,416.20 |
$5,416.20 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,707.80 |
$2,707.80 |
$2,707.80 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,564.00 |
$3,564.00 |
$3,564.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,788.20 |
$2,788.20 |
$2,788.20 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,427.00 |
$2,427.00 |
$2,427.00 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,427.00 |
$2,427.00 |
$2,427.00 |
$1,881.75
|
|
CT angio pelvis
|
$2,707.80 |
$2,707.80 |
$2,707.80 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$1,691.30
|
|
CT guidance for needle placement
|
$2,352.60 |
$2,352.60 |
$2,352.60 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,168.20 |
$1,168.20 |
$1,168.20 |
$1,215.06
|
|
CT lwr extremity w/o&w/dye
|
$2,196.00 |
$2,196.00 |
$2,196.00 |
$1,818.96
|
|
CT scan for therapy guide
|
$888.00 |
$888.00 |
$888.00 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,953.00 |
$4,953.00 |
$4,953.00 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,108.80 |
$4,108.80 |
$4,108.80 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,558.60 |
$3,558.60 |
$3,558.60 |
$2,272.00
|
|
Culture aerobic additional method definitive id each
|
$48.00 |
$48.00 |
$48.00 |
$72.00
|
|
Culture afb any source
|
$66.00 |
$66.00 |
$66.00 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$102.60 |
$102.60 |
$102.60 |
$84.76
|
|
Culture anaerobic except blood
|
$62.40 |
$62.40 |
$62.40 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$32.40 |
$32.40 |
$32.40 |
$52.50
|
|
Culture body fluid
|
$52.20 |
$52.20 |
$52.20 |
$126.75
|
|
Culture fungi definitive id mold
|
$81.00 |
$81.00 |
$81.00 |
$80.00
|
|
Culture fungi definitive id yeast
|
$80.40 |
$80.40 |
$80.40 |
$80.00
|
|
Culture fungi other (except blood)
|
$100.20 |
$100.20 |
$100.20 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$76.80 |
$76.80 |
$76.80 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$127.20 |
$127.20 |
$127.20 |
$100.00
|
