|
Consult comp w/report rfrd material
|
$189.00 |
$273.60 |
$324.60 |
$374.40
|
|
Contact layer >16<= 48 sq in
|
$24.00 |
$24.00 |
$243.00 |
$36.17
|
|
Contrast baths charges
|
$76.20 |
$96.00 |
$198.00 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$2,938.80 |
$4,130.40 |
$7,103.40 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,938.80 |
$4,509.60 |
$9,483.60 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$1,312.80 |
$1,312.80 |
$1,312.80 |
$341.00
|
|
Contrast x-ray of ankle
|
$514.80 |
$514.80 |
$2,098.80 |
$684.00
|
|
Contrast x-ray of elbow
|
$598.20 |
$598.20 |
$793.80 |
$708.00
|
|
Contrast x-ray of hip
|
$4,294.20 |
$4,294.20 |
$4,294.20 |
$796.38
|
|
Contrast x-ray of knee joint
|
$811.80 |
$2,851.20 |
$4,294.20 |
$790.50
|
|
Controler lvad heartmate 3 includes ebb
|
$26,560.20 |
$26,560.20 |
$26,560.20 |
$12,355.20
|
|
Controller infinity pt dbs
|
$3,235.80 |
$5,451.00 |
$64,921.20 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$937.20 |
$2,005.80 |
$3,560.40 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$1,486.80 |
$2,370.00 |
$3,560.40 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$411.60 |
$478.20 |
$937.20 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,546.80 |
$2,236.20 |
$3,772.80 |
$620.00
|
|
Control throat bleeding
|
$8,917.80 |
$8,917.80 |
$8,917.80 |
$972.84
|
|
Conversion ext bil drg cath
|
$8,297.40 |
$8,297.40 |
$8,884.20 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$1,941.60 |
$3,548.40 |
$8,884.20 |
$2,777.60
|
|
Conv gtube to jtube
|
$3,279.00 |
$3,660.60 |
$5,378.40 |
$2,099.70
|
|
Coombs direct
|
$67.80 |
$80.40 |
$153.00 |
$76.80
|
|
Coombs indirect titer reference
|
$158.40 |
$227.40 |
$828.60 |
$156.71
|
|
Copper cu 64 dotatate diag
|
$2,228.40 |
$2,228.40 |
$2,970.00 |
$2,820.66
|
|
Copper intrauterine device
|
$2,011.20 |
$2,011.20 |
$2,011.20 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$3,052.80 |
$3,052.80 |
$4,069.80 |
$2,904.48
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$11,265.60 |
$11,550.60 |
$14,521.80 |
$7,849.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$11,828.40 |
$13,261.20 |
$19,176.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$10,991.40 |
$11,361.60 |
$18,751.20 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$12,212.40 |
$12,658.20 |
$20,118.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$8,194.20 |
$9,761.40 |
$10,348.80 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,491.00 |
$8,608.80 |
$9,635.40 |
$7,988.40
|
|
Correct rectal prolapse
|
$7,807.80 |
$8,616.60 |
$10,834.80 |
$3,861.00
|
|
Corticorelin ovine triflutal
|
$24.00 |
$24.00 |
$210.00 |
$1,462.49
|
|
Cortisol total am
|
$109.20 |
$165.00 |
$558.60 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$480.00 |
$484.80 |
$891.00 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$48.00 |
$48.00 |
$50.40 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$2,880.60 |
$6,339.60 |
$10,227.60 |
$4,180.79
|
|
Cover eye w/membrane
|
$9,340.80 |
$11,560.20 |
$17,159.40 |
$2,827.97
|
|
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
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$540.00
|
|
#coxa-coxsackie a serotype a16
|
$86.40 |
$110.40 |
$604.80 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$510.00 |
$664.80 |
$987.60 |
$584.50
|
|
C-peptide
|
$125.40 |
$249.60 |
$451.80 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$520.80 |
$1,146.00 |
$5,636.40 |
$777.71
|
|
Cptr ophth dx img post segmt
|
$152.40 |
$152.40 |
$200.40 |
$105.00
|
|
Crbrospnl fld flw imag cistern
|
$11,947.80 |
$11,947.80 |
$11,947.80 |
$1,330.02
|
|
C-reactive protein
|
$36.00 |
$126.60 |
$415.80 |
$69.36
|
|
C-reactive protein high sensitivity
|
$78.60 |
$168.60 |
$453.00 |
$85.50
|
|
C-reactive protein, quantitative
|
$66.60 |
$99.00 |
$1,420.80 |
$65.16
|
|
Creatine kinase
|
$66.60 |
$138.60 |
$240.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$94.80 |
$137.40 |
$643.80 |
$56.20
|
|
Creatine kinase mb
|
$131.40 |
$162.00 |
$643.80 |
$113.63
|
|
Creatine - sendout
|
$42.60 |
$46.80 |
$60.60 |
$41.25
|
|
Creatinine
|
$43.80 |
$82.20 |
$181.80 |
$46.20
|
|
Creatinine 24 hour urine
|
$63.00 |
$102.60 |
$281.40 |
$57.85
|
|
Creatinine clearance urine
|
$114.60 |
$155.40 |
$236.40 |
$90.26
|
|
#creutz-prot.,western blot
|
$159.00 |
$571.20 |
$4,555.80 |
$163.50
|
|
Crisis psychotherapy 90839
|
$424.20 |
$424.20 |
$424.20 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$212.40 |
$212.40 |
$212.40 |
$149.52
|
|
Critical care each additional 30 minutes
|
$231.60 |
$570.60 |
$655.80 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,153.20 |
$2,577.00 |
$4,768.80 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$436.20 |
$436.20 |
$8,721.00 |
$4,288.58
|
|
Cromolyn sodium noncomp unit
|
$2.40 |
$2.40 |
$15.00 |
$10.57
|
|
Crotalidae poly immune fab
|
$6,805.20 |
$6,805.20 |
$6,805.20 |
$5,760.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$10,314.60 |
$10,314.60 |
$10,314.60 |
$2,522.88
|
|
Cryocautery of cervix 57511
|
$499.20 |
$499.20 |
$499.20 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$61.20 |
$85.20 |
$684.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$225.00 |
$349.80 |
$1,002.00 |
$144.78
|
|
Cryopreserve stem cells
|
$288.60 |
$288.60 |
$3,985.20 |
$2,666.50
|
|
Cryosurgery penis lesion(s) 54056
|
$474.00 |
$670.80 |
$954.60 |
$271.20
|
|
Cryptococcus abs qn - sendout
|
$105.00 |
$138.60 |
$652.20 |
$89.70
|
|
Cryptosporidium antigen
|
$112.20 |
$115.20 |
$163.20 |
$52.08
|
|
Crystal identification light microscopy
|
$46.80 |
$83.40 |
$291.00 |
$66.43
|
|
C-Section Delivery (full care)
|
$4,748.40 |
$4,748.40 |
$4,748.40 |
$4,739.20
|
|
C-section delivery incl p/p care 59515
|
$3,904.20 |
$3,904.20 |
$4,137.60 |
$2,884.20
|
|
Csf leakage imaging
|
$10,392.00 |
$10,392.00 |
$10,392.00 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$496.20 |
$496.20 |
$496.20 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$1,162.20 |
$1,581.00 |
$2,146.80 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,067.20 |
$3,441.00 |
$5,181.60 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,263.80 |
$5,897.40 |
$8,884.80 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,067.20 |
$3,441.00 |
$5,181.60 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,036.40 |
$2,395.20 |
$7,887.60 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,067.20 |
$3,441.00 |
$5,181.60 |
$1,915.30
|
|
CT Angiogram of the Head
|
$3,067.20 |
$3,441.00 |
$5,181.60 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,067.20 |
$3,441.00 |
$5,181.60 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,371.80 |
$2,753.40 |
$4,004.40 |
$1,428.68
|
|
CT angio pelvis
|
$3,067.20 |
$3,441.00 |
$5,181.60 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$3,067.20 |
$3,441.00 |
$5,181.60 |
$1,691.30
|
|
CT colonography dx
|
$1,795.80 |
$1,795.80 |
$2,937.00 |
$811.41
|
|
CT colonography dx w/dye
|
$2,860.20 |
$2,860.20 |
$4,663.20 |
$1,069.25
|
|
CT colonography screening
|
$8,484.60 |
$8,484.60 |
$8,484.60 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,065.20 |
$2,235.00 |
$3,498.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$611.40 |
$1,498.80 |
$2,680.20 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$106.20 |
$106.20 |
$41,445.60 |
$2,039.76
|
|
CT guid parench tis ablat
|
$4,764.00 |
$4,764.00 |
$4,764.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$120.00 |
$120.00 |
$120.00 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$4,004.40 |
$4,004.40 |
$4,004.40 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,689.00 |
$2,312.40 |
$4,004.40 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$966.60 |
$1,122.60 |
$2,217.00 |
$636.55
|
