|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,186.40 |
$2,186.40 |
$2,186.40 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,632.60 |
$1,632.60 |
$1,632.60 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$3,032.40 |
$3,032.40 |
$3,032.40 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$763.20 |
$763.20 |
$763.20 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,632.60 |
$1,632.60 |
$1,632.60 |
$1,592.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$810.00 |
$810.00 |
$810.00 |
$612.80
|
|
Cltx scap fx w/mnpj +-tractj
|
$3,379.20 |
$3,379.20 |
$3,379.20 |
$2,021.04
|
|
C motor evoked uppr limbs
|
$400.80 |
$400.80 |
$400.80 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$2,663.40 |
$2,663.40 |
$2,663.40 |
$1,333.36
|
|
#cmvcul-virus inoculation shell
|
$83.40 |
$83.40 |
$83.40 |
$89.76
|
|
Cmv pcr-sendout
|
$306.60 |
$306.60 |
$306.60 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$8.20 |
$8.20 |
$8.20 |
$11,888.50
|
|
Cold agglutinin titer
|
$39.00 |
$39.00 |
$39.00 |
$52.00
|
|
Collagen imp urinary 2.5 ml
|
$2,143.80 |
$2,143.80 |
$2,143.80 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$118.20 |
$118.20 |
$118.20 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$223.20 |
$223.20 |
$223.20 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$236.40 |
$236.40 |
$236.40 |
$224.11
|
|
Collar cerv patriot adlt
|
$316.80 |
$316.80 |
$316.80 |
$134.66
|
|
Collection blood specimen from completely implantable venous access device
|
$72.00 |
$72.00 |
$72.00 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$240.00 |
$240.00 |
$240.00 |
$155.40
|
|
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)
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$3,379.20 |
$3,379.20 |
$3,379.20 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$3,373.80 |
$3,373.80 |
$3,373.80 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$4,867.20 |
$4,867.20 |
$4,867.20 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$3,380.40 |
$3,380.40 |
$3,380.40 |
$1,899.00
|
|
Colonoscopy w/injection
|
$2,448.60 |
$2,448.60 |
$2,448.60 |
$2,449.20
|
|
Colonoscopy (with biopsy)
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$1,555.20 |
$1,555.20 |
$1,555.20 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$2,288.00
|
|
Compatibility test each unit antiglobulin technique
|
$179.40 |
$179.40 |
$179.40 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$89.40 |
$89.40 |
$89.40 |
$169.52
|
|
Complement antigen each component c3
|
$54.00 |
$54.00 |
$54.00 |
$110.00
|
|
Complement fixation each
|
$122.40 |
$122.40 |
$122.40 |
$29.12
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$4,060.20 |
$4,060.20 |
$4,060.20 |
$893.41
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$4,909.80 |
$4,909.80 |
$4,909.80 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$4,655.40 |
$4,655.40 |
$4,655.40 |
$1,212.00
|
|
Complx repair fccmnaxghf 13131
|
$2,186.40 |
$2,186.40 |
$2,186.40 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$5,469.60 |
$5,469.60 |
$5,469.60 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,718.40 |
$1,718.40 |
$1,718.40 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$508.44
|
|
Composite drsg >16<=48 sq in
|
$42.60 |
$42.60 |
$42.60 |
$42.60
|
|
Composite drsg <= 16 sq in
|
$3.00 |
$3.00 |
$3.00 |
$6.62
|
|
Concentration infection agents any type
|
$44.40 |
$44.40 |
$44.40 |
$51.32
|
|
Condylomata destruction 56420
|
$1,632.00 |
$1,632.00 |
$1,632.00 |
$467.35
|
|
Consultation pathology during surgery
|
$63.60 |
$63.60 |
$63.60 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$231.60 |
$231.60 |
$231.60 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$40.80 |
$40.80 |
$40.80 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$159.60 |
$159.60 |
$159.60 |
$226.50
|
|
Contrast exam abdominl aorta 75625-26
|
$2,833.20 |
$2,833.20 |
$2,833.20 |
$3,480.00
|
|
Controller infinity pt dbs
|
$3,636.00 |
$3,636.00 |
$3,636.00 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$1,632.00 |
$1,632.00 |
$1,632.00 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$1,632.00 |
$1,632.00 |
$1,632.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$388.80 |
$388.80 |
$388.80 |
$352.80
|
|
Convert nephrostomy catheter
|
$2,643.00 |
$2,643.00 |
$2,643.00 |
$2,777.60
|
|
Coombs direct
|
$37.20 |
$37.20 |
$37.20 |
$76.80
|
|
Coombs indirect titer reference
|
$67.20 |
$67.20 |
$67.20 |
$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
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,024.60 |
$9,024.60 |
$9,024.60 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$8,070.00 |
$8,070.00 |
$8,070.00 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$10,049.40 |
$10,049.40 |
$10,049.40 |
$11,228.50
|
|
Cortisol total am
|
$89.40 |
$89.40 |
$89.40 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$844.80 |
$844.80 |
$844.80 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$48.00 |
$48.00 |
$48.00 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$3,053.40 |
$3,053.40 |
$3,053.40 |
$4,180.79
|
|
Covid-19 administration immunization im inj 1st/only component
|
$24.00 |
$24.00 |
$24.00 |
$49.13
|
|
#coxa-coxsackie a serotype a16
|
$111.60 |
$111.60 |
$111.60 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$428.40 |
$428.40 |
$428.40 |
$584.50
|
|
C-peptide
|
$102.60 |
$102.60 |
$102.60 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$508.80 |
$508.80 |
$508.80 |
$777.71
|
|
C-reactive protein
|
$40.80 |
$40.80 |
$40.80 |
$69.36
|
|
C-reactive protein high sensitivity
|
$137.40 |
$137.40 |
$137.40 |
$85.50
|
|
Creatine kinase
|
$40.80 |
$40.80 |
$40.80 |
$66.30
|
|
Creatine kinase isoenzymes
|
$66.00 |
$66.00 |
$66.00 |
$56.20
|
|
Creatine kinase mb
|
$114.60 |
$114.60 |
$114.60 |
$113.63
|
|
Creatine - sendout
|
$31.80 |
$31.80 |
$31.80 |
$41.25
|
|
Creatinine
|
$34.80 |
$34.80 |
$34.80 |
$46.20
|
|
Creatinine 24 hour urine
|
$43.80 |
$43.80 |
$43.80 |
$57.85
|
|
Creatinine clearance urine
|
$64.80 |
$64.80 |
$64.80 |
$90.26
|
|
#creutz-prot.,western blot
|
$166.20 |
$166.20 |
$166.20 |
$163.50
|
|
Critical care each additional 30 minutes
|
$478.80 |
$478.80 |
$478.80 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,263.00 |
$1,263.00 |
$1,263.00 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$80.40 |
$80.40 |
$80.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$619.20 |
$619.20 |
$619.20 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$136.20 |
$136.20 |
$136.20 |
$89.70
|
|
Cryptosporidium antigen
|
$193.80 |
$193.80 |
$193.80 |
$52.08
|
|
Crystal identification light microscopy
|
$36.00 |
$36.00 |
$36.00 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$610.80 |
$610.80 |
$610.80 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,063.00 |
$3,063.00 |
$3,063.00 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,576.80 |
$1,576.80 |
$1,576.80 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,881.75
|
|
CT angio pelvis
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,691.30
|
|
CT colonography dx
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$811.41
|
|
CT colonography screening
|
$6,423.00 |
$6,423.00 |
$6,423.00 |
$1,084.20
|
