|
Contrast exam abdominl aorta 75625-26
|
$1,954.00 |
$1,954.00 |
$1,954.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,084.00 |
$2,084.00 |
$2,084.00 |
$3,663.60
|
|
Contrast x-ray gallbladder
|
$98.00 |
$98.00 |
$98.00 |
$341.00
|
|
Contrast x-ray of ankle
|
$800.00 |
$800.00 |
$800.00 |
$676.80
|
|
Contrast x-ray of brain
|
$505.00 |
$505.00 |
$505.00 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$662.50 |
$662.50 |
$662.50 |
$686.95
|
|
Contrast x-ray of hip
|
$679.00 |
$679.00 |
$679.00 |
$781.13
|
|
Contrast x-ray of knee joint
|
$940.00 |
$940.00 |
$940.00 |
$777.00
|
|
Contrast x-ray of wrist
|
$918.50 |
$918.50 |
$918.50 |
$655.00
|
|
Controler lvad heartmate 3 includes ebb
|
$151,471.50 |
$151,471.50 |
$151,471.50 |
$13,218.75
|
|
Controller infinity pt dbs
|
$4,447.50 |
$4,447.50 |
$4,447.50 |
$5,123.14
|
|
Control nosebleed pack+caut 30905
|
$150.50 |
$150.50 |
$150.50 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$133.00 |
$133.00 |
$133.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$173.00 |
$173.00 |
$173.00 |
$352.80
|
|
Conversion ext bil drg cath
|
$3,192.00 |
$3,192.00 |
$3,192.00 |
$4,099.56
|
|
Convert nephrostomy catheter
|
$1,048.00 |
$1,048.00 |
$1,048.00 |
$2,777.60
|
|
Coombs direct
|
$54.00 |
$54.00 |
$54.00 |
$76.44
|
|
Coombs indirect titer reference
|
$92.00 |
$92.00 |
$92.00 |
$155.40
|
|
Core ndl bx lng/med perq
|
$1,391.00 |
$1,391.00 |
$1,391.00 |
$2,862.11
|
|
Corneal smear
|
$224.00 |
$224.00 |
$224.00 |
$472.21
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$8,085.50 |
$8,085.50 |
$8,085.50 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$7,211.00 |
$7,211.00 |
$7,211.00 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$9,224.50 |
$9,224.50 |
$9,224.50 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$7,252.50 |
$7,252.50 |
$7,252.50 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,753.50 |
$5,753.50 |
$5,753.50 |
$7,950.49
|
|
Coronary thrombolysis/iv infusion 92977
|
$614.00 |
$614.00 |
$614.00 |
$482.09
|
|
Correction eyelid w/implant
|
$1,626.50 |
$1,626.50 |
$1,626.50 |
$3,269.14
|
|
Correction of astigmatism
|
$695.50 |
$695.50 |
$695.50 |
$2,240.00
|
|
Correction of astigmatism
|
$1,493.50 |
$1,493.50 |
$1,493.50 |
$2,790.40
|
|
Correction trichiasis epilation forcep 67820
|
$331.00 |
$331.00 |
$331.00 |
$176.00
|
|
Correction trichiasis inccision lid margin 67830
|
$536.00 |
$536.00 |
$536.00 |
$1,366.20
|
|
Correct skin color 6.0 cm/<
|
$328.00 |
$328.00 |
$328.00 |
$1,016.25
|
|
Cortisol total am
|
$70.00 |
$70.00 |
$70.00 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$82.00 |
$82.00 |
$82.00 |
$114.00
|
|
Counseling smoke cess interm >10mins
|
$21.50 |
$21.50 |
$21.50 |
$54.12
|
|
Counseling visit to discuss need for ldct g0296
|
$42.00 |
$42.00 |
$42.00 |
$102.38
|
|
Coveredge 32 lead kit 40cm 48
|
$4,501.50 |
$4,501.50 |
$4,501.50 |
$4,395.30
|
|
Cover eye w/membrane
|
$846.50 |
$846.50 |
$846.50 |
$2,550.48
|
|
Cover eye w/membrane suture
|
$2,386.00 |
$2,386.00 |
$2,386.00 |
$4,177.59
|
|
#coxa-coxsackie a serotype a16
|
$64.00 |
$64.00 |
$64.00 |
$60.00
|
|
C-peptide
|
$83.00 |
$83.00 |
$83.00 |
$93.60
|
|
Cptrized corneal topography
|
$102.50 |
$102.50 |
$102.50 |
$148.20
|
|
Cptr ophth dx img post segmt
|
$47.00 |
$47.00 |
$47.00 |
$98.00
|
|
Cranial cervical torticollis
|
$73.50 |
$73.50 |
$73.50 |
$483.65
|
|
Crbrospnl fld flw imag cistern
|
$872.50 |
$872.50 |
$872.50 |
$1,281.00
|
|
C-reactive protein
|
$105.50 |
$105.50 |
$105.50 |
$68.38
|
|
C-reactive protein high sensitivity
|
$105.50 |
$105.50 |
$105.50 |
$85.00
|
|
Creatine kinase
|
$41.50 |
$41.50 |
$41.50 |
$65.60
|
|
Creatine kinase mb
|
$47.00 |
$47.00 |
$47.00 |
$113.63
|
|
Creatinine
|
$21.00 |
$21.00 |
$21.00 |
$45.65
|
|
Creatinine 24 hour urine
|
$30.50 |
$30.50 |
$30.50 |
$57.60
|
|
Creatinine clearance urine
|
$60.00 |
$60.00 |
$60.00 |
$89.28
|
|
#creutz-prot.,western blot
|
$136.50 |
$136.50 |
$136.50 |
$163.50
|
|
Crisis psychotherapy 90839
|
$102.50 |
$102.50 |
$102.50 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$66.50 |
$66.50 |
$66.50 |
$149.52
|
|
Critical care 30-74 minutes
|
$2,204.00 |
$2,204.00 |
$2,204.00 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$188.50 |
$188.50 |
$188.50 |
$686.86
|
|
Cryocautery of cervix 57511
|
$412.50 |
$412.50 |
$412.50 |
$429.60
|
|
Cryo fib comp path redu each
|
$1,566.50 |
$1,566.50 |
$1,566.50 |
$470.50
|
|
Cryoprecipitate each unit
|
$95.50 |
$95.50 |
$95.50 |
$144.78
|
|
Cryopreserve stem cells
|
$2,904.50 |
$2,904.50 |
$2,904.50 |
$2,588.88
|
|
Cryosurgery penis lesion(s) 54056
|
$119.00 |
$119.00 |
$119.00 |
$271.20
|
|
Crystal identification light microscopy
|
$90.50 |
$90.50 |
$90.50 |
$65.50
|
|
Csf shunt reprogram 62252
|
$289.50 |
$289.50 |
$289.50 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$344.00 |
$344.00 |
$344.00 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$1,087.00 |
$1,087.00 |
$1,087.00 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$307.00 |
$307.00 |
$307.00 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$840.50 |
$840.50 |
$840.50 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$406.50 |
$406.50 |
$406.50 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$1,912.50
|
|
CT Angiogram of the Head
|
$1,353.50 |
$1,353.50 |
$1,353.50 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$1,576.50 |
$1,576.50 |
$1,576.50 |
$1,424.40
|
|
CT angio pelvis
|
$926.00 |
$926.00 |
$926.00 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$996.00 |
$996.00 |
$996.00 |
$1,681.50
|
|
CT colonography dx
|
$151.00 |
$151.00 |
$151.00 |
$797.40
|
|
CT colonography dx w/dye
|
$229.00 |
$229.00 |
$229.00 |
$1,052.16
|
|
CT guidance for needle placement
|
$620.00 |
$620.00 |
$620.00 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$662.00 |
$662.00 |
$662.00 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$10,222.00 |
$10,222.00 |
$10,222.00 |
$1,643.20
|
|
CT guid parench tis ablat
|
$792.50 |
$792.50 |
$792.50 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$65.00 |
$65.00 |
$65.00 |
$156.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,444.50 |
$1,444.50 |
$1,444.50 |
$1,371.50
|
|
CT hrt w/3d image
|
$1,444.50 |
$1,444.50 |
$1,444.50 |
$1,350.03
|
|
CT limited or localized follow-up study
|
$453.00 |
$453.00 |
$453.00 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$868.50 |
$868.50 |
$868.50 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$699.50 |
$699.50 |
$699.50 |
$1,398.82
|
|
Ctlso a-p-l control molded
|
$4,251.50 |
$4,251.50 |
$4,251.50 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$4,001.50 |
$4,001.50 |
$4,001.50 |
$4,186.78
|
|
CT lwr extremity w/o&w/dye
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$970.00 |
$970.00 |
$970.00 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$839.00 |
$839.00 |
$839.00 |
$1,312.00
|
|
CT neck soft tissue without & w/contrast
|
$1,293.50 |
$1,293.50 |
$1,293.50 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$1,705.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$972.00 |
$972.00 |
$972.00 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$811.00 |
$811.00 |
$811.00 |
$1,345.05
|
|
Ctrl nosebld postir subsq 30906
|
$225.00 |
$225.00 |
$225.00 |
$444.50
|
|
CT scan for therapy guide
|
$279.50 |
$279.50 |
$279.50 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,790.50 |
$2,790.50 |
$2,790.50 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,999.00 |
$1,999.00 |
$1,999.00 |
$2,871.05
|
