|
Consultation pathology during surgery frozen section each additional block
|
$53.60 |
$63.20 |
$164.00 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$89.60 |
$104.00 |
$265.60 |
|
|
Consultation/report referred material w/preparation of slides
|
$100.80 |
$100.80 |
$224.80 |
|
|
Consultation with family
|
$195.20 |
$195.20 |
$195.20 |
|
|
Contrast baths charges
|
$84.80 |
$87.20 |
$132.00 |
|
|
Contrast exam abdominl aorta 75625-26
|
$4,728.80 |
$4,728.80 |
$6,025.60 |
|
|
Contrast exam thoracic aorta
|
$2,601.60 |
$2,601.60 |
$4,993.60 |
|
|
Contrast exam thoracic aorta 75605-26
|
$4,795.20 |
$4,795.20 |
$5,828.00 |
|
|
Contrast x-ray of brain
|
$1,654.40 |
$1,654.40 |
$1,654.40 |
|
|
Contrast x-ray of elbow
|
$989.60 |
$989.60 |
$996.00 |
|
|
Contrast x-ray of hip
|
$785.60 |
$1,044.00 |
$1,340.80 |
|
|
Contrast x-ray of knee joint
|
$1,085.60 |
$1,105.60 |
$1,295.20 |
|
|
Contrast x-ray of wrist
|
$927.20 |
$927.20 |
$1,036.00 |
|
|
Controller infinity pt dbs
|
$2,464.00 |
$2,464.00 |
$9,000.00 |
|
|
Control nosebleed pack+caut 30905
|
$323.20 |
$450.40 |
$473.60 |
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$260.00 |
$260.00 |
$260.00 |
|
|
Control of nosebleed ant comp 30903
|
$320.00 |
$419.20 |
$444.80 |
|
|
Control of nosebleedantersmpl 30901
|
$273.60 |
$388.00 |
$406.40 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$345.60 |
$345.60 |
$2,567.20 |
|
|
Conversion ext bil drg cath
|
$5,401.60 |
$5,401.60 |
$5,401.60 |
|
|
Convert nephrostomy catheter
|
$3,749.60 |
$3,749.60 |
$3,749.60 |
|
|
Coombs direct
|
$20.52 |
$51.20 |
$91.20 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$52.00 |
$52.00 |
$66.40 |
|
|
Coombs indirect titer reference
|
$34.40 |
$62.40 |
$96.80 |
|
|
Copper cu 64 dotatate diag
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
|
|
Copper intrauterine device
|
$1,899.20 |
$3,324.00 |
$4,273.60 |
|
|
Core ndl bx lng/med perq
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$14,168.80 |
$14,168.80 |
$16,795.20 |
|
|
Coronary angio/lv gram/lt heart
|
$15,180.80 |
$15,180.80 |
$15,510.40 |
|
|
Coronary angio/lv gram/rt< heart
|
$16,595.20 |
$16,595.20 |
$16,838.40 |
|
|
Coronary art/grft angio s&i
|
$11,132.00 |
$11,132.00 |
$13,225.60 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,640.80 |
$10,640.80 |
$12,465.60 |
|
|
Cortisol total am
|
$67.20 |
$144.80 |
$227.20 |
|
|
Cosyntropin 0.25 mg solution for injection
|
$74.84 |
$219.49 |
$390.95 |
|
|
Co-treatment - group 15 mins, st
|
$79.20 |
$84.00 |
$221.60 |
|
|
Counseling smoke cess interm >10mins
|
$88.80 |
$88.80 |
$88.80 |
|
|
Coveredge 32 lead kit 40cm 48
|
$10,707.20 |
$10,707.20 |
$10,707.20 |
|
|
Cover wrist
|
$208.80 |
$208.80 |
$208.80 |
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
|
|
Covid-19 convalescent plasma
|
$786.40 |
$863.20 |
$920.80 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$760.00 |
$760.00 |
$760.00 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$812.80 |
$812.80 |
$812.80 |
|
|
#covid19rsv-rsv
|
$171.20 |
$171.20 |
$171.20 |
|
|
#coxa-coxsackie a serotype a16
|
$76.00 |
$80.80 |
$114.40 |
|
|
CPAP or BiPAP Setup (first day)
|
$372.00 |
$708.80 |
$1,095.20 |
|
|
C-peptide
|
$86.40 |
$134.40 |
$236.00 |
|
|
CPR (Cardiopulmonary Resuscitation)
|
$899.20 |
$1,143.20 |
$1,329.60 |
|
|
Crbrospnl fld flw imag cistern
|
$1,567.20 |
$1,567.20 |
$1,984.00 |
|
|
C-reactive protein
|
$40.00 |
$53.60 |
$105.60 |
|
|
C-reactive protein high sensitivity
|
$70.40 |
$102.40 |
$151.20 |
|
|
Creatine kinase
|
$36.00 |
$48.80 |
$72.80 |
|
|
Creatine kinase isoenzymes
|
$56.80 |
$64.80 |
$133.60 |
|
|
Creatine kinase mb
|
$79.20 |
$88.00 |
$161.60 |
|
|
Creatine - sendout
|
$52.00 |
$52.00 |
$52.00 |
|
|
Creatinine
|
$27.20 |
$40.00 |
$66.40 |
|
|
Creatinine 24 hour urine
|
$31.20 |
$54.40 |
$82.40 |
|
|
Creatinine clearance urine
|
$52.80 |
$71.20 |
$147.20 |
|
|
#creutz-prot.,western blot
|
$97.60 |
$97.60 |
$97.60 |
|
|
Crisis psychotherapy 90839
|
$360.00 |
$360.00 |
$360.00 |
|
|
Crisis psychotherapy additional 30 mins 90840
|
$156.00 |
$156.00 |
$156.00 |
|
|
Critical care each additional 30 minutes
|
$376.00 |
$620.80 |
$834.40 |
|
|
Critical Care (first 30 to 74 minutes)
|
$2,544.00 |
$2,700.00 |
$3,036.80 |
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$6,819.37 |
$6,819.37 |
$6,819.37 |
|
|
Crotalidae poly immune fab
|
$7,691.20 |
$7,691.20 |
$7,691.20 |
|
|
Cryofibrinogen qualitative - sendout
|
$57.60 |
$57.60 |
$57.60 |
|
|
Cryoprecipitate each unit
|
$199.20 |
$199.20 |
$388.80 |
|
|
Crystal identification light microscopy
|
$42.40 |
$46.40 |
$66.40 |
|
|
Csf leakage imaging
|
$1,678.40 |
$1,678.40 |
$1,864.00 |
|
|
Csf shunt reprogram 62252
|
$497.60 |
$497.60 |
$497.60 |
|
|
CT 3d report other modality w/workstation
|
$680.80 |
$1,000.80 |
$1,083.20 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,516.00 |
$2,553.60 |
$2,888.00 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,712.00 |
$3,961.60 |
$4,633.60 |
|
|
CT Angiogram of the Abdomen
|
$2,866.40 |
$3,160.00 |
$3,639.20 |
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,968.00 |
$3,172.80 |
$3,636.80 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,650.40 |
$2,884.00 |
$3,498.40 |
|
|
CT Angiogram of the Head
|
$2,454.40 |
$2,936.80 |
$3,371.20 |
|
|
CT Angiogram of the Neck
|
$2,642.40 |
$2,946.40 |
$3,371.20 |
|
|
CT angio hrt w/3d image
|
$2,300.80 |
$2,300.80 |
$4,335.20 |
|
|
CT angio pelvis
|
$2,469.60 |
$2,510.40 |
$2,856.80 |
|
|
Cta upper extremity w &/or without contrast left
|
$2,326.40 |
$2,544.00 |
$2,781.60 |
|
|
CT bone density axial
|
$582.40 |
$582.40 |
$860.80 |
|
|
CT cerebral perf w cont & prcssng
|
$800.00 |
$800.00 |
$800.00 |
|
|
CT guidance for needle placement
|
$2,142.40 |
$2,268.00 |
$2,584.00 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,452.00 |
$1,452.00 |
$1,484.00 |
|
|
CT guid cryo ablat intramuscular
|
$8,587.20 |
$8,587.20 |
$8,587.20 |
|
|
CT guid parench tis ablat
|
$1,312.80 |
$1,312.80 |
$1,780.00 |
|
|
CT heart w/evaluation of calcium without contrast
|
$795.20 |
$795.20 |
$964.00 |
|
|
CT hrt c+ strux cgen hrt ds
|
$3,020.00 |
$3,020.00 |
$3,997.60 |
|
|
CT hrt w/3d image
|
$3,020.00 |
$3,020.00 |
$4,017.60 |
|
|
CT limited or localized follow-up study
|
$957.60 |
$982.40 |
$1,300.00 |
|
|
CT lwr extremity w/o&w/dye
|
$2,392.80 |
$2,727.20 |
$2,996.00 |
|
|
Ctrl nosebld postir subsq 30906
|
$333.60 |
$346.40 |
$451.20 |
|
|
CT scan for localization
|
$2,008.80 |
$2,008.80 |
$2,316.00 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,253.60 |
$4,994.40 |
$5,310.40 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,592.00 |
$4,458.40 |
$4,883.20 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,254.40 |
$4,067.20 |
$4,235.20 |
|
|
CT t-spine w /wo contrast
|
$2,676.00 |
$2,957.60 |
$3,301.60 |
|
|
CT uppr extremity w/o&w/dye
|
$2,350.40 |
$2,494.40 |
$3,085.60 |
|
|
Culture aerobic additional method definitive id each
|
$48.80 |
$72.00 |
$99.20 |
|
|
Culture afb any source
|
$64.00 |
$86.40 |
$147.20 |
|
