|
Consultation/report referred material w/preparation of slides
|
$62.58 |
$62.58 |
$62.58 |
$206.01
|
|
Consultation/report referred slides prepared elsewhere
|
$54.81 |
$54.81 |
$54.81 |
$171.65
|
|
Contrast baths charges
|
$43.47 |
$43.47 |
$43.47 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$1,637.58 |
$1,637.58 |
$1,637.58 |
$3,391.03
|
|
Contrast exam thoracic aorta 75605-26
|
$1,394.40 |
$1,394.40 |
$1,394.40 |
$3,663.60
|
|
Contrast x-ray gallbladder
|
$118.44 |
$118.44 |
$118.44 |
$350.22
|
|
Contrast x-ray of hip
|
$265.02 |
$265.02 |
$265.02 |
$750.00
|
|
Contrast x-ray of knee joint
|
$325.71 |
$325.71 |
$325.71 |
$719.40
|
|
Contrast x-ray of wrist
|
$265.02 |
$265.02 |
$265.02 |
$616.70
|
|
Controler lvad heartmate 3 includes ebb
|
$5,890.92 |
$5,890.92 |
$5,890.92 |
$12,355.20
|
|
Controller infinity pt dbs
|
$1,480.50 |
$1,480.50 |
$1,480.50 |
$4,494.00
|
|
Control nosebleed pack+caut 30905
|
$69.09 |
$69.09 |
$69.09 |
$385.45
|
|
Control of nosebleed ant comp 30903
|
$65.73 |
$65.73 |
$65.73 |
$391.20
|
|
Control of nosebleedantersmpl 30901
|
$49.35 |
$49.35 |
$49.35 |
$342.24
|
|
Control oropharyngeal hemorr/simp 42960
|
$164.85 |
$164.85 |
$164.85 |
$624.78
|
|
Conversion ext bil drg cath
|
$2,060.10 |
$2,060.10 |
$2,060.10 |
$4,143.00
|
|
Convert nephrostomy catheter
|
$759.36 |
$759.36 |
$759.36 |
$2,777.60
|
|
Coombs direct
|
$66.57 |
$66.57 |
$66.57 |
$73.50
|
|
Coombs indirect qualitative each reagent red cell reference
|
$66.15 |
$66.15 |
$66.15 |
$101.15
|
|
Coombs indirect titer reference
|
$67.62 |
$67.62 |
$67.62 |
$146.00
|
|
Core ndl bx lng/med perq
|
$971.67 |
$971.67 |
$971.67 |
$2,600.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$3,799.32 |
$3,799.32 |
$3,799.32 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$3,696.00 |
$3,696.00 |
$3,696.00 |
$9,964.80
|
|
Coronary angio/lv gram/rt< heart
|
$3,944.43 |
$3,944.43 |
$3,944.43 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$3,072.93 |
$3,072.93 |
$3,072.93 |
$7,942.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,969.19 |
$2,969.19 |
$2,969.19 |
$7,764.90
|
|
Coronary thrombolysis/iv infusion 92977
|
$103.53 |
$103.53 |
$103.53 |
$465.60
|
|
Cortisol total am
|
$89.25 |
$89.25 |
$89.25 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$98.60 |
$98.60 |
$98.60 |
$195.59
|
|
Co-treatment - group 15 mins, st
|
$76.02 |
$76.02 |
$76.02 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$24.78 |
$24.78 |
$24.78 |
$55.90
|
|
Covid-19 administration immunization im inj 1st/only component
|
$27.30 |
$27.30 |
$27.30 |
$49.13
|
|
Covid-19 convalescent plasma
|
$531.51 |
$531.51 |
$531.51 |
$582.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$331.59 |
$331.59 |
$331.59 |
$553.80
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$331.59 |
$331.59 |
$331.59 |
$548.79
|
|
Covid-19 lab test non-cdc
|
$39.06 |
$39.06 |
$39.06 |
$79.50
|
|
#covid19rsv-rsv
|
$47.88 |
$47.88 |
$47.88 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$25.83 |
$25.83 |
$25.83 |
$60.00
|
|
C-peptide
|
$77.91 |
$77.91 |
$77.91 |
$94.40
|
|
Cptr ophth dx img post segmt
|
$27.30 |
$27.30 |
$27.30 |
$97.50
|
|
Cptrz oph img pst sg rta oct
|
$60.27 |
$60.27 |
$60.27 |
$357.00
|
|
Craniectomy or craniotomy for drng supr 61313
|
$4,810.68 |
$4,810.68 |
$4,810.68 |
$4,658.40
|
|
Crbrospnl fld flw imag cistern
|
$501.06 |
$501.06 |
$501.06 |
$1,192.80
|
|
C-reactive protein
|
$29.61 |
$29.61 |
$29.61 |
$66.79
|
|
C-reactive protein high sensitivity
|
$32.13 |
$32.13 |
$32.13 |
$83.00
|
|
Creatine kinase
|
$53.34 |
$53.34 |
$53.34 |
$66.30
|
|
Creatine kinase isoenzymes
|
$34.65 |
$34.65 |
$34.65 |
$49.45
|
|
Creatine kinase mb
|
$67.41 |
$67.41 |
$67.41 |
$114.00
|
|
Creatine - sendout
|
$49.56 |
$49.56 |
$49.56 |
$39.00
|
|
Creatinine
|
$49.35 |
$49.35 |
$49.35 |
$44.72
|
|
Creatinine 24 hour urine
|
$42.42 |
$42.42 |
$42.42 |
$61.95
|
|
Creatinine clearance urine
|
$91.35 |
$91.35 |
$91.35 |
$87.50
|
|
#creutz-prot.,western blot
|
$430.92 |
$430.92 |
$430.92 |
$168.35
|
|
Critical care 30-74 minutes
|
$933.66 |
$933.66 |
$933.66 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$567.21 |
$567.21 |
$567.21 |
$731.40
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$726.18 |
$726.18 |
$726.18 |
$2,423.75
|
|
Cryofibrinogen qualitative - sendout
|
$33.18 |
$33.18 |
$33.18 |
$52.50
|
|
Cryoprecipitate each unit
|
$116.55 |
$116.55 |
$116.55 |
$144.78
|
|
Cryopreserve stem cells
|
$2,475.90 |
$2,475.90 |
$2,475.90 |
$2,769.00
|
|
Cryptococcus abs qn - sendout
|
$77.91 |
$77.91 |
$77.91 |
$87.75
|
|
Cryptosporidium antigen
|
$22.89 |
$22.89 |
$22.89 |
$52.08
|
|
Crystal identification light microscopy
|
$24.78 |
$24.78 |
$24.78 |
$62.00
|
|
Csf shunt reprogram 62252
|
$191.10 |
$191.10 |
$191.10 |
$532.70
|
|
CT 3d report other modality w/workstation
|
$455.28 |
$455.28 |
$455.28 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$899.43 |
$899.43 |
$899.43 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$899.43 |
$899.43 |
$899.43 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$779.73 |
$779.73 |
$779.73 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$724.50 |
$724.50 |
$724.50 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,800.54 |
$1,800.54 |
$1,800.54 |
$2,848.75
|
|
CT Angiogram of the Chest (for blood clot)
|
$919.59 |
$919.59 |
$919.59 |
$1,940.00
|
|
CT Angiogram of the Head
|
$870.03 |
$870.03 |
$870.03 |
$1,970.40
|
|
CT angio hrt w/3d image
|
$1,038.66 |
$1,038.66 |
$1,038.66 |
$1,500.38
|
|
CT angio pelvis
|
$857.22 |
$857.22 |
$857.22 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$779.73 |
$779.73 |
$779.73 |
$1,689.80
|
|
CT guidance for needle placement
|
$613.41 |
$613.41 |
$613.41 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$364.35 |
$364.35 |
$364.35 |
$1,134.24
|
|
CT guid parench tis ablat
|
$331.17 |
$331.17 |
$331.17 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$56.49 |
$56.49 |
$56.49 |
$171.69
|
|
CT hrt w/3d image
|
$875.49 |
$875.49 |
$875.49 |
$1,356.38
|
|
CT limited or localized follow-up study
|
$545.16 |
$545.16 |
$545.16 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$717.57 |
$717.57 |
$717.57 |
$1,619.25
|
|
CT lower extremity without contrast (both sides)
|
$649.11 |
$649.11 |
$649.11 |
$1,403.73
|
|
Ctlso a-p-l control with inter
|
$895.65 |
$895.65 |
$895.65 |
$4,186.78
|
|
CT lwr extremity w/o&w/dye
|
$742.98 |
$742.98 |
$742.98 |
$1,851.60
|
|
CT neck soft tissue w/contrast
|
$647.85 |
$647.85 |
$647.85 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$624.54 |
$624.54 |
$624.54 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$690.06 |
$690.06 |
$690.06 |
$1,945.13
|
|
CT orbit/sella/fossa w/wo contrast
|
$766.08 |
$766.08 |
$766.08 |
$1,707.60
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$849.66 |
$849.66 |
$849.66 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$816.69 |
$816.69 |
$816.69 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$65.52 |
$65.52 |
$65.52 |
$425.60
|
|
CT scan for therapy guide
|
$448.77 |
$448.77 |
$448.77 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,249.94 |
$2,249.94 |
$2,249.94 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,884.75 |
$1,884.75 |
$1,884.75 |
$2,928.00
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,286.04 |
$1,286.04 |
$1,286.04 |
$2,325.05
|
|
CT thoracic spine w/contrast
|
$792.75 |
$792.75 |
$792.75 |
$1,689.80
|
|
CT thoracic spine without contrast
|
$737.31 |
$737.31 |
$737.31 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$46.62 |
$46.62 |
$46.62 |
$345.15
|
|
CT t-spine w /wo contrast
|
$826.35 |
$826.35 |
$826.35 |
$2,025.00
|
|
CT upper extremity w/contrast (both sides)
|
$717.57 |
$717.57 |
$717.57 |
$1,687.88
|