|
Collection blood specimen using established central/peripheral catheter venous nos
|
$87.17 |
$87.17 |
$87.17 |
$152.54
|
|
Collection of venous blood by venipuncture
|
$8.74 |
$8.74 |
$8.74 |
$20.74
|
|
Colon motility 6 hr study
|
$309.81 |
$309.81 |
$309.81 |
$477.92
|
|
Colonoscopy w/control bleed
|
$297.16 |
$297.16 |
$297.16 |
$2,019.60
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,110.02 |
$2,110.02 |
$2,110.02 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$133.86 |
$133.86 |
$133.86 |
$165.00
|
|
Compatibility test each unit immediate spin technique
|
$69.92 |
$69.92 |
$69.92 |
$169.52
|
|
Compatibility test incubate
|
$61.64 |
$61.64 |
$61.64 |
$155.40
|
|
Complement antigen each component c3
|
$168.59 |
$168.59 |
$168.59 |
$110.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$153.18 |
$153.18 |
$153.18 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$159.39 |
$159.39 |
$159.39 |
$1,193.40
|
|
Complx repair enel addl 5cm/< 13153
|
$93.61 |
$93.61 |
$93.61 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$126.50 |
$126.50 |
$126.50 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$144.90 |
$144.90 |
$144.90 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$126.50 |
$126.50 |
$126.50 |
$531.30
|
|
Complx repair sal addl 5 cm/> 13122
|
$99.82 |
$99.82 |
$99.82 |
$498.27
|
|
Concentration infection agents any type
|
$7.82 |
$7.82 |
$7.82 |
$48.91
|
|
Condylomata destruction 56420
|
$66.01 |
$66.01 |
$66.01 |
$469.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$242.42 |
$242.42 |
$242.42 |
$426.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$8.74 |
$8.74 |
$8.74 |
$109.90
|
|
Consultation pathology during surgery frozen section first tissue block
|
$65.55 |
$65.55 |
$65.55 |
$223.86
|
|
Consultation/report referred slides prepared elsewhere
|
$60.03 |
$60.03 |
$60.03 |
$171.65
|
|
Contrast baths charges
|
$47.61 |
$47.61 |
$47.61 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$1,810.79 |
$1,810.79 |
$1,810.79 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$1,862.08 |
$1,862.08 |
$1,862.08 |
$3,661.50
|
|
Control nosebleed pack+caut 30905
|
$43.47 |
$43.47 |
$43.47 |
$385.45
|
|
Control of nosebleed ant comp 30903
|
$71.99 |
$71.99 |
$71.99 |
$391.20
|
|
Control of nosebleedantersmpl 30901
|
$47.61 |
$47.61 |
$47.61 |
$342.24
|
|
Control oropharyngeal hemorr/simp 42960
|
$162.15 |
$162.15 |
$162.15 |
$621.45
|
|
Coombs direct
|
$39.79 |
$39.79 |
$39.79 |
$73.15
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$3,947.26 |
$3,947.26 |
$3,947.26 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$3,892.29 |
$3,892.29 |
$3,892.29 |
$9,964.80
|
|
Coronary angio/lv gram/rt< heart
|
$4,154.03 |
$4,154.03 |
$4,154.03 |
$11,121.60
|
|
Coronary art/grft angio s&i
|
$3,365.59 |
$3,365.59 |
$3,365.59 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,251.97 |
$3,251.97 |
$3,251.97 |
$7,720.80
|
|
Coronary thrombolysis/iv infusion 92977
|
$78.89 |
$78.89 |
$78.89 |
$463.05
|
|
Cortisol total am
|
$121.67 |
$121.67 |
$121.67 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$107.99 |
$107.99 |
$107.99 |
$191.70
|
|
Counseling smoke cess interm >10mins
|
$27.14 |
$27.14 |
$27.14 |
$55.90
|
|
Covid-19 administration immunization im inj 1st/only component
|
$29.90 |
$29.90 |
$29.90 |
$49.13
|
|
Covid-19 convalescent plasma
|
$582.13 |
$582.13 |
$582.13 |
$582.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$363.17 |
$363.17 |
$363.17 |
$553.80
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$363.17 |
$363.17 |
$363.17 |
$548.79
|
|
Covid-19 lab test non-cdc
|
$42.78 |
$42.78 |
$42.78 |
$79.50
|
|
#coxa-coxsackie a serotype a16
|
$7.13 |
$7.13 |
$7.13 |
$60.00
|
|
C-peptide
|
$46.92 |
$46.92 |
$46.92 |
$93.60
|
|
C-reactive protein
|
$14.72 |
$14.72 |
$14.72 |
$64.20
|
|
C-reactive protein high sensitivity
|
$43.01 |
$43.01 |
$43.01 |
$82.60
|
|
Creatine kinase
|
$57.50 |
$57.50 |
$57.50 |
$65.60
|
|
Creatine kinase isoenzymes
|
$39.56 |
$39.56 |
$39.56 |
$49.45
|
|
Creatine kinase mb
|
$67.62 |
$67.62 |
$67.62 |
$113.63
|
|
Creatine - sendout
|
$116.38 |
$116.38 |
$116.38 |
$39.00
|
|
Creatinine
|
$50.14 |
$50.14 |
$50.14 |
$44.72
|
|
Creatinine 24 hour urine
|
$14.03 |
$14.03 |
$14.03 |
$60.97
|
|
Creatinine clearance urine
|
$46.00 |
$46.00 |
$46.00 |
$87.50
|
|
Critical care 30-74 minutes
|
$1,022.58 |
$1,022.58 |
$1,022.58 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$621.23 |
$621.23 |
$621.23 |
$731.40
|
|
Cryoprecipitate each unit
|
$63.48 |
$63.48 |
$63.48 |
$144.78
|
|
Cryptosporidium antigen
|
$36.57 |
$36.57 |
$36.57 |
$52.08
|
|
Crystal identification light microscopy
|
$14.72 |
$14.72 |
$14.72 |
$62.00
|
|
CT 3d report other modality w/workstation
|
$456.78 |
$456.78 |
$456.78 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,022.58 |
$1,022.58 |
$1,022.58 |
$2,022.72
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$985.09 |
$985.09 |
$985.09 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$812.36 |
$812.36 |
$812.36 |
$2,026.74
|
|
Cta neck without &/or w/contrast
|
$1,029.71 |
$1,029.71 |
$1,029.71 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,008.59 |
$2,008.59 |
$2,008.59 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,015.91 |
$1,015.91 |
$1,015.91 |
$1,916.50
|
|
CT Angiogram of the Head
|
$1,029.71 |
$1,029.71 |
$1,029.71 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$888.72 |
$888.72 |
$888.72 |
$1,498.08
|
|
CT angio pelvis
|
$985.09 |
$985.09 |
$985.09 |
$1,804.80
|
|
Cta upper extremity w &/or without contrast left
|
$853.99 |
$853.99 |
$853.99 |
$1,680.70
|
|
CT bone density axial
|
$173.65 |
$173.65 |
$173.65 |
$360.85
|
|
CT heart w/evaluation of calcium without contrast
|
$61.87 |
$61.87 |
$61.87 |
$171.69
|
|
CT limited or localized follow-up study
|
$342.93 |
$342.93 |
$342.93 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$983.48 |
$983.48 |
$983.48 |
$1,585.20
|
|
CT lower extremity without contrast (both sides)
|
$688.16 |
$688.16 |
$688.16 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$812.36 |
$812.36 |
$812.36 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$808.68 |
$808.68 |
$808.68 |
$1,621.80
|
|
CT neck soft tissue without contrast
|
$712.54 |
$712.54 |
$712.54 |
$1,318.20
|
|
CT neck soft tissue without & w/contrast
|
$1,029.71 |
$1,029.71 |
$1,029.71 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$853.53 |
$853.53 |
$853.53 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$777.63 |
$777.63 |
$777.63 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$583.97 |
$583.97 |
$583.97 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$65.09 |
$65.09 |
$65.09 |
$420.75
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,815.85 |
$1,815.85 |
$1,815.85 |
$3,472.30
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,617.13 |
$1,617.13 |
$1,617.13 |
$2,855.63
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,414.50 |
$1,414.50 |
$1,414.50 |
$2,295.00
|
|
CT thoracic spine w/contrast
|
$868.25 |
$868.25 |
$868.25 |
$1,686.06
|
|
CT thoracic spine without contrast
|
$727.26 |
$727.26 |
$727.26 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$51.06 |
$51.06 |
$51.06 |
$345.80
|
|
CT t-spine w /wo contrast
|
$900.22 |
$900.22 |
$900.22 |
$2,005.50
|
|
CT upper extremity w/contrast (both sides)
|
$755.78 |
$755.78 |
$755.78 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$688.16 |
$688.16 |
$688.16 |
$1,414.20
|
|
CT uppr extremity w/o&w/dye
|
$812.36 |
$812.36 |
$812.36 |
$1,841.10
|
|
Culture aerobic additional method definitive id each
|
$63.48 |
$63.48 |
$63.48 |
$68.64
|
|
Culture afb any source
|
$26.22 |
$26.22 |
$26.22 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$66.70 |
$66.70 |
$66.70 |
$78.00
|
|
Culture anaerobic except blood
|
$66.70 |
$66.70 |
$66.70 |
$119.60
|
|
Culture bact stool aero addl path ea
|
$37.95 |
$37.95 |
$37.95 |
$51.15
|
|
Culture body fluid
|
$93.15 |
$93.15 |
$93.15 |
$120.50
|