|
Collection blood specimen from completely implantable venous access device
|
$79.85 |
$79.85 |
$79.85 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$79.85 |
$79.85 |
$79.85 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$11.99 |
$11.99 |
$11.99 |
$20.30
|
|
Colonoscopy (diagnostic)
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,500.00
|
|
Colonoscopy flex with decompression 45393
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,364.66
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,846.40
|
|
Colonoscopy for bleeding 44391
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,645.43
|
|
Colonoscopy for foreign body
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,056.92
|
|
Colonoscopy & polypectomy 44392
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,305.08
|
|
Colonoscopy stoma w/snare 44394
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,368.00
|
|
Colonoscopy submucous njx
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,261.31
|
|
Colonoscopy w/ablation
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,497.60
|
|
Colonoscopy w/band ligation
|
$1,139.21 |
$1,139.21 |
$1,139.21 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,019.60
|
|
Colonoscopy w/endoscope Ultrasound
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,364.66
|
|
Colonoscopy/w endoscopic stent 45389
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,379.25
|
|
Colonoscopy w/fb removal
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,306.21
|
|
Colonoscopy w/injection
|
$1,253.13 |
$1,253.13 |
$1,253.13 |
$1,422.40
|
|
Colonoscopy with ablation
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,740.00
|
|
Colonoscopy (with biopsy)
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,074.50
|
|
Colonoscopy with biopsy
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,368.00
|
|
Colonoscopy (with polyp removal)
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,074.50
|
|
Colonoscopy w/resection
|
$2,522.64 |
$2,522.64 |
$2,522.64 |
$3,214.09
|
|
Colonoscopy w/stent plcmt
|
$2,859.02 |
$2,859.02 |
$2,859.02 |
$4,379.25
|
|
Compatibility test each unit antiglobulin technique
|
$68.00 |
$68.00 |
$68.00 |
$156.60
|
|
Compatibility test each unit electronic
|
$102.11 |
$102.11 |
$102.11 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$102.11 |
$102.11 |
$102.11 |
$156.24
|
|
Complement antigen each component c3
|
$93.26 |
$93.26 |
$93.26 |
$110.00
|
|
Concentration infection agents any type
|
$29.90 |
$29.90 |
$29.90 |
$48.00
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$305.36 |
$305.36 |
$305.36 |
$2,242.57
|
|
Conivaptan hcl
|
$99.78 |
$99.78 |
$99.78 |
$438.57
|
|
Conjugated estrogens 25 mg solution for injection
|
$768.50 |
$768.50 |
$768.50 |
$768.50
|
|
Connector tis 2x10mm
|
$2,909.36 |
$2,909.36 |
$2,909.36 |
$3,167.05
|
|
Consultation pathology during surgery cytological exam initial site
|
$368.46 |
$368.46 |
$368.46 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$31.71 |
$31.71 |
$31.71 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$75.50 |
$75.50 |
$75.50 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$29.60 |
$29.60 |
$29.60 |
$231.75
|
|
Contrast baths charges
|
$40.50 |
$40.50 |
$40.50 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$1,220.51 |
$1,220.51 |
$1,220.51 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$1,101.92 |
$1,101.92 |
$1,101.92 |
$3,167.26
|
|
Contrast x-ray of ankle
|
$194.49 |
$194.49 |
$194.49 |
$517.26
|
|
Contrast x-ray of elbow
|
$205.79 |
$205.79 |
$205.79 |
$566.28
|
|
Contrast x-ray of hip
|
$215.28 |
$215.28 |
$215.28 |
$676.12
|
|
Contrast x-ray of knee joint
|
$194.49 |
$194.49 |
$194.49 |
$623.50
|
|
Contrast x-ray of wrist
|
$289.29 |
$289.29 |
$289.29 |
$541.20
|
|
Conversion ext bil drg cath
|
$1,811.84 |
$1,811.84 |
$1,811.84 |
$4,270.00
|
|
Convert nephrostomy catheter
|
$2,643.96 |
$2,643.96 |
$2,643.96 |
$4,197.30
|
|
Conv gtube to jtube
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,011.50
|
|
Coombs direct
|
$56.69 |
$56.69 |
$56.69 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$102.11 |
$102.11 |
$102.11 |
$76.70
|
|
Coombs indirect titer reference
|
$156.71 |
$156.71 |
$156.71 |
$122.85
|
|
Core ndl bx lng/med perq
|
$2,200.35 |
$2,200.35 |
$2,200.35 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$7,673.82 |
$7,673.82 |
$7,673.82 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$7,673.82 |
$7,673.82 |
$7,673.82 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$7,759.22 |
$7,759.22 |
$7,759.22 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$6,208.25 |
$6,208.25 |
$6,208.25 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,208.25 |
$6,208.25 |
$6,208.25 |
$9,198.18
|
|
Cortisol acth stimulation test - sendout
|
$81.09 |
$81.09 |
$81.09 |
$143.40
|
|
Cortisol total am
|
$95.76 |
$95.76 |
$95.76 |
$117.81
|
|
Co-treatment - group 15 mins, st
|
$56.60 |
$56.60 |
$56.60 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$36.39 |
$36.39 |
$36.39 |
$57.85
|
|
#covid19rsv-rsv
|
$36.36 |
$36.36 |
$36.36 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$65.36 |
$65.36 |
$65.36 |
$65.36
|
|
C-peptide
|
$79.41 |
$79.41 |
$79.41 |
$111.20
|
|
Cr-51 sodium chromate
|
$1,079.81 |
$1,079.81 |
$1,079.81 |
$4,440.15
|
|
Crbrospnl fld flw imag cistern
|
$908.73 |
$908.73 |
$908.73 |
$1,170.64
|
|
C-reactive protein
|
$52.04 |
$52.04 |
$52.04 |
$54.43
|
|
C-reactive protein high sensitivity
|
$204.95 |
$204.95 |
$204.95 |
$91.65
|
|
Creatine kinase
|
$32.63 |
$32.63 |
$32.63 |
$55.00
|
|
Creatine kinase isoenzymes
|
$66.17 |
$66.17 |
$66.17 |
$66.00
|
|
Creatinine
|
$34.11 |
$34.11 |
$34.11 |
$40.00
|
|
Creatinine 24 hour urine
|
$40.10 |
$40.10 |
$40.10 |
$54.40
|
|
Creatinine clearance urine
|
$58.38 |
$58.38 |
$58.38 |
$73.86
|
|
#creutz-prot.,western blot
|
$96.96 |
$96.96 |
$96.96 |
$178.10
|
|
Critical care 30-74 minutes
|
$976.02 |
$976.02 |
$976.02 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$545.60 |
$545.60 |
$545.60 |
$663.00
|
|
Crotalidae poly immune fab
|
$6,873.14 |
$6,873.14 |
$6,873.14 |
$3,996.74
|
|
Cryofibrinogen qualitative - sendout
|
$47.73 |
$47.73 |
$47.73 |
$52.50
|
|
Cryoprecipitate each unit
|
$397.85 |
$397.85 |
$397.85 |
$182.25
|
|
Cryptococcus abs qn - sendout
|
$237.50 |
$237.50 |
$237.50 |
$89.70
|
|
Crystal identification light microscopy
|
$54.47 |
$54.47 |
$54.47 |
$56.44
|
|
CT 3d report other modality w/workstation
|
$277.94 |
$277.94 |
$277.94 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$856.50 |
$856.50 |
$856.50 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$813.87 |
$813.87 |
$813.87 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$731.48 |
$731.48 |
$731.48 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$779.28 |
$779.28 |
$779.28 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,892.27 |
$1,892.27 |
$1,892.27 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$868.77 |
$868.77 |
$868.77 |
$1,728.80
|
|
CT Angiogram of the Head
|
$779.28 |
$779.28 |
$779.28 |
$1,951.50
|
|
CT angio hrt w/3d image
|
$1,085.27 |
$1,085.27 |
$1,085.27 |
$1,618.00
|
|
Cta upper extremity w &/or without contrast left
|
$941.03 |
$941.03 |
$941.03 |
$1,650.60
|
|
CT guidance for needle placement
|
$567.44 |
$567.44 |
$567.44 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$255.93 |
$255.93 |
$255.93 |
$1,007.29
|
|
CT guid parench tis ablat
|
$628.43 |
$628.43 |
$628.43 |
$1,228.50
|
|
CT heart w/evaluation of calcium without contrast
|
$101.15 |
$101.15 |
$101.15 |
$176.89
|
|
CT hrt w/3d image
|
$1,008.18 |
$1,008.18 |
$1,008.18 |
$1,513.20
|
|
CT limited or localized follow-up study
|
$235.65 |
$235.65 |
$235.65 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$687.89 |
$687.89 |
$687.89 |
$1,585.18
|