|
Collection of venous blood by venipuncture
|
$6.67 |
$6.67 |
$6.67 |
$21.00
|
|
Colonoscopy (with biopsy)
|
$474.95 |
$474.95 |
$474.95 |
$2,080.00
|
|
Colposcopy/cervix/ conization 57461
|
$1,118.95 |
$1,118.95 |
$1,118.95 |
$3,720.50
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$36.57 |
$36.57 |
$36.57 |
$309.40
|
|
Colposcopy vulva 56820
|
$36.57 |
$36.57 |
$36.57 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$60.49 |
$60.49 |
$60.49 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$60.49 |
$60.49 |
$60.49 |
$474.65
|
|
Compatibility test each unit antiglobulin technique
|
$61.18 |
$61.18 |
$61.18 |
$168.72
|
|
Compatibility test each unit electronic
|
$30.59 |
$30.59 |
$30.59 |
$176.70
|
|
Compatibility test each unit immediate spin technique
|
$61.18 |
$61.18 |
$61.18 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$294.63 |
$294.63 |
$294.63 |
$933.75
|
|
Complement antigen each component c3
|
$20.47 |
$20.47 |
$20.47 |
$110.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$408.94 |
$408.94 |
$408.94 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$416.76 |
$416.76 |
$416.76 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$433.32 |
$433.32 |
$433.32 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$464.83 |
$464.83 |
$464.83 |
$1,193.40
|
|
Complx repair enel addl 5cm/< 13153
|
$409.40 |
$409.40 |
$409.40 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$420.90 |
$420.90 |
$420.90 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$422.28 |
$422.28 |
$422.28 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$307.05 |
$307.05 |
$307.05 |
$532.40
|
|
Complx repair sal addl 5 cm/> 13122
|
$379.96 |
$379.96 |
$379.96 |
$506.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$379.96 |
$379.96 |
$379.96 |
$537.00
|
|
Compre oph exam est pt 1/>
|
$57.04 |
$57.04 |
$57.04 |
$183.07
|
|
Compre oph exam new pt 1/>
|
$57.04 |
$57.04 |
$57.04 |
$186.00
|
|
Concentration infection agents any type
|
$11.27 |
$11.27 |
$11.27 |
$49.95
|
|
Condylomata destruction 56420
|
$218.27 |
$218.27 |
$218.27 |
$469.80
|
|
Consultation pathology during surgery
|
$51.06 |
$51.06 |
$51.06 |
$97.29
|
|
Consultation pathology during surgery frozen section each additional block
|
$14.03 |
$14.03 |
$14.03 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$46.69 |
$46.69 |
$46.69 |
$223.86
|
|
Consult comp w/report rfrd material
|
$132.48 |
$132.48 |
$132.48 |
$352.50
|
|
Contrast baths charges
|
$17.02 |
$17.02 |
$17.02 |
$70.50
|
|
Controller infinity pt dbs
|
$3,339.46 |
$3,339.46 |
$3,339.46 |
$4,507.75
|
|
Control nosebleed pack+caut 30905
|
$241.50 |
$241.50 |
$241.50 |
$385.45
|
|
Control of nosebleed ant comp 30903
|
$207.92 |
$207.92 |
$207.92 |
$397.98
|
|
Control of nosebleedantersmpl 30901
|
$76.13 |
$76.13 |
$76.13 |
$342.24
|
|
Control oropharyngeal hemorr/simp 42960
|
$207.92 |
$207.92 |
$207.92 |
$624.78
|
|
Coombs direct
|
$16.33 |
$16.33 |
$16.33 |
$73.26
|
|
Coombs indirect titer reference
|
$43.93 |
$43.93 |
$43.93 |
$146.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$386.63 |
$386.63 |
$386.63 |
$463.05
|
|
Cortisol acth stimulation test - sendout
|
$29.90 |
$29.90 |
$29.90 |
$146.25
|
|
Cortisol total am
|
$28.29 |
$28.29 |
$28.29 |
$121.55
|
|
Cosyntropin 0.25 mg solution for injection
|
$171.59 |
$171.59 |
$171.59 |
$189.22
|
|
Counseling visit to discuss need for ldct g0296
|
$37.72 |
$37.72 |
$37.72 |
$98.14
|
|
Covid-19 administration immunization im inj 1st/only component
|
$17.48 |
$17.48 |
$17.48 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$127.65 |
$127.65 |
$127.65 |
$553.80
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$127.65 |
$127.65 |
$127.65 |
$548.79
|
|
Covid-19 lab test non-cdc
|
$14.72 |
$14.72 |
$14.72 |
$76.26
|
|
#covid19rsv-rsv
|
$109.25 |
$109.25 |
$109.25 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$22.31 |
$22.31 |
$22.31 |
$60.00
|
|
C-peptide
|
$35.65 |
$35.65 |
$35.65 |
$93.60
|
|
C-reactive protein
|
$8.97 |
$8.97 |
$8.97 |
$65.07
|
|
C-reactive protein high sensitivity
|
$22.31 |
$22.31 |
$22.31 |
$82.60
|
|
C-reactive protein, quantitative
|
$18.40 |
$18.40 |
$18.40 |
$62.50
|
|
Creatine kinase
|
$11.04 |
$11.04 |
$11.04 |
$65.60
|
|
Creatine kinase mb
|
$19.78 |
$19.78 |
$19.78 |
$113.63
|
|
Creatine - sendout
|
$8.05 |
$8.05 |
$8.05 |
$40.30
|
|
Creatinine
|
$8.97 |
$8.97 |
$8.97 |
$44.72
|
|
Creatinine 24 hour urine
|
$8.97 |
$8.97 |
$8.97 |
$59.80
|
|
Creatinine clearance urine
|
$16.10 |
$16.10 |
$16.10 |
$87.50
|
|
#creutz-prot.,western blot
|
$30.82 |
$30.82 |
$30.82 |
$163.50
|
|
Critical care 30-74 minutes
|
$686.32 |
$686.32 |
$686.32 |
$2,535.00
|
|
Crotalidae poly immune fab
|
$2,942.16 |
$2,942.16 |
$2,942.16 |
$5,590.35
|
|
Cryocautery of cervix 57511
|
$1,118.95 |
$1,118.95 |
$1,118.95 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$14.72 |
$14.72 |
$14.72 |
$52.50
|
|
Cryoprecipitate each unit
|
$106.26 |
$106.26 |
$106.26 |
$144.78
|
|
Cryopreservation oocyte(s)
|
$598.92 |
$598.92 |
$598.92 |
$368.68
|
|
Cryosurgery penis lesion(s) 54056
|
$81.88 |
$81.88 |
$81.88 |
$271.20
|
|
Cryptosporidium antigen
|
$19.78 |
$19.78 |
$19.78 |
$52.08
|
|
Crystal identification light microscopy
|
$12.42 |
$12.42 |
$12.42 |
$61.38
|
|
Cstb gene full gene sequence
|
$212.06 |
$212.06 |
$212.06 |
$288.21
|
|
Cta neck without &/or w/contrast
|
$549.24 |
$549.24 |
$549.24 |
$1,894.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$614.33 |
$614.33 |
$614.33 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$576.61 |
$576.61 |
$576.61 |
$1,913.70
|
|
CT Angiogram of the Head
|
$549.24 |
$549.24 |
$549.24 |
$1,944.00
|
|
Cta upper extremity w &/or without contrast left
|
$549.24 |
$549.24 |
$549.24 |
$1,680.70
|
|
CT limited or localized follow-up study
|
$549.24 |
$549.24 |
$549.24 |
$642.00
|
|
CT lower extremity w/contrast (both sides)
|
$549.24 |
$549.24 |
$549.24 |
$1,585.20
|
|
CT lower extremity without contrast (both sides)
|
$521.87 |
$521.87 |
$521.87 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$576.61 |
$576.61 |
$576.61 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$549.24 |
$549.24 |
$549.24 |
$1,617.00
|
|
CT neck soft tissue without contrast
|
$521.87 |
$521.87 |
$521.87 |
$1,318.20
|
|
CT neck soft tissue without & w/contrast
|
$576.61 |
$576.61 |
$576.61 |
$1,940.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$576.61 |
$576.61 |
$576.61 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$549.24 |
$549.24 |
$549.24 |
$1,543.00
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$549.24 |
$549.24 |
$549.24 |
$1,342.20
|
|
Ctrl nosebld postir subsq 30906
|
$94.99 |
$94.99 |
$94.99 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$576.61 |
$576.61 |
$576.61 |
$3,408.50
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$549.24 |
$549.24 |
$549.24 |
$2,825.55
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$521.87 |
$521.87 |
$521.87 |
$2,290.20
|
|
CT thoracic spine w/contrast
|
$549.24 |
$549.24 |
$549.24 |
$1,683.20
|
|
CT thoracic spine without contrast
|
$521.87 |
$521.87 |
$521.87 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$89.47 |
$89.47 |
$89.47 |
$331.50
|
|
CT t-spine w /wo contrast
|
$576.61 |
$576.61 |
$576.61 |
$2,020.20
|
|
CT upper extremity w/contrast (both sides)
|
$549.24 |
$549.24 |
$549.24 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$521.87 |
$521.87 |
$521.87 |
$1,411.00
|
|
CT uppr extremity w/o&w/dye
|
$576.61 |
$576.61 |
$576.61 |
$1,841.40
|
|
Culture aerobic additional method definitive id each
|
$14.03 |
$14.03 |
$14.03 |
$67.80
|
|
Culture afb any source
|
$18.63 |
$18.63 |
$18.63 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$14.03 |
$14.03 |
$14.03 |
$79.00
|
|
Culture anaerobic except blood
|
$16.10 |
$16.10 |
$16.10 |
$119.40
|
