|
Colonoscopy w/decompression
|
$670.50 |
$670.50 |
$670.50 |
$1,572.20
|
|
Colonoscopy w/endoscope Ultrasound
|
$808.00 |
$808.00 |
$808.00 |
$1,645.43
|
|
Colonoscopy w/endoscopic fnb
|
$931.00 |
$931.00 |
$931.00 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$694.00 |
$694.00 |
$694.00 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$514.00 |
$514.00 |
$514.00 |
$1,395.28
|
|
Colonoscopy w/injection
|
$715.00 |
$715.00 |
$715.00 |
$2,448.60
|
|
Colonoscopy with ablation
|
$922.00 |
$922.00 |
$922.00 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$895.50 |
$895.50 |
$895.50 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$692.50 |
$692.50 |
$692.50 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$653.00 |
$653.00 |
$653.00 |
$2,288.00
|
|
Colonoscopy w/resection
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$3,029.60
|
|
Colonoscopy w/stent plcmt
|
$644.50 |
$644.50 |
$644.50 |
$5,419.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$6,784.00 |
$6,784.00 |
$6,784.00 |
$3,762.53
|
|
Colposcopy vulva 56820
|
$631.00 |
$631.00 |
$631.00 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$361.50 |
$361.50 |
$361.50 |
$393.60
|
|
Colpotomy w/exploration 57000
|
$5,059.50 |
$5,059.50 |
$5,059.50 |
$4,075.20
|
|
Compatibility test each unit antiglobulin technique
|
$221.50 |
$221.50 |
$221.50 |
$172.00
|
|
Compatibility test each unit electronic
|
$99.50 |
$99.50 |
$99.50 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$202.50 |
$202.50 |
$202.50 |
$167.17
|
|
Complement antigen each component c3
|
$407.50 |
$407.50 |
$407.50 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$921.50 |
$921.50 |
$921.50 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,237.00 |
$1,237.00 |
$1,237.00 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$833.00 |
$833.00 |
$833.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,040.50 |
$2,040.50 |
$2,040.50 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$671.50 |
$671.50 |
$671.50 |
$789.60
|
|
Complx repair fccmnaxghf 13132
|
$704.00 |
$704.00 |
$704.00 |
$1,066.92
|
|
Complx repair fccmnaxghf 13133
|
$641.50 |
$641.50 |
$641.50 |
$493.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$854.00 |
$854.00 |
$854.00 |
$494.34
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,576.00 |
$1,576.00 |
$1,576.00 |
$1,003.80
|
|
Complx repair trunk addl 5cm/< 13102
|
$419.00 |
$419.00 |
$419.00 |
$502.00
|
|
Composite graft/pri close/don area 15760
|
$9,055.00 |
$9,055.00 |
$9,055.00 |
$2,816.50
|
|
Computed tomographic angiography head and neck with contrast
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$2,237.25
|
|
Concentration infection agents any type
|
$81.50 |
$81.50 |
$81.50 |
$51.32
|
|
Condylomata destruction 56420
|
$325.00 |
$325.00 |
$325.00 |
$463.98
|
|
Consultation pathology during surgery cytological exam initial site
|
$116.00 |
$116.00 |
$116.00 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$54.00 |
$54.00 |
$54.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$119.50 |
$119.50 |
$119.50 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$90.00 |
$90.00 |
$90.00 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$182.00 |
$182.00 |
$182.00 |
$176.15
|
|
Consult comp w/report rfrd material
|
$412.00 |
$412.00 |
$412.00 |
$375.00
|
|
Contrast baths charges
|
$130.50 |
$130.50 |
$130.50 |
$74.25
|
|
Contrast exam abdominl aorta 75625-26
|
$4,681.50 |
$4,681.50 |
$4,681.50 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$2,621.50 |
$2,621.50 |
$2,621.50 |
$3,570.00
|
|
Contrast exam thoracic aorta 75605-26
|
$3,098.00 |
$3,098.00 |
$3,098.00 |
$3,663.60
|
|
Contrast x-ray of ankle
|
$790.00 |
$790.00 |
$790.00 |
$676.80
|
|
Contrast x-ray of elbow
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$686.95
|
|
Contrast x-ray of hip
|
$1,061.00 |
$1,061.00 |
$1,061.00 |
$781.13
|
|
Contrast x-ray of knee joint
|
$1,257.50 |
$1,257.50 |
$1,257.50 |
$777.00
|
|
Contrast x-ray of wrist
|
$885.00 |
$885.00 |
$885.00 |
$655.00
|
|
Controler lvad heartmate 3 includes ebb
|
$21,557.50 |
$21,557.50 |
$21,557.50 |
$13,218.75
|
|
Control nosebleed pack+caut 30905
|
$380.00 |
$380.00 |
$380.00 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$828.50 |
$828.50 |
$828.50 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$644.00 |
$644.00 |
$644.00 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$469.00 |
$469.00 |
$469.00 |
$618.80
|
|
Contrst x-ray uppr gi tract
|
$1,709.00 |
$1,709.00 |
$1,709.00 |
$762.93
|
|
Conversion ext bil drg cath
|
$2,480.00 |
$2,480.00 |
$2,480.00 |
$4,099.56
|
|
Convert nephrostomy catheter
|
$4,619.00 |
$4,619.00 |
$4,619.00 |
$2,777.60
|
|
Conv gtube to jtube
|
$668.50 |
$668.50 |
$668.50 |
$2,073.18
|
|
Coombs direct
|
$158.50 |
$158.50 |
$158.50 |
$76.44
|
|
Coombs indirect titer reference
|
$169.50 |
$169.50 |
$169.50 |
$155.40
|
|
Core ndl bx lng/med perq
|
$6,327.50 |
$6,327.50 |
$6,327.50 |
$2,862.11
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$6,835.50 |
$6,835.50 |
$6,835.50 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$5,950.50 |
$5,950.50 |
$5,950.50 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$6,642.00 |
$6,642.00 |
$6,642.00 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$5,282.50 |
$5,282.50 |
$5,282.50 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,645.50 |
$5,645.50 |
$5,645.50 |
$7,950.49
|
|
Cortisol total am
|
$398.00 |
$398.00 |
$398.00 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$239.00 |
$239.00 |
$239.00 |
$114.00
|
|
Cov-19 amp prb hgh thruput
|
$77.50 |
$77.50 |
$77.50 |
$108.68
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$480.00 |
$480.00 |
$480.00 |
$588.08
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$480.00 |
$480.00 |
$480.00 |
$540.00
|
|
#covid19rsv-rsv
|
$67.50 |
$67.50 |
$67.50 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$127.00 |
$127.00 |
$127.00 |
$60.00
|
|
C-peptide
|
$187.00 |
$187.00 |
$187.00 |
$93.60
|
|
Crbrospnl fld flw imag cistern
|
$2,120.50 |
$2,120.50 |
$2,120.50 |
$1,281.00
|
|
C-reactive protein
|
$223.00 |
$223.00 |
$223.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$211.50 |
$211.50 |
$211.50 |
$85.00
|
|
C-reactive protein, quantitative
|
$28.00 |
$28.00 |
$28.00 |
$62.50
|
|
Creatine kinase
|
$275.50 |
$275.50 |
$275.50 |
$65.60
|
|
Creatine kinase isoenzymes
|
$19.50 |
$19.50 |
$19.50 |
$54.60
|
|
Creatine kinase mb
|
$360.50 |
$360.50 |
$360.50 |
$113.63
|
|
Creatine - sendout
|
$60.00 |
$60.00 |
$60.00 |
$39.29
|
|
Creatinine
|
$208.00 |
$208.00 |
$208.00 |
$45.65
|
|
Creatinine 24 hour urine
|
$176.00 |
$176.00 |
$176.00 |
$57.60
|
|
Creatinine clearance urine
|
$381.00 |
$381.00 |
$381.00 |
$89.28
|
|
#creutz-prot.,western blot
|
$137.00 |
$137.00 |
$137.00 |
$163.50
|
|
Critical care 30-74 minutes
|
$4,149.00 |
$4,149.00 |
$4,149.00 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$634.50 |
$634.50 |
$634.50 |
$686.86
|
|
Cryofibrinogen qualitative - sendout
|
$106.00 |
$106.00 |
$106.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$95.50 |
$95.50 |
$95.50 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$96.00 |
$96.00 |
$96.00 |
$89.70
|
|
Crystal identification light microscopy
|
$103.00 |
$103.00 |
$103.00 |
$65.50
|
|
Csf leakage imaging
|
$1,927.00 |
$1,927.00 |
$1,927.00 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$704.50 |
$704.50 |
$704.50 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$1,732.50 |
$1,732.50 |
$1,732.50 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$1,912.00 |
$1,912.00 |
$1,912.00 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,421.50 |
$1,421.50 |
$1,421.50 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,205.50 |
$1,205.50 |
$1,205.50 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$1,899.75
|
