|
Change g-tube to g-j perc
|
$5,143.56 |
$5,143.56 |
$5,143.56 |
$2,206.00
|
|
Change of ureter tube/stent
|
$13,101.40 |
$13,101.40 |
$13,101.40 |
$2,424.12
|
|
Change ureter stent percut
|
$7,380.59 |
$7,380.59 |
$7,380.59 |
$3,930.55
|
|
Chemo adm cns w/lmbr punct
|
$3,987.37 |
$3,987.37 |
$3,987.37 |
$722.70
|
|
Chemo ia push tecnique
|
$955.43 |
$955.43 |
$955.43 |
$500.20
|
|
Chest 2 vws w oblique
|
$1,819.07 |
$1,819.07 |
$1,819.07 |
$373.20
|
|
Chg pr pul rehab for copd patients
|
$461.16 |
$461.16 |
$461.16 |
$150.00
|
|
Chlamydia culture
|
$1,067.43 |
$1,067.43 |
$1,067.43 |
$94.90
|
|
Chlamydia type
|
$1,067.43 |
$1,067.43 |
$1,067.43 |
$34.75
|
|
Chloride
|
$619.84 |
$619.84 |
$619.84 |
$38.50
|
|
Chloride 24 hour urine
|
$486.23 |
$486.23 |
$486.23 |
$46.13
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$347.12 |
$347.12 |
$347.12 |
$89.81
|
|
Cholangiogram percutaneous compl
|
$5,159.07 |
$5,159.07 |
$5,159.07 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$4,935.83 |
$4,935.83 |
$4,935.83 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$8,240.00 |
$8,240.00 |
$8,240.00 |
$3,856.84
|
|
Cholesterol
|
$734.15 |
$734.15 |
$734.15 |
$46.15
|
|
Cholesterol body fluid
|
$716.44 |
$716.44 |
$716.44 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$1,622.85 |
$1,622.85 |
$1,622.85 |
$115.70
|
|
Cholinesterase
|
$611.80 |
$611.80 |
$611.80 |
$38.69
|
|
Chromatography
|
$133.20 |
$133.20 |
$133.20 |
$80.60
|
|
Chromogenic substrate assay
|
$677.52 |
$677.52 |
$677.52 |
$183.52
|
|
Chromo high res and frag x - sendout
|
$1,453.80 |
$1,453.80 |
$1,453.80 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$3,269.86 |
$3,269.86 |
$3,269.86 |
$448.80
|
|
Chromosome analysis 5
|
$2,833.57 |
$2,833.57 |
$2,833.57 |
$644.80
|
|
Chromosome count additional
|
$1,585.83 |
$1,585.83 |
$1,585.83 |
$110.00
|
|
Chromosome karyotype study
|
$1,585.83 |
$1,585.83 |
$1,585.83 |
$102.72
|
|
C-kit mutation liquid tumor - sendout
|
$3,585.44 |
$3,585.44 |
$3,585.44 |
$640.41
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$2,873.03 |
$2,873.03 |
$2,873.03 |
$81.02
|
|
Clot factor viii reltd antgn
|
$2,181.54 |
$2,181.54 |
$2,181.54 |
$95.72
|
|
Clot factor xii hageman
|
$1,885.29 |
$1,885.29 |
$1,885.29 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$933.79 |
$933.79 |
$933.79 |
$84.27
|
|
Clotting assay whole blood
|
$992.58 |
$992.58 |
$992.58 |
$105.95
|
|
#cmvcul-virus inoculation shell
|
$145.07 |
$145.07 |
$145.07 |
$102.57
|
|
Cmv pcr-sendout
|
$1,073.86 |
$1,073.86 |
$1,073.86 |
$172.25
|
|
Coagulation time activated teg
|
$763.13 |
$763.13 |
$763.13 |
$50.05
|
|
Cold agglutinin screen (arc)
|
$698.74 |
$698.74 |
$698.74 |
$47.19
|
|
Cold agglutinin titer
|
$698.74 |
$698.74 |
$698.74 |
$49.40
|
|
Colistimethate sodium inj
|
$2,344.80 |
$2,344.80 |
$2,344.80 |
$84.22
|
|
Collection blood specimen from completely implantable venous access device
|
$550.97 |
$550.97 |
$550.97 |
$159.60
|
|
Collection of venous blood by venipuncture
|
$96.60 |
$96.60 |
$96.60 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$1,456.81 |
$1,456.81 |
$1,456.81 |
$165.00
|
|
Compatibility test each unit electronic
|
$491.03 |
$491.03 |
$491.03 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$275.31 |
$275.31 |
$275.31 |
$159.95
|
|
Compatibility test incubate
|
$1,040.20 |
$1,040.20 |
$1,040.20 |
$143.64
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,453.19 |
$2,453.19 |
$2,453.19 |
$792.24
|
|
Consultation pathology during surgery
|
$460.68 |
$460.68 |
$460.68 |
$112.45
|
|
Consultation pathology during surgery frozen section each additional block
|
$616.61 |
$616.61 |
$616.61 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$974.05 |
$974.05 |
$974.05 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$1,114.91 |
$1,114.91 |
$1,114.91 |
$176.15
|
|
Consult comp w/report rfrd material
|
$1,812.44 |
$1,812.44 |
$1,812.44 |
$345.71
|
|
Contrast exam thoracic aorta 75605-26
|
$8,510.25 |
$8,510.25 |
$8,510.25 |
$3,780.00
|
|
Contrast x-ray of ankle
|
$1,337.75 |
$1,337.75 |
$1,337.75 |
$566.28
|
|
Coombs indirect qualitative each reagent red cell reference
|
$619.84 |
$619.84 |
$619.84 |
$100.29
|
|
Coombs indirect titer reference
|
$518.41 |
$518.41 |
$518.41 |
$143.40
|
|
Cornea 1/2moon str split thick
|
$100,000.00 |
$100,000.00 |
$100,000.00 |
$100,000.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,986.70 |
$1,986.70 |
$1,986.70 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$325.27 |
$325.27 |
$325.27 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$1,013.29 |
$1,013.29 |
$1,013.29 |
$57.60
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$897.42 |
$897.42 |
$897.42 |
$569.31
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$922.31 |
$922.31 |
$922.31 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$83.36 |
$83.36 |
$83.36 |
$56.44
|
|
C-peptide
|
$698.74 |
$698.74 |
$698.74 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$7,240.26 |
$7,240.26 |
$7,240.26 |
$1,409.85
|
|
C-reactive protein
|
$264.04 |
$264.04 |
$264.04 |
$61.10
|
|
C-reactive protein high sensitivity
|
$309.11 |
$309.11 |
$309.11 |
$91.20
|
|
Creatine kinase
|
$1,048.09 |
$1,048.09 |
$1,048.09 |
$58.30
|
|
Creatine kinase isoenzymes
|
$1,442.54 |
$1,442.54 |
$1,442.54 |
$49.40
|
|
Creatine kinase mb
|
$1,048.09 |
$1,048.09 |
$1,048.09 |
$105.95
|
|
Creatine - sendout
|
$400.89 |
$400.89 |
$400.89 |
$40.59
|
|
Creatinine
|
$626.28 |
$626.28 |
$626.28 |
$42.50
|
|
Creatinine clearance urine
|
$1,017.52 |
$1,017.52 |
$1,017.52 |
$85.80
|
|
Crotalidae poly immune fab
|
$29,760.63 |
$29,760.63 |
$29,760.63 |
$6,208.33
|
|
Cryptococcus abs qn - sendout
|
$414.68 |
$414.68 |
$414.68 |
$80.85
|
|
Cryptosporidium antigen
|
$2,257.20 |
$2,257.20 |
$2,257.20 |
$58.94
|
|
Crystal identification light microscopy
|
$568.33 |
$568.33 |
$568.33 |
$58.50
|
|
CT 3d report other modality w/workstation
|
$490.39 |
$490.39 |
$490.39 |
$613.47
|
|
CT angio hrt w/3d image
|
$25,248.95 |
$25,248.95 |
$25,248.95 |
$1,601.60
|
|
CT guidance for needle placement
|
$10,775.40 |
$10,775.40 |
$10,775.40 |
$1,506.04
|
|
CT heart w/evaluation of calcium without contrast
|
$842.40 |
$842.40 |
$842.40 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$25,248.95 |
$25,248.95 |
$25,248.95 |
$1,217.45
|
|
CT hrt w/3d image
|
$25,248.95 |
$25,248.95 |
$25,248.95 |
$1,477.35
|
|
CT limited or localized follow-up study
|
$2,201.43 |
$2,201.43 |
$2,201.43 |
$630.50
|
|
Culture afb any source
|
$1,044.20 |
$1,044.20 |
$1,044.20 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$904.81 |
$904.81 |
$904.81 |
$75.29
|
|
Culture anaerobic except blood
|
$1,564.90 |
$1,564.90 |
$1,564.90 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$363.85 |
$363.85 |
$363.85 |
$52.50
|
|
Culture fungi definitive id mold
|
$882.27 |
$882.27 |
$882.27 |
$70.00
|
|
Culture fungi definitive id yeast
|
$1,339.50 |
$1,339.50 |
$1,339.50 |
$79.00
|
|
Culture fungi other (except blood)
|
$1,250.95 |
$1,250.95 |
$1,250.95 |
$94.90
|
|
Culture fungi skin/hair/nail
|
$1,155.03 |
$1,155.03 |
$1,155.03 |
$76.05
|
|
Culture mycobacteria definitive id each isolate
|
$1,208.01 |
$1,208.01 |
$1,208.01 |
$88.14
|
|
Culture mycoplasma any source
|
$706.79 |
$706.79 |
$706.79 |
$90.37
|
|
Culture quantitative aerobic other source
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$85.80
|
|
Culture typing added method
|
$97.00 |
$97.00 |
$97.00 |
$34.45
|
|
Culture typing immunologic
|
$806.60 |
$806.60 |
$806.60 |
$41.19
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$862.48 |
$862.48 |
$862.48 |
$101.45
|
|
Culture urine each isolate
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$46.20
|
|
Cv line/pic reposition
|
$6,531.50 |
$6,531.50 |
$6,531.50 |
$1,789.77
|
|
Cyanocobalamin unsat binding capacity
|
$311.67 |
$311.67 |
$311.67 |
$60.75
|
