|
Condylomata destruction 56420
|
$103.84 |
$103.84 |
$103.84 |
$509.81
|
|
Conivaptan hcl
|
$59.88 |
$59.88 |
$59.88 |
$438.57
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,079.59 |
$1,079.59 |
$1,079.59 |
$986.92
|
|
Connect omega .5mm
|
$950.67 |
$950.67 |
$950.67 |
$1,069.43
|
|
Consultation pathology during surgery cytological exam initial site
|
$229.50 |
$229.50 |
$229.50 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$42.19 |
$42.19 |
$42.19 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$154.76 |
$154.76 |
$154.76 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$37.88 |
$37.88 |
$37.88 |
$239.85
|
|
Contrast exam abdominl aorta 75625-26
|
$1,205.55 |
$1,205.55 |
$1,205.55 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$4,178.00
|
|
Contrast x-ray of ankle
|
$198.15 |
$198.15 |
$198.15 |
$602.40
|
|
Contrast x-ray of brain
|
$336.00 |
$336.00 |
$336.00 |
$930.42
|
|
Contrast x-ray of elbow
|
$198.15 |
$198.15 |
$198.15 |
$637.14
|
|
Contrast x-ray of hip
|
$227.70 |
$227.70 |
$227.70 |
$768.00
|
|
Contrast x-ray of knee joint
|
$247.71 |
$247.71 |
$247.71 |
$683.20
|
|
Contrast x-ray of wrist
|
$206.10 |
$206.10 |
$206.10 |
$623.50
|
|
Controller infinity pt dbs
|
$2,324.55 |
$2,324.55 |
$2,324.55 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$63.15 |
$63.15 |
$63.15 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$126.15 |
$126.15 |
$126.15 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$92.70 |
$92.70 |
$92.70 |
$385.45
|
|
Conversion ext bil drg cath
|
$2,089.05 |
$2,089.05 |
$2,089.05 |
$4,661.80
|
|
Coombs direct
|
$35.45 |
$35.45 |
$35.45 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$42.00 |
$42.00 |
$42.00 |
$94.90
|
|
Coombs indirect titer reference
|
$57.45 |
$57.45 |
$57.45 |
$146.00
|
|
Core ndl bx lng/med perq
|
$775.44 |
$775.44 |
$775.44 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$7,537.80 |
$7,537.80 |
$7,537.80 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$6,979.35 |
$6,979.35 |
$6,979.35 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$8,375.25 |
$8,375.25 |
$8,375.25 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$4,399.95 |
$4,399.95 |
$4,399.95 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,074.00 |
$4,074.00 |
$4,074.00 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$163.05 |
$163.05 |
$163.05 |
$489.00
|
|
Correct rectal prolapse
|
$1,751.40 |
$1,751.40 |
$1,751.40 |
$3,722.88
|
|
Cortisol total am
|
$73.50 |
$73.50 |
$73.50 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$2,783.27 |
$2,783.27 |
$2,783.27 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$31.80 |
$31.80 |
$31.80 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$16.95 |
$16.95 |
$16.95 |
$57.85
|
|
Covid-19 lab test non-cdc
|
$31.35 |
$31.35 |
$31.35 |
$56.44
|
|
#covid19rsv-rsv
|
$19.64 |
$19.64 |
$19.64 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$23.70 |
$23.70 |
$23.70 |
$65.36
|
|
C-peptide
|
$52.33 |
$52.33 |
$52.33 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$450.90 |
$450.90 |
$450.90 |
$1,466.97
|
|
C-reactive protein
|
$41.70 |
$41.70 |
$41.70 |
$63.00
|
|
Creatine kinase
|
$43.00 |
$43.00 |
$43.00 |
$59.78
|
|
Creatine kinase isoenzymes
|
$101.63 |
$101.63 |
$101.63 |
$46.34
|
|
Creatine kinase mb
|
$82.80 |
$82.80 |
$82.80 |
$111.00
|
|
Creatinine
|
$30.57 |
$30.57 |
$30.57 |
$44.10
|
|
Creatinine 24 hour urine
|
$30.57 |
$30.57 |
$30.57 |
$59.80
|
|
Creatinine clearance urine
|
$70.04 |
$70.04 |
$70.04 |
$87.50
|
|
#creutz-prot.,western blot
|
$96.00 |
$96.00 |
$96.00 |
$173.00
|
|
Critical care 30-74 minutes
|
$947.07 |
$947.07 |
$947.07 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$255.75 |
$255.75 |
$255.75 |
$777.00
|
|
Crotalidae poly immune fab
|
$8,495.54 |
$8,495.54 |
$8,495.54 |
$5,160.00
|
|
Cryofibrinogen qualitative - sendout
|
$8.10 |
$8.10 |
$8.10 |
$50.88
|
|
Cryoprecipitate each unit
|
$58.50 |
$58.50 |
$58.50 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$17.70 |
$17.70 |
$17.70 |
$70.00
|
|
Cryptosporidium antigen
|
$36.30 |
$36.30 |
$36.30 |
$56.00
|
|
Crystal identification light microscopy
|
$58.50 |
$58.50 |
$58.50 |
$65.25
|
|
Csf leakage imaging
|
$630.60 |
$630.60 |
$630.60 |
$1,446.24
|
|
Cta abdomen without & /or w/contrast
|
$1,724.85 |
$1,724.85 |
$1,724.85 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,728.60 |
$1,728.60 |
$1,728.60 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,881.25 |
$1,881.25 |
$1,881.25 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,895.36 |
$1,895.36 |
$1,895.36 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,226.76 |
$1,226.76 |
$1,226.76 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,106.19 |
$1,106.19 |
$1,106.19 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$201.30 |
$201.30 |
$201.30 |
$1,588.60
|
|
CT angio pelvis
|
$679.50 |
$679.50 |
$679.50 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$639.09 |
$639.09 |
$639.09 |
$1,652.25
|
|
CT guidance for needle placement
|
$489.84 |
$489.84 |
$489.84 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$506.55 |
$506.55 |
$506.55 |
$1,085.05
|
|
CT heart w/evaluation of calcium without contrast
|
$43.50 |
$43.50 |
$43.50 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$167.85 |
$167.85 |
$167.85 |
$1,217.45
|
|
CT hrt w/3d image
|
$171.75 |
$171.75 |
$171.75 |
$1,418.60
|
|
CT lower extremity w/contrast (both sides)
|
$807.15 |
$807.15 |
$807.15 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$625.65 |
$625.65 |
$625.65 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$944.70 |
$944.70 |
$944.70 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,042.65 |
$1,042.65 |
$1,042.65 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$844.50 |
$844.50 |
$844.50 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$1,251.15 |
$1,251.15 |
$1,251.15 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$740.85 |
$740.85 |
$740.85 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$634.95 |
$634.95 |
$634.95 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$556.95 |
$556.95 |
$556.95 |
$1,351.20
|
|
CT scan for therapy guide
|
$317.70 |
$317.70 |
$317.70 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,242.50 |
$2,242.50 |
$2,242.50 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,042.40 |
$2,042.40 |
$2,042.40 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,672.82 |
$1,672.82 |
$1,672.82 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$1,149.30 |
$1,149.30 |
$1,149.30 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$877.35 |
$877.35 |
$877.35 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$270.19 |
$270.19 |
$270.19 |
$400.20
|
|
CT t-spine w /wo contrast
|
$1,351.05 |
$1,351.05 |
$1,351.05 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$1,275.90 |
$1,275.90 |
$1,275.90 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$1,020.75 |
$1,020.75 |
$1,020.75 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$1,582.20 |
$1,582.20 |
$1,582.20 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$36.45 |
$36.45 |
$36.45 |
$63.75
|
|
Culture afb any source
|
$74.85 |
$74.85 |
$74.85 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$15.00 |
$15.00 |
$15.00 |
$77.31
|
|
Culture anaerobic except blood
|
$113.85 |
$113.85 |
$113.85 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$19.46 |
$19.46 |
$19.46 |
$52.80
|
|
Culture body fluid
|
$71.25 |
$71.25 |
$71.25 |
$130.50
|
|
Culture fungi other (except blood)
|
$20.25 |
$20.25 |
$20.25 |
$105.60
|
