|
Compatibility test each unit electronic
|
$31.20 |
$31.20 |
$31.20 |
$174.00
|
|
Compatibility test each unit immediate spin technique
|
$62.25 |
$62.25 |
$62.25 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$300.15 |
$300.15 |
$300.15 |
$933.75
|
|
Comp cystometrogram/void/uret pres 51729
|
$125.40 |
$125.40 |
$125.40 |
$1,099.00
|
|
Complement antigen each component c3
|
$21.00 |
$21.00 |
$21.00 |
$110.00
|
|
Complex cystometrogram 51726
|
$309.00 |
$309.00 |
$309.00 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$416.40 |
$416.40 |
$416.40 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$424.65 |
$424.65 |
$424.65 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$47.10 |
$47.10 |
$47.10 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$441.75 |
$441.75 |
$441.75 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$473.55 |
$473.55 |
$473.55 |
$1,193.40
|
|
Complx repair enel addl 5cm/< 13153
|
$417.00 |
$417.00 |
$417.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$429.00 |
$429.00 |
$429.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$430.50 |
$430.50 |
$430.50 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$312.60 |
$312.60 |
$312.60 |
$532.40
|
|
Complx repair sal addl 5 cm/> 13122
|
$387.00 |
$387.00 |
$387.00 |
$506.40
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$265.95 |
$265.95 |
$265.95 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$387.00 |
$387.00 |
$387.00 |
$537.00
|
|
Comprehensive hearing test
|
$44.25 |
$44.25 |
$44.25 |
$220.23
|
|
Compre oph exam est pt 1/>
|
$58.35 |
$58.35 |
$58.35 |
$183.07
|
|
Compre oph exam new pt 1/>
|
$58.35 |
$58.35 |
$58.35 |
$186.00
|
|
Concentration infection agents any type
|
$11.85 |
$11.85 |
$11.85 |
$49.40
|
|
Condylomata destruction 56420
|
$222.45 |
$222.45 |
$222.45 |
$469.80
|
|
Conjugated estrogens 25 mg solution for injection
|
$490.81 |
$490.81 |
$490.81 |
$871.08
|
|
Consultation pathology during surgery
|
$52.05 |
$52.05 |
$52.05 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$207.75 |
$207.75 |
$207.75 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$14.25 |
$14.25 |
$14.25 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$47.40 |
$47.40 |
$47.40 |
$223.86
|
|
Consultation/report referred material w/preparation of slides
|
$68.40 |
$68.40 |
$68.40 |
$215.63
|
|
Consult comp w/report rfrd material
|
$135.15 |
$135.15 |
$135.15 |
$345.71
|
|
Contrast baths charges
|
$17.40 |
$17.40 |
$17.40 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,401.31
|
|
Contrast exam thoracic aorta
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,570.00
|
|
Contrast exam thoracic aorta 75605-26
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,663.60
|
|
Contrast x-ray gallbladder
|
$63.90 |
$63.90 |
$63.90 |
$350.22
|
|
Contrast x-ray of ankle
|
$69.30 |
$69.30 |
$69.30 |
$592.00
|
|
Contrast x-ray of brain
|
$321.60 |
$321.60 |
$321.60 |
$956.16
|
|
Contrast x-ray of elbow
|
$182.55 |
$182.55 |
$182.55 |
$628.80
|
|
Contrast x-ray of hip
|
$182.55 |
$182.55 |
$182.55 |
$750.00
|
|
Contrast x-ray of knee joint
|
$182.55 |
$182.55 |
$182.55 |
$718.20
|
|
Contrast x-ray of wrist
|
$182.55 |
$182.55 |
$182.55 |
$609.90
|
|
Controller infinity pt dbs
|
$2,177.91 |
$2,177.91 |
$2,177.91 |
$4,494.00
|
|
Control nosebleed pack+caut 30905
|
$245.85 |
$245.85 |
$245.85 |
$385.45
|
|
Control of nosebleed ant comp 30903
|
$211.95 |
$211.95 |
$211.95 |
$397.98
|
|
Control of nosebleedantersmpl 30901
|
$77.40 |
$77.40 |
$77.40 |
$342.24
|
|
Control oropharyngeal hemorr/simp 42960
|
$211.95 |
$211.95 |
$211.95 |
$624.78
|
|
Conversion ext bil drg cath
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$4,156.03
|
|
Convert nephrostomy catheter
|
$369.60 |
$369.60 |
$369.60 |
$2,777.60
|
|
Coombs direct
|
$16.65 |
$16.65 |
$16.65 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$44.85 |
$44.85 |
$44.85 |
$98.40
|
|
Coombs indirect titer reference
|
$44.85 |
$44.85 |
$44.85 |
$146.00
|
|
Core ndl bx lng/med perq
|
$667.95 |
$667.95 |
$667.95 |
$2,624.30
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$2,405.40 |
$2,405.40 |
$2,405.40 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$2,405.40 |
$2,405.40 |
$2,405.40 |
$9,964.80
|
|
Coronary angio/lv gram/rt< heart
|
$2,576.70 |
$2,576.70 |
$2,576.70 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$7,726.20
|
|
Coronary thrombolysis/iv infusion 92977
|
$394.05 |
$394.05 |
$394.05 |
$463.05
|
|
Cortisol acth stimulation test - sendout
|
$30.60 |
$30.60 |
$30.60 |
$146.25
|
|
Cortisol total am
|
$28.65 |
$28.65 |
$28.65 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$22.65 |
$22.65 |
$22.65 |
$108.81
|
|
Counseling visit to discuss need for ldct g0296
|
$38.55 |
$38.55 |
$38.55 |
$98.14
|
|
Covid-19 administration immunization im inj 1st/only component
|
$17.85 |
$17.85 |
$17.85 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$130.20 |
$130.20 |
$130.20 |
$553.80
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$130.20 |
$130.20 |
$130.20 |
$548.79
|
|
Covid-19 lab test non-cdc
|
$15.00 |
$15.00 |
$15.00 |
$76.26
|
|
#covid19rsv-rsv
|
$111.15 |
$111.15 |
$111.15 |
$140.95
|
|
#coxa-coxsackie a serotype a16
|
$22.80 |
$22.80 |
$22.80 |
$60.00
|
|
C-peptide
|
$36.45 |
$36.45 |
$36.45 |
$93.60
|
|
Crbrospnl fld flw imag cistern
|
$452.25 |
$452.25 |
$452.25 |
$1,210.30
|
|
C-reactive protein
|
$9.15 |
$9.15 |
$9.15 |
$64.19
|
|
C-reactive protein high sensitivity
|
$22.65 |
$22.65 |
$22.65 |
$82.50
|
|
C-reactive protein, quantitative
|
$18.75 |
$18.75 |
$18.75 |
$62.50
|
|
Creatine kinase
|
$11.40 |
$11.40 |
$11.40 |
$64.80
|
|
Creatine kinase isoenzymes
|
$11.25 |
$11.25 |
$11.25 |
$53.00
|
|
Creatine kinase mb
|
$20.10 |
$20.10 |
$20.10 |
$113.08
|
|
Creatine - sendout
|
$8.10 |
$8.10 |
$8.10 |
$40.30
|
|
Creatinine
|
$9.00 |
$9.00 |
$9.00 |
$44.72
|
|
Creatinine 24 hour urine
|
$9.15 |
$9.15 |
$9.15 |
$59.45
|
|
Creatinine clearance urine
|
$16.50 |
$16.50 |
$16.50 |
$87.50
|
|
#creutz-prot.,western blot
|
$31.65 |
$31.65 |
$31.65 |
$163.50
|
|
Critical care 30-74 minutes
|
$699.60 |
$699.60 |
$699.60 |
$2,535.00
|
|
Crotalidae poly immune fab
|
$3,540.67 |
$3,540.67 |
$3,540.67 |
$5,590.35
|
|
Cryocautery of cervix 57511
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$15.15 |
$15.15 |
$15.15 |
$52.50
|
|
Cryoprecipitate each unit
|
$108.15 |
$108.15 |
$108.15 |
$144.78
|
|
Cryopreservation oocyte(s)
|
$610.35 |
$610.35 |
$610.35 |
$368.68
|
|
Cryosurgery penis lesion(s) 54056
|
$83.55 |
$83.55 |
$83.55 |
$271.20
|
|
Cryptococcus abs qn - sendout
|
$25.35 |
$25.35 |
$25.35 |
$85.40
|
|
Cryptosporidium antigen
|
$20.10 |
$20.10 |
$20.10 |
$52.08
|
|
Crystal identification light microscopy
|
$12.60 |
$12.60 |
$12.60 |
$61.50
|
|
Csf leakage imaging
|
$418.80 |
$418.80 |
$418.80 |
$1,461.00
|
|
Cstb gene full gene sequence
|
$216.00 |
$216.00 |
$216.00 |
$288.21
|
|
CT 3d report other modality w/workstation
|
$559.65 |
$559.65 |
$559.65 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$587.70 |
$587.70 |
$587.70 |
$2,010.96
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$559.65 |
$559.65 |
$559.65 |
$1,926.90
|
|
Cta lower extremity without & w/contrast (both sides)
|
$587.70 |
$587.70 |
$587.70 |
$1,984.00
|
|
Cta neck without &/or w/contrast
|
$559.65 |
$559.65 |
$559.65 |
$1,890.85
|
|
CT Angiogram of Abdomen and Pelvis
|
$559.65 |
$559.65 |
$559.65 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$587.70 |
$587.70 |
$587.70 |
$1,907.85
|
