|
Contact lens fitting for tx
|
$29.50 |
$29.50 |
$29.50 |
$92.96
|
|
Cont gluc mntr analysis i&r 95251
|
$39.50 |
$39.50 |
$39.50 |
$65.70
|
|
Control nosebleed pack+caut 30905
|
$176.00 |
$176.00 |
$176.00 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$83.00 |
$83.00 |
$83.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$184.00 |
$184.00 |
$184.00 |
$355.50
|
|
Coombs direct
|
$50.50 |
$50.50 |
$50.50 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$12.50 |
$12.50 |
$12.50 |
$102.90
|
|
Coombs indirect titer reference
|
$46.00 |
$46.00 |
$46.00 |
$146.40
|
|
Copper intrauterine device
|
$1,563.50 |
$1,563.50 |
$1,563.50 |
$1,953.00
|
|
Corneal smear
|
$94.50 |
$94.50 |
$94.50 |
$472.21
|
|
Corneal transplant
|
$1,073.00 |
$1,073.00 |
$1,073.00 |
$6,105.79
|
|
Corneal transplant
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$5,912.40
|
|
Corneal transplant
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$6,220.80
|
|
Corneal transplant
|
$1,169.50 |
$1,169.50 |
$1,169.50 |
$5,419.00
|
|
Corneal trnspl endothelial
|
$1,097.50 |
$1,097.50 |
$1,097.50 |
$5,667.08
|
|
Correction of astigmatism
|
$382.50 |
$382.50 |
$382.50 |
$2,240.00
|
|
Correction trichiasis epilation forcep 67820
|
$21.00 |
$21.00 |
$21.00 |
$176.00
|
|
Correction trichiasis inccision lid margin 67830
|
$130.00 |
$130.00 |
$130.00 |
$1,370.74
|
|
Cortisol total am
|
$100.00 |
$100.00 |
$100.00 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$45.00 |
$45.00 |
$45.00 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$28.00 |
$28.00 |
$28.00 |
$55.90
|
|
Counseling visit to discuss need for ldct g0296
|
$25.50 |
$25.50 |
$25.50 |
$98.14
|
|
Cover eye w/membrane
|
$40.50 |
$40.50 |
$40.50 |
$2,550.48
|
|
Cover eye w/membrane suture
|
$96.00 |
$96.00 |
$96.00 |
$4,350.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$50.00 |
$50.00 |
$50.00 |
$49.13
|
|
Covid-19 lab test non-cdc
|
$99.50 |
$99.50 |
$99.50 |
$80.50
|
|
#coxa-coxsackie a serotype a16
|
$10.00 |
$10.00 |
$10.00 |
$60.00
|
|
C-peptide
|
$114.00 |
$114.00 |
$114.00 |
$97.30
|
|
Cptrized corneal topography
|
$21.00 |
$21.00 |
$21.00 |
$148.20
|
|
Cptr ophth dx img post segmt
|
$19.50 |
$19.50 |
$19.50 |
$105.00
|
|
C-reactive protein
|
$40.50 |
$40.50 |
$40.50 |
$68.38
|
|
C-reactive protein high sensitivity
|
$85.50 |
$85.50 |
$85.50 |
$85.00
|
|
Create tear duct drain
|
$812.00 |
$812.00 |
$812.00 |
$4,627.00
|
|
Create tear sac drain
|
$765.50 |
$765.50 |
$765.50 |
$4,121.25
|
|
Creatine kinase
|
$54.00 |
$54.00 |
$54.00 |
$66.30
|
|
Creatine kinase mb
|
$16.50 |
$16.50 |
$16.50 |
$114.00
|
|
Creatine - sendout
|
$88.00 |
$88.00 |
$88.00 |
$39.00
|
|
Creatinine
|
$41.00 |
$41.00 |
$41.00 |
$44.72
|
|
Creatinine 24 hour urine
|
$85.50 |
$85.50 |
$85.50 |
$58.85
|
|
Creatinine clearance urine
|
$58.00 |
$58.00 |
$58.00 |
$89.50
|
|
#creutz-prot.,western blot
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$166.20
|
|
Crisis psychotherapy 90839
|
$147.50 |
$147.50 |
$147.50 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$71.00 |
$71.00 |
$71.00 |
$149.52
|
|
Critical care 30-74 minutes
|
$949.00 |
$949.00 |
$949.00 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$435.00 |
$435.00 |
$435.00 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$112.00 |
$112.00 |
$112.00 |
$52.50
|
|
Cryosurgery penis lesion(s) 54056
|
$108.00 |
$108.00 |
$108.00 |
$272.50
|
|
Crystal identification light microscopy
|
$65.50 |
$65.50 |
$65.50 |
$62.50
|
|
Cta abdomen without & /or w/contrast
|
$991.50 |
$991.50 |
$991.50 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$982.00 |
$982.00 |
$982.00 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$935.00 |
$935.00 |
$935.00 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,949.00 |
$1,949.00 |
$1,949.00 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$1,996.80
|
|
Cta upper extremity w &/or without contrast left
|
$991.50 |
$991.50 |
$991.50 |
$1,698.00
|
|
CT cerebral perf w cont & prcssng
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$803.40
|
|
CT lower extremity w/contrast (both sides)
|
$850.50 |
$850.50 |
$850.50 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$628.00 |
$628.00 |
$628.00 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$935.00 |
$935.00 |
$935.00 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$919.50 |
$919.50 |
$919.50 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$692.00 |
$692.00 |
$692.00 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,051.00 |
$1,051.00 |
$1,051.00 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$884.50 |
$884.50 |
$884.50 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$693.50 |
$693.50 |
$693.50 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$227.00 |
$227.00 |
$227.00 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,012.50 |
$2,012.50 |
$2,012.50 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,737.00 |
$1,737.00 |
$1,737.00 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$850.50 |
$850.50 |
$850.50 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$758.00 |
$758.00 |
$758.00 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$120.00 |
$120.00 |
$120.00 |
$331.50
|
|
CT upper extremity w/contrast (both sides)
|
$850.50 |
$850.50 |
$850.50 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$625.00 |
$625.00 |
$625.00 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$935.00 |
$935.00 |
$935.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$66.50 |
$66.50 |
$66.50 |
$68.64
|
|
Culture afb any source
|
$195.00 |
$195.00 |
$195.00 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$70.00 |
$70.00 |
$70.00 |
$79.00
|
|
Culture anaerobic except blood
|
$82.00 |
$82.00 |
$82.00 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$51.00 |
$51.00 |
$51.00 |
$51.45
|
|
Culture body fluid
|
$74.00 |
$74.00 |
$74.00 |
$126.75
|
|
Culture fungi definitive id mold
|
$51.50 |
$51.50 |
$51.50 |
$77.28
|
|
Culture fungi definitive id yeast
|
$48.50 |
$48.50 |
$48.50 |
$79.10
|
|
Culture fungi other (except blood)
|
$65.00 |
$65.00 |
$65.00 |
$108.00
|
|
Culture mycobacteria definitive id each isolate
|
$140.00 |
$140.00 |
$140.00 |
$89.70
|
|
Culture screening strep group a
|
$57.00 |
$57.00 |
$57.00 |
$81.00
|
|
Culture typing immunologic
|
$37.50 |
$37.50 |
$37.50 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$352.00 |
$352.00 |
$352.00 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$202.00 |
$202.00 |
$202.00 |
$133.90
|
|
Culture urine each isolate
|
$71.00 |
$71.00 |
$71.00 |
$57.00
|
|
Curette/treat cornea
|
$66.00 |
$66.00 |
$66.00 |
$1,345.80
|
|
Curette/treat cornea
|
$348.00 |
$348.00 |
$348.00 |
$2,818.14
|
|
Cv line/pic reposition
|
$61.00 |
$61.00 |
$61.00 |
$1,720.93
|
|
Cv stress test i&r only 93018
|
$15.50 |
$15.50 |
$15.50 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$23.00 |
$23.00 |
$23.00 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$3.00 |
$3.00 |
$3.00 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$41.50 |
$41.50 |
$41.50 |
$70.72
|
|
Cyclosporine 2 hour
|
$117.00 |
$117.00 |
$117.00 |
$129.48
|
|
Cygnus matrix, per sq cm
|
$221.50 |
$221.50 |
$221.50 |
$295.20
|
