|
Complx repair fccmnaxghf 13131
|
$748.00 |
$748.00 |
$748.00 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$748.00 |
$748.00 |
$748.00 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$965.25 |
$965.25 |
$965.25 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$748.00 |
$748.00 |
$748.00 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$859.65 |
$859.65 |
$859.65 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$963.60 |
$963.60 |
$963.60 |
$683.25
|
|
Concentration infection agents any type
|
$44.00 |
$44.00 |
$44.00 |
$51.32
|
|
Condylomata destruction 56420
|
$480.70 |
$480.70 |
$480.70 |
$509.81
|
|
Consultation pathology during surgery cytological exam initial site
|
$620.40 |
$620.40 |
$620.40 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$50.05 |
$50.05 |
$50.05 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$209.00 |
$209.00 |
$209.00 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$235.95 |
$235.95 |
$235.95 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$461.06 |
$461.06 |
$461.06 |
$176.15
|
|
Contrast exam abdominl aorta 75625-26
|
$3,592.60 |
$3,592.60 |
$3,592.60 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$4,230.60 |
$4,230.60 |
$4,230.60 |
$4,178.00
|
|
Contrast x-ray of ankle
|
$506.00 |
$506.00 |
$506.00 |
$602.40
|
|
Contrast x-ray of elbow
|
$964.70 |
$964.70 |
$964.70 |
$637.14
|
|
Contrast x-ray of hip
|
$964.70 |
$964.70 |
$964.70 |
$768.00
|
|
Contrast x-ray of knee joint
|
$543.40 |
$543.40 |
$543.40 |
$683.20
|
|
Contrast x-ray of wrist
|
$543.40 |
$543.40 |
$543.40 |
$623.50
|
|
Controller infinity pt dbs
|
$3,372.34 |
$3,372.34 |
$3,372.34 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$523.05 |
$523.05 |
$523.05 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$508.75 |
$508.75 |
$508.75 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$466.95 |
$466.95 |
$466.95 |
$385.45
|
|
Conversion ext bil drg cath
|
$2,513.50 |
$2,513.50 |
$2,513.50 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$3,996.85 |
$3,996.85 |
$3,996.85 |
$3,569.60
|
|
Coombs direct
|
$94.05 |
$94.05 |
$94.05 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$78.65 |
$78.65 |
$78.65 |
$94.90
|
|
Coombs indirect titer reference
|
$250.25 |
$250.25 |
$250.25 |
$146.00
|
|
Core ndl bx lng/med perq
|
$3,209.80 |
$3,209.80 |
$3,209.80 |
$2,963.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$202.40 |
$202.40 |
$202.40 |
$489.00
|
|
Cortisol total am
|
$217.80 |
$217.80 |
$217.80 |
$122.20
|
|
Counseling smoke cess interm >10mins
|
$35.20 |
$35.20 |
$35.20 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$73.70 |
$73.70 |
$73.70 |
$58.61
|
|
#covid19rsv-rsv
|
$146.30 |
$146.30 |
$146.30 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$114.40 |
$114.40 |
$114.40 |
$65.36
|
|
C-peptide
|
$13.75 |
$13.75 |
$13.75 |
$100.00
|
|
Cr-51 sodium chromate
|
$779.35 |
$779.35 |
$779.35 |
$2,646.78
|
|
Crbrospnl fld flw imag cistern
|
$980.10 |
$980.10 |
$980.10 |
$1,466.97
|
|
C-reactive protein
|
$198.00 |
$198.00 |
$198.00 |
$63.00
|
|
C-reactive protein high sensitivity
|
$147.40 |
$147.40 |
$147.40 |
$91.65
|
|
C-reactive protein, quantitative
|
$365.75 |
$365.75 |
$365.75 |
$62.50
|
|
Creatine kinase
|
$45.65 |
$45.65 |
$45.65 |
$59.78
|
|
Creatine kinase isoenzymes
|
$16.50 |
$16.50 |
$16.50 |
$46.34
|
|
Creatine kinase mb
|
$179.85 |
$179.85 |
$179.85 |
$111.00
|
|
Creatine - sendout
|
$71.50 |
$71.50 |
$71.50 |
$39.00
|
|
Creatinine
|
$45.65 |
$45.65 |
$45.65 |
$44.10
|
|
Creatinine 24 hour urine
|
$85.25 |
$85.25 |
$85.25 |
$59.80
|
|
Creatinine clearance urine
|
$167.75 |
$167.75 |
$167.75 |
$87.50
|
|
#creutz-prot.,western blot
|
$1,486.65 |
$1,486.65 |
$1,486.65 |
$173.00
|
|
Critical care 30-74 minutes
|
$2,291.30 |
$2,291.30 |
$2,291.30 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$929.50 |
$929.50 |
$929.50 |
$777.00
|
|
Cryofibrinogen qualitative - sendout
|
$118.80 |
$118.80 |
$118.80 |
$50.88
|
|
Cryoprecipitate each unit
|
$364.65 |
$364.65 |
$364.65 |
$185.64
|
|
Crystal identification light microscopy
|
$97.90 |
$97.90 |
$97.90 |
$65.25
|
|
Csf leakage imaging
|
$1,097.25 |
$1,097.25 |
$1,097.25 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$1,980.55 |
$1,980.55 |
$1,980.55 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,183.40 |
$3,183.40 |
$3,183.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,211.45 |
$3,211.45 |
$3,211.45 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,228.60 |
$2,228.60 |
$2,228.60 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$2,148.85 |
$2,148.85 |
$2,148.85 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,110.70 |
$4,110.70 |
$4,110.70 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,125.65 |
$3,125.65 |
$3,125.65 |
$1,955.80
|
|
CT Angiogram of the Head
|
$2,478.85 |
$2,478.85 |
$2,478.85 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,654.40 |
$1,654.40 |
$1,654.40 |
$1,588.60
|
|
CT angio pelvis
|
$3,183.40 |
$3,183.40 |
$3,183.40 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$2,231.90 |
$2,231.90 |
$2,231.90 |
$1,652.25
|
|
CT guidance for needle placement
|
$1,616.45 |
$1,616.45 |
$1,616.45 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$679.80 |
$679.80 |
$679.80 |
$1,085.05
|
|
CT guid parench tis ablat
|
$1,676.40 |
$1,676.40 |
$1,676.40 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$145.75 |
$145.75 |
$145.75 |
$192.00
|
|
CT limited or localized follow-up study
|
$900.90 |
$900.90 |
$900.90 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$1,398.65 |
$1,398.65 |
$1,398.65 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,271.05 |
$1,271.05 |
$1,271.05 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,525.70 |
$1,525.70 |
$1,525.70 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,309.55 |
$1,309.55 |
$1,309.55 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$970.75 |
$970.75 |
$970.75 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$1,395.90 |
$1,395.90 |
$1,395.90 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,349.15 |
$1,349.15 |
$1,349.15 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,202.30 |
$1,202.30 |
$1,202.30 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$451.55 |
$451.55 |
$451.55 |
$456.00
|
|
CT scan for therapy guide
|
$851.40 |
$851.40 |
$851.40 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,091.45 |
$4,091.45 |
$4,091.45 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,749.90 |
$3,749.90 |
$3,749.90 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,408.90 |
$3,408.90 |
$3,408.90 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$2,254.45 |
$2,254.45 |
$2,254.45 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$2,049.85 |
$2,049.85 |
$2,049.85 |
$1,443.00
|
|
CT t-spine w /wo contrast
|
$2,459.60 |
$2,459.60 |
$2,459.60 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$1,706.10 |
$1,706.10 |
$1,706.10 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$1,333.75 |
$1,333.75 |
$1,333.75 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$2,315.50 |
$2,315.50 |
$2,315.50 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$256.30 |
$256.30 |
$256.30 |
$63.75
|
|
Culture afb any source
|
$242.00 |
$242.00 |
$242.00 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$474.65 |
$474.65 |
$474.65 |
$77.31
|
|
Culture anaerobic except blood
|
$257.40 |
$257.40 |
$257.40 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$77.00 |
$77.00 |
$77.00 |
$52.80
|
|
Culture body fluid
|
$227.70 |
$227.70 |
$227.70 |
$130.50
|
|
Culture fungi definitive id mold
|
$41.80 |
$41.80 |
$41.80 |
$70.00
|
|
Culture fungi definitive id yeast
|
$142.45 |
$142.45 |
$142.45 |
$80.60
|
