|
Collection blood specimen using established central/peripheral catheter venous nos
|
$165.00 |
$165.00 |
$165.00 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$46.20 |
$46.20 |
$46.20 |
$22.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,496.00 |
$1,496.00 |
$1,496.00 |
$3,907.93
|
|
Compatibility test each unit antiglobulin technique
|
$70.95 |
$70.95 |
$70.95 |
$173.25
|
|
Compatibility test each unit electronic
|
$103.95 |
$103.95 |
$103.95 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$100.65 |
$100.65 |
$100.65 |
$169.52
|
|
Complement antigen each component c3
|
$110.00 |
$110.00 |
$110.00 |
$111.15
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$738.10 |
$738.10 |
$738.10 |
$1,388.40
|
|
Complx repair fccmnaxghf 13132
|
$193.60 |
$193.60 |
$193.60 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$186.45 |
$186.45 |
$186.45 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$110.55 |
$110.55 |
$110.55 |
$576.66
|
|
Comprehensive hearing test
|
$181.50 |
$181.50 |
$181.50 |
$224.40
|
|
Compre oph exam est pt 1/>
|
$97.90 |
$97.90 |
$97.90 |
$214.50
|
|
Compre oph exam new pt 1/>
|
$125.95 |
$125.95 |
$125.95 |
$186.00
|
|
Concentration infection agents any type
|
$47.30 |
$47.30 |
$47.30 |
$51.32
|
|
Condylomata destruction 56420
|
$121.55 |
$121.55 |
$121.55 |
$509.81
|
|
Consultation pathology during surgery
|
$177.10 |
$177.10 |
$177.10 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$228.80 |
$228.80 |
$228.80 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$287.10 |
$287.10 |
$287.10 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$436.15 |
$436.15 |
$436.15 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$235.95 |
$235.95 |
$235.95 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$414.70 |
$414.70 |
$414.70 |
$176.15
|
|
Consult comp w/report rfrd material
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$359.87
|
|
Contrast baths charges
|
$75.35 |
$75.35 |
$75.35 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$2,781.35 |
$2,781.35 |
$2,781.35 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$1,665.40 |
$1,665.40 |
$1,665.40 |
$4,178.00
|
|
Contrast x-ray of ankle
|
$796.95 |
$796.95 |
$796.95 |
$602.40
|
|
Contrast x-ray of elbow
|
$582.45 |
$582.45 |
$582.45 |
$637.14
|
|
Contrast x-ray of hip
|
$612.15 |
$612.15 |
$612.15 |
$768.00
|
|
Contrast x-ray of knee joint
|
$939.95 |
$939.95 |
$939.95 |
$683.20
|
|
Contrast x-ray of wrist
|
$514.80 |
$514.80 |
$514.80 |
$623.50
|
|
Controller infinity pt dbs
|
$1,070.16 |
$1,070.16 |
$1,070.16 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$201.30 |
$201.30 |
$201.30 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$249.70 |
$249.70 |
$249.70 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$248.05 |
$248.05 |
$248.05 |
$385.45
|
|
Conversion ext bil drg cath
|
$2,527.80 |
$2,527.80 |
$2,527.80 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$3,543.10 |
$3,543.10 |
$3,543.10 |
$3,569.60
|
|
Coombs direct
|
$47.30 |
$47.30 |
$47.30 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$44.55 |
$44.55 |
$44.55 |
$94.90
|
|
Coombs indirect titer reference
|
$66.55 |
$66.55 |
$66.55 |
$146.00
|
|
Core ndl bx lng/med perq
|
$2,237.40 |
$2,237.40 |
$2,237.40 |
$2,963.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$2,690.19 |
$2,690.19 |
$2,690.19 |
$9,900.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,953.35 |
$9,953.35 |
$9,953.35 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$9,121.20 |
$9,121.20 |
$9,121.20 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$10,395.00 |
$10,395.00 |
$10,395.00 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$7,688.45 |
$7,688.45 |
$7,688.45 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,194.00 |
$7,194.00 |
$7,194.00 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$684.20 |
$684.20 |
$684.20 |
$489.00
|
|
Cortisol total am
|
$146.85 |
$146.85 |
$146.85 |
$122.20
|
|
Co-treatment - group 15 mins, st
|
$67.65 |
$67.65 |
$67.65 |
$108.81
|
|
Coveredge 32 lead kit 40cm 48
|
$82.26 |
$82.26 |
$82.26 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$56.65 |
$56.65 |
$56.65 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$858.55 |
$858.55 |
$858.55 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$858.55 |
$858.55 |
$858.55 |
$533.10
|
|
#covid19rsv-rsv
|
$132.55 |
$132.55 |
$132.55 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$88.55 |
$88.55 |
$88.55 |
$65.36
|
|
C-peptide
|
$146.85 |
$146.85 |
$146.85 |
$100.00
|
|
Cptr ophth dx img post segmt
|
$52.25 |
$52.25 |
$52.25 |
$97.50
|
|
Crbrospnl fld flw imag cistern
|
$1,658.25 |
$1,658.25 |
$1,658.25 |
$1,466.97
|
|
C-reactive protein
|
$57.20 |
$57.20 |
$57.20 |
$63.00
|
|
C-reactive protein high sensitivity
|
$76.45 |
$76.45 |
$76.45 |
$91.65
|
|
Creatine kinase
|
$40.15 |
$40.15 |
$40.15 |
$59.78
|
|
Creatine kinase isoenzymes
|
$111.10 |
$111.10 |
$111.10 |
$46.34
|
|
Creatine kinase mb
|
$72.60 |
$72.60 |
$72.60 |
$111.00
|
|
Creatine - sendout
|
$240.62 |
$240.62 |
$240.62 |
$39.00
|
|
Creatinine
|
$30.25 |
$30.25 |
$30.25 |
$44.10
|
|
Creatinine 24 hour urine
|
$240.62 |
$240.62 |
$240.62 |
$59.80
|
|
Creatinine clearance urine
|
$183.15 |
$183.15 |
$183.15 |
$87.50
|
|
#creutz-prot.,western blot
|
$968.00 |
$968.00 |
$968.00 |
$173.00
|
|
Crisis psychotherapy 90839
|
$301.95 |
$301.95 |
$301.95 |
$313.30
|
|
Critical care 30-74 minutes
|
$1,837.00 |
$1,837.00 |
$1,837.00 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$918.50 |
$918.50 |
$918.50 |
$777.00
|
|
Cryofibrinogen qualitative - sendout
|
$129.80 |
$129.80 |
$129.80 |
$50.88
|
|
Cryoprecipitate each unit
|
$132.55 |
$132.55 |
$132.55 |
$185.64
|
|
Cryptosporidium antigen
|
$88.55 |
$88.55 |
$88.55 |
$56.00
|
|
Crystal identification light microscopy
|
$130.90 |
$130.90 |
$130.90 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$1,006.50 |
$1,006.50 |
$1,006.50 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,882.10 |
$1,882.10 |
$1,882.10 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,165.80 |
$3,165.80 |
$3,165.80 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$265.65 |
$265.65 |
$265.65 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,760.55 |
$1,760.55 |
$1,760.55 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,791.80 |
$2,791.80 |
$2,791.80 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,955.80 |
$1,955.80 |
$1,955.80 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,635.70 |
$1,635.70 |
$1,635.70 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,464.10 |
$1,464.10 |
$1,464.10 |
$1,588.60
|
|
CT angio pelvis
|
$1,696.75 |
$1,696.75 |
$1,696.75 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$2,266.00 |
$2,266.00 |
$2,266.00 |
$1,652.25
|
|
CT colonography dx
|
$1,877.70 |
$1,877.70 |
$1,877.70 |
$770.90
|
|
CT colonography screening
|
$1,437.70 |
$1,437.70 |
$1,437.70 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,604.35 |
$1,604.35 |
$1,604.35 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$590.70 |
$590.70 |
$590.70 |
$1,085.05
|
|
CT guid cryo ablat intramuscular
|
$18.70 |
$18.70 |
$18.70 |
$2,136.75
|
|
CT guid parench tis ablat
|
$1,893.10 |
$1,893.10 |
$1,893.10 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$55.00 |
$55.00 |
$55.00 |
$192.00
|
|
CT limited or localized follow-up study
|
$394.90 |
$394.90 |
$394.90 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$2,030.05 |
$2,030.05 |
$2,030.05 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,883.20 |
$1,883.20 |
$1,883.20 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$2,515.70 |
$2,515.70 |
$2,515.70 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,697.30 |
$1,697.30 |
$1,697.30 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,392.60 |
$1,392.60 |
$1,392.60 |
$1,332.50
|
