|
Collagen dressing <=16 sq in
|
$42.50 |
$42.50 |
$42.50 |
$42.50
|
|
Collagen drsg>16<=48 sq in
|
$60.00 |
$60.00 |
$60.00 |
$24.71
|
|
Collar cerv ascend 172 reg
|
$115.00 |
$115.00 |
$115.00 |
$212.00
|
|
Collar cerv patriot adlt
|
$80.00 |
$80.00 |
$80.00 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$82.50 |
$82.50 |
$82.50 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$82.50 |
$82.50 |
$82.50 |
$157.60
|
|
Collection of venous blood by venipuncture
|
$12.50 |
$12.50 |
$12.50 |
$20.80
|
|
Compatibility test each unit antiglobulin technique
|
$142.50 |
$142.50 |
$142.50 |
$165.00
|
|
Compatibility test each unit electronic
|
$67.50 |
$67.50 |
$67.50 |
$177.75
|
|
Compatibility test each unit immediate spin technique
|
$137.50 |
$137.50 |
$137.50 |
$169.52
|
|
Compatibility test incubate
|
$82.50 |
$82.50 |
$82.50 |
$147.00
|
|
Comp cystometrogram/void presssure 51728
|
$775.00 |
$775.00 |
$775.00 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$840.00 |
$840.00 |
$840.00 |
$1,196.00
|
|
Complement antigen each component c3
|
$152.50 |
$152.50 |
$152.50 |
$110.40
|
|
Complex uroflowmetry (electronic) 51741
|
$207.50 |
$207.50 |
$207.50 |
$346.71
|
|
Concentration infection agents any type
|
$52.50 |
$52.50 |
$52.50 |
$51.32
|
|
Conization/cerv/loop electrode exc 57522
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$4,627.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$67.50 |
$67.50 |
$67.50 |
$447.33
|
|
Consultation pathology during surgery frozen section each additional block
|
$160.00 |
$160.00 |
$160.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$230.00 |
$230.00 |
$230.00 |
$223.86
|
|
Consultation/report referred material w/preparation of slides
|
$372.50 |
$372.50 |
$372.50 |
$231.75
|
|
Contact layer >16<= 48 sq in
|
$45.00 |
$45.00 |
$45.00 |
$41.92
|
|
Contrast exam abdominl aorta 75625-26
|
$2,590.00 |
$2,590.00 |
$2,590.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,235.00 |
$2,235.00 |
$2,235.00 |
$3,704.00
|
|
Contrast x-ray gallbladder
|
$412.50 |
$412.50 |
$412.50 |
$350.22
|
|
Contrast x-ray of hip
|
$965.00 |
$965.00 |
$965.00 |
$781.13
|
|
Contrast x-ray of knee joint
|
$965.00 |
$965.00 |
$965.00 |
$769.88
|
|
Contrast x-ray of wrist
|
$655.00 |
$655.00 |
$655.00 |
$639.00
|
|
Controller infinity pt dbs
|
$5,295.42 |
$5,295.42 |
$5,295.42 |
$4,896.00
|
|
Conversion ext bil drg cath
|
$3,395.00 |
$3,395.00 |
$3,395.00 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$4,260.00 |
$4,260.00 |
$4,260.00 |
$2,874.36
|
|
Coombs direct
|
$67.50 |
$67.50 |
$67.50 |
$73.26
|
|
Coombs indirect titer reference
|
$130.00 |
$130.00 |
$130.00 |
$146.00
|
|
Copper cu 64 dotatate diag
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$2,293.68
|
|
Copper intrauterine device
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$2,862.11
|
|
Coronary thrombolysis/iv infusion 92977
|
$382.50 |
$382.50 |
$382.50 |
$484.37
|
|
Cortisol acth stimulation test - sendout
|
$200.00 |
$200.00 |
$200.00 |
$146.25
|
|
Cortisol total am
|
$117.50 |
$117.50 |
$117.50 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$75.00 |
$75.00 |
$75.00 |
$114.00
|
|
Coveredge 32 lead kit 40cm 48
|
$2,570.00 |
$2,570.00 |
$2,570.00 |
$3,664.00
|
|
Cover wrist
|
$225.00 |
$225.00 |
$225.00 |
$228.06
|
|
Covid-19 administration immunization im inj 1st/only component
|
$42.50 |
$42.50 |
$42.50 |
$49.60
|
|
#coxa-coxsackie a serotype a16
|
$60.00 |
$60.00 |
$60.00 |
$60.00
|
|
C-peptide
|
$87.50 |
$87.50 |
$87.50 |
$93.60
|
|
Cptrz oph img pst sg rta oct
|
$510.00 |
$510.00 |
$510.00 |
$357.00
|
|
Crbrospnl fld flw imag cistern
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,210.30
|
|
C-reactive protein
|
$60.00 |
$60.00 |
$60.00 |
$63.00
|
|
C-reactive protein high sensitivity
|
$77.50 |
$77.50 |
$77.50 |
$79.72
|
|
C-reactive protein, quantitative
|
$57.50 |
$57.50 |
$57.50 |
$62.50
|
|
Creatine kinase
|
$62.50 |
$62.50 |
$62.50 |
$64.35
|
|
Creatine kinase isoenzymes
|
$57.50 |
$57.50 |
$57.50 |
$49.02
|
|
Creatine kinase mb
|
$130.00 |
$130.00 |
$130.00 |
$114.60
|
|
Creatinine
|
$37.50 |
$37.50 |
$37.50 |
$44.25
|
|
Creatinine 24 hour urine
|
$50.00 |
$50.00 |
$50.00 |
$57.00
|
|
Creatinine clearance urine
|
$80.00 |
$80.00 |
$80.00 |
$87.50
|
|
#creutz-prot.,western blot
|
$400.00 |
$400.00 |
$400.00 |
$163.50
|
|
Critical care 30-74 minutes
|
$2,085.00 |
$2,085.00 |
$2,085.00 |
$2,544.00
|
|
Critical care each additional 30 minutes
|
$685.00 |
$685.00 |
$685.00 |
$740.43
|
|
Cryocautery of cervix 57511
|
$322.50 |
$322.50 |
$322.50 |
$431.16
|
|
Cryo fib comp path redu each
|
$370.00 |
$370.00 |
$370.00 |
$371.30
|
|
Cryofibrinogen qualitative - sendout
|
$52.50 |
$52.50 |
$52.50 |
$52.50
|
|
Cryoprecipitate each unit
|
$75.00 |
$75.00 |
$75.00 |
$144.78
|
|
Cryopreserve testicular tiss
|
$60.00 |
$60.00 |
$60.00 |
$71.65
|
|
Crystal identification light microscopy
|
$55.00 |
$55.00 |
$55.00 |
$58.51
|
|
CT 3d report other modality w/workstation
|
$585.00 |
$585.00 |
$585.00 |
$633.00
|
|
Cta abdomen without & /or w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,940.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,910.00 |
$2,910.00 |
$2,910.00 |
$2,910.00
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,027.35
|
|
CT angio hrt w/3d image
|
$1,675.00 |
$1,675.00 |
$1,675.00 |
$1,555.00
|
|
CT angio pelvis
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,895.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,698.32
|
|
CT guidance for needle placement
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$1,113.84
|
|
CT guid cryo ablat intramuscular
|
$2,660.00 |
$2,660.00 |
$2,660.00 |
$2,136.75
|
|
CT guid parench tis ablat
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$1,282.50
|
|
CT hrt c+ strux cgen hrt ds
|
$1,675.00 |
$1,675.00 |
$1,675.00 |
$1,371.50
|
|
CT hrt w/3d image
|
$1,675.00 |
$1,675.00 |
$1,675.00 |
$1,398.60
|
|
CT limited or localized follow-up study
|
$945.00 |
$945.00 |
$945.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,619.25
|
|
CT lower extremity without contrast (both sides)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,403.73
|
|
CT lwr extremity w/o&w/dye
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,887.84
|
|
CT neck soft tissue w/contrast
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,363.35
|
|
CT neck soft tissue without & w/contrast
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,726.40
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,360.45
|
|
CT scan for localization
|
$845.00 |
$845.00 |
$845.00 |
$1,205.14
|
|
CT scan for therapy guide
|
$1,445.00 |
$1,445.00 |
$1,445.00 |
$694.60
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,610.00 |
$4,610.00 |
$4,610.00 |
$3,575.60
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,140.00 |
$3,140.00 |
$3,140.00 |
$2,985.60
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,940.00 |
$2,940.00 |
$2,940.00 |
$2,418.75
|
|
CT thoracic spine w/contrast
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,468.80
|
|
CT thorax low dose for lung screening without contrast
|
$445.00 |
$445.00 |
$445.00 |
$359.90
|