|
Clsd tx fx radius/ulna dist w/manip 25605
|
$854.92 |
$854.92 |
$854.92 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$424.51 |
$424.51 |
$424.51 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$776.66 |
$776.66 |
$776.66 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$676.97 |
$676.97 |
$676.97 |
$630.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$385.38 |
$385.38 |
$385.38 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$326.96 |
$326.96 |
$326.96 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$252.46 |
$252.46 |
$252.46 |
$522.78
|
|
Clsd tx patella disloc without anes 27560
|
$573.52 |
$573.52 |
$573.52 |
$573.52
|
|
Clsd tx radius fracture w/manip 24655
|
$666.25 |
$666.25 |
$666.25 |
$1,782.86
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$675.90 |
$675.90 |
$675.90 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$53.60 |
$53.60 |
$53.60 |
$424.38
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$727.89 |
$727.89 |
$727.89 |
$1,592.00
|
|
#cmvcul-virus inoculation shell
|
$66.67 |
$66.67 |
$66.67 |
$89.76
|
|
Cmv pcr-sendout
|
$66.67 |
$66.67 |
$66.67 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$0.56 |
$0.56 |
$0.56 |
$11,888.50
|
|
Cold agglutinin titer
|
$40.37 |
$40.37 |
$40.37 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$249.22 |
$249.22 |
$249.22 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$180.26 |
$180.26 |
$180.26 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$127.66 |
$127.66 |
$127.66 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$264.19 |
$264.19 |
$264.19 |
$173.50
|
|
Compatibility test each unit electronic
|
$264.19 |
$264.19 |
$264.19 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$264.19 |
$264.19 |
$264.19 |
$169.52
|
|
Complement antigen each component c3
|
$203.23 |
$203.23 |
$203.23 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$258.89 |
$258.89 |
$258.89 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$276.58 |
$276.58 |
$276.58 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$313.02 |
$313.02 |
$313.02 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$377.34 |
$377.34 |
$377.34 |
$1,212.00
|
|
Complx repair fccmnaxghf 13131
|
$272.82 |
$272.82 |
$272.82 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$340.90 |
$340.90 |
$340.90 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$143.11 |
$143.11 |
$143.11 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$93.80 |
$93.80 |
$93.80 |
$508.44
|
|
Complx repair trunk addl 5cm/< 13102
|
$81.47 |
$81.47 |
$81.47 |
$537.00
|
|
Concentration infection agents any type
|
$80.51 |
$80.51 |
$80.51 |
$51.32
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,028.12 |
$1,028.12 |
$1,028.12 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$45.54 |
$45.54 |
$45.54 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$237.36 |
$237.36 |
$237.36 |
$226.50
|
|
Contrast baths charges
|
$29.89 |
$29.89 |
$29.89 |
$75.60
|
|
Contrast x-ray of ankle
|
$457.15 |
$457.15 |
$457.15 |
$684.00
|
|
Contrast x-ray of elbow
|
$431.31 |
$431.31 |
$431.31 |
$708.00
|
|
Contrast x-ray of hip
|
$693.98 |
$693.98 |
$693.98 |
$796.38
|
|
Contrast x-ray of knee joint
|
$400.45 |
$400.45 |
$400.45 |
$790.50
|
|
Contrast x-ray of wrist
|
$490.88 |
$490.88 |
$490.88 |
$667.50
|
|
Control nosebleed pack+caut 30905
|
$118.99 |
$118.99 |
$118.99 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$132.39 |
$132.39 |
$132.39 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$95.41 |
$95.41 |
$95.41 |
$352.80
|
|
Coombs direct
|
$83.52 |
$83.52 |
$83.52 |
$76.80
|
|
Coombs indirect titer reference
|
$239.42 |
$239.42 |
$239.42 |
$156.71
|
|
Core ndl bx lng/med perq
|
$1,588.28 |
$1,588.28 |
$1,588.28 |
$2,904.48
|
|
Cortisol total am
|
$198.65 |
$198.65 |
$198.65 |
$121.20
|
|
Counseling visit to discuss need for ldct g0296
|
$179.42 |
$179.42 |
$179.42 |
$102.38
|
|
#covid19rsv-rsv
|
$132.72 |
$132.72 |
$132.72 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$36.89 |
$36.89 |
$36.89 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$507.99 |
$507.99 |
$507.99 |
$584.50
|
|
C-peptide
|
$38.74 |
$38.74 |
$38.74 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$498.81 |
$498.81 |
$498.81 |
$777.71
|
|
C-reactive protein
|
$50.11 |
$50.11 |
$50.11 |
$69.36
|
|
C-reactive protein high sensitivity
|
$39.67 |
$39.67 |
$39.67 |
$85.50
|
|
C-reactive protein, quantitative
|
$56.38 |
$56.38 |
$56.38 |
$65.16
|
|
Creatine kinase
|
$12.30 |
$12.30 |
$12.30 |
$66.30
|
|
Creatine kinase mb
|
$21.52 |
$21.52 |
$21.52 |
$113.63
|
|
Creatinine
|
$27.68 |
$27.68 |
$27.68 |
$46.20
|
|
Creatinine 24 hour urine
|
$49.20 |
$49.20 |
$49.20 |
$57.85
|
|
Creatinine clearance urine
|
$17.84 |
$17.84 |
$17.84 |
$90.26
|
|
#creutz-prot.,western blot
|
$95.33 |
$95.33 |
$95.33 |
$163.50
|
|
Crisis psychotherapy 90839
|
$218.17 |
$218.17 |
$218.17 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$101.91 |
$101.91 |
$101.91 |
$149.52
|
|
Critical care each additional 30 minutes
|
$514.56 |
$514.56 |
$514.56 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,029.12 |
$1,029.12 |
$1,029.12 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$42.63 |
$42.63 |
$42.63 |
$144.78
|
|
Cryptosporidium antigen
|
$69.82 |
$69.82 |
$69.82 |
$52.08
|
|
Crystal identification light microscopy
|
$16.90 |
$16.90 |
$16.90 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$607.83 |
$607.83 |
$607.83 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,549.20 |
$1,549.20 |
$1,549.20 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,007.60 |
$2,007.60 |
$2,007.60 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,484.54 |
$1,484.54 |
$1,484.54 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,435.80 |
$1,435.80 |
$1,435.80 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,419.56 |
$1,419.56 |
$1,419.56 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,559.60 |
$1,559.60 |
$1,559.60 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,611.27 |
$1,611.27 |
$1,611.27 |
$1,428.68
|
|
CT angio pelvis
|
$2,819.40 |
$2,819.40 |
$2,819.40 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,139.60 |
$2,139.60 |
$2,139.60 |
$1,691.30
|
|
CT bone density axial
|
$390.00 |
$390.00 |
$390.00 |
$385.15
|
|
CT colonography dx
|
$865.28 |
$865.28 |
$865.28 |
$811.41
|
|
CT colonography dx w/dye
|
$1,081.97 |
$1,081.97 |
$1,081.97 |
$1,069.25
|
|
CT colonography screening
|
$873.23 |
$873.23 |
$873.23 |
$1,084.20
|
|
CT guidance for needle placement
|
$674.93 |
$674.93 |
$674.93 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$604.85 |
$604.85 |
$604.85 |
$1,215.06
|
|
CT heart w/evaluation of calcium without contrast
|
$82.50 |
$82.50 |
$82.50 |
$150.00
|
|
CT limited or localized follow-up study
|
$493.52 |
$493.52 |
$493.52 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$1,475.40 |
$1,475.40 |
$1,475.40 |
$1,818.96
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,911.60 |
$1,911.60 |
$1,911.60 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,274.40 |
$1,274.40 |
$1,274.40 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$2,037.60 |
$2,037.60 |
$2,037.60 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$64.79 |
$64.79 |
$64.79 |
$72.00
|
|
Culture afb any source
|
$39.63 |
$39.63 |
$39.63 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$74.22 |
$74.22 |
$74.22 |
$84.76
|
|
Culture anaerobic except blood
|
$18.24 |
$18.24 |
$18.24 |
$121.22
|
