|
Complx repair fccmnaxghf 13132
|
$340.90 |
$380.96 |
$389.87 |
|
|
Complx repair fccmnaxghf 13133
|
$143.11 |
$159.93 |
$163.67 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$93.80 |
$104.83 |
$107.27 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$251.58 |
$251.58 |
$251.58 |
|
|
Complx repair trunk addl 5cm/< 13102
|
$81.47 |
$81.47 |
$91.05 |
|
|
Concentration infection agents any type
|
$53.76 |
$80.51 |
$90.62 |
|
|
Condylomata destruction 56420
|
$128.78 |
$128.78 |
$131.79 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$674.52 |
$684.34 |
$1,181.45 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$24.78 |
$37.42 |
$52.73 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$143.64 |
$195.05 |
$274.86 |
|
|
Consultation/report referred material w/preparation of slides
|
$44.94 |
$44.94 |
$67.47 |
|
|
Consultation/report referred slides prepared elsewhere
|
$33.18 |
$33.18 |
$63.12 |
|
|
Contrast baths charges
|
$29.89 |
$43.92 |
$47.89 |
|
|
Contrast exam abdominl aorta 75625-26
|
$1,921.92 |
$1,921.92 |
$1,921.92 |
|
|
Contrast exam thoracic aorta
|
$2,978.64 |
$2,978.64 |
$2,978.64 |
|
|
Contrast exam thoracic aorta 75605-26
|
$3,202.92 |
$3,202.92 |
$3,202.92 |
|
|
Contrast x-ray of ankle
|
$281.82 |
$281.82 |
$457.15 |
|
|
Contrast x-ray of elbow
|
$230.58 |
$230.58 |
$431.31 |
|
|
Contrast x-ray of hip
|
$230.58 |
$693.98 |
$825.52 |
|
|
Contrast x-ray of knee joint
|
$230.58 |
$400.45 |
$476.36 |
|
|
Contrast x-ray of wrist
|
$236.46 |
$490.88 |
$583.92 |
|
|
Controller infinity pt dbs
|
$3,697.95 |
$5,835.90 |
$13,825.52 |
|
|
Control nosebleed pack+caut 30905
|
$118.99 |
$132.98 |
$136.09 |
|
|
Control of nosebleed ant comp 30903
|
$132.39 |
$147.95 |
$151.41 |
|
|
Control of nosebleedantersmpl 30901
|
$95.41 |
$106.62 |
$109.11 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$209.65 |
$209.65 |
$209.65 |
|
|
Conversion ext bil drg cath
|
$2,286.90 |
$2,286.90 |
$2,286.90 |
|
|
Convert nephrostomy catheter
|
$2,158.38 |
$2,158.38 |
$2,158.38 |
|
|
Coombs direct
|
$49.98 |
$83.52 |
$141.96 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$143.64 |
$143.64 |
$143.64 |
|
|
Coombs indirect titer reference
|
$143.64 |
$143.64 |
$239.42 |
|
|
Core ndl bx lng/med perq
|
$1,358.70 |
$1,588.28 |
$1,745.93 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,599.52 |
$9,599.52 |
$9,599.52 |
|
|
Coronary angio/lv gram/lt heart
|
$9,113.16 |
$9,113.16 |
$9,113.16 |
|
|
Coronary angio/lv gram/rt< heart
|
$10,601.22 |
$10,601.22 |
$10,601.22 |
|
|
Coronary art/grft angio s&i
|
$8,911.14 |
$8,911.14 |
$8,911.14 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$8,119.86 |
$8,119.86 |
$8,119.86 |
|
|
Coronary thrombolysis/iv infusion 92977
|
$622.44 |
$622.44 |
$622.44 |
|
|
Cortisol total am
|
$135.66 |
$198.65 |
$214.80 |
|
|
Co-treatment - group 15 mins, st
|
$28.98 |
$28.98 |
$60.58 |
|
|
Counseling visit to discuss need for ldct g0296
|
$179.42 |
$179.42 |
$179.42 |
|
|
Coveredge 32 lead kit 40cm 48
|
$3,210.48 |
$3,210.48 |
$3,210.48 |
|
|
#covid19rsv-rsv
|
$88.62 |
$132.72 |
$149.39 |
|
|
#coxa-coxsackie a serotype a16
|
$22.26 |
$36.89 |
$62.70 |
|
|
CPAP or BiPAP Setup (first day)
|
$384.72 |
$507.99 |
$522.15 |
|
|
C-peptide
|
$26.46 |
$38.74 |
$41.90 |
|
|
CPR (Cardiopulmonary Resuscitation)
|
$498.81 |
$521.40 |
$623.70 |
|
|
Crbrospnl fld flw imag cistern
|
$550.62 |
$550.62 |
$550.62 |
|
|
C-reactive protein
|
$6.72 |
$50.11 |
$85.18 |
|
|
C-reactive protein high sensitivity
|
$23.94 |
$39.67 |
$67.43 |
|
|
C-reactive protein, quantitative
|
$34.02 |
$56.38 |
$95.82 |
|
|
Creatine kinase
|
$12.30 |
$12.84 |
$23.10 |
|
|
Creatine kinase isoenzymes
|
$24.78 |
$24.78 |
$39.24 |
|
|
Creatine kinase mb
|
$14.70 |
$21.52 |
$23.28 |
|
|
Creatine - sendout
|
$25.20 |
$25.20 |
$25.20 |
|
|
Creatinine
|
$6.72 |
$27.68 |
$29.92 |
|
|
Creatinine 24 hour urine
|
$33.60 |
$49.20 |
$53.20 |
|
|
Creatinine clearance urine
|
$12.18 |
$17.84 |
$19.28 |
|
|
#creutz-prot.,western blot
|
$65.10 |
$95.33 |
$112.99 |
|
|
Crisis psychotherapy 90839
|
$218.17 |
$218.17 |
$218.17 |
|
|
Crisis psychotherapy additional 30 mins 90840
|
$101.91 |
$101.91 |
$101.91 |
|
|
Critical care each additional 30 minutes
|
$514.56 |
$576.00 |
$1,631.70 |
|
|
Critical Care (first 30 to 74 minutes)
|
$1,029.12 |
$1,152.00 |
$3,265.50 |
|
|
Cryofibrinogen qualitative - sendout
|
$64.26 |
$64.26 |
$64.26 |
|
|
Cryoprecipitate each unit
|
$37.38 |
$42.63 |
$56.43 |
|
|
Cryptococcus abs qn - sendout
|
$18.48 |
$18.48 |
$18.48 |
|
|
Cryptosporidium antigen
|
$25.62 |
$69.82 |
$78.59 |
|
|
Crystal identification light microscopy
|
$9.24 |
$14.37 |
$16.90 |
|
|
Csf leakage imaging
|
$900.06 |
$900.06 |
$900.06 |
|
|
CT 3d report other modality w/workstation
|
$110.04 |
$607.83 |
$788.84 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,022.70 |
$1,549.20 |
$1,773.83 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,339.80 |
$2,007.60 |
$2,298.70 |
|
|
CT Angiogram of the Abdomen
|
$617.40 |
$1,288.80 |
$1,475.68 |
|
|
CT Angiogram of the Abdomen and Both Legs
|
$685.86 |
$1,484.54 |
$1,926.62 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$729.12 |
$1,435.80 |
$1,643.99 |
|
|
CT Angiogram of the Head
|
$1,022.70 |
$1,419.56 |
$1,523.49 |
|
|
CT Angiogram of the Neck
|
$1,025.64 |
$1,559.60 |
$1,673.78 |
|
|
CT angio hrt w/3d image
|
$523.74 |
$1,611.27 |
$1,984.10 |
|
|
CT angio pelvis
|
$606.90 |
$2,819.40 |
$3,228.21 |
|
|
Cta upper extremity w &/or without contrast left
|
$727.44 |
$2,139.60 |
$2,449.84 |
|
|
CT bone density axial
|
$390.00 |
$428.35 |
$446.55 |
|
|
CT colonography dx
|
$344.40 |
$865.28 |
$1,065.49 |
|
|
CT colonography dx w/dye
|
$430.50 |
$1,081.97 |
$1,332.32 |
|
|
CT colonography screening
|
$576.24 |
$576.24 |
$873.23 |
|
|
CT guidance for needle placement
|
$674.93 |
$831.10 |
$875.91 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$604.85 |
$744.80 |
$774.48 |
|
|
CT guid parench tis ablat
|
$643.44 |
$643.44 |
$643.44 |
|
|
CT heart w/evaluation of calcium without contrast
|
$73.08 |
$82.50 |
$101.59 |
|
|
CT hrt c+ strux cgen hrt ds
|
$498.54 |
$498.54 |
$498.54 |
|
|
CT hrt w/3d image
|
$415.38 |
$415.38 |
$1,481.04 |
|
|
CT limited or localized follow-up study
|
$245.70 |
$493.52 |
$640.48 |
|
|
CT lwr extremity w/o&w/dye
|
$973.98 |
$1,475.40 |
$1,689.33 |
|
|
CT scan for localization
|
$753.90 |
$753.90 |
$753.90 |
|
|
CT scan for therapy guide
|
$398.58 |
$398.58 |
$398.58 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,275.96 |
$1,911.60 |
$2,188.78 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,063.44 |
$1,593.00 |
$1,823.99 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$850.50 |
$1,274.40 |
$1,459.19 |
|
|
CT t-spine w /wo contrast
|
$971.04 |
$2,835.00 |
$3,246.08 |
|
|
CT uppr extremity w/o&w/dye
|
$692.58 |
$2,037.60 |
$2,333.05 |
|
|
Culture aerobic additional method definitive id each
|
$40.32 |
$64.79 |
$72.92 |
|
