|
Composite graft/pri close/don area 15760
|
$1,760.85 |
$1,760.85 |
$1,760.85 |
$2,692.80
|
|
Comprehensive hearing test
|
$344.05 |
$344.05 |
$344.05 |
$224.40
|
|
Computed tomographic angiography head and neck with contrast
|
$1,619.10 |
$1,619.10 |
$1,619.10 |
$2,313.35
|
|
Concentration infection agents any type
|
$108.50 |
$108.50 |
$108.50 |
$51.32
|
|
Conditioning play audiometry 92582
|
$346.15 |
$346.15 |
$346.15 |
$185.15
|
|
Condylomata destruction 56420
|
$602.00 |
$602.00 |
$602.00 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,354.59 |
$1,354.59 |
$1,354.59 |
$986.92
|
|
Connect omega .5mm
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$1,069.43
|
|
Connector tis 2x10mm
|
$3,180.28 |
$3,180.28 |
$3,180.28 |
$3,934.53
|
|
Consultation pathology during surgery
|
$147.35 |
$147.35 |
$147.35 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$504.35 |
$504.35 |
$504.35 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$31.15 |
$31.15 |
$31.15 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$147.35 |
$147.35 |
$147.35 |
$214.00
|
|
Consultation/report referred slides prepared elsewhere
|
$33.25 |
$33.25 |
$33.25 |
$176.15
|
|
Consult comp w/report rfrd material
|
$115.15 |
$115.15 |
$115.15 |
$359.87
|
|
Cont intraop neuro monitor
|
$54.25 |
$54.25 |
$54.25 |
$335.25
|
|
Contrast baths charges
|
$73.85 |
$73.85 |
$73.85 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$3,113.60 |
$3,113.60 |
$3,113.60 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$4,141.90 |
$4,141.90 |
$4,141.90 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$5,186.30 |
$5,186.30 |
$5,186.30 |
$4,178.00
|
|
Contrast x-ray of hip
|
$551.60 |
$551.60 |
$551.60 |
$768.00
|
|
Contrast x-ray of knee joint
|
$812.70 |
$812.70 |
$812.70 |
$683.20
|
|
Contrast x-ray of wrist
|
$1,802.15 |
$1,802.15 |
$1,802.15 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$8,731.80 |
$8,731.80 |
$8,731.80 |
$11,518.85
|
|
Controller infinity pt dbs
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$602.00 |
$602.00 |
$602.00 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$602.00 |
$602.00 |
$602.00 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$602.00 |
$602.00 |
$602.00 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$602.00 |
$602.00 |
$602.00 |
$618.80
|
|
Control throat bleeding
|
$1,840.30 |
$1,840.30 |
$1,840.30 |
$4,122.30
|
|
Conversion ext bil drg cath
|
$3,311.70 |
$3,311.70 |
$3,311.70 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$1,551.90 |
$1,551.90 |
$1,551.90 |
$3,569.60
|
|
Coombs direct
|
$84.35 |
$84.35 |
$84.35 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$120.05 |
$120.05 |
$120.05 |
$94.90
|
|
Coombs indirect titer reference
|
$273.35 |
$273.35 |
$273.35 |
$146.00
|
|
Copper intrauterine device
|
$1,609.55 |
$1,609.55 |
$1,609.55 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$1,117.90 |
$1,117.90 |
$1,117.90 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$4,499.12
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$7,570.50 |
$7,570.50 |
$7,570.50 |
$9,900.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,440.55 |
$9,440.55 |
$9,440.55 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$7,770.35 |
$7,770.35 |
$7,770.35 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$9,005.85 |
$9,005.85 |
$9,005.85 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$7,869.05 |
$7,869.05 |
$7,869.05 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,116.95 |
$6,116.95 |
$6,116.95 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$511.35 |
$511.35 |
$511.35 |
$489.00
|
|
Correct finger deformity
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$4,108.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$4,108.00
|
|
Correct rectal prolapse
|
$1,311.45 |
$1,311.45 |
$1,311.45 |
$3,722.88
|
|
Cortisol total am
|
$87.15 |
$87.15 |
$87.15 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$116.81 |
$116.81 |
$116.81 |
$222.48
|
|
Coveredge 32 lead kit 40cm 48
|
$2,413.39 |
$2,413.39 |
$2,413.39 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$29.40 |
$29.40 |
$29.40 |
$58.61
|
|
C-peptide
|
$79.45 |
$79.45 |
$79.45 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$1,396.85 |
$1,396.85 |
$1,396.85 |
$1,466.97
|
|
C-reactive protein
|
$61.60 |
$61.60 |
$61.60 |
$63.00
|
|
C-reactive protein high sensitivity
|
$61.60 |
$61.60 |
$61.60 |
$91.65
|
|
C-reactive protein, quantitative
|
$234.50 |
$234.50 |
$234.50 |
$62.50
|
|
Creatine kinase
|
$102.55 |
$102.55 |
$102.55 |
$59.78
|
|
Creatine kinase mb
|
$113.75 |
$113.75 |
$113.75 |
$111.00
|
|
Creatinine
|
$37.80 |
$37.80 |
$37.80 |
$44.10
|
|
Creatinine 24 hour urine
|
$77.35 |
$77.35 |
$77.35 |
$59.80
|
|
Creatinine clearance urine
|
$158.90 |
$158.90 |
$158.90 |
$87.50
|
|
Critical care 30-74 minutes
|
$5,178.25 |
$5,178.25 |
$5,178.25 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,431.50 |
$1,431.50 |
$1,431.50 |
$777.00
|
|
Cromolyn sodium noncomp unit
|
$2.46 |
$2.46 |
$2.46 |
$10.57
|
|
Crotalidae poly immune fab
|
$4,596.26 |
$4,596.26 |
$4,596.26 |
$5,160.00
|
|
Cryoprecipitate each unit
|
$258.30 |
$258.30 |
$258.30 |
$185.64
|
|
Crystal identification light microscopy
|
$166.60 |
$166.60 |
$166.60 |
$65.25
|
|
Csf leakage imaging
|
$1,247.05 |
$1,247.05 |
$1,247.05 |
$1,446.24
|
|
Csf shunt reprogram 62252
|
$172.90 |
$172.90 |
$172.90 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$359.10 |
$359.10 |
$359.10 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,538.90 |
$2,538.90 |
$2,538.90 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,538.90 |
$2,538.90 |
$2,538.90 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,354.80 |
$2,354.80 |
$2,354.80 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,467.55 |
$1,467.55 |
$1,467.55 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,173.10 |
$3,173.10 |
$3,173.10 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,538.90 |
$2,538.90 |
$2,538.90 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,467.55 |
$1,467.55 |
$1,467.55 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$2,646.35 |
$2,646.35 |
$2,646.35 |
$1,588.60
|
|
CT angio pelvis
|
$1,269.80 |
$1,269.80 |
$1,269.80 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$2,354.80 |
$2,354.80 |
$2,354.80 |
$1,652.25
|
|
CT cerebral perf w cont & prcssng
|
$1,619.10 |
$1,619.10 |
$1,619.10 |
$803.40
|
|
CT colonography dx
|
$857.50 |
$857.50 |
$857.50 |
$770.90
|
|
CT colonography dx w/dye
|
$1,071.70 |
$1,071.70 |
$1,071.70 |
$1,009.98
|
|
CT colonography screening
|
$1,071.70 |
$1,071.70 |
$1,071.70 |
$1,084.20
|
|
CT guidance for needle placement
|
$952.35 |
$952.35 |
$952.35 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,881.60 |
$1,881.60 |
$1,881.60 |
$1,085.05
|
|
CT guid parench tis ablat
|
$2,335.55 |
$2,335.55 |
$2,335.55 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$584.50 |
$584.50 |
$584.50 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,646.35 |
$2,646.35 |
$2,646.35 |
$1,217.45
|
|
CT hrt w/3d image
|
$421.75 |
$421.75 |
$421.75 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$589.05 |
$589.05 |
$589.05 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$2,340.80 |
$2,340.80 |
$2,340.80 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,869.70 |
$1,869.70 |
$1,869.70 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$2,538.90 |
$2,538.90 |
$2,538.90 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,482.25 |
$1,482.25 |
$1,482.25 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,415.40 |
$1,415.40 |
$1,415.40 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$1,968.05 |
$1,968.05 |
$1,968.05 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,859.90 |
$1,859.90 |
$1,859.90 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,538.95 |
$1,538.95 |
$1,538.95 |
$1,543.83
|