|
Cltx carpl scphd fx w/mnpj
|
$2,334.27 |
$2,334.27 |
$2,334.27 |
$2,316.80
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$3,248.19 |
$3,248.19 |
$3,248.19 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$469.20 |
$469.20 |
$469.20 |
$523.25
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,334.27 |
$2,334.27 |
$2,334.27 |
$1,893.86
|
|
Cltx humrl cndylr fx wo mnpj
|
$469.20 |
$469.20 |
$469.20 |
$563.00
|
|
Cltx lunate dislc w/mnpj
|
$3,248.19 |
$3,248.19 |
$3,248.19 |
$2,893.80
|
|
Cltx mndblr fx ntrdntl fixj
|
$12,090.57 |
$12,090.57 |
$12,090.57 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$3,144.15 |
$3,144.15 |
$3,144.15 |
$2,503.20
|
|
Cltx mndblr/max alv ridge fx
|
$5,598.78 |
$5,598.78 |
$5,598.78 |
$3,990.33
|
|
Cltx palatal/max fx wire fix
|
$5,598.78 |
$5,598.78 |
$5,598.78 |
$4,199.49
|
|
Cltx post ankle fx
|
$469.20 |
$469.20 |
$469.20 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$2,334.27 |
$2,334.27 |
$2,334.27 |
$2,621.64
|
|
Cltx scap fx w/mnpj +-tractj
|
$3,248.19 |
$3,248.19 |
$3,248.19 |
$2,320.50
|
|
Cltx strnclav dislc w/mnpj
|
$469.20 |
$469.20 |
$469.20 |
$722.16
|
|
Cltx thigh fx
|
$5,857.86 |
$5,857.86 |
$5,857.86 |
$3,881.76
|
|
#cmvcul-virus inoculation shell
|
$137.41 |
$137.41 |
$137.41 |
$102.57
|
|
Cmv pcr-sendout
|
$147.90 |
$147.90 |
$147.90 |
$173.25
|
|
Coagulation time activated teg
|
$209.10 |
$209.10 |
$209.10 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$858.19 |
$858.19 |
$858.19 |
$807.71
|
|
Cold agglutinin titer
|
$12.48 |
$12.48 |
$12.48 |
$48.57
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$122.37 |
$122.37 |
$122.37 |
$66.69
|
|
Collar cerv adlt perfit ace extric
|
$39.62 |
$39.62 |
$39.62 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$501.77 |
$501.77 |
$501.77 |
$241.88
|
|
Collar cerv patriot adlt
|
$213.37 |
$213.37 |
$213.37 |
$153.57
|
|
Collar extrication adult univ
|
$258.65 |
$258.65 |
$258.65 |
$567.53
|
|
Collection blood specimen from completely implantable venous access device
|
$264.18 |
$264.18 |
$264.18 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$303.96 |
$303.96 |
$303.96 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$47.43 |
$47.43 |
$47.43 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$1,267.86 |
$1,267.86 |
$1,267.86 |
$1,612.62
|
|
Colonoscopy w/control bleed
|
$1,652.40 |
$1,652.40 |
$1,652.40 |
$2,101.71
|
|
Colpocentesis 57020
|
$10,495.80 |
$10,495.80 |
$10,495.80 |
$5,419.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$5,564.61 |
$5,564.61 |
$5,564.61 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$271.83 |
$271.83 |
$271.83 |
$326.30
|
|
Colposcopy vulva 56820
|
$403.92 |
$403.92 |
$403.92 |
$295.20
|
|
Colpotomy drng of abscess 57010
|
$5,564.61 |
$5,564.61 |
$5,564.61 |
$3,744.41
|
|
Colpotomy w/exploration 57000
|
$5,564.61 |
$5,564.61 |
$5,564.61 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$378.93 |
$378.93 |
$378.93 |
$173.25
|
|
Compatibility test each unit electronic
|
$236.13 |
$236.13 |
$236.13 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$386.58 |
$386.58 |
$386.58 |
$169.52
|
|
Complement antigen each component c3
|
$46.21 |
$46.21 |
$46.21 |
$111.15
|
|
Complement fixation each
|
$4.59 |
$4.59 |
$4.59 |
$24.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,462.17 |
$1,462.17 |
$1,462.17 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,315.80 |
$1,315.80 |
$1,315.80 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,325.49 |
$1,325.49 |
$1,325.49 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,554.08 |
$2,554.08 |
$2,554.08 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$2,221.05 |
$2,221.05 |
$2,221.05 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$1,206.66 |
$1,206.66 |
$1,206.66 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$2,554.08 |
$2,554.08 |
$2,554.08 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$616.08 |
$616.08 |
$616.08 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$812.43 |
$812.43 |
$812.43 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,315.80 |
$1,315.80 |
$1,315.80 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$6,846.75 |
$6,846.75 |
$6,846.75 |
$683.25
|
|
Composite graft/pri close/don area 15760
|
$3,397.11 |
$3,397.11 |
$3,397.11 |
$2,692.80
|
|
Concentration infection agents any type
|
$91.80 |
$91.80 |
$91.80 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$3,371.12 |
$3,371.12 |
$3,371.12 |
$2,423.65
|
|
Condylomata destruction 56420
|
$518.67 |
$518.67 |
$518.67 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,143.29 |
$1,143.29 |
$1,143.29 |
$986.92
|
|
Connect omega .5mm
|
$2,103.75 |
$2,103.75 |
$2,103.75 |
$1,069.43
|
|
Connector tis 2x10mm
|
$3,682.94 |
$3,682.94 |
$3,682.94 |
$3,934.53
|
|
Consultation pathology during surgery
|
$591.09 |
$591.09 |
$591.09 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$797.64 |
$797.64 |
$797.64 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$170.34 |
$170.34 |
$170.34 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$324.87 |
$324.87 |
$324.87 |
$214.00
|
|
Consultation/report referred slides prepared elsewhere
|
$516.63 |
$516.63 |
$516.63 |
$176.15
|
|
Consult comp w/report rfrd material
|
$226.44 |
$226.44 |
$226.44 |
$359.87
|
|
Contrast exam abdominl aorta 75625-26
|
$7,557.69 |
$7,557.69 |
$7,557.69 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$6,941.61 |
$6,941.61 |
$6,941.61 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$9,886.35 |
$9,886.35 |
$9,886.35 |
$4,178.00
|
|
Contrast x-ray gallbladder
|
$295.80 |
$295.80 |
$295.80 |
$312.00
|
|
Contrast x-ray of ankle
|
$986.34 |
$986.34 |
$986.34 |
$602.40
|
|
Contrast x-ray of hip
|
$854.25 |
$854.25 |
$854.25 |
$768.00
|
|
Contrast x-ray of knee joint
|
$1,026.12 |
$1,026.12 |
$1,026.12 |
$683.20
|
|
Contrast x-ray of wrist
|
$991.95 |
$991.95 |
$991.95 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$7,361.44 |
$7,361.44 |
$7,361.44 |
$11,518.85
|
|
Controller infinity pt dbs
|
$4,421.70 |
$4,421.70 |
$4,421.70 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$1,881.90 |
$1,881.90 |
$1,881.90 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,881.90 |
$1,881.90 |
$1,881.90 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$1,881.90 |
$1,881.90 |
$1,881.90 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$2,592.84 |
$2,592.84 |
$2,592.84 |
$618.80
|
|
Control throat bleeding
|
$5,598.78 |
$5,598.78 |
$5,598.78 |
$4,122.30
|
|
Conversion ext bil drg cath
|
$6,970.68 |
$6,970.68 |
$6,970.68 |
$4,661.80
|
|
Coombs direct
|
$62.22 |
$62.22 |
$62.22 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$87.72 |
$87.72 |
$87.72 |
$94.90
|
|
Coombs indirect titer reference
|
$155.04 |
$155.04 |
$155.04 |
$146.00
|
|
Copper intrauterine device
|
$2,611.97 |
$2,611.97 |
$2,611.97 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$3,579.18 |
$3,579.18 |
$3,579.18 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$4,499.12
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$6,389.28 |
$6,389.28 |
$6,389.28 |
$9,900.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$10,521.30 |
$10,521.30 |
$10,521.30 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$10,281.09 |
$10,281.09 |
$10,281.09 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$10,891.56 |
$10,891.56 |
$10,891.56 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$5,780.34 |
$5,780.34 |
$5,780.34 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,251.47 |
$5,251.47 |
$5,251.47 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$507.45 |
$507.45 |
$507.45 |
$489.00
|
|
Correct finger deformity
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$4,108.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$6,740.16 |
$6,740.16 |
$6,740.16 |
$4,108.00
|
|
Correct rectal prolapse
|
$5,056.65 |
$5,056.65 |
$5,056.65 |
$3,722.88
|
|
Cortisol total am
|
$156.06 |
$156.06 |
$156.06 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$159.60 |
$159.60 |
$159.60 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$79.56 |
$79.56 |
$79.56 |
$108.81
|