|
Colonoscopy (diagnostic)
|
$1,044.96 |
$1,044.96 |
$1,044.96 |
$1,612.62
|
|
Colonoscopy w/control bleed
|
$1,891.20 |
$1,891.20 |
$1,891.20 |
$2,101.71
|
|
Colpocentesis 57020
|
$2,834.40 |
$2,834.40 |
$2,834.40 |
$5,419.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$8,489.76 |
$8,489.76 |
$8,489.76 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$365.28 |
$365.28 |
$365.28 |
$326.30
|
|
Colposcopy vulva 56820
|
$347.04 |
$347.04 |
$347.04 |
$295.20
|
|
Colposcopy w/biopsy of cervix 57455
|
$433.44 |
$433.44 |
$433.44 |
$544.70
|
|
Colpotomy drng of abscess 57010
|
$4,757.76 |
$4,757.76 |
$4,757.76 |
$3,744.41
|
|
Colpotomy w/exploration 57000
|
$4,757.76 |
$4,757.76 |
$4,757.76 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$162.72 |
$162.72 |
$162.72 |
$173.25
|
|
Compatibility test each unit electronic
|
$122.40 |
$122.40 |
$122.40 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$110.40 |
$110.40 |
$110.40 |
$169.52
|
|
Comp cystometrogram/void/uret pres 51729
|
$599.04 |
$599.04 |
$599.04 |
$1,099.00
|
|
Complement antigen each component c3
|
$132.96 |
$132.96 |
$132.96 |
$111.15
|
|
Complement fixation each
|
$21.12 |
$21.12 |
$21.12 |
$24.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$668.64 |
$668.64 |
$668.64 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$909.12 |
$909.12 |
$909.12 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$443.04 |
$443.04 |
$443.04 |
$353.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$650.40 |
$650.40 |
$650.40 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$936.48 |
$936.48 |
$936.48 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$650.40 |
$650.40 |
$650.40 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$668.64 |
$668.64 |
$668.64 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$972.48 |
$972.48 |
$972.48 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$630.72 |
$630.72 |
$630.72 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$625.44 |
$625.44 |
$625.44 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$630.72 |
$630.72 |
$630.72 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$122.88 |
$122.88 |
$122.88 |
$683.25
|
|
Composite graft/pri close/don area 15760
|
$3,091.20 |
$3,091.20 |
$3,091.20 |
$2,692.80
|
|
Concentration infection agents any type
|
$74.40 |
$74.40 |
$74.40 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$4,751.53 |
$4,751.53 |
$4,751.53 |
$2,423.65
|
|
Condylomata destruction 56420
|
$398.88 |
$398.88 |
$398.88 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,161.08 |
$1,161.08 |
$1,161.08 |
$986.92
|
|
Connect omega .5mm
|
$2,408.40 |
$2,408.40 |
$2,408.40 |
$1,069.43
|
|
Connector tis 2x10mm
|
$5,878.16 |
$5,878.16 |
$5,878.16 |
$3,934.53
|
|
Consultation pathology during surgery
|
$316.32 |
$316.32 |
$316.32 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$850.08 |
$850.08 |
$850.08 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$217.44 |
$217.44 |
$217.44 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$234.72 |
$234.72 |
$234.72 |
$214.00
|
|
Consultation/report referred slides prepared elsewhere
|
$426.24 |
$426.24 |
$426.24 |
$176.15
|
|
Consult comp w/report rfrd material
|
$659.04 |
$659.04 |
$659.04 |
$359.87
|
|
Contrast exam abdominl aorta 75625-26
|
$5,590.56 |
$5,590.56 |
$5,590.56 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$4,954.08 |
$4,954.08 |
$4,954.08 |
$4,178.00
|
|
Contrast x-ray gallbladder
|
$913.44 |
$913.44 |
$913.44 |
$312.00
|
|
Contrast x-ray of ankle
|
$506.88 |
$506.88 |
$506.88 |
$602.40
|
|
Contrast x-ray of brain
|
$1,833.60 |
$1,833.60 |
$1,833.60 |
$930.42
|
|
Contrast x-ray of elbow
|
$942.72 |
$942.72 |
$942.72 |
$637.14
|
|
Contrast x-ray of hip
|
$944.64 |
$944.64 |
$944.64 |
$768.00
|
|
Contrast x-ray of knee joint
|
$610.08 |
$610.08 |
$610.08 |
$683.20
|
|
Contrast x-ray of wrist
|
$536.16 |
$536.16 |
$536.16 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$14,968.80 |
$14,968.80 |
$14,968.80 |
$11,518.85
|
|
Controller infinity pt dbs
|
$8,035.20 |
$8,035.20 |
$8,035.20 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$407.52 |
$407.52 |
$407.52 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$407.52 |
$407.52 |
$407.52 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$374.40 |
$374.40 |
$374.40 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$343.68 |
$343.68 |
$343.68 |
$618.80
|
|
Control throat bleeding
|
$4,989.60 |
$4,989.60 |
$4,989.60 |
$4,122.30
|
|
Conversion ext bil drg cath
|
$2,622.72 |
$2,622.72 |
$2,622.72 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$2,381.28 |
$2,381.28 |
$2,381.28 |
$3,569.60
|
|
Coombs direct
|
$65.76 |
$65.76 |
$65.76 |
$73.26
|
|
Coombs indirect titer reference
|
$121.44 |
$121.44 |
$121.44 |
$146.00
|
|
Copper intrauterine device
|
$3,048.51 |
$3,048.51 |
$3,048.51 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$2,580.96 |
$2,580.96 |
$2,580.96 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$4,499.12
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$13,595.40 |
$13,595.40 |
$13,595.40 |
$9,900.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$8,745.12 |
$8,745.12 |
$8,745.12 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$7,428.96 |
$7,428.96 |
$7,428.96 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$8,373.12 |
$8,373.12 |
$8,373.12 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$7,878.72 |
$7,878.72 |
$7,878.72 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,678.24 |
$6,678.24 |
$6,678.24 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$214.08 |
$214.08 |
$214.08 |
$489.00
|
|
Correct finger deformity
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$4,108.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$4,108.00
|
|
Correct rectal prolapse
|
$2,289.12 |
$2,289.12 |
$2,289.12 |
$3,722.88
|
|
Cortisol total am
|
$132.48 |
$132.48 |
$132.48 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$121.58 |
$121.58 |
$121.58 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$89.76 |
$89.76 |
$89.76 |
$108.81
|
|
Counseling visit to discuss need for ldct g0296
|
$119.52 |
$119.52 |
$119.52 |
$109.46
|
|
Coveredge 32 lead kit 40cm 48
|
$4,442.40 |
$4,442.40 |
$4,442.40 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$36.48 |
$36.48 |
$36.48 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$239.04 |
$239.04 |
$239.04 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$239.04 |
$239.04 |
$239.04 |
$533.10
|
|
#coxa-coxsackie a serotype a16
|
$12.82 |
$12.82 |
$12.82 |
$65.36
|
|
C-peptide
|
$30.36 |
$30.36 |
$30.36 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$1,147.68 |
$1,147.68 |
$1,147.68 |
$1,466.97
|
|
C-reactive protein
|
$271.20 |
$271.20 |
$271.20 |
$63.00
|
|
C-reactive protein high sensitivity
|
$246.24 |
$246.24 |
$246.24 |
$91.65
|
|
C-reactive protein, quantitative
|
$34.08 |
$34.08 |
$34.08 |
$62.50
|
|
Creatine kinase
|
$68.16 |
$68.16 |
$68.16 |
$59.78
|
|
Creatine kinase isoenzymes
|
$25.12 |
$25.12 |
$25.12 |
$46.34
|
|
Creatine - sendout
|
$20.14 |
$20.14 |
$20.14 |
$39.00
|
|
Creatinine
|
$67.68 |
$67.68 |
$67.68 |
$44.10
|
|
Creatinine 24 hour urine
|
$72.00 |
$72.00 |
$72.00 |
$59.80
|
|
Creatinine clearance urine
|
$161.28 |
$161.28 |
$161.28 |
$87.50
|
|
#creutz-prot.,western blot
|
$53.25 |
$53.25 |
$53.25 |
$173.00
|
|
Crisis psychotherapy 90839
|
$215.04 |
$215.04 |
$215.04 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$108.48 |
$108.48 |
$108.48 |
$152.10
|
|
Critical care 30-74 minutes
|
$5,189.76 |
$5,189.76 |
$5,189.76 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$523.20 |
$523.20 |
$523.20 |
$777.00
|
|
Crotalidae poly immune fab
|
$2,814.03 |
$2,814.03 |
$2,814.03 |
$5,160.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$15,565.44 |
$15,565.44 |
$15,565.44 |
$2,649.05
|
