|
Controler lvad heartmate 3 includes ebb
|
$8,785.26 |
$8,785.26 |
$8,785.26 |
$11,518.85
|
|
Controller infinity pt dbs
|
$4,896.00 |
$4,896.00 |
$4,896.00 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$383.52 |
$383.52 |
$383.52 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,319.88 |
$1,319.88 |
$1,319.88 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$817.53 |
$817.53 |
$817.53 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$561.51 |
$561.51 |
$561.51 |
$618.80
|
|
Control throat bleeding
|
$2,901.90 |
$2,901.90 |
$2,901.90 |
$4,122.30
|
|
Conversion ext bil drg cath
|
$3,612.84 |
$3,612.84 |
$3,612.84 |
$4,661.80
|
|
Coombs direct
|
$57.12 |
$57.12 |
$57.12 |
$73.26
|
|
Coombs indirect titer reference
|
$137.70 |
$137.70 |
$137.70 |
$146.00
|
|
Copper intrauterine device
|
$2,024.40 |
$2,024.40 |
$2,024.40 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$4,499.12
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$7,616.85 |
$7,616.85 |
$7,616.85 |
$9,900.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$339.15 |
$339.15 |
$339.15 |
$489.00
|
|
Correct finger deformity
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$4,108.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$4,108.00
|
|
Correct rectal prolapse
|
$2,620.89 |
$2,620.89 |
$2,620.89 |
$3,722.88
|
|
Corrj halux rigdus w/implt
|
$880.77 |
$880.77 |
$880.77 |
$6,280.06
|
|
Cortisol total am
|
$149.94 |
$149.94 |
$149.94 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$159.60 |
$159.60 |
$159.60 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$55.59 |
$55.59 |
$55.59 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$112.20 |
$112.20 |
$112.20 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$2,830.50 |
$2,830.50 |
$2,830.50 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$38.76 |
$38.76 |
$38.76 |
$58.61
|
|
C-reactive protein
|
$135.15 |
$135.15 |
$135.15 |
$63.00
|
|
C-reactive protein high sensitivity
|
$408.00 |
$408.00 |
$408.00 |
$91.65
|
|
Creatine kinase
|
$53.04 |
$53.04 |
$53.04 |
$59.78
|
|
Creatine kinase mb
|
$147.39 |
$147.39 |
$147.39 |
$111.00
|
|
Creatinine
|
$42.33 |
$42.33 |
$42.33 |
$44.10
|
|
Creatinine 24 hour urine
|
$42.33 |
$42.33 |
$42.33 |
$59.80
|
|
Creatinine clearance urine
|
$77.52 |
$77.52 |
$77.52 |
$87.50
|
|
Critical care 30-74 minutes
|
$4,671.60 |
$4,671.60 |
$4,671.60 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,201.56 |
$1,201.56 |
$1,201.56 |
$777.00
|
|
Crotalidae poly immune fab
|
$3,595.83 |
$3,595.83 |
$3,595.83 |
$5,160.00
|
|
Cryoprecipitate each unit
|
$234.60 |
$234.60 |
$234.60 |
$185.64
|
|
Crystal identification light microscopy
|
$77.01 |
$77.01 |
$77.01 |
$65.25
|
|
Csf shunt reprogram 62252
|
$282.03 |
$282.03 |
$282.03 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$530.40 |
$530.40 |
$530.40 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,026.74 |
$2,026.74 |
$2,026.74 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,310.70 |
$1,310.70 |
$1,310.70 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,026.74 |
$2,026.74 |
$2,026.74 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,559.07 |
$1,559.07 |
$1,559.07 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,707.59 |
$2,707.59 |
$2,707.59 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,026.74 |
$2,026.74 |
$2,026.74 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,559.07 |
$1,559.07 |
$1,559.07 |
$2,021.40
|
|
CT lower extremity w/contrast (both sides)
|
$1,728.39 |
$1,728.39 |
$1,728.39 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$878.73 |
$878.73 |
$878.73 |
$1,398.82
|
|
CT neck soft tissue w/contrast
|
$1,329.57 |
$1,329.57 |
$1,329.57 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,206.66 |
$1,206.66 |
$1,206.66 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$1,329.57 |
$1,329.57 |
$1,329.57 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,329.57 |
$1,329.57 |
$1,329.57 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,329.57 |
$1,329.57 |
$1,329.57 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$676.26 |
$676.26 |
$676.26 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$255.51 |
$255.51 |
$255.51 |
$456.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,707.59 |
$2,707.59 |
$2,707.59 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,707.59 |
$2,707.59 |
$2,707.59 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,678.92 |
$1,678.92 |
$1,678.92 |
$2,284.15
|
|
CT thoracic spine without contrast
|
$878.73 |
$878.73 |
$878.73 |
$1,443.00
|
|
CT upper extremity w/contrast (both sides)
|
$2,076.21 |
$2,076.21 |
$2,076.21 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$878.73 |
$878.73 |
$878.73 |
$1,468.83
|
|
Culture aerobic additional method definitive id each
|
$66.81 |
$66.81 |
$66.81 |
$63.75
|
|
Culture anaerobic additional method definitive id each
|
$64.77 |
$64.77 |
$64.77 |
$77.31
|
|
Culture anaerobic except blood
|
$127.50 |
$127.50 |
$127.50 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$48.96 |
$48.96 |
$48.96 |
$52.80
|
|
Culture body fluid
|
$79.05 |
$79.05 |
$79.05 |
$130.50
|
|
Culture fungi definitive id yeast
|
$162.69 |
$162.69 |
$162.69 |
$80.60
|
|
Culture fungi other (except blood)
|
$69.36 |
$69.36 |
$69.36 |
$105.60
|
|
Culture screening strep group a
|
$48.45 |
$48.45 |
$48.45 |
$81.60
|
|
Culture typing immunologic
|
$39.78 |
$39.78 |
$39.78 |
$41.60
|
|
Curette/treat cornea
|
$1,156.68 |
$1,156.68 |
$1,156.68 |
$1,317.39
|
|
Curette/treat cornea
|
$2,802.96 |
$2,802.96 |
$2,802.96 |
$2,818.14
|
|
Cutter lead
|
$13,387.50 |
$13,387.50 |
$13,387.50 |
$5,538.98
|
|
Cv stress test i&r only 93018
|
$49.47 |
$49.47 |
$49.47 |
$40.50
|
|
Cv stress test/supervision only 93016
|
$73.44 |
$73.44 |
$73.44 |
$59.25
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$33.37
|
|
Cylinder pump set 20cm titan zero angl
|
$21,123.87 |
$21,123.87 |
$21,123.87 |
$22,594.80
|
|
Cystoscopy and treatment
|
$5,524.83 |
$5,524.83 |
$5,524.83 |
$4,081.37
|
|
Cystoscopy and treatment
|
$444.21 |
$444.21 |
$444.21 |
$4,846.99
|
|
Cystoscopy and treatment
|
$601.29 |
$601.29 |
$601.29 |
$5,949.75
|
|
Cystoscopy and treatment
|
$386.58 |
$386.58 |
$386.58 |
$2,424.12
|
|
Cystoscopy and treatment
|
$3,197.70 |
$3,197.70 |
$3,197.70 |
$3,174.25
|
|
Cystoscopy (Bladder Scope)
|
$1,078.14 |
$1,078.14 |
$1,078.14 |
$1,610.20
|
|
Cystoscopy removal of clots
|
$5,524.83 |
$5,524.83 |
$5,524.83 |
$3,970.98
|
|
Cystoscopy & ureter catheter
|
$3,197.70 |
$3,197.70 |
$3,197.70 |
$3,416.48
|
|
Cystostomy cystotomy w/drainage 51040
|
$1,892.10 |
$1,892.10 |
$1,892.10 |
$3,774.40
|
|
Cystouretero & or pyeloscope
|
$5,524.83 |
$5,524.83 |
$5,524.83 |
$4,315.98
|
|
Cysto/uretero stricture tx
|
$5,524.83 |
$5,524.83 |
$5,524.83 |
$4,081.37
|
|
Cystourethroscop/calib/dilat stric 52281
|
$3,197.70 |
$3,197.70 |
$3,197.70 |
$2,874.36
|
|
Cystourethroscopy w/biopsy(s) 52204
|
$455.94 |
$455.94 |
$455.94 |
$3,970.98
|
|
Cytopathology cellular enhancement technique non-gyn
|
$260.10 |
$260.10 |
$260.10 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$90.27 |
$90.27 |
$90.27 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$70.89 |
$70.89 |
$70.89 |
$142.94
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$141.78 |
$141.78 |
$141.78 |
$205.00
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$99.80 |
$99.80 |
$99.80 |
$315.32
|
|
D&c after delivery 59160
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
$3,762.53
|
|
D&c/diagnostic/therapeutic/non ob 58120
|
$3,474.63 |
$3,474.63 |
$3,474.63 |
$3,774.81
|
|
Dch validity tests
|
$26.01 |
$26.01 |
$26.01 |
$25.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$714.00 |
$714.00 |
$714.00 |
$692.00
|
|
Debridement (>20 cm) charge pt
|
$167.79 |
$167.79 |
$167.79 |
$262.60
|