|
Complex repair trunk 2.6-7.5cm 13101
|
$1,512.48 |
$1,512.48 |
$1,512.48 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,512.48 |
$1,512.48 |
$1,512.48 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,512.48 |
$1,512.48 |
$1,512.48 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$1,512.48 |
$1,512.48 |
$1,512.48 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$1,512.48 |
$1,512.48 |
$1,512.48 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$1,512.48 |
$1,512.48 |
$1,512.48 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$1,512.48 |
$1,512.48 |
$1,512.48 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,512.48 |
$1,512.48 |
$1,512.48 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,512.48 |
$1,512.48 |
$1,512.48 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,512.48 |
$1,512.48 |
$1,512.48 |
$683.25
|
|
Composite graft/pri close/don area 15760
|
$2,692.80 |
$2,692.80 |
$2,692.80 |
$2,692.80
|
|
Comprehensive hearing test
|
$154.08 |
$154.08 |
$154.08 |
$224.40
|
|
Computed tomographic angiography head and neck with contrast
|
$2,628.00 |
$2,628.00 |
$2,628.00 |
$2,313.35
|
|
Concentration infection agents any type
|
$54.24 |
$54.24 |
$54.24 |
$51.32
|
|
Condylomata destruction 56420
|
$488.16 |
$488.16 |
$488.16 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,161.08 |
$1,161.08 |
$1,161.08 |
$986.92
|
|
Connect omega .5mm
|
$2,116.80 |
$2,116.80 |
$2,116.80 |
$1,069.43
|
|
Connector tis 2x10mm
|
$5,214.01 |
$5,214.01 |
$5,214.01 |
$3,934.53
|
|
Consultation pathology during surgery
|
$175.20 |
$175.20 |
$175.20 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$410.40 |
$410.40 |
$410.40 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$56.16 |
$56.16 |
$56.16 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$96.48 |
$96.48 |
$96.48 |
$214.00
|
|
Consultation/report referred slides prepared elsewhere
|
$73.92 |
$73.92 |
$73.92 |
$176.15
|
|
Consult comp w/report rfrd material
|
$282.72 |
$282.72 |
$282.72 |
$359.87
|
|
Contrast exam abdominl aorta 75625-26
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$2,753.76 |
$2,753.76 |
$2,753.76 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$4,178.00
|
|
Contrast x-ray gallbladder
|
$354.24 |
$354.24 |
$354.24 |
$312.00
|
|
Contrast x-ray of ankle
|
$577.92 |
$577.92 |
$577.92 |
$602.40
|
|
Contrast x-ray of elbow
|
$662.88 |
$662.88 |
$662.88 |
$637.14
|
|
Contrast x-ray of hip
|
$597.12 |
$597.12 |
$597.12 |
$768.00
|
|
Contrast x-ray of knee joint
|
$697.92 |
$697.92 |
$697.92 |
$683.20
|
|
Contrast x-ray of wrist
|
$732.48 |
$732.48 |
$732.48 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$14,113.44 |
$14,113.44 |
$14,113.44 |
$11,518.85
|
|
Controller infinity pt dbs
|
$7,344.00 |
$7,344.00 |
$7,344.00 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$616.80 |
$616.80 |
$616.80 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$616.80 |
$616.80 |
$616.80 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$616.80 |
$616.80 |
$616.80 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$456.00 |
$456.00 |
$456.00 |
$618.80
|
|
Control throat bleeding
|
$4,812.00 |
$4,812.00 |
$4,812.00 |
$4,122.30
|
|
Conversion ext bil drg cath
|
$3,536.64 |
$3,536.64 |
$3,536.64 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$2,072.16 |
$2,072.16 |
$2,072.16 |
$3,569.60
|
|
Coombs direct
|
$74.40 |
$74.40 |
$74.40 |
$73.26
|
|
Coombs indirect titer reference
|
$78.24 |
$78.24 |
$78.24 |
$146.00
|
|
Copper intrauterine device
|
$2,676.74 |
$2,676.74 |
$2,676.74 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$3,759.84 |
$3,759.84 |
$3,759.84 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$4,499.12
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$12,236.40 |
$12,236.40 |
$12,236.40 |
$9,900.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,619.20 |
$9,619.20 |
$9,619.20 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$7,164.00 |
$7,164.00 |
$7,164.00 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$7,512.48 |
$7,512.48 |
$7,512.48 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$5,317.92 |
$5,317.92 |
$5,317.92 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,493.60 |
$5,493.60 |
$5,493.60 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$168.48 |
$168.48 |
$168.48 |
$489.00
|
|
Correct finger deformity
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$4,108.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$4,108.00
|
|
Correct rectal prolapse
|
$1,993.92 |
$1,993.92 |
$1,993.92 |
$3,722.88
|
|
Cortisol total am
|
$87.84 |
$87.84 |
$87.84 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$121.58 |
$121.58 |
$121.58 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$92.16 |
$92.16 |
$92.16 |
$108.81
|
|
Counseling visit to discuss need for ldct g0296
|
$233.28 |
$233.28 |
$233.28 |
$109.46
|
|
Coveredge 32 lead kit 40cm 48
|
$3,902.40 |
$3,902.40 |
$3,902.40 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$35.04 |
$35.04 |
$35.04 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$252.96 |
$252.96 |
$252.96 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$252.96 |
$252.96 |
$252.96 |
$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
|
$1,424.64 |
$1,424.64 |
$1,424.64 |
$1,466.97
|
|
C-reactive protein
|
$43.68 |
$43.68 |
$43.68 |
$63.00
|
|
C-reactive protein high sensitivity
|
$83.52 |
$83.52 |
$83.52 |
$91.65
|
|
C-reactive protein, quantitative
|
$89.76 |
$89.76 |
$89.76 |
$62.50
|
|
Creatine kinase
|
$61.92 |
$61.92 |
$61.92 |
$59.78
|
|
Creatine kinase isoenzymes
|
$25.12 |
$25.12 |
$25.12 |
$46.34
|
|
Creatine kinase mb
|
$93.60 |
$93.60 |
$93.60 |
$111.00
|
|
Creatine - sendout
|
$20.14 |
$20.14 |
$20.14 |
$39.00
|
|
Creatinine
|
$59.04 |
$59.04 |
$59.04 |
$44.10
|
|
Creatinine 24 hour urine
|
$59.04 |
$59.04 |
$59.04 |
$59.80
|
|
Creatinine clearance urine
|
$67.68 |
$67.68 |
$67.68 |
$87.50
|
|
#creutz-prot.,western blot
|
$53.25 |
$53.25 |
$53.25 |
$173.00
|
|
Crisis psychotherapy 90839
|
$212.64 |
$212.64 |
$212.64 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$106.56 |
$106.56 |
$106.56 |
$152.10
|
|
Critical care 30-74 minutes
|
$4,854.72 |
$4,854.72 |
$4,854.72 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$591.84 |
$591.84 |
$591.84 |
$777.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$5,857.63 |
$5,857.63 |
$5,857.63 |
$1,026.00
|
|
Crotalidae poly immune fab
|
$3,521.00 |
$3,521.00 |
$3,521.00 |
$5,160.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$11,335.68 |
$11,335.68 |
$11,335.68 |
$2,649.05
|
|
Cryoprecipitate each unit
|
$269.28 |
$269.28 |
$269.28 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$22.56 |
$22.56 |
$22.56 |
$70.00
|
|
Cryptosporidium antigen
|
$25.92 |
$25.92 |
$25.92 |
$56.00
|
|
Crystal identification light microscopy
|
$81.60 |
$81.60 |
$81.60 |
$65.25
|
|
Csf shunt reprogram 62252
|
$179.04 |
$179.04 |
$179.04 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$1,081.44 |
$1,081.44 |
$1,081.44 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,752.96 |
$1,752.96 |
$1,752.96 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,348.64 |
$2,348.64 |
$2,348.64 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,481.12 |
$2,481.12 |
$2,481.12 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,848.80 |
$2,848.80 |
$2,848.80 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,543.52 |
$2,543.52 |
$2,543.52 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,587.36 |
$1,587.36 |
$1,587.36 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,380.48 |
$1,380.48 |
$1,380.48 |
$1,588.60
|