|
Cltx gr hmrl tbrs fx w/mnpj
|
$246.06 |
$246.06 |
$246.06 |
$2,317.60
|
|
C motor evoked lwr limbs
|
$36.18 |
$36.18 |
$36.18 |
$627.89
|
|
C motor evoked uppr limbs
|
$36.36 |
$36.36 |
$36.36 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$54.72 |
$54.72 |
$54.72 |
$1,308.00
|
|
#cmvcul-virus inoculation shell
|
$81.72 |
$81.72 |
$81.72 |
$100.80
|
|
Cmv pcr-sendout
|
$11.79 |
$11.79 |
$11.79 |
$177.50
|
|
Co2 monitor per day
|
$151.38 |
$151.38 |
$151.38 |
$450.60
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$2,564.70 |
$2,564.70 |
$2,564.70 |
$8,980.00
|
|
Coagulation time activated teg
|
$64.26 |
$64.26 |
$64.26 |
$53.72
|
|
Cold agglutinin titer
|
$49.68 |
$49.68 |
$49.68 |
$50.00
|
|
Colectomy/end colost/close dis seg 44143
|
$901.62 |
$901.62 |
$901.62 |
$2,880.80
|
|
Colectomy partial w/anastomosis 44140
|
$735.84 |
$735.84 |
$735.84 |
$2,510.73
|
|
Colectomy prtl w/coloproctostomy 44145
|
$901.62 |
$901.62 |
$901.62 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$1,148.04 |
$1,148.04 |
$1,148.04 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$795.42 |
$795.42 |
$795.42 |
$2,343.60
|
|
Colistimethate sodium inj
|
$21.30 |
$21.30 |
$21.30 |
$68.47
|
|
Collagen imp urinary 2.5 ml
|
$12.24 |
$12.24 |
$12.24 |
$1,949.63
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$28.44 |
$28.44 |
$28.44 |
$60.84
|
|
Collection blood specimen from completely implantable venous access device
|
$115.02 |
$115.02 |
$115.02 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$146.70 |
$146.70 |
$146.70 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$20.52 |
$20.52 |
$20.52 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$118.80 |
$118.80 |
$118.80 |
$1,899.00
|
|
Colonoscopy submucous njx
|
$166.14 |
$166.14 |
$166.14 |
$2,080.00
|
|
Colonoscopy (with biopsy)
|
$129.24 |
$129.24 |
$129.24 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$139.50 |
$139.50 |
$139.50 |
$2,288.00
|
|
Colostomy skin level cecostomy 44320
|
$628.02 |
$628.02 |
$628.02 |
$2,269.80
|
|
Colpotomy drng of abscess 57010
|
$232.92 |
$232.92 |
$232.92 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$149.40 |
$149.40 |
$149.40 |
$170.05
|
|
Compatibility test each unit electronic
|
$126.00 |
$126.00 |
$126.00 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$129.96 |
$129.96 |
$129.96 |
$169.52
|
|
Complement antigen each component c3
|
$67.68 |
$67.68 |
$67.68 |
$108.55
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$220.86 |
$220.86 |
$220.86 |
$1,194.25
|
|
Complx repair fccmnaxghf 13131
|
$389.70 |
$389.70 |
$389.70 |
$810.40
|
|
Complx repair sal addl 5 cm/> 13122
|
$52.92 |
$52.92 |
$52.92 |
$502.50
|
|
Comprehensive hearing test
|
$201.06 |
$201.06 |
$201.06 |
$255.00
|
|
Computed tomographic angiography head and neck with contrast
|
$1,344.42 |
$1,344.42 |
$1,344.42 |
$2,237.25
|
|
Concentration infection agents any type
|
$33.30 |
$33.30 |
$33.30 |
$49.95
|
|
Conditioning play audiometry 92582
|
$130.86 |
$130.86 |
$130.86 |
$189.15
|
|
Condylomata destruction 56420
|
$249.48 |
$249.48 |
$249.48 |
$469.00
|
|
Conivaptan hcl
|
$247.61 |
$247.61 |
$247.61 |
$1,625.08
|
|
Conjugated estrogens 25 mg solution for injection
|
$98.70 |
$98.70 |
$98.70 |
$871.08
|
|
Connect omega .5mm
|
$558.90 |
$558.90 |
$558.90 |
$1,260.00
|
|
Consultation pathology during surgery
|
$75.06 |
$75.06 |
$75.06 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$199.26 |
$199.26 |
$199.26 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$59.22 |
$59.22 |
$59.22 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$139.86 |
$139.86 |
$139.86 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$129.60 |
$129.60 |
$129.60 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$101.34 |
$101.34 |
$101.34 |
$171.65
|
|
Consult comp w/report rfrd material
|
$145.44 |
$145.44 |
$145.44 |
$365.60
|
|
Cont gluc mntr analysis i&r 95251
|
$16.02 |
$16.02 |
$16.02 |
$65.70
|
|
Contrast baths charges
|
$27.72 |
$27.72 |
$27.72 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$2,306.52 |
$2,306.52 |
$2,306.52 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$2,306.52 |
$2,306.52 |
$2,306.52 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$164.16 |
$164.16 |
$164.16 |
$350.22
|
|
Contrast x-ray of ankle
|
$343.98 |
$343.98 |
$343.98 |
$612.30
|
|
Contrast x-ray of hip
|
$873.00 |
$873.00 |
$873.00 |
$771.12
|
|
Contrast x-ray of knee joint
|
$564.84 |
$564.84 |
$564.84 |
$769.88
|
|
Contrast x-ray of wrist
|
$544.50 |
$544.50 |
$544.50 |
$637.00
|
|
Controller infinity pt dbs
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$4,611.60
|
|
Convert nephrostomy catheter
|
$1,550.88 |
$1,550.88 |
$1,550.88 |
$2,777.60
|
|
Coombs direct
|
$32.04 |
$32.04 |
$32.04 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$1.80 |
$1.80 |
$1.80 |
$102.90
|
|
Coombs indirect titer reference
|
$13.50 |
$13.50 |
$13.50 |
$146.40
|
|
Copper intrauterine device
|
$1,844.10 |
$1,844.10 |
$1,844.10 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$1,365.66 |
$1,365.66 |
$1,365.66 |
$2,678.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$5,151.60 |
$5,151.60 |
$5,151.60 |
$8,272.50
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$8,557.38 |
$8,557.38 |
$8,557.38 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$6,845.94 |
$6,845.94 |
$6,845.94 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$8,557.38 |
$8,557.38 |
$8,557.38 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$6,845.94 |
$6,845.94 |
$6,845.94 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,382.72 |
$5,382.72 |
$5,382.72 |
$7,914.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$405.36 |
$405.36 |
$405.36 |
$3,839.54
|
|
Cortisol total am
|
$100.62 |
$100.62 |
$100.62 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$68.41 |
$68.41 |
$68.41 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$82.80 |
$82.80 |
$82.80 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$35.10 |
$35.10 |
$35.10 |
$55.90
|
|
Coveredge 32 lead kit 40cm 48
|
$7,761.78 |
$7,761.78 |
$7,761.78 |
$3,908.16
|
|
Covid-19 administration immunization im inj 1st/only component
|
$19.62 |
$19.62 |
$19.62 |
$49.13
|
|
#coxa-coxsackie a serotype a16
|
$2.33 |
$2.33 |
$2.33 |
$60.00
|
|
C-peptide
|
$31.86 |
$31.86 |
$31.86 |
$97.30
|
|
Cptr-asst dir ms px
|
$138.60 |
$138.60 |
$138.60 |
$7,972.25
|
|
Crbrospnl fld flw imag cistern
|
$824.76 |
$824.76 |
$824.76 |
$1,240.80
|
|
C-reactive protein
|
$51.84 |
$51.84 |
$51.84 |
$68.38
|
|
C-reactive protein high sensitivity
|
$65.52 |
$65.52 |
$65.52 |
$85.00
|
|
C-reactive protein, quantitative
|
$48.24 |
$48.24 |
$48.24 |
$71.06
|
|
Creatine kinase
|
$83.16 |
$83.16 |
$83.16 |
$66.30
|
|
Creatine kinase isoenzymes
|
$264.06 |
$264.06 |
$264.06 |
$56.80
|
|
Creatine kinase mb
|
$148.32 |
$148.32 |
$148.32 |
$114.00
|
|
Creatine - sendout
|
$23.76 |
$23.76 |
$23.76 |
$39.00
|
|
Creatinine
|
$55.08 |
$55.08 |
$55.08 |
$44.72
|
|
Creatinine 24 hour urine
|
$69.48 |
$69.48 |
$69.48 |
$58.85
|
|
Creatinine clearance urine
|
$115.20 |
$115.20 |
$115.20 |
$89.50
|
|
#creutz-prot.,western blot
|
$28.80 |
$28.80 |
$28.80 |
$166.20
|
|
Critical care 30-74 minutes
|
$2,033.28 |
$2,033.28 |
$2,033.28 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$803.34 |
$803.34 |
$803.34 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$1.68 |
$1.68 |
$1.68 |
$52.50
|
|
Cryoprecipitate each unit
|
$80.28 |
$80.28 |
$80.28 |
$144.78
|
|
Cryotherapy of acne 17340
|
$81.00 |
$81.00 |
$81.00 |
$101.79
|
|
Cryptosporidium antigen
|
$84.60 |
$84.60 |
$84.60 |
$52.08
|
