|
Composite graft/pri close/don area 15760
|
$1,910.30 |
$1,910.30 |
$1,910.30 |
$2,692.80
|
|
Concentration infection agents any type
|
$33.25 |
$33.25 |
$33.25 |
$51.32
|
|
Condylomata destruction 56420
|
$185.15 |
$185.15 |
$185.15 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,354.59 |
$1,354.59 |
$1,354.59 |
$986.92
|
|
Connect omega .5mm
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$1,069.43
|
|
Connector tis 2x10mm
|
$3,180.28 |
$3,180.28 |
$3,180.28 |
$3,934.53
|
|
Consultation pathology during surgery cytological exam initial site
|
$887.60 |
$887.60 |
$887.60 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$109.90 |
$109.90 |
$109.90 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$282.80 |
$282.80 |
$282.80 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$92.75 |
$92.75 |
$92.75 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$80.50 |
$80.50 |
$80.50 |
$176.15
|
|
Consult comp w/report rfrd material
|
$202.30 |
$202.30 |
$202.30 |
$359.87
|
|
Cont intraop neuro monitor
|
$61.95 |
$61.95 |
$61.95 |
$335.25
|
|
Contrast baths charges
|
$40.60 |
$40.60 |
$40.60 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$1,939.00 |
$1,939.00 |
$1,939.00 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$1,802.85 |
$1,802.85 |
$1,802.85 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$3,629.50 |
$3,629.50 |
$3,629.50 |
$4,178.00
|
|
Contrast x-ray gallbladder
|
$221.90 |
$221.90 |
$221.90 |
$312.00
|
|
Contrast x-ray of ankle
|
$486.85 |
$486.85 |
$486.85 |
$602.40
|
|
Contrast x-ray of brain
|
$773.50 |
$773.50 |
$773.50 |
$930.42
|
|
Contrast x-ray of elbow
|
$266.35 |
$266.35 |
$266.35 |
$637.14
|
|
Contrast x-ray of hip
|
$382.90 |
$382.90 |
$382.90 |
$768.00
|
|
Contrast x-ray of knee joint
|
$748.30 |
$748.30 |
$748.30 |
$683.20
|
|
Contrast x-ray of wrist
|
$637.00 |
$637.00 |
$637.00 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$8,731.80 |
$8,731.80 |
$8,731.80 |
$11,518.85
|
|
Controller infinity pt dbs
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$303.10 |
$303.10 |
$303.10 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$682.50 |
$682.50 |
$682.50 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$303.10 |
$303.10 |
$303.10 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$753.20 |
$753.20 |
$753.20 |
$618.80
|
|
Control throat bleeding
|
$2,492.70 |
$2,492.70 |
$2,492.70 |
$4,122.30
|
|
Conversion ext bil drg cath
|
$2,115.75 |
$2,115.75 |
$2,115.75 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$3,021.55 |
$3,021.55 |
$3,021.55 |
$3,569.60
|
|
Coombs direct
|
$81.55 |
$81.55 |
$81.55 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$139.30 |
$139.30 |
$139.30 |
$94.90
|
|
Coombs indirect titer reference
|
$28.18 |
$28.18 |
$28.18 |
$146.00
|
|
Copper intrauterine device
|
$1,609.55 |
$1,609.55 |
$1,609.55 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$1,494.15 |
$1,494.15 |
$1,494.15 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$4,499.12
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$7,570.50 |
$7,570.50 |
$7,570.50 |
$9,900.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$5,373.90 |
$5,373.90 |
$5,373.90 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$4,677.75 |
$4,677.75 |
$4,677.75 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$4,814.60 |
$4,814.60 |
$4,814.60 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$4,568.90 |
$4,568.90 |
$4,568.90 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,117.40 |
$4,117.40 |
$4,117.40 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$2,198.35 |
$2,198.35 |
$2,198.35 |
$489.00
|
|
Correct finger deformity
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$4,108.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$4,108.00
|
|
Correct rectal prolapse
|
$1,535.10 |
$1,535.10 |
$1,535.10 |
$3,722.88
|
|
Cortisol total am
|
$203.00 |
$203.00 |
$203.00 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$292.66 |
$292.66 |
$292.66 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$49.70 |
$49.70 |
$49.70 |
$108.81
|
|
Coveredge 32 lead kit 40cm 48
|
$2,413.39 |
$2,413.39 |
$2,413.39 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$28.00 |
$28.00 |
$28.00 |
$58.61
|
|
Crbrospnl fld flw imag cistern
|
$1,630.30 |
$1,630.30 |
$1,630.30 |
$1,466.97
|
|
C-reactive protein
|
$257.60 |
$257.60 |
$257.60 |
$63.00
|
|
C-reactive protein high sensitivity
|
$257.60 |
$257.60 |
$257.60 |
$91.65
|
|
Creatine kinase
|
$118.65 |
$118.65 |
$118.65 |
$59.78
|
|
Creatine kinase mb
|
$184.80 |
$184.80 |
$184.80 |
$111.00
|
|
Creatinine
|
$77.70 |
$77.70 |
$77.70 |
$44.10
|
|
Creatinine 24 hour urine
|
$93.80 |
$93.80 |
$93.80 |
$59.80
|
|
Creatinine clearance urine
|
$224.00 |
$224.00 |
$224.00 |
$87.50
|
|
Crisis psychotherapy 90839
|
$3.10 |
$3.10 |
$3.10 |
$313.30
|
|
Critical care 30-74 minutes
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$509.25 |
$509.25 |
$509.25 |
$777.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$9,567.46 |
$9,567.46 |
$9,567.46 |
$1,026.00
|
|
Crotalidae poly immune fab
|
$4,596.26 |
$4,596.26 |
$4,596.26 |
$5,160.00
|
|
Cryoprecipitate each unit
|
$147.00 |
$147.00 |
$147.00 |
$185.64
|
|
Cryosurg ablate fa each
|
$6,113.10 |
$6,113.10 |
$6,113.10 |
$4,531.42
|
|
Crystal identification light microscopy
|
$187.60 |
$187.60 |
$187.60 |
$65.25
|
|
Csf leakage imaging
|
$1,309.70 |
$1,309.70 |
$1,309.70 |
$1,446.24
|
|
Csf shunt reprogram 62252
|
$253.40 |
$253.40 |
$253.40 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$202.30 |
$202.30 |
$202.30 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,766.10 |
$1,766.10 |
$1,766.10 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,054.15 |
$2,054.15 |
$2,054.15 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,552.60 |
$1,552.60 |
$1,552.60 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,267.35 |
$1,267.35 |
$1,267.35 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$984.90 |
$984.90 |
$984.90 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,578.85 |
$1,578.85 |
$1,578.85 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,014.30 |
$1,014.30 |
$1,014.30 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,030.75 |
$1,030.75 |
$1,030.75 |
$1,588.60
|
|
CT angio pelvis
|
$1,578.85 |
$1,578.85 |
$1,578.85 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,578.85 |
$1,578.85 |
$1,578.85 |
$1,652.25
|
|
CT guidance for needle placement
|
$1,821.40 |
$1,821.40 |
$1,821.40 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,426.25 |
$1,426.25 |
$1,426.25 |
$1,085.05
|
|
CT guid parench tis ablat
|
$785.75 |
$785.75 |
$785.75 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$479.15 |
$479.15 |
$479.15 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$824.95 |
$824.95 |
$824.95 |
$1,217.45
|
|
CT hrt w/3d image
|
$824.95 |
$824.95 |
$824.95 |
$1,418.60
|
|
CT lower extremity w/contrast (both sides)
|
$2,280.95 |
$2,280.95 |
$2,280.95 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,931.65 |
$1,931.65 |
$1,931.65 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$2,906.40 |
$2,906.40 |
$2,906.40 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,853.95 |
$1,853.95 |
$1,853.95 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$1,614.55 |
$1,614.55 |
$1,614.55 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$2,074.45 |
$2,074.45 |
$2,074.45 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,975.75 |
$1,975.75 |
$1,975.75 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,754.20 |
$1,754.20 |
$1,754.20 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,632.40 |
$1,632.40 |
$1,632.40 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$303.10 |
$303.10 |
$303.10 |
$456.00
|
|
CT scan for therapy guide
|
$785.75 |
$785.75 |
$785.75 |
$729.40
|