|
Cltx thigh fx
|
$3,930.50 |
$3,930.50 |
$3,930.50 |
$3,881.76
|
|
C motor evoked lwr limbs
|
$464.10 |
$464.10 |
$464.10 |
$627.89
|
|
C motor evoked uppr limbs
|
$464.10 |
$464.10 |
$464.10 |
$780.00
|
|
C motor evoked upr&lwr limbs
|
$928.20 |
$928.20 |
$928.20 |
$1,308.00
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$18,352.66 |
$18,352.66 |
$18,352.66 |
$6,203.02
|
|
Coagulation time activated teg
|
$105.70 |
$105.70 |
$105.70 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$133.85 |
$133.85 |
$133.85 |
$781.82
|
|
Cold agglutinin screen (arc)
|
$10.71 |
$10.71 |
$10.71 |
$47.19
|
|
Cold agglutinin titer
|
$136.15 |
$136.15 |
$136.15 |
$48.57
|
|
Colistimethate sodium inj
|
$102.66 |
$102.66 |
$102.66 |
$90.55
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$49.90 |
$49.90 |
$49.90 |
$66.69
|
|
Collar cerv adlt perfit ace extric
|
$16.15 |
$16.15 |
$16.15 |
$46.61
|
|
Collar cerv ascend 172 reg
|
$213.89 |
$213.89 |
$213.89 |
$241.88
|
|
Collar cerv patriot adlt
|
$87.00 |
$87.00 |
$87.00 |
$141.60
|
|
Collar extrication adult univ
|
$110.25 |
$110.25 |
$110.25 |
$567.53
|
|
Collection blood specimen from completely implantable venous access device
|
$249.90 |
$249.90 |
$249.90 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$265.30 |
$265.30 |
$265.30 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$26.25 |
$26.25 |
$26.25 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$677.95 |
$677.95 |
$677.95 |
$1,612.62
|
|
Colonoscopy w/control bleed
|
$885.85 |
$885.85 |
$885.85 |
$2,101.71
|
|
Colpocentesis 57020
|
$2,042.60 |
$2,042.60 |
$2,042.60 |
$5,419.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,017.75 |
$2,017.75 |
$2,017.75 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$139.65 |
$139.65 |
$139.65 |
$326.30
|
|
Colposcopy vulva 56820
|
$140.00 |
$140.00 |
$140.00 |
$295.20
|
|
Colpotomy drng of abscess 57010
|
$2,017.75 |
$2,017.75 |
$2,017.75 |
$3,744.41
|
|
Colpotomy w/exploration 57000
|
$2,017.75 |
$2,017.75 |
$2,017.75 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$167.65 |
$167.65 |
$167.65 |
$173.25
|
|
Compatibility test each unit electronic
|
$224.35 |
$224.35 |
$224.35 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$167.65 |
$167.65 |
$167.65 |
$169.52
|
|
Compatibility test incubate
|
$155.40 |
$155.40 |
$155.40 |
$143.65
|
|
Complement antigen each component c3
|
$99.40 |
$99.40 |
$99.40 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$502.95 |
$502.95 |
$502.95 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$502.95 |
$502.95 |
$502.95 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$502.95 |
$502.95 |
$502.95 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$502.95 |
$502.95 |
$502.95 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$156.80 |
$156.80 |
$156.80 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$332.15 |
$332.15 |
$332.15 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$502.95 |
$502.95 |
$502.95 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$96.95 |
$96.95 |
$96.95 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$156.80 |
$156.80 |
$156.80 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$448.70 |
$448.70 |
$448.70 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$92.05 |
$92.05 |
$92.05 |
$683.25
|
|
Composite graft/pri close/don area 15760
|
$3,146.85 |
$3,146.85 |
$3,146.85 |
$2,692.80
|
|
Computed tomographic angiography head and neck with contrast
|
$525.00 |
$525.00 |
$525.00 |
$2,313.35
|
|
Concentration infection agents any type
|
$147.70 |
$147.70 |
$147.70 |
$51.32
|
|
Condylomata destruction 56420
|
$156.80 |
$156.80 |
$156.80 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,354.59 |
$1,354.59 |
$1,354.59 |
$982.48
|
|
Connect omega .5mm
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$1,078.40
|
|
Connector tis 2x10mm
|
$3,180.28 |
$3,180.28 |
$3,180.28 |
$3,934.53
|
|
Contrast baths charges
|
$77.70 |
$77.70 |
$77.70 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$3,587.50 |
$3,587.50 |
$3,587.50 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$2,759.75 |
$2,759.75 |
$2,759.75 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$5,975.55 |
$5,975.55 |
$5,975.55 |
$4,178.00
|
|
Contrast x-ray gallbladder
|
$263.90 |
$263.90 |
$263.90 |
$312.00
|
|
Contrast x-ray of ankle
|
$432.25 |
$432.25 |
$432.25 |
$602.40
|
|
Contrast x-ray of elbow
|
$573.65 |
$573.65 |
$573.65 |
$637.14
|
|
Contrast x-ray of hip
|
$427.35 |
$427.35 |
$427.35 |
$768.00
|
|
Contrast x-ray of knee joint
|
$587.30 |
$587.30 |
$587.30 |
$683.20
|
|
Contrast x-ray of wrist
|
$356.65 |
$356.65 |
$356.65 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$8,731.80 |
$8,731.80 |
$8,731.80 |
$11,454.46
|
|
Controller infinity pt dbs
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$4,494.00
|
|
Control nosebleed pack+caut 30905
|
$156.80 |
$156.80 |
$156.80 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$156.80 |
$156.80 |
$156.80 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$156.80 |
$156.80 |
$156.80 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$434.35 |
$434.35 |
$434.35 |
$618.80
|
|
Control throat bleeding
|
$3,289.65 |
$3,289.65 |
$3,289.65 |
$4,122.30
|
|
Conversion ext bil drg cath
|
$6,149.50 |
$6,149.50 |
$6,149.50 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$3,519.25 |
$3,519.25 |
$3,519.25 |
$3,569.60
|
|
Coombs direct
|
$459.55 |
$459.55 |
$459.55 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$3.85 |
$3.85 |
$3.85 |
$94.90
|
|
Coombs indirect titer reference
|
$169.40 |
$169.40 |
$169.40 |
$146.00
|
|
Copper intrauterine device
|
$1,609.55 |
$1,609.55 |
$1,609.55 |
$2,025.85
|
|
Core ndl bx lng/med perq
|
$1,400.70 |
$1,400.70 |
$1,400.70 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$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
|
$6,021.75 |
$6,021.75 |
$6,021.75 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$5,217.10 |
$5,217.10 |
$5,217.10 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$6,001.10 |
$6,001.10 |
$6,001.10 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$5,009.20 |
$5,009.20 |
$5,009.20 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,056.15 |
$4,056.15 |
$4,056.15 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$2,747.85 |
$2,747.85 |
$2,747.85 |
$489.00
|
|
Correct finger deformity
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$4,108.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$4,108.00
|
|
Correct rectal prolapse
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$3,722.88
|
|
Cortisol total am
|
$107.10 |
$107.10 |
$107.10 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$116.81 |
$116.81 |
$116.81 |
$227.13
|
|
Co-treatment - group 15 mins, st
|
$142.80 |
$142.80 |
$142.80 |
$108.81
|
|
Coveredge 32 lead kit 40cm 48
|
$2,362.50 |
$2,362.50 |
$2,362.50 |
$3,429.53
|
|
C-peptide
|
$108.50 |
$108.50 |
$108.50 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$1,025.85 |
$1,025.85 |
$1,025.85 |
$1,466.97
|
|
C-reactive protein
|
$105.35 |
$105.35 |
$105.35 |
$63.00
|
|
C-reactive protein high sensitivity
|
$66.15 |
$66.15 |
$66.15 |
$91.65
|
|
C-reactive protein, quantitative
|
$204.40 |
$204.40 |
$204.40 |
$62.50
|
|
Creatine kinase
|
$131.60 |
$131.60 |
$131.60 |
$59.78
|
|
Creatine kinase mb
|
$146.65 |
$146.65 |
$146.65 |
$111.00
|
|
Creatinine
|
$49.00 |
$49.00 |
$49.00 |
$44.10
|
|
Creatinine 24 hour urine
|
$189.35 |
$189.35 |
$189.35 |
$59.80
|
|
Creatinine clearance urine
|
$198.80 |
$198.80 |
$198.80 |
$87.50
|
|
Critical care 30-74 minutes
|
$2,601.55 |
$2,601.55 |
$2,601.55 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$899.50 |
$899.50 |
$899.50 |
$777.00
|
