|
Complx repair enel addl 5cm/< 13153
|
$193.20 |
$193.20 |
$193.20 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$411.30 |
$411.30 |
$411.30 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$497.70 |
$497.70 |
$497.70 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$175.80 |
$175.80 |
$175.80 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$132.30 |
$132.30 |
$132.30 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$361.80 |
$361.80 |
$361.80 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$121.80 |
$121.80 |
$121.80 |
$537.00
|
|
Composite byp grft 2 veins
|
$329.70 |
$329.70 |
$329.70 |
$619.20
|
|
Composite byp grft 3/> segmt
|
$383.40 |
$383.40 |
$383.40 |
$574.98
|
|
Composite byp grft pros&vein
|
$74.70 |
$74.70 |
$74.70 |
$205.60
|
|
Composite graft/pri close/don area 15760
|
$732.90 |
$732.90 |
$732.90 |
$2,765.76
|
|
Comprehensive hearing test
|
$27.60 |
$27.60 |
$27.60 |
$255.00
|
|
Compre oph exam est pt 1/>
|
$96.00 |
$96.00 |
$96.00 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$113.10 |
$113.10 |
$113.10 |
$186.00
|
|
Computed tomographic angiography head and neck with contrast
|
$97.20 |
$97.20 |
$97.20 |
$2,237.25
|
|
Concentration infection agents any type
|
$49.80 |
$49.80 |
$49.80 |
$49.95
|
|
Condylomata destruction 56420
|
$197.10 |
$197.10 |
$197.10 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$316.80 |
$316.80 |
$316.80 |
$4,840.07
|
|
Conization of cervix
|
$310.20 |
$310.20 |
$310.20 |
$3,762.53
|
|
Conjugated estrogens 25 mg solution for injection
|
$208.80 |
$208.80 |
$208.80 |
$871.08
|
|
Consultation pathology during surgery
|
$44.10 |
$44.10 |
$44.10 |
$100.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$30.00 |
$30.00 |
$30.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$163.20 |
$163.20 |
$163.20 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$36.00 |
$36.00 |
$36.00 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$33.60 |
$33.60 |
$33.60 |
$171.65
|
|
Consultation with family
|
$42.00 |
$42.00 |
$42.00 |
$135.79
|
|
Contact layer >16<= 48 sq in
|
$7.80 |
$7.80 |
$7.80 |
$36.17
|
|
Contact lens fitting for tx
|
$27.30 |
$27.30 |
$27.30 |
$92.96
|
|
Contact lens fitting ou
|
$30.00 |
$30.00 |
$30.00 |
$40.00
|
|
Cont gluc mntr analysis i&r 95251
|
$25.50 |
$25.50 |
$25.50 |
$65.70
|
|
Contour of face bone lesion
|
$661.50 |
$661.50 |
$661.50 |
$3,786.00
|
|
Contrast baths charges
|
$22.80 |
$22.80 |
$22.80 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$76.20 |
$76.20 |
$76.20 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$26.40 |
$26.40 |
$26.40 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$61.20 |
$61.20 |
$61.20 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$18.00 |
$18.00 |
$18.00 |
$350.22
|
|
Contrast x-ray of ankle
|
$48.00 |
$48.00 |
$48.00 |
$612.30
|
|
Contrast x-ray of elbow
|
$30.30 |
$30.30 |
$30.30 |
$649.80
|
|
Contrast x-ray of hip
|
$674.10 |
$674.10 |
$674.10 |
$771.12
|
|
Contrast x-ray of knee joint
|
$1,251.90 |
$1,251.90 |
$1,251.90 |
$769.88
|
|
Contrast x-ray of wrist
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$637.00
|
|
Control nosebleed pack+caut 30905
|
$372.90 |
$372.90 |
$372.90 |
$392.60
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$529.80 |
$529.80 |
$529.80 |
$3,786.00
|
|
Control of nosebleed ant comp 30903
|
$258.90 |
$258.90 |
$258.90 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$167.10 |
$167.10 |
$167.10 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$169.20 |
$169.20 |
$169.20 |
$634.80
|
|
Control throat bleeding
|
$442.20 |
$442.20 |
$442.20 |
$972.84
|
|
Control throat bleeding
|
$543.90 |
$543.90 |
$543.90 |
$3,984.00
|
|
Conversion ext bil drg cath
|
$195.00 |
$195.00 |
$195.00 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$951.00 |
$951.00 |
$951.00 |
$2,777.60
|
|
Conv gtube to jtube
|
$194.10 |
$194.10 |
$194.10 |
$2,099.70
|
|
Coombs direct
|
$16.80 |
$16.80 |
$16.80 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$4.95 |
$4.95 |
$4.95 |
$102.90
|
|
Coombs indirect titer reference
|
$25.80 |
$25.80 |
$25.80 |
$146.40
|
|
Copper intrauterine device
|
$610.80 |
$610.80 |
$610.80 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$1,690.80 |
$1,690.80 |
$1,690.80 |
$2,678.00
|
|
Cor hlx vlgs double osteot
|
$630.60 |
$630.60 |
$630.60 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$546.90 |
$546.90 |
$546.90 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$536.40 |
$536.40 |
$536.40 |
$4,627.00
|
|
Corneal smear
|
$105.90 |
$105.90 |
$105.90 |
$472.21
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$230.70 |
$230.70 |
$230.70 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$203.40 |
$203.40 |
$203.40 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$258.30 |
$258.30 |
$258.30 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$192.60 |
$192.60 |
$192.60 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$165.00 |
$165.00 |
$165.00 |
$7,914.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$518.40 |
$518.40 |
$518.40 |
$3,839.54
|
|
Correct finger deformity
|
$768.00 |
$768.00 |
$768.00 |
$3,981.06
|
|
Correct inverted nipple(s)
|
$646.20 |
$646.20 |
$646.20 |
$4,243.90
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$633.00 |
$633.00 |
$633.00 |
$3,839.54
|
|
Correction trichiasis epilation forcep 67820
|
$23.70 |
$23.70 |
$23.70 |
$176.00
|
|
Correct malrotation of bowel 44055
|
$1,485.90 |
$1,485.90 |
$1,485.90 |
$2,764.20
|
|
Correct metacarpal flaw
|
$761.70 |
$761.70 |
$761.70 |
$3,839.54
|
|
Correct rectal prolapse
|
$960.30 |
$960.30 |
$960.30 |
$3,861.00
|
|
Correct rectal prolapse; abdominal approach 45540
|
$1,066.20 |
$1,066.20 |
$1,066.20 |
$2,633.60
|
|
Corrj halux rigdus w/implt
|
$504.30 |
$504.30 |
$504.30 |
$5,886.74
|
|
Corrj halux rigdus without implt
|
$731.40 |
$731.40 |
$731.40 |
$3,839.54
|
|
Cortisol acth stimulation test - sendout
|
$55.20 |
$55.20 |
$55.20 |
$146.25
|
|
Cortisol total am
|
$100.80 |
$100.80 |
$100.80 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$210.00 |
$210.00 |
$210.00 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$46.20 |
$46.20 |
$46.20 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$38.70 |
$38.70 |
$38.70 |
$55.90
|
|
Counseling visit to discuss need for ldct g0296
|
$33.30 |
$33.30 |
$33.30 |
$98.14
|
|
Covid-19 administration immunization im inj 1st/only component
|
$39.90 |
$39.90 |
$39.90 |
$49.13
|
|
#covid19rsv-rsv
|
$273.30 |
$273.30 |
$273.30 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$3.47 |
$3.47 |
$3.47 |
$60.00
|
|
C-peptide
|
$14.03 |
$14.03 |
$14.03 |
$97.30
|
|
Cptr-asst dir ms px
|
$144.90 |
$144.90 |
$144.90 |
$7,972.25
|
|
Cptrized corneal topography
|
$27.90 |
$27.90 |
$27.90 |
$148.20
|
|
Cptr ophth dx img post segmt
|
$24.90 |
$24.90 |
$24.90 |
$105.00
|
|
Crbrospnl fld flw imag cistern
|
$37.20 |
$37.20 |
$37.20 |
$1,240.80
|
|
C-reactive protein
|
$129.90 |
$129.90 |
$129.90 |
$68.38
|
|
C-reactive protein high sensitivity
|
$50.10 |
$50.10 |
$50.10 |
$85.00
|
|
Creat artery-vein fistula autograft 36825
|
$764.10 |
$764.10 |
$764.10 |
$6,396.89
|
|
Create eardrum opening
|
$254.10 |
$254.10 |
$254.10 |
$3,062.80
|
|
Creatine kinase
|
$86.70 |
$86.70 |
$86.70 |
$66.30
|
|
Creatine kinase isoenzymes
|
$3.57 |
$3.57 |
$3.57 |
$56.80
|
|
Creatine kinase mb
|
$126.00 |
$126.00 |
$126.00 |
$114.00
|
|
Creatine - sendout
|
$12.56 |
$12.56 |
$12.56 |
$39.00
|
|
Creatinine
|
$69.30 |
$69.30 |
$69.30 |
$44.72
|
|
Creatinine 24 hour urine
|
$53.10 |
$53.10 |
$53.10 |
$58.85
|
