|
Complx repair trunk addl 5cm/< 13102
|
$2,405.29 |
$2,405.29 |
$2,405.29 |
$683.25
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$3,838.60 |
$3,838.60 |
$3,838.60 |
$1,051.20
|
|
Comprehensive hearing test
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$224.40
|
|
Concentration infection agents any type
|
$103.11 |
$103.11 |
$257.31 |
$51.32
|
|
Conditioning play audiometry 92582
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$185.15
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$827.49 |
$827.49 |
$827.49 |
$2,423.65
|
|
Condylomata destruction 56420
|
$3,266.79 |
$3,266.79 |
$3,266.79 |
$509.81
|
|
Conization/cerv/loop electrode exc 57522
|
$30,377.57 |
$30,377.57 |
$30,377.57 |
$3,986.00
|
|
Conization of cervix
|
$30,377.57 |
$30,377.57 |
$30,377.57 |
$3,577.50
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,006.00 |
$1,006.00 |
$1,006.00 |
$986.92
|
|
Connector tis 2x10mm
|
$763.22 |
$763.22 |
$6,704.56 |
$3,934.53
|
|
Consultation pathology during surgery
|
$150.95 |
$331.57 |
$1,224.74 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$970.30 |
$1,939.94 |
$2,669.63 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$607.04 |
$607.04 |
$1,602.79 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$938.29 |
$938.29 |
$2,751.54 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$691.67 |
$691.67 |
$845.23 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$231.44 |
$639.19 |
$1,903.03 |
$176.15
|
|
Consult comp w/report rfrd material
|
$321.55 |
$321.55 |
$1,666.44 |
$359.87
|
|
Contrast baths charges
|
$117.84 |
$117.84 |
$117.84 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$8,023.82 |
$8,333.83 |
$19,086.01 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$8,023.82 |
$8,023.82 |
$14,985.73 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$14,090.10 |
$14,552.47 |
$34,986.14 |
$4,178.00
|
|
Contrast x-ray gallbladder
|
$1,646.31 |
$1,646.31 |
$3,550.75 |
$312.00
|
|
Contrast x-ray of ankle
|
$3,981.54 |
$3,981.54 |
$3,981.54 |
$602.40
|
|
Contrast x-ray of brain
|
$7,308.76 |
$7,308.76 |
$7,308.76 |
$930.42
|
|
Contrast x-ray of elbow
|
$3,582.22 |
$3,582.22 |
$3,582.22 |
$637.14
|
|
Contrast x-ray of hip
|
$2,698.83 |
$2,698.83 |
$2,698.83 |
$768.00
|
|
Contrast x-ray of knee joint
|
$3,495.47 |
$3,495.47 |
$3,495.47 |
$683.20
|
|
Contrast x-ray of wrist
|
$3,425.21 |
$3,425.21 |
$3,425.21 |
$623.50
|
|
Control nosebleed pack+caut 30905
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,706.04 |
$1,706.04 |
$1,706.04 |
$618.80
|
|
Conversion ext bil drg cath
|
$12,322.68 |
$12,322.68 |
$12,322.68 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$8,155.83 |
$8,155.83 |
$8,155.83 |
$3,569.60
|
|
Coombs direct
|
$224.12 |
$224.12 |
$224.12 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$498.15 |
$531.02 |
$546.62 |
$94.90
|
|
Coombs indirect titer reference
|
$155.00 |
$498.15 |
$531.02 |
$146.00
|
|
Core ndl bx lng/med perq
|
$7,428.77 |
$7,428.77 |
$7,428.77 |
$2,963.00
|
|
Cor hlx vlgs double osteot
|
$59,420.49 |
$59,420.49 |
$59,420.49 |
$5,110.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$4,499.12
|
|
Cor hlx vlgs prx phlx osteot
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$5,419.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$27,030.84 |
$27,030.84 |
$27,030.84 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$23,278.68 |
$23,278.68 |
$23,278.68 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$22,572.68 |
$22,572.68 |
$22,572.68 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$18,170.16 |
$18,170.16 |
$18,170.16 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$15,020.45 |
$15,020.45 |
$15,020.45 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$47.66 |
$47.66 |
$47.66 |
$489.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Corrj halux rigdus w/implt
|
$59,420.49 |
$59,420.49 |
$59,420.49 |
$6,280.06
|
|
Corrj halux rigdus without implt
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Cortisol total am
|
$7.57 |
$427.99 |
$427.99 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$666.25 |
$666.25 |
$741.00 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$267.20 |
$267.20 |
$267.20 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$143.80 |
$143.80 |
$143.80 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$140.40 |
$140.40 |
$140.40 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,823.26 |
$1,823.26 |
$1,823.26 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$1,823.26 |
$1,823.26 |
$1,823.26 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$51.31 |
$51.31 |
$51.31 |
$56.44
|
|
#covid19rsv-rsv
|
$250.00 |
$250.00 |
$1,083.54 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$201.12 |
$201.12 |
$201.12 |
$65.36
|
|
C-peptide
|
$103.33 |
$103.33 |
$103.33 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$4,191.86 |
$4,191.86 |
$4,640.35 |
$1,466.97
|
|
C-reactive protein
|
$195.89 |
$195.89 |
$391.00 |
$63.00
|
|
C-reactive protein high sensitivity
|
$8.50 |
$195.89 |
$195.89 |
$91.65
|
|
C-reactive protein, quantitative
|
$52.79 |
$52.79 |
$52.79 |
$62.50
|
|
Create eardrum opening
|
$15,514.83 |
$15,514.83 |
$15,514.83 |
$3,006.50
|
|
Creatine kinase
|
$332.49 |
$332.49 |
$1,625.79 |
$59.78
|
|
Creatine kinase isoenzymes
|
$6.54 |
$206.67 |
$206.67 |
$46.34
|
|
Creatine kinase mb
|
$350.06 |
$350.06 |
$3,225.71 |
$111.00
|
|
Creatine - sendout
|
$71.62 |
$71.62 |
$71.62 |
$39.00
|
|
Creatinine
|
$117.88 |
$196.17 |
$834.60 |
$44.10
|
|
Creatinine 24 hour urine
|
$226.60 |
$226.60 |
$226.60 |
$59.80
|
|
Creatinine clearance urine
|
$290.79 |
$290.79 |
$2,012.23 |
$87.50
|
|
#creutz-prot.,western blot
|
$44.69 |
$450.86 |
$748.00 |
$173.00
|
|
Crisis psychotherapy 90839
|
$511.74 |
$511.74 |
$511.74 |
$313.30
|
|
Critical care 30-74 minutes
|
$6,602.36 |
$7,182.44 |
$7,182.44 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,714.57 |
$1,714.57 |
$3,899.60 |
$777.00
|
|
Crotalidae poly immune fab
|
$12,243.00 |
$12,243.00 |
$15,573.86 |
$5,160.00
|
|
Cryocautery of cervix 57511
|
$3,467.74 |
$3,467.74 |
$3,467.74 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$218.25 |
$218.25 |
$218.25 |
$50.88
|
|
Cryoprecipitate each unit
|
$317.32 |
$317.32 |
$317.32 |
$185.64
|
|
Cryopreserve stem cells
|
$3,921.67 |
$3,921.67 |
$3,921.67 |
$2,588.88
|
|
Cryosurgery penis lesion(s) 54056
|
$2,130.07 |
$2,130.07 |
$2,130.07 |
$288.05
|
|
Crystal identification light microscopy
|
$148.96 |
$148.96 |
$334.93 |
$65.25
|
|
Csf leakage imaging
|
$11,728.14 |
$11,728.14 |
$15,187.32 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$1,026.71 |
$1,982.62 |
$2,064.98 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$10,680.65 |
$10,680.65 |
$21,524.05 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$14,101.57 |
$14,101.57 |
$21,524.05 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,707.05 |
$5,707.05 |
$5,707.05 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$13,196.26 |
$13,196.26 |
$23,220.98 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$14,348.12 |
$14,348.12 |
$43,585.72 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$6,296.33 |
$9,984.31 |
$23,220.98 |
$1,955.80
|
|
CT Angiogram of the Head
|
$10,926.81 |
$10,926.81 |
$23,220.98 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,808.35 |
$2,372.05 |
$25,440.82 |
$1,588.60
|
|
CT angio pelvis
|
$7,279.87 |
$7,279.87 |
$21,524.05 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$6,197.28 |
$6,197.28 |
$6,197.28 |
$1,652.25
|
|
CT bone density axial
|
$1,083.82 |
$1,083.82 |
$1,083.82 |
$326.30
|
|
CT colonography dx
|
$1,477.19 |
$1,477.19 |
$1,477.19 |
$770.90
|
|
CT colonography dx w/dye
|
$1,808.35 |
$1,808.35 |
$1,808.35 |
$1,009.98
|