|
C motor evoked uppr limbs
|
$2,749.50 |
$2,749.50 |
$2,749.50 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$2,749.50 |
$2,749.50 |
$2,749.50 |
$1,308.00
|
|
Cmptr ophth dx img ant segmt
|
$63.75 |
$63.75 |
$63.75 |
$115.95
|
|
Cmptr ophth img optic nerve
|
$63.75 |
$63.75 |
$63.75 |
$119.00
|
|
#cms hgb-carboxyhemoglobin
|
$69.75 |
$69.75 |
$69.75 |
$61.60
|
|
#cms hgb-sulfhemoglobin
|
$51.75 |
$51.75 |
$51.75 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$135.00 |
$135.00 |
$135.00 |
$100.20
|
|
Cmv pcr-sendout
|
$332.25 |
$332.25 |
$332.25 |
$177.10
|
|
Co2 monitor per day
|
$819.75 |
$819.75 |
$819.75 |
$450.60
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$12.35 |
$12.35 |
$12.35 |
$8,980.00
|
|
Coagulation time activated teg
|
$37.50 |
$37.50 |
$37.50 |
$53.72
|
|
Coagulation time lee & white
|
$27.00 |
$27.00 |
$27.00 |
$11.20
|
|
Coagulation time otr method
|
$22.50 |
$22.50 |
$22.50 |
$33.00
|
|
Cocaine 4 % nasal solution
|
$843.81 |
$843.81 |
$843.81 |
$629.41
|
|
Coch imp ext proc/contr rplc
|
$12.00 |
$12.00 |
$12.00 |
$20,146.35
|
|
Coch implant headset replace
|
$712.50 |
$712.50 |
$712.50 |
$1,064.00
|
|
Coil axium 3d 14mmx40cm qc
|
$202.50 |
$202.50 |
$202.50 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$40.50 |
$40.50 |
$40.50 |
$45.00
|
|
Cold agglutinin titer
|
$51.00 |
$51.00 |
$51.00 |
$50.00
|
|
Colistimethate sodium inj
|
$89.43 |
$89.43 |
$89.43 |
$68.47
|
|
Collagenase, clost hist inj
|
$17,285.19 |
$17,285.19 |
$17,285.19 |
$12,906.28
|
|
Collagen imp urinary 2.5 ml
|
$637.50 |
$637.50 |
$637.50 |
$1,949.63
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$10.73 |
$10.73 |
$10.73 |
$58.65
|
|
Collar cerv ascend 172 reg
|
$45.75 |
$45.75 |
$45.75 |
$213.89
|
|
Collection blood specimen from completely implantable venous access device
|
$169.50 |
$169.50 |
$169.50 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$180.75 |
$180.75 |
$180.75 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$13.50 |
$13.50 |
$13.50 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,802.50 |
$3,802.50 |
$3,802.50 |
$2,288.00
|
|
Colonoscopy submucous njx
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$2,452.50 |
$2,452.50 |
$2,452.50 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
$1,645.43
|
|
Colonoscopy w/control bleed
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
$2,071.85
|
|
Colonoscopy w/endoscopic fnb
|
$2,967.75 |
$2,967.75 |
$2,967.75 |
$1,645.43
|
|
Colonoscopy (with biopsy)
|
$2,466.00 |
$2,466.00 |
$2,466.00 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$1,944.75 |
$1,944.75 |
$1,944.75 |
$2,288.00
|
|
Compatibility test each unit antiglobulin technique
|
$113.25 |
$113.25 |
$113.25 |
$170.25
|
|
Compatibility test each unit electronic
|
$265.50 |
$265.50 |
$265.50 |
$174.00
|
|
Compatibility test each unit immediate spin technique
|
$113.25 |
$113.25 |
$113.25 |
$169.52
|
|
Compatibility test incubate
|
$175.50 |
$175.50 |
$175.50 |
$155.40
|
|
Comp cystometrogram/void presssure 51728
|
$1,617.75 |
$1,617.75 |
$1,617.75 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,719.00 |
$1,719.00 |
$1,719.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$98.25 |
$98.25 |
$98.25 |
$108.55
|
|
Complement fixation each
|
$63.00 |
$63.00 |
$63.00 |
$29.12
|
|
Complex cystometrogram 51726
|
$847.50 |
$847.50 |
$847.50 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$876.00
|
|
Complex uroflowmetry (electronic) 51741
|
$506.25 |
$506.25 |
$506.25 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,621.50 |
$1,621.50 |
$1,621.50 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$444.00 |
$444.00 |
$444.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$991.50 |
$991.50 |
$991.50 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,389.00 |
$1,389.00 |
$1,389.00 |
$1,108.88
|
|
Complx repair fccmnaxghf 13133
|
$454.50 |
$454.50 |
$454.50 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$342.75 |
$342.75 |
$342.75 |
$502.50
|
|
Comprehensive hearing test
|
$104.25 |
$104.25 |
$104.25 |
$255.00
|
|
Computed tomographic angiography head and neck with contrast
|
$1,062.00 |
$1,062.00 |
$1,062.00 |
$2,237.25
|
|
Concentration infection agents any type
|
$54.75 |
$54.75 |
$54.75 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$1.50 |
$1.50 |
$1.50 |
$3,322.20
|
|
Condylomata destruction 56420
|
$529.50 |
$529.50 |
$529.50 |
$469.00
|
|
Conform band s w>=3" <5"/yd
|
$0.75 |
$0.75 |
$0.75 |
$1.04
|
|
Congo red blood test
|
$16.50 |
$16.50 |
$16.50 |
$5.45
|
|
Conivaptan hcl
|
$2,176.44 |
$2,176.44 |
$2,176.44 |
$1,625.08
|
|
Conjugated estrogens 25 mg solution for injection
|
$885.66 |
$885.66 |
$885.66 |
$871.08
|
|
Connect omega .5mm
|
$748.80 |
$748.80 |
$748.80 |
$1,260.00
|
|
Connector tis 2x10mm
|
$5.25 |
$5.25 |
$5.25 |
$4,091.00
|
|
Consultation pathology during surgery
|
$195.75 |
$195.75 |
$195.75 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$522.75 |
$522.75 |
$522.75 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$217.50 |
$217.50 |
$217.50 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$235.50 |
$235.50 |
$235.50 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$927.00 |
$927.00 |
$927.00 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$333.00 |
$333.00 |
$333.00 |
$171.65
|
|
Consult comp w/report rfrd material
|
$583.50 |
$583.50 |
$583.50 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$8,301.00 |
$8,301.00 |
$8,301.00 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$14,313.00 |
$14,313.00 |
$14,313.00 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$504.00 |
$504.00 |
$504.00 |
$350.22
|
|
Contrast x-ray of ankle
|
$1,024.50 |
$1,024.50 |
$1,024.50 |
$612.30
|
|
Contrast x-ray of brain
|
$1,024.50 |
$1,024.50 |
$1,024.50 |
$735.93
|
|
Contrast x-ray of brain
|
$2,064.75 |
$2,064.75 |
$2,064.75 |
$981.75
|
|
Contrast x-ray of elbow
|
$1,024.50 |
$1,024.50 |
$1,024.50 |
$649.80
|
|
Contrast x-ray of hip
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$781.13
|
|
Contrast x-ray of knee joint
|
$1,024.50 |
$1,024.50 |
$1,024.50 |
$769.88
|
|
Contrast x-ray of wrist
|
$1,024.50 |
$1,024.50 |
$1,024.50 |
$639.00
|
|
Controler lvad heartmate 3 includes ebb
|
$4.50 |
$4.50 |
$4.50 |
$13,218.75
|
|
Controller infinity pt dbs
|
$135.00 |
$135.00 |
$135.00 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$378.00 |
$378.00 |
$378.00 |
$396.00
|
|
Control of nosebleed ant comp 30903
|
$576.00 |
$576.00 |
$576.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$174.75 |
$174.75 |
$174.75 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,654.50 |
$1,654.50 |
$1,654.50 |
$634.80
|
|
Conversion ext bil drg cath
|
$3,551.25 |
$3,551.25 |
$3,551.25 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,777.60
|
|
Conv gtube to jtube
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
$2,099.70
|
|
Coombs direct
|
$69.00 |
$69.00 |
$69.00 |
$74.75
|
|
Coombs indirect qualitative each reagent red cell reference
|
$155.25 |
$155.25 |
$155.25 |
$102.90
|
|
Coombs indirect titer reference
|
$159.00 |
$159.00 |
$159.00 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$9,042.75 |
$9,042.75 |
$9,042.75 |
$2,417.86
|
|
Copper intrauterine device
|
$2,667.45 |
$2,667.45 |
$2,667.45 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$3,382.50 |
$3,382.50 |
$3,382.50 |
$2,678.00
|
