|
Cold agglutinin titer
|
$31.68 |
$31.68 |
$31.68 |
$50.00
|
|
Colectomy/end colost/close dis seg 44143
|
$1,275.84 |
$1,275.84 |
$1,275.84 |
$2,880.80
|
|
Colectomy/ ileostomy without prctect 44150
|
$1,432.64 |
$1,432.64 |
$1,432.64 |
$3,530.40
|
|
Colectomy partial w/anastomosis 44140
|
$1,038.72 |
$1,038.72 |
$1,038.72 |
$2,510.73
|
|
Colectomy prtl w/coloproctostomy 44145
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$1,626.24 |
$1,626.24 |
$1,626.24 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$962.56 |
$962.56 |
$962.56 |
$2,343.60
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$1,392.96 |
$1,392.96 |
$1,392.96 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$1,361.28 |
$1,361.28 |
$1,361.28 |
$3,176.40
|
|
Colectomy w/neo-rectum pouch
|
$1,714.88 |
$1,714.88 |
$1,714.88 |
$5,500.80
|
|
Collection blood specimen from completely implantable venous access device
|
$85.76 |
$85.76 |
$85.76 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$85.76 |
$85.76 |
$85.76 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$6.72 |
$6.72 |
$6.72 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$144.96 |
$144.96 |
$144.96 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$195.52 |
$195.52 |
$195.52 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$144.00 |
$144.00 |
$144.00 |
$2,288.00
|
|
Colonoscopy stoma w/snare 44394
|
$174.72 |
$174.72 |
$174.72 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$157.12 |
$157.12 |
$157.12 |
$2,080.00
|
|
Colonoscopy w/ablation
|
$211.20 |
$211.20 |
$211.20 |
$2,708.80
|
|
Colonoscopy w/control bleed
|
$202.56 |
$202.56 |
$202.56 |
$2,030.25
|
|
Colonoscopy w/injection
|
$133.76 |
$133.76 |
$133.76 |
$2,449.20
|
|
Colonoscopy (with biopsy)
|
$157.44 |
$157.44 |
$157.44 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$199.04 |
$199.04 |
$199.04 |
$2,288.00
|
|
Colonoscopy w/resection
|
$260.16 |
$260.16 |
$260.16 |
$3,029.60
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$759.04 |
$759.04 |
$759.04 |
$1,746.00
|
|
Colpopexy extraperitoneal
|
$556.16 |
$556.16 |
$556.16 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$559.36 |
$559.36 |
$559.36 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$275.20 |
$275.20 |
$275.20 |
$3,762.53
|
|
Colposcopy/cervix/ conization 57461
|
$142.40 |
$142.40 |
$142.40 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$72.64 |
$72.64 |
$72.64 |
$312.90
|
|
Colposcopy vulva 56820
|
$66.24 |
$66.24 |
$66.24 |
$295.20
|
|
Colposcopy w/biopsy of cervix 57455
|
$85.12 |
$85.12 |
$85.12 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$42.56 |
$42.56 |
$42.56 |
$170.05
|
|
Compatibility test each unit electronic
|
$117.76 |
$117.76 |
$117.76 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$90.56 |
$90.56 |
$90.56 |
$169.52
|
|
Complement antigen each component c3
|
$74.24 |
$74.24 |
$74.24 |
$108.55
|
|
Complement fixation each
|
$9.28 |
$9.28 |
$9.28 |
$29.12
|
|
Complx repair sal addl 5 cm/> 13122
|
$45.44 |
$45.44 |
$45.44 |
$502.50
|
|
Comprehensive hearing test
|
$69.12 |
$69.12 |
$69.12 |
$255.00
|
|
Computed tomographic angiography head and neck with contrast
|
$930.88 |
$930.88 |
$930.88 |
$2,237.25
|
|
Concentration infection agents any type
|
$10.24 |
$10.24 |
$10.24 |
$49.95
|
|
Condylomata destruction 56420
|
$114.56 |
$114.56 |
$114.56 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$209.28 |
$209.28 |
$209.28 |
$4,840.07
|
|
Conjugated estrogens 25 mg solution for injection
|
$405.23 |
$405.23 |
$405.23 |
$871.08
|
|
Connect omega .5mm
|
$439.04 |
$439.04 |
$439.04 |
$1,260.00
|
|
Connector tis 2x10mm
|
$1,528.96 |
$1,528.96 |
$1,528.96 |
$4,091.00
|
|
Consultation pathology during surgery
|
$32.32 |
$32.32 |
$32.32 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$440.96 |
$440.96 |
$440.96 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$51.84 |
$51.84 |
$51.84 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$135.68 |
$135.68 |
$135.68 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$49.28 |
$49.28 |
$49.28 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$94.40 |
$94.40 |
$94.40 |
$171.65
|
|
Consult comp w/report rfrd material
|
$86.72 |
$86.72 |
$86.72 |
$365.60
|
|
Cont gluc mntr analysis i&r 95251
|
$27.52 |
$27.52 |
$27.52 |
$65.70
|
|
Contour of face bone lesion
|
$398.08 |
$398.08 |
$398.08 |
$3,786.00
|
|
Contrast baths charges
|
$23.68 |
$23.68 |
$23.68 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$1,520.96 |
$1,520.96 |
$1,520.96 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$1,356.80 |
$1,356.80 |
$1,356.80 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$5,126.40 |
$5,126.40 |
$5,126.40 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$190.08 |
$190.08 |
$190.08 |
$350.22
|
|
Contrast x-ray of ankle
|
$264.96 |
$264.96 |
$264.96 |
$612.30
|
|
Contrast x-ray of brain
|
$407.04 |
$407.04 |
$407.04 |
$735.93
|
|
Contrast x-ray of hip
|
$636.16 |
$636.16 |
$636.16 |
$771.12
|
|
Contrast x-ray of knee joint
|
$373.44 |
$373.44 |
$373.44 |
$769.88
|
|
Contrast x-ray of wrist
|
$318.40 |
$318.40 |
$318.40 |
$637.00
|
|
Controller infinity pt dbs
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$4,611.60
|
|
Control of nosebleed ant comp 30903
|
$151.04 |
$151.04 |
$151.04 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$104.64 |
$104.64 |
$104.64 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$199.04 |
$199.04 |
$199.04 |
$634.80
|
|
Convert nephrostomy catheter
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$2,777.60
|
|
Coombs direct
|
$609.60 |
$609.60 |
$609.60 |
$75.00
|
|
Coombs indirect titer reference
|
$160.00 |
$160.00 |
$160.00 |
$146.40
|
|
Copper intrauterine device
|
$874.24 |
$874.24 |
$874.24 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$921.92 |
$921.92 |
$921.92 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$4,808.32 |
$4,808.32 |
$4,808.32 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$4,452.16 |
$4,452.16 |
$4,452.16 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$5,342.40 |
$5,342.40 |
$5,342.40 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$4,630.08 |
$4,630.08 |
$4,630.08 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,273.92 |
$4,273.92 |
$4,273.92 |
$7,914.00
|
|
Cortisol total am
|
$70.40 |
$70.40 |
$70.40 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$118.40 |
$118.40 |
$118.40 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$21.44 |
$21.44 |
$21.44 |
$55.90
|
|
Coveredge 32 lead kit 40cm 48
|
$6,114.88 |
$6,114.88 |
$6,114.88 |
$3,908.16
|
|
Covid-19 administration immunization im inj 1st/only component
|
$32.32 |
$32.32 |
$32.32 |
$49.13
|
|
#coxa-coxsackie a serotype a16
|
$65.28 |
$65.28 |
$65.28 |
$60.00
|
|
C-peptide
|
$94.40 |
$94.40 |
$94.40 |
$97.30
|
|
Cptr-asst dir ms px
|
$53.12 |
$53.12 |
$53.12 |
$7,972.25
|
|
Crbrospnl fld flw imag cistern
|
$648.64 |
$648.64 |
$648.64 |
$1,240.80
|
|
C-reactive protein
|
$14.72 |
$14.72 |
$14.72 |
$68.38
|
|
C-reactive protein high sensitivity
|
$32.32 |
$32.32 |
$32.32 |
$85.00
|
|
Create eardrum opening
|
$132.16 |
$132.16 |
$132.16 |
$3,062.80
|
|
Creatine kinase
|
$61.12 |
$61.12 |
$61.12 |
$66.30
|
|
Creatine kinase isoenzymes
|
$14.08 |
$14.08 |
$14.08 |
$56.80
|
|
Creatine kinase mb
|
$76.80 |
$76.80 |
$76.80 |
$114.00
|
|
Creatine - sendout
|
$26.88 |
$26.88 |
$26.88 |
$39.00
|
|
Creatinine
|
$43.20 |
$43.20 |
$43.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$63.04 |
$63.04 |
$63.04 |
$58.85
|
|
Creatinine clearance urine
|
$86.08 |
$86.08 |
$86.08 |
$89.50
|
|
#creutz-prot.,western blot
|
$463.04 |
$463.04 |
$463.04 |
$166.20
|
|
Critical care 30-74 minutes
|
$8,512.00 |
$8,512.00 |
$8,512.00 |
$2,505.60
|
