|
Complx repair enel 2.6-7.5 cm 13152
|
$1,600.20 |
$1,600.20 |
$1,600.20 |
$1,194.25
|
|
Complx repair fccmnaxghf 13131
|
$1,559.60 |
$1,559.60 |
$1,559.60 |
$789.60
|
|
Complx repair fccmnaxghf 13132
|
$17,635.74 |
$17,635.74 |
$17,635.74 |
$1,066.92
|
|
Complx repair fccmnaxghf 13133
|
$1,933.40 |
$1,933.40 |
$1,933.40 |
$493.50
|
|
Complx repair trunk addl 5cm/< 13102
|
$9,114.48 |
$9,114.48 |
$9,114.48 |
$502.00
|
|
Comprehensive hearing test
|
$256.90 |
$256.90 |
$256.90 |
$260.40
|
|
Computed tomographic angiography head and neck with contrast
|
$7,464.10 |
$7,464.10 |
$7,464.10 |
$2,237.25
|
|
Concentration infection agents any type
|
$216.30 |
$216.30 |
$216.30 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$7,159.96 |
$7,159.96 |
$7,159.96 |
$3,352.21
|
|
Condylomata destruction 56420
|
$906.50 |
$906.50 |
$906.50 |
$463.98
|
|
Conization/cerv/loop electrode exc 57522
|
$13,415.12 |
$13,415.12 |
$13,415.12 |
$4,752.00
|
|
Conization of cervix
|
$15,603.17 |
$15,603.17 |
$15,603.17 |
$3,762.53
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,932.35 |
$1,932.35 |
$1,932.35 |
$839.07
|
|
Connect omega .5mm
|
$5,162.09 |
$5,162.09 |
$5,162.09 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,978.88 |
$3,978.88 |
$3,978.88 |
$4,055.00
|
|
Consultation pathology during surgery
|
$137.20 |
$137.20 |
$137.20 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$15,214.60 |
$15,214.60 |
$15,214.60 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$2,223.90 |
$2,223.90 |
$2,223.90 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$43,787.63 |
$43,787.63 |
$43,787.63 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$16,858.90 |
$16,858.90 |
$16,858.90 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$39,906.71 |
$39,906.71 |
$39,906.71 |
$176.15
|
|
Consult comp w/report rfrd material
|
$733.60 |
$733.60 |
$733.60 |
$375.00
|
|
Contrast exam abdominl aorta 75625-26
|
$4,842.60 |
$4,842.60 |
$4,842.60 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$3,616.90 |
$3,616.90 |
$3,616.90 |
$3,570.00
|
|
Contrast exam thoracic aorta 75605-26
|
$6,809.60 |
$6,809.60 |
$6,809.60 |
$3,663.60
|
|
Contrast x-ray of ankle
|
$1,136.80 |
$1,136.80 |
$1,136.80 |
$676.80
|
|
Contrast x-ray of elbow
|
$765.80 |
$765.80 |
$765.80 |
$686.95
|
|
Contrast x-ray of hip
|
$1,407.70 |
$1,407.70 |
$1,407.70 |
$781.13
|
|
Contrast x-ray of knee joint
|
$2,560.60 |
$2,560.60 |
$2,560.60 |
$777.00
|
|
Contrast x-ray of wrist
|
$1,440.60 |
$1,440.60 |
$1,440.60 |
$655.00
|
|
Controller infinity pt dbs
|
$9,081.69 |
$9,081.69 |
$9,081.69 |
$5,123.14
|
|
Control nosebleed pack+caut 30905
|
$737.10 |
$737.10 |
$737.10 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$732.20 |
$732.20 |
$732.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$12,088.01 |
$12,088.01 |
$12,088.01 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$3,236.10 |
$3,236.10 |
$3,236.10 |
$618.80
|
|
Conversion ext bil drg cath
|
$6,199.20 |
$6,199.20 |
$6,199.20 |
$4,099.56
|
|
Convert nephrostomy catheter
|
$4,249.00 |
$4,249.00 |
$4,249.00 |
$2,777.60
|
|
Conv gtube to jtube
|
$1,906.10 |
$1,906.10 |
$1,906.10 |
$2,073.18
|
|
Coombs direct
|
$121.10 |
$121.10 |
$121.10 |
$76.44
|
|
Coombs indirect qualitative each reagent red cell reference
|
$125.30 |
$125.30 |
$125.30 |
$102.90
|
|
Coombs indirect titer reference
|
$161.00 |
$161.00 |
$161.00 |
$155.40
|
|
Copper cu 64 dotatate diag
|
$3,836.00 |
$3,836.00 |
$3,836.00 |
$2,293.68
|
|
Copper intrauterine device
|
$3,885.61 |
$3,885.61 |
$3,885.61 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$18,069.15 |
$18,069.15 |
$18,069.15 |
$2,862.11
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$7,447.80 |
$7,447.80 |
$7,447.80 |
$8,244.87
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$12,261.90 |
$12,261.90 |
$12,261.90 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$12,549.60 |
$12,549.60 |
$12,549.60 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$13,160.00 |
$13,160.00 |
$13,160.00 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$7,785.40 |
$7,785.40 |
$7,785.40 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$14,802.20 |
$14,802.20 |
$14,802.20 |
$7,950.49
|
|
Cortisol total am
|
$286.30 |
$286.30 |
$286.30 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$501.02 |
$501.02 |
$501.02 |
$189.02
|
|
Co-treatment - group 15 mins, st
|
$167.30 |
$167.30 |
$167.30 |
$114.00
|
|
Coveredge 32 lead kit 40cm 48
|
$2,025.48 |
$2,025.48 |
$2,025.48 |
$4,395.30
|
|
Cover eye w/membrane
|
$3,536.40 |
$3,536.40 |
$3,536.40 |
$2,550.48
|
|
Covid-19 administration immunization im inj 1st/only component
|
$61.60 |
$61.60 |
$61.60 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$588.08
|
|
#covid19rsv-rsv
|
$156.10 |
$156.10 |
$156.10 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$79.10 |
$79.10 |
$79.10 |
$60.00
|
|
C-peptide
|
$128.80 |
$128.80 |
$128.80 |
$93.60
|
|
Crbrospnl fld flw imag cistern
|
$3,752.00 |
$3,752.00 |
$3,752.00 |
$1,281.00
|
|
C-reactive protein
|
$191.80 |
$191.80 |
$191.80 |
$68.38
|
|
C-reactive protein high sensitivity
|
$117.60 |
$117.60 |
$117.60 |
$85.00
|
|
C-reactive protein, quantitative
|
$254.10 |
$254.10 |
$254.10 |
$62.50
|
|
Creat artery-vein fistula autograft 36825
|
$27,167.60 |
$27,167.60 |
$27,167.60 |
$6,396.89
|
|
Create eardrum opening
|
$7,307.77 |
$7,307.77 |
$7,307.77 |
$3,062.80
|
|
Create tear sac drain
|
$20,338.65 |
$20,338.65 |
$20,338.65 |
$4,173.97
|
|
Creatine kinase
|
$105.00 |
$105.00 |
$105.00 |
$65.60
|
|
Creatine kinase isoenzymes
|
$123.90 |
$123.90 |
$123.90 |
$54.60
|
|
Creatine kinase mb
|
$155.40 |
$155.40 |
$155.40 |
$113.63
|
|
Creatine - sendout
|
$287.70 |
$287.70 |
$287.70 |
$39.29
|
|
Creatinine
|
$88.20 |
$88.20 |
$88.20 |
$45.65
|
|
Creatinine 24 hour urine
|
$69.30 |
$69.30 |
$69.30 |
$57.60
|
|
Creatinine clearance urine
|
$150.50 |
$150.50 |
$150.50 |
$89.28
|
|
#creutz-prot.,western blot
|
$859.60 |
$859.60 |
$859.60 |
$163.50
|
|
Critical care 30-74 minutes
|
$3,147.90 |
$3,147.90 |
$3,147.90 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$654.50 |
$654.50 |
$654.50 |
$686.86
|
|
Cryofibrinogen qualitative - sendout
|
$41.30 |
$41.30 |
$41.30 |
$52.50
|
|
Cryoprecipitate each unit
|
$338.80 |
$338.80 |
$338.80 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$19,295.65 |
$19,295.65 |
$19,295.65 |
$271.20
|
|
Cryptococcus abs qn - sendout
|
$73.50 |
$73.50 |
$73.50 |
$89.70
|
|
Crystal identification light microscopy
|
$170.80 |
$170.80 |
$170.80 |
$65.50
|
|
Csf leakage imaging
|
$4,918.90 |
$4,918.90 |
$4,918.90 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$552.30 |
$552.30 |
$552.30 |
$535.00
|
|
Cstb gene full gene sequence
|
$634.20 |
$634.20 |
$634.20 |
$302.31
|
|
CT 3d report other modality w/workstation
|
$791.00 |
$791.00 |
$791.00 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$4,312.70 |
$4,312.70 |
$4,312.70 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,889.90 |
$3,889.90 |
$3,889.90 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,359.30 |
$3,359.30 |
$3,359.30 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,420.10 |
$5,420.10 |
$5,420.10 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,502.80 |
$3,502.80 |
$3,502.80 |
$1,912.50
|
|
CT Angiogram of the Head
|
$3,656.10 |
$3,656.10 |
$3,656.10 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$3,641.40 |
$3,641.40 |
$3,641.40 |
$1,424.40
|
|
CT angio pelvis
|
$3,382.40 |
$3,382.40 |
$3,382.40 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$3,026.10 |
$3,026.10 |
$3,026.10 |
$1,681.50
|
|
CT cerebral perf w cont & prcssng
|
$2,937.20 |
$2,937.20 |
$2,937.20 |
$1,040.00
|
|
CT guidance for needle placement
|
$2,842.00 |
$2,842.00 |
$2,842.00 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,484.70 |
$1,484.70 |
$1,484.70 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$7,770.70 |
$7,770.70 |
$7,770.70 |
$1,643.20
|
