|
Cltx post ankle fx w/mnpj
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,985.60
|
|
C motor evoked upr&lwr limbs
|
$2,197.44 |
$2,197.44 |
$2,197.44 |
$1,308.00
|
|
#cmvcul-virus inoculation shell
|
$240.48 |
$240.48 |
$240.48 |
$87.75
|
|
Cmv pcr-sendout
|
$122.40 |
$122.40 |
$122.40 |
$177.50
|
|
Co2 monitor per day
|
$946.08 |
$946.08 |
$946.08 |
$459.20
|
|
Coagulation time activated teg
|
$59.76 |
$59.76 |
$59.76 |
$53.55
|
|
Cold agglutinin screen (arc)
|
$69.12 |
$69.12 |
$69.12 |
$45.00
|
|
Cold agglutinin titer
|
$69.84 |
$69.84 |
$69.84 |
$51.60
|
|
Colistimethate sodium inj
|
$120.96 |
$120.96 |
$120.96 |
$71.09
|
|
Collagen dressing <=16 sq in
|
$55.44 |
$55.44 |
$55.44 |
$42.50
|
|
Collagen drsg>16<=48 sq in
|
$116.64 |
$116.64 |
$116.64 |
$25.75
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$700.56 |
$700.56 |
$700.56 |
$62.40
|
|
Collar cerv ascend 172 reg
|
$222.48 |
$222.48 |
$222.48 |
$213.89
|
|
Collar cerv patriot adlt
|
$64.08 |
$64.08 |
$64.08 |
$134.66
|
|
Collar extrication adult univ
|
$1,244.88 |
$1,244.88 |
$1,244.88 |
$800.32
|
|
Collection blood specimen from completely implantable venous access device
|
$249.84 |
$249.84 |
$249.84 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$241.92 |
$241.92 |
$241.92 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$23.76 |
$23.76 |
$23.76 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$204.48 |
$204.48 |
$204.48 |
$172.00
|
|
Compatibility test each unit electronic
|
$187.92 |
$187.92 |
$187.92 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$190.80 |
$190.80 |
$190.80 |
$167.17
|
|
Complement antigen each component c3
|
$139.68 |
$139.68 |
$139.68 |
$110.00
|
|
Complement fixation each
|
$36.72 |
$36.72 |
$36.72 |
$29.12
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,795.68 |
$1,795.68 |
$1,795.68 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$1,066.32 |
$1,066.32 |
$1,066.32 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,090.80 |
$1,090.80 |
$1,090.80 |
$789.60
|
|
Complx repair fccmnaxghf 13132
|
$1,561.68 |
$1,561.68 |
$1,561.68 |
$1,066.92
|
|
Complx repair fccmnaxghf 13133
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$493.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,069.92 |
$1,069.92 |
$1,069.92 |
$494.34
|
|
Complx repair trunk addl 5cm/< 13102
|
$971.28 |
$971.28 |
$971.28 |
$502.00
|
|
Composite drsg >16<=48 sq in
|
$58.32 |
$58.32 |
$58.32 |
$42.60
|
|
Composite drsg <= 16 sq in
|
$15.12 |
$15.12 |
$15.12 |
$6.62
|
|
Composite graft/pri close/don area 15760
|
$3,435.84 |
$3,435.84 |
$3,435.84 |
$2,816.50
|
|
Concentration infection agents any type
|
$44.64 |
$44.64 |
$44.64 |
$51.32
|
|
Condylomata destruction 56420
|
$750.96 |
$750.96 |
$750.96 |
$463.98
|
|
Conform band n/s w>=3"<5"/yd
|
$15.84 |
$15.84 |
$15.84 |
$1.04
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,465.34 |
$1,465.34 |
$1,465.34 |
$839.07
|
|
Connect omega .5mm
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$1,260.00
|
|
Connector tis 2x10mm
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$4,055.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$180.72 |
$180.72 |
$180.72 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$298.08 |
$298.08 |
$298.08 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$509.04 |
$509.04 |
$509.04 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$494.64 |
$494.64 |
$494.64 |
$176.15
|
|
Consult comp w/report rfrd material
|
$645.84 |
$645.84 |
$645.84 |
$375.00
|
|
Contact layer >16<= 48 sq in
|
$58.32 |
$58.32 |
$58.32 |
$41.92
|
|
Contrast exam abdominl aorta 75625-26
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$3,663.60
|
|
Contrast x-ray of ankle
|
$843.12 |
$843.12 |
$843.12 |
$676.80
|
|
Contrast x-ray of elbow
|
$771.12 |
$771.12 |
$771.12 |
$686.95
|
|
Contrast x-ray of hip
|
$771.12 |
$771.12 |
$771.12 |
$781.13
|
|
Contrast x-ray of knee joint
|
$843.12 |
$843.12 |
$843.12 |
$777.00
|
|
Contrast x-ray of wrist
|
$1,164.96 |
$1,164.96 |
$1,164.96 |
$655.00
|
|
Controller infinity pt dbs
|
$4,536.00 |
$4,536.00 |
$4,536.00 |
$5,123.14
|
|
Control nosebleed pack+caut 30905
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$653.04 |
$653.04 |
$653.04 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$981.36 |
$981.36 |
$981.36 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,100.16 |
$1,100.16 |
$1,100.16 |
$618.80
|
|
Control throat bleeding
|
$7,004.88 |
$7,004.88 |
$7,004.88 |
$3,967.00
|
|
Conversion ext bil drg cath
|
$8,209.44 |
$8,209.44 |
$8,209.44 |
$4,099.56
|
|
Convert nephrostomy catheter
|
$4,425.12 |
$4,425.12 |
$4,425.12 |
$2,777.60
|
|
Coombs direct
|
$108.72 |
$108.72 |
$108.72 |
$76.44
|
|
Coombs indirect titer reference
|
$216.00 |
$216.00 |
$216.00 |
$155.40
|
|
Core ndl bx lng/med perq
|
$5,594.40 |
$5,594.40 |
$5,594.40 |
$2,862.11
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$7,560.00 |
$7,560.00 |
$7,560.00 |
$8,244.87
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$18,489.60 |
$18,489.60 |
$18,489.60 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$17,511.12 |
$17,511.12 |
$17,511.12 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$20,615.76 |
$20,615.76 |
$20,615.76 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$12,257.28 |
$12,257.28 |
$12,257.28 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$11,365.20 |
$11,365.20 |
$11,365.20 |
$7,950.49
|
|
Correct finger deformity
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$3,981.06
|
|
Cortisol total am
|
$156.24 |
$156.24 |
$156.24 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$460.44 |
$460.44 |
$460.44 |
$189.02
|
|
Co-treatment - group 15 mins, st
|
$180.00 |
$180.00 |
$180.00 |
$114.00
|
|
Coveredge 32 lead kit 40cm 48
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$4,395.30
|
|
#coxa-coxsackie a serotype a16
|
$41.76 |
$41.76 |
$41.76 |
$60.00
|
|
C-peptide
|
$77.04 |
$77.04 |
$77.04 |
$93.60
|
|
Crbrospnl fld flw imag cistern
|
$2,204.64 |
$2,204.64 |
$2,204.64 |
$1,281.00
|
|
C-reactive protein
|
$106.56 |
$106.56 |
$106.56 |
$68.38
|
|
C-reactive protein high sensitivity
|
$118.08 |
$118.08 |
$118.08 |
$85.00
|
|
C-reactive protein, quantitative
|
$74.16 |
$74.16 |
$74.16 |
$62.50
|
|
Creat artery-vein fistula autograft 36825
|
$11,676.24 |
$11,676.24 |
$11,676.24 |
$6,396.89
|
|
Creatine kinase
|
$73.44 |
$73.44 |
$73.44 |
$65.60
|
|
Creatine kinase isoenzymes
|
$16.56 |
$16.56 |
$16.56 |
$54.60
|
|
Creatine kinase mb
|
$148.32 |
$148.32 |
$148.32 |
$113.63
|
|
Creatine - sendout
|
$120.96 |
$120.96 |
$120.96 |
$39.29
|
|
Creatinine
|
$30.24 |
$30.24 |
$30.24 |
$45.65
|
|
Creatinine 24 hour urine
|
$73.44 |
$73.44 |
$73.44 |
$57.60
|
|
Creatinine clearance urine
|
$156.96 |
$156.96 |
$156.96 |
$89.28
|
|
#creutz-prot.,western blot
|
$177.12 |
$177.12 |
$177.12 |
$163.50
|
|
Crisis psychotherapy 90839
|
$375.12 |
$375.12 |
$375.12 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$187.20 |
$187.20 |
$187.20 |
$149.52
|
|
Critical care 30-74 minutes
|
$2,931.12 |
$2,931.12 |
$2,931.12 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$686.86
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$315.25 |
$315.25 |
$315.25 |
$4,288.58
|
|
Crutches underarm other than wood adjustable or e0114
|
$115.20 |
$115.20 |
$115.20 |
$66.64
|
|
Cryofibrinogen qualitative - sendout
|
$37.44 |
$37.44 |
$37.44 |
$52.50
|
