|
Colonoscopy w/endoscopic fnb
|
$4,563.30 |
$4,563.30 |
$4,563.30 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$5,860.40 |
$5,860.40 |
$5,860.40 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$9,632.97 |
$9,632.97 |
$9,632.97 |
$1,395.28
|
|
Colonoscopy w/injection
|
$8,886.20 |
$8,886.20 |
$8,886.20 |
$2,448.60
|
|
Colonoscopy with ablation
|
$4,067.00 |
$4,067.00 |
$4,067.00 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$10,494.22 |
$10,494.22 |
$10,494.22 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$7,713.05 |
$7,713.05 |
$7,713.05 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$10,302.96 |
$10,302.96 |
$10,302.96 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$5,565.70 |
$5,565.70 |
$5,565.70 |
$2,495.25
|
|
Colonoscopy w/resection
|
$10,165.96 |
$10,165.96 |
$10,165.96 |
$3,029.60
|
|
Colonoscopy w/ultrasound
|
$1,449.00 |
$1,449.00 |
$1,449.00 |
$2,636.40
|
|
Colpocleisis (le forte type) 57120
|
$38,208.74 |
$38,208.74 |
$38,208.74 |
$5,463.96
|
|
Colpopexy extraperitoneal
|
$33,050.37 |
$33,050.37 |
$33,050.37 |
$5,741.00
|
|
Colpopexy intraperitoneal
|
$45,982.00 |
$45,982.00 |
$45,982.00 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$5,546.10 |
$5,546.10 |
$5,546.10 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$22,968.43 |
$22,968.43 |
$22,968.43 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$21,986.06 |
$21,986.06 |
$21,986.06 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$327.60 |
$327.60 |
$327.60 |
$314.00
|
|
Colposcopy vulva 56820
|
$676.90 |
$676.90 |
$676.90 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$23,512.15 |
$23,512.15 |
$23,512.15 |
$393.60
|
|
Compatibility test each unit antiglobulin technique
|
$205.80 |
$205.80 |
$205.80 |
$172.00
|
|
Compatibility test each unit electronic
|
$144.20 |
$144.20 |
$144.20 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$144.20 |
$144.20 |
$144.20 |
$167.17
|
|
Compatibility test incubate
|
$152.60 |
$152.60 |
$152.60 |
$149.60
|
|
Complement antigen each component c3
|
$423.50 |
$423.50 |
$423.50 |
$110.00
|
|
Complete removal of vulva
|
$26,307.61 |
$26,307.61 |
$26,307.61 |
$3,786.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$2,576.00 |
$2,576.00 |
$2,576.00 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$22,651.34 |
$22,651.34 |
$22,651.34 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$7,616.15 |
$7,616.15 |
$7,616.15 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$25,448.04 |
$25,448.04 |
$25,448.04 |
$1,194.25
|
|
Complx repair fccmnaxghf 13131
|
$19,999.82 |
$19,999.82 |
$19,999.82 |
$789.60
|
|
Complx repair fccmnaxghf 13132
|
$22,543.45 |
$22,543.45 |
$22,543.45 |
$1,066.92
|
|
Complx repair fccmnaxghf 13133
|
$22,543.45 |
$22,543.45 |
$22,543.45 |
$493.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$30,216.51 |
$30,216.51 |
$30,216.51 |
$494.34
|
|
Complx repair trunk addl 5cm/< 13102
|
$22,651.34 |
$22,651.34 |
$22,651.34 |
$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
|
$81.20 |
$81.20 |
$81.20 |
$51.32
|
|
Condylomata destruction 56420
|
$11,303.67 |
$11,303.67 |
$11,303.67 |
$463.98
|
|
Conization/cerv/loop electrode exc 57522
|
$14,348.56 |
$14,348.56 |
$14,348.56 |
$4,752.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,440.95 |
$1,440.95 |
$1,440.95 |
$839.07
|
|
Connect omega .5mm
|
$581.05 |
$581.05 |
$581.05 |
$1,260.00
|
|
Constj trachesophgl fstl
|
$10,813.42 |
$10,813.42 |
$10,813.42 |
$3,837.72
|
|
Consultation pathology during surgery
|
$50,218.25 |
$50,218.25 |
$50,218.25 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$37,312.26 |
$37,312.26 |
$37,312.26 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$52,699.52 |
$52,699.52 |
$52,699.52 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$51,825.59 |
$51,825.59 |
$51,825.59 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$262.50 |
$262.50 |
$262.50 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$456.40 |
$456.40 |
$456.40 |
$176.15
|
|
Consult comp w/report rfrd material
|
$353.50 |
$353.50 |
$353.50 |
$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
|
$3,364.55 |
$3,364.55 |
$3,364.55 |
$5,123.14
|
|
Control nosebleed pack+caut 30905
|
$527.80 |
$527.80 |
$527.80 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$495.60 |
$495.60 |
$495.60 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$439.60 |
$439.60 |
$439.60 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$3,236.10 |
$3,236.10 |
$3,236.10 |
$618.80
|
|
Conversion ext bil drg cath
|
$2,938.60 |
$2,938.60 |
$2,938.60 |
$4,099.56
|
|
Convert nephrostomy catheter
|
$7,326.31 |
$7,326.31 |
$7,326.31 |
$2,777.60
|
|
Coombs direct
|
$94.50 |
$94.50 |
$94.50 |
$76.44
|
|
Coombs indirect qualitative each reagent red cell reference
|
$144.20 |
$144.20 |
$144.20 |
$102.90
|
|
Coombs indirect titer reference
|
$184.80 |
$184.80 |
$184.80 |
$155.40
|
|
Copper cu 64 dotatate diag
|
$3,836.00 |
$3,836.00 |
$3,836.00 |
$2,293.68
|
|
Core ndl bx lng/med perq
|
$10,343.32 |
$10,343.32 |
$10,343.32 |
$2,862.11
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$7,084.21 |
$7,084.21 |
$7,084.21 |
$8,244.87
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$12,606.30 |
$12,606.30 |
$12,606.30 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$13,297.20 |
$13,297.20 |
$13,297.20 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$14,820.40 |
$14,820.40 |
$14,820.40 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$10,626.70 |
$10,626.70 |
$10,626.70 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$14,802.20 |
$14,802.20 |
$14,802.20 |
$7,950.49
|
|
Cortisol total am
|
$177.10 |
$177.10 |
$177.10 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$337.57 |
$337.57 |
$337.57 |
$189.02
|
|
Co-treatment - group 15 mins, st
|
$167.30 |
$167.30 |
$167.30 |
$114.00
|
|
Coveredge 32 lead kit 40cm 48
|
$5,891.55 |
$5,891.55 |
$5,891.55 |
$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
|
$144.20 |
$144.20 |
$144.20 |
$93.60
|
|
Crbrospnl fld flw imag cistern
|
$2,645.30 |
$2,645.30 |
$2,645.30 |
$1,281.00
|
|
C-reactive protein
|
$107.80 |
$107.80 |
$107.80 |
$68.38
|
|
C-reactive protein high sensitivity
|
$135.10 |
$135.10 |
$135.10 |
$85.00
|
|
C-reactive protein, quantitative
|
$254.10 |
$254.10 |
$254.10 |
$62.50
|
|
Creat artery-vein fistula autograft 36825
|
$36,828.27 |
$36,828.27 |
$36,828.27 |
$6,396.89
|
|
Create eardrum opening
|
$10,431.38 |
$10,431.38 |
$10,431.38 |
$3,062.80
|
|
Create passage to kidney
|
$60,729.23 |
$60,729.23 |
$60,729.23 |
$4,081.37
|
|
Creatine kinase
|
$120.40 |
$120.40 |
$120.40 |
$65.60
|
|
Creatine kinase isoenzymes
|
$91.00 |
$91.00 |
$91.00 |
$54.60
|
|
Creatine kinase mb
|
$155.40 |
$155.40 |
$155.40 |
$113.63
|
|
Creatine - sendout
|
$39.20 |
$39.20 |
$39.20 |
$39.29
|
|
Creatinine
|
$60.90 |
$60.90 |
$60.90 |
$45.65
|
|
Creatinine 24 hour urine
|
$69.30 |
$69.30 |
$69.30 |
$57.60
|
|
Creatinine clearance urine
|
$133.70 |
$133.70 |
$133.70 |
$89.28
|