|
Compatibility test each unit immediate spin technique
|
$83.40 |
$166.00 |
$216.60 |
|
|
Compatibility test incubate
|
$76.20 |
$161.40 |
$194.40 |
|
|
Comp cystometrogram/void presssure 51728
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
|
|
Complement antigen each component c3
|
$70.50 |
$196.20 |
$1,346.42 |
|
|
Complement fixation each
|
$219.65 |
$219.65 |
$397.20 |
|
|
Complex cystometrogram 51726
|
$2,045.40 |
$2,045.40 |
$2,255.83 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$551.00 |
$551.00 |
$551.00 |
|
|
Complex uroflowmetry (electronic) 51741
|
$429.68 |
$429.68 |
$512.40 |
|
|
Complx repair fccmnaxghf 13132
|
$782.00 |
$782.00 |
$782.00 |
|
|
Complx repair fccmnaxghf 13133
|
$236.00 |
$236.00 |
$236.00 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$178.50 |
$178.50 |
$178.50 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$124.42 |
$124.42 |
$124.42 |
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,362.20 |
$2,362.20 |
$2,362.20 |
|
|
Comprehensive hearing test
|
$224.40 |
$346.50 |
$364.00 |
|
|
Compre oph exam new pt 1/>
|
$481.97 |
$481.97 |
$481.97 |
|
|
Computed tomographic angiography head and neck with contrast
|
$794.00 |
$1,164.50 |
$3,131.78 |
|
|
Concentration infection agents any type
|
$15.50 |
$60.60 |
$119.40 |
|
|
Conditioning play audiometry 92582
|
$118.80 |
$225.60 |
$249.00 |
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$3,616.80 |
$6,649.60 |
$14,684.79 |
|
|
Condylomata destruction 56420
|
$73.85 |
$73.85 |
$269.00 |
|
|
Conivaptan hcl
|
$8,559.35 |
$8,559.35 |
$8,559.35 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$839.07 |
$839.07 |
$3,800.85 |
|
|
Connect omega .5mm
|
$1,064.40 |
$1,140.60 |
$1,348.80 |
|
|
Connector tis 2x10mm
|
$22,784.39 |
$22,784.39 |
$22,784.39 |
|
|
Consultation pathology during surgery
|
$122.39 |
$179.40 |
$199.20 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$151.80 |
$252.00 |
$2,462.31 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$83.40 |
$172.00 |
$232.20 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$133.50 |
$336.00 |
$438.00 |
|
|
Consultation/report referred material w/preparation of slides
|
$148.00 |
$333.00 |
$854.15 |
|
|
Consultation/report referred slides prepared elsewhere
|
$172.50 |
$358.80 |
$759.77 |
|
|
Consultation with family
|
$31.73 |
$31.73 |
$31.73 |
|
|
Consult comp w/report rfrd material
|
$587.35 |
$709.20 |
$1,701.00 |
|
|
Contact layer >16<= 48 sq in
|
$86.40 |
$86.40 |
$86.40 |
|
|
Contrast baths charges
|
$18.60 |
$47.40 |
$80.40 |
|
|
Contrast exam abdominl aorta 75625-26
|
$2,476.20 |
$2,476.20 |
$10,763.97 |
|
|
Contrast exam thoracic aorta 75605-26
|
$2,476.20 |
$2,476.20 |
$10,507.94 |
|
|
Contrast x-ray gallbladder
|
$312.00 |
$312.00 |
$892.65 |
|
|
Contrast x-ray of ankle
|
$602.40 |
$782.40 |
$2,637.18 |
|
|
Contrast x-ray of brain
|
$3,125.30 |
$3,125.30 |
$3,125.30 |
|
|
Contrast x-ray of elbow
|
$478.80 |
$903.60 |
$3,232.06 |
|
|
Contrast x-ray of hip
|
$482.40 |
$1,000.50 |
$2,101.09 |
|
|
Contrast x-ray of knee joint
|
$457.20 |
$950.50 |
$2,160.97 |
|
|
Contrast x-ray of wrist
|
$403.20 |
$760.80 |
$2,964.99 |
|
|
Controler lvad heartmate 3 includes ebb
|
$13,551.60 |
$16,599.60 |
$16,599.60 |
|
|
Controller infinity pt dbs
|
$13,540.50 |
$13,540.50 |
$14,332.19 |
|
|
Control nosebleed pack+caut 30905
|
$330.00 |
$330.00 |
$330.00 |
|
|
Control of nosebleed ant comp 30903
|
$323.50 |
$323.50 |
$323.50 |
|
|
Control of nosebleedantersmpl 30901
|
$210.00 |
$210.00 |
$210.00 |
|
|
Conversion ext bil drg cath
|
$4,127.50 |
$7,362.00 |
$7,362.00 |
|
|
Convert nephrostomy catheter
|
$7,567.80 |
$7,859.40 |
$15,957.00 |
|
|
Coombs direct
|
$45.88 |
$88.55 |
$145.80 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$115.20 |
$160.50 |
$467.31 |
|
|
Coombs indirect titer reference
|
$114.00 |
$189.60 |
$460.27 |
|
|
Copper cu 64 dotatate diag
|
$1,822.80 |
$1,822.80 |
$34,957.39 |
|
|
Copper intrauterine device
|
$1,357.62 |
$1,357.62 |
$1,357.62 |
|
|
Core ndl bx lng/med perq
|
$1,851.50 |
$3,565.50 |
$3,745.50 |
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$195.96 |
$195.96 |
$195.96 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$15,583.80 |
$18,998.00 |
$28,894.21 |
|
|
Coronary angio/lv gram/lt heart
|
$13,647.00 |
$18,138.60 |
$26,373.23 |
|
|
Coronary angio/lv gram/rt< heart
|
$15,432.00 |
$19,957.80 |
$27,634.40 |
|
|
Coronary art/grft angio s&i
|
$9,503.40 |
$12,093.00 |
$21,355.99 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,179.60 |
$10,368.60 |
$19,180.53 |
|
|
Coronary thrombolysis/iv infusion 92977
|
$537.60 |
$768.60 |
$1,195.20 |
|
|
Corticorelin ovine triflutal
|
$1,569.13 |
$1,569.13 |
$1,569.13 |
|
|
Cortisol acth stimulation test - sendout
|
$87.60 |
$367.20 |
$505.20 |
|
|
Cortisol total am
|
$69.00 |
$211.80 |
$349.80 |
|
|
Cosyntropin 0.25 mg solution for injection
|
$121.34 |
$121.76 |
$1,106.29 |
|
|
Co-treatment - group 15 mins, st
|
$64.20 |
$118.20 |
$356.11 |
|
|
Counseling smoke cess interm >10mins
|
$35.03 |
$121.20 |
$176.40 |
|
|
Counseling visit to discuss need for ldct g0296
|
$202.38 |
$202.38 |
$202.38 |
|
|
Coveredge 32 lead kit 40cm 48
|
$3,520.00 |
$3,520.00 |
$11,643.23 |
|
|
Cover wrist
|
$96.73 |
$96.73 |
$96.73 |
|
|
Covid-19 administration immunization im inj 1st/only component
|
$69.60 |
$85.80 |
$190.32 |
|
|
Covid-19 convalescent plasma
|
$1,853.20 |
$1,853.20 |
$1,853.20 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$648.00 |
$680.50 |
$1,473.08 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$1,473.08 |
$1,473.08 |
$1,473.08 |
|
|
#covid19rsv-rsv
|
$102.00 |
$207.60 |
$425.80 |
|
|
#coxa-coxsackie a serotype a16
|
$30.60 |
$49.20 |
$393.88 |
|
|
CPAP or BiPAP Setup (first day)
|
$141.60 |
$560.46 |
$1,543.80 |
|
|
C-peptide
|
$106.50 |
$243.60 |
$1,302.84 |
|
|
CPR (Cardiopulmonary Resuscitation)
|
$565.50 |
$1,272.00 |
$1,878.05 |
|
|
Cptr-asst dir ms px
|
$4,829.00 |
$4,905.00 |
$5,072.50 |
|
|
Crbrospnl fld flw imag cistern
|
$1,219.50 |
$1,594.20 |
$4,168.22 |
|
|
C-reactive protein
|
$47.79 |
$105.60 |
$212.40 |
|
|
C-reactive protein high sensitivity
|
$59.00 |
$140.40 |
$241.80 |
|
|
C-reactive protein, quantitative
|
$52.80 |
$148.20 |
$183.60 |
|
|
Creatine kinase
|
$33.00 |
$70.20 |
$141.01 |
|
|
Creatine kinase isoenzymes
|
$40.20 |
$114.50 |
$295.80 |
|
|
Creatine kinase mb
|
$68.00 |
$155.40 |
$226.20 |
|
|
Creatine - sendout
|
$41.40 |
$121.20 |
$142.80 |
|
|
Creatinine
|
$21.00 |
$62.89 |
$99.60 |
|
|
Creatinine 24 hour urine
|
$23.00 |
$65.24 |
$124.80 |
|
|
Creatinine clearance urine
|
$18.00 |
$89.50 |
$288.00 |
|
|
#creutz-prot.,western blot
|
$52.80 |
$143.40 |
$2,952.64 |
|
|
Crisis psychotherapy 90839
|
$56.88 |
$256.00 |
$609.35 |
|
|
Crisis psychotherapy additional 30 mins 90840
|
$27.04 |
$127.50 |
$304.62 |
|
|
Critical care each additional 30 minutes
|
$288.60 |
$799.20 |
$1,410.00 |
|
|
Critical Care (first 30 to 74 minutes)
|
$1,435.00 |
$3,646.00 |
$3,891.60 |
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$6,158.35 |
$6,158.35 |
$6,158.35 |
|
