|
Colistimethate sodium inj
|
$64.42 |
$64.42 |
$64.42 |
$84.22
|
|
Collection blood specimen from completely implantable venous access device
|
$59.40 |
$59.40 |
$59.40 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$72.13 |
$72.13 |
$72.13 |
$166.94
|
|
Collection of venous blood by venipuncture
|
$22.07 |
$22.07 |
$22.07 |
$22.05
|
|
Colonoscopy flex with decompression 45393
|
$1,179.51 |
$1,179.51 |
$1,179.51 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,631.37 |
$1,631.37 |
$1,631.37 |
$2,537.25
|
|
Colonoscopy w/balloon dilat
|
$1,631.37 |
$1,631.37 |
$1,631.37 |
$1,645.43
|
|
Colonoscopy (with biopsy)
|
$1,631.37 |
$1,631.37 |
$1,631.37 |
$2,538.00
|
|
Colonoscopy (with polyp removal)
|
$1,093.38 |
$1,093.38 |
$1,093.38 |
$2,472.75
|
|
Colpotomy drng of abscess 57010
|
$980.52 |
$980.52 |
$980.52 |
$3,309.79
|
|
Compatibility test each unit antiglobulin technique
|
$95.89 |
$95.89 |
$95.89 |
$158.51
|
|
Compatibility test each unit electronic
|
$62.37 |
$62.37 |
$62.37 |
$163.80
|
|
Compatibility test each unit immediate spin technique
|
$74.68 |
$74.68 |
$74.68 |
$158.27
|
|
Compatibility test incubate
|
$59.40 |
$59.40 |
$59.40 |
$133.70
|
|
Complement antigen each component c3
|
$78.50 |
$78.50 |
$78.50 |
$113.30
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$702.19 |
$702.19 |
$702.19 |
$952.60
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$702.19 |
$702.19 |
$702.19 |
$1,445.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$702.19 |
$702.19 |
$702.19 |
$1,247.95
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$702.19 |
$702.19 |
$702.19 |
$1,279.20
|
|
Complx repair enel addl 5cm/< 13153
|
$304.21 |
$304.21 |
$304.21 |
$486.20
|
|
Complx repair fccmnaxghf 13131
|
$702.19 |
$702.19 |
$702.19 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$702.19 |
$702.19 |
$702.19 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$304.64 |
$304.64 |
$304.64 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$212.99 |
$212.99 |
$212.99 |
$590.20
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$739.53 |
$739.53 |
$739.53 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$173.11 |
$173.11 |
$173.11 |
$741.60
|
|
Concentration infection agents any type
|
$28.86 |
$28.86 |
$28.86 |
$51.32
|
|
Condylomata destruction 56420
|
$178.63 |
$178.63 |
$178.63 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$538.05 |
$538.05 |
$538.05 |
$839.07
|
|
Connect omega .5mm
|
$214.06 |
$214.06 |
$214.06 |
$747.50
|
|
Connector tis 2x10mm
|
$766.48 |
$766.48 |
$766.48 |
$2,988.26
|
|
Consultation pathology during surgery cytological exam initial site
|
$251.60 |
$251.60 |
$251.60 |
$381.15
|
|
Consultation pathology during surgery frozen section each additional block
|
$47.52 |
$47.52 |
$47.52 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$101.83 |
$101.83 |
$101.83 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$156.14 |
$156.14 |
$156.14 |
$239.85
|
|
Contrast baths charges
|
$59.40 |
$59.40 |
$59.40 |
$77.98
|
|
Contrast x-ray gallbladder
|
$308.46 |
$308.46 |
$308.46 |
$297.14
|
|
Contrast x-ray of hip
|
$649.58 |
$649.58 |
$649.58 |
$785.60
|
|
Contrast x-ray of knee joint
|
$353.01 |
$353.01 |
$353.01 |
$660.00
|
|
Controller infinity pt dbs
|
$802.74 |
$802.74 |
$802.74 |
$3,101.00
|
|
Control nosebleed pack+caut 30905
|
$368.71 |
$368.71 |
$368.71 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$277.48 |
$277.48 |
$277.48 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$308.03 |
$308.03 |
$308.03 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$340.28 |
$340.28 |
$340.28 |
$632.80
|
|
Conv gtube to jtube
|
$1,940.24 |
$1,940.24 |
$1,940.24 |
$2,099.70
|
|
Coombs direct
|
$33.95 |
$33.95 |
$33.95 |
$72.45
|
|
Coombs indirect qualitative each reagent red cell reference
|
$59.40 |
$59.40 |
$59.40 |
$94.80
|
|
Coombs indirect titer reference
|
$58.56 |
$58.56 |
$58.56 |
$137.27
|
|
Core ndl bx lng/med perq
|
$1,675.49 |
$1,675.49 |
$1,675.49 |
$3,033.57
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$2,163.84 |
$2,163.84 |
$2,163.84 |
$8,580.59
|
|
Coronary thrombolysis/iv infusion 92977
|
$218.93 |
$218.93 |
$218.93 |
$484.37
|
|
Correct finger deformity
|
$1,329.28 |
$1,329.28 |
$1,329.28 |
$3,743.15
|
|
Correct rectal prolapse
|
$1,990.31 |
$1,990.31 |
$1,990.31 |
$3,581.60
|
|
Cortisol total am
|
$106.92 |
$106.92 |
$106.92 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$154.99 |
$154.99 |
$154.99 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$159.53 |
$159.53 |
$159.53 |
$110.40
|
|
Counseling smoke cess interm >10mins
|
$36.92 |
$36.92 |
$36.92 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$148.50 |
$148.50 |
$148.50 |
$2,981.93
|
|
Covid-19 administration immunization im inj 1st/only component
|
$16.55 |
$16.55 |
$16.55 |
$64.50
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$501.08 |
$501.08 |
$501.08 |
$664.50
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$501.08 |
$501.08 |
$501.08 |
$551.64
|
|
#covid19rsv-rsv
|
$78.50 |
$78.50 |
$78.50 |
$140.95
|
|
#coxa-coxsackie a serotype a16
|
$443.80 |
$443.80 |
$443.80 |
$65.36
|
|
C-peptide
|
$78.50 |
$78.50 |
$78.50 |
$101.60
|
|
C-reactive protein
|
$71.28 |
$71.28 |
$71.28 |
$63.50
|
|
C-reactive protein high sensitivity
|
$20.37 |
$20.37 |
$20.37 |
$91.65
|
|
Creatine kinase
|
$75.95 |
$75.95 |
$75.95 |
$59.78
|
|
Creatine kinase isoenzymes
|
$87.41 |
$87.41 |
$87.41 |
$53.00
|
|
Creatine kinase mb
|
$109.47 |
$109.47 |
$109.47 |
$109.20
|
|
Creatine - sendout
|
$108.20 |
$108.20 |
$108.20 |
$41.40
|
|
Creatinine
|
$63.22 |
$63.22 |
$63.22 |
$44.10
|
|
Creatinine 24 hour urine
|
$47.52 |
$47.52 |
$47.52 |
$62.00
|
|
Creatinine clearance urine
|
$77.22 |
$77.22 |
$77.22 |
$86.40
|
|
#creutz-prot.,western blot
|
$288.52 |
$288.52 |
$288.52 |
$189.80
|
|
Critical care 30-74 minutes
|
$2,078.13 |
$2,078.13 |
$2,078.13 |
$2,627.30
|
|
Critical care each additional 30 minutes
|
$810.38 |
$810.38 |
$810.38 |
$756.00
|
|
Crotalidae poly immune fab
|
$4,138.24 |
$4,138.24 |
$4,138.24 |
$6,443.97
|
|
Cryofibrinogen qualitative - sendout
|
$82.74 |
$82.74 |
$82.74 |
$52.25
|
|
Cryoprecipitate each unit
|
$266.03 |
$266.03 |
$266.03 |
$198.60
|
|
Cryptococcus abs qn - sendout
|
$42.01 |
$42.01 |
$42.01 |
$80.85
|
|
Crystal identification light microscopy
|
$39.46 |
$39.46 |
$39.46 |
$64.35
|
|
CT 3d report other modality w/workstation
|
$147.23 |
$147.23 |
$147.23 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,790.47 |
$1,790.47 |
$1,790.47 |
$2,084.86
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$731.04 |
$731.04 |
$731.04 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$579.15 |
$579.15 |
$579.15 |
$2,079.00
|
|
Cta neck without &/or w/contrast
|
$1,277.51 |
$1,277.51 |
$1,277.51 |
$1,987.50
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,529.96 |
$1,529.96 |
$1,529.96 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$734.86 |
$734.86 |
$734.86 |
$2,057.90
|
|
CT Angiogram of the Head
|
$1,047.13 |
$1,047.13 |
$1,047.13 |
$2,080.00
|
|
CT angio pelvis
|
$857.48 |
$857.48 |
$857.48 |
$1,819.20
|
|
Cta upper extremity w &/or without contrast left
|
$793.41 |
$793.41 |
$793.41 |
$1,697.80
|
|
CT guidance for needle placement
|
$841.35 |
$841.35 |
$841.35 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$778.14 |
$778.14 |
$778.14 |
$1,058.40
|
|
CT lower extremity w/contrast (both sides)
|
$934.27 |
$934.27 |
$934.27 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$791.71 |
$791.71 |
$791.71 |
$1,403.73
|
|
CT lwr extremity w/o&w/dye
|
$918.57 |
$918.57 |
$918.57 |
$1,844.52
|
|
CT neck soft tissue w/contrast
|
$829.05 |
$829.05 |
$829.05 |
$1,669.00
|
|
CT neck soft tissue without contrast
|
$829.05 |
$829.05 |
$829.05 |
$1,344.60
|
|
CT neck soft tissue without & w/contrast
|
$1,044.58 |
$1,044.58 |
$1,044.58 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,325.46 |
$1,325.46 |
$1,325.46 |
$1,681.95
|
