|
Complx repair fccmnaxghf 13131
|
$309.29 |
$309.29 |
$362.74 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$312.11 |
$312.11 |
$366.04 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$265.11 |
$265.11 |
$332.39 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$265.11 |
$265.11 |
$332.39 |
$590.20
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$388.02 |
$388.02 |
$455.07 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$366.73 |
$366.73 |
$459.81 |
$741.60
|
|
Concentration infection agents any type
|
$28.52 |
$28.52 |
$35.76 |
$51.32
|
|
Condylomata destruction 56420
|
$282.38 |
$282.38 |
$354.05 |
$503.67
|
|
Conjugated estrogens 25 mg solution for injection
|
$509.38 |
$509.38 |
$638.66 |
$839.07
|
|
Connect omega .5mm
|
$202.66 |
$202.66 |
$254.09 |
$747.50
|
|
Connector tis 2x10mm
|
$725.64 |
$725.64 |
$909.80 |
$2,988.26
|
|
Consultation pathology during surgery cytological exam initial site
|
$180.36 |
$180.36 |
$211.52 |
$381.15
|
|
Consultation pathology during surgery frozen section each additional block
|
$58.65 |
$58.65 |
$68.78 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$123.32 |
$123.32 |
$154.62 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$65.48 |
$65.48 |
$76.79 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$98.42 |
$98.42 |
$115.42 |
$176.15
|
|
Consult comp w/report rfrd material
|
$1,211.86 |
$1,211.86 |
$1,519.42 |
$357.60
|
|
Contrast baths charges
|
$55.44 |
$55.44 |
$65.01 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$2,202.79 |
$2,202.79 |
$2,583.42 |
$3,389.09
|
|
Contrast exam thoracic aorta
|
$1,360.88 |
$1,360.88 |
$1,596.03 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$1,360.88 |
$1,360.88 |
$1,596.03 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$203.25 |
$203.25 |
$238.37 |
$293.49
|
|
Contrast x-ray of ankle
|
$267.11 |
$267.11 |
$375.57 |
$566.28
|
|
Contrast x-ray of elbow
|
$460.32 |
$460.32 |
$539.40 |
$623.60
|
|
Contrast x-ray of hip
|
$422.57 |
$422.57 |
$495.58 |
$770.88
|
|
Contrast x-ray of knee joint
|
$521.38 |
$521.38 |
$653.70 |
$655.05
|
|
Contrast x-ray of wrist
|
$375.57 |
$375.57 |
$470.89 |
$566.28
|
|
Controller infinity pt dbs
|
$759.97 |
$759.97 |
$952.85 |
$3,101.00
|
|
Control nosebleed pack+caut 30905
|
$189.19 |
$189.19 |
$221.89 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$270.73 |
$270.73 |
$317.51 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$334.20 |
$334.20 |
$391.95 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$157.46 |
$157.46 |
$184.67 |
$621.45
|
|
Convert nephrostomy catheter
|
$3,380.90 |
$3,380.90 |
$3,965.11 |
$3,965.11
|
|
Conv gtube to jtube
|
$1,819.19 |
$1,819.19 |
$2,133.54 |
$2,101.52
|
|
Coombs direct
|
$42.58 |
$42.58 |
$53.39 |
$72.05
|
|
Coombs indirect qualitative each reagent red cell reference
|
$51.82 |
$51.82 |
$60.77 |
$94.90
|
|
Coombs indirect titer reference
|
$127.34 |
$127.34 |
$149.34 |
$140.40
|
|
Core ndl bx lng/med perq
|
$2,046.39 |
$2,046.39 |
$2,046.39 |
$3,003.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$2,048.55 |
$2,048.55 |
$2,568.46 |
$8,580.59
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$5,829.11 |
$5,829.11 |
$6,836.36 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$5,829.11 |
$5,829.11 |
$6,836.36 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$5,596.14 |
$5,596.14 |
$6,563.13 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$3,479.71 |
$3,479.71 |
$4,081.00 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,192.52 |
$3,192.52 |
$3,744.17 |
$7,697.25
|
|
Coronary thrombolysis/iv infusion 92977
|
$205.26 |
$205.26 |
$240.73 |
$484.37
|
|
Correct finger deformity
|
$1,387.39 |
$1,387.39 |
$1,627.13 |
$3,821.05
|
|
Correct rectal prolapse
|
$1,011.02 |
$1,011.02 |
$1,267.61 |
$3,581.60
|
|
Cortisol acth stimulation test - sendout
|
$102.43 |
$102.43 |
$120.13 |
$123.73
|
|
Cortisol total am
|
$89.98 |
$89.98 |
$112.82 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$146.73 |
$146.73 |
$183.97 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$143.40 |
$143.40 |
$143.40 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$68.29 |
$68.29 |
$80.09 |
$57.77
|
|
Coveredge 32 lead kit 40cm 48
|
$140.59 |
$140.59 |
$176.27 |
$2,981.93
|
|
Covid-19 administration immunization im inj 1st/only component
|
$15.67 |
$15.67 |
$18.38 |
$63.25
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$551.64 |
$551.64 |
$574.80 |
$600.05
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$470.37 |
$470.37 |
$551.64 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$54.63 |
$54.63 |
$68.50 |
$59.50
|
|
#covid19rsv-rsv
|
$73.51 |
$73.51 |
$92.17 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$43.39 |
$43.39 |
$50.88 |
$65.36
|
|
C-peptide
|
$85.16 |
$85.16 |
$99.87 |
$100.65
|
|
Crbrospnl fld flw imag cistern
|
$605.73 |
$605.73 |
$710.40 |
$1,410.04
|
|
C-reactive protein
|
$58.65 |
$58.65 |
$68.78 |
$61.20
|
|
C-reactive protein high sensitivity
|
$39.37 |
$39.37 |
$49.36 |
$91.65
|
|
Creatine kinase
|
$37.76 |
$37.76 |
$44.29 |
$58.30
|
|
Creatine kinase isoenzymes
|
$36.96 |
$36.96 |
$46.34 |
$51.60
|
|
Creatine kinase mb
|
$80.34 |
$80.34 |
$100.73 |
$106.60
|
|
Creatine - sendout
|
$101.63 |
$101.63 |
$119.19 |
$41.25
|
|
Creatinine
|
$20.49 |
$20.49 |
$25.69 |
$43.80
|
|
Creatinine 24 hour urine
|
$89.18 |
$89.18 |
$99.40 |
$60.97
|
|
Creatinine clearance urine
|
$23.70 |
$23.70 |
$29.72 |
$85.80
|
|
#creutz-prot.,western blot
|
$284.79 |
$284.79 |
$357.07 |
$182.75
|
|
Critical care 30-74 minutes
|
$1,503.88 |
$1,503.88 |
$1,885.55 |
$2,616.80
|
|
Critical care each additional 30 minutes
|
$571.59 |
$571.59 |
$670.36 |
$756.00
|
|
Crotalidae poly immune fab
|
$3,917.75 |
$3,917.75 |
$4,912.06 |
$6,236.10
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$5,058.29 |
$5,058.29 |
$5,932.35 |
$2,649.05
|
|
Cryofibrinogen qualitative - sendout
|
$23.30 |
$23.30 |
$29.21 |
$52.25
|
|
Cryoprecipitate each unit
|
$85.56 |
$85.56 |
$100.35 |
$193.88
|
|
Cryptococcus abs qn - sendout
|
$116.49 |
$116.49 |
$146.05 |
$80.85
|
|
Crystal identification light microscopy
|
$49.01 |
$49.01 |
$57.48 |
$59.15
|
|
Csf leakage imaging
|
$391.24 |
$391.24 |
$458.84 |
$1,433.25
|
|
CT 3d report other modality w/workstation
|
$419.76 |
$419.76 |
$984.57 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,109.03 |
$1,109.03 |
$1,300.67 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,133.53 |
$1,133.53 |
$1,329.40 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$855.17 |
$855.17 |
$1,072.21 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,078.90 |
$1,078.90 |
$1,265.33 |
$1,950.39
|
|
CT Angiogram of Abdomen and Pelvis
|
$853.16 |
$853.16 |
$1,000.59 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,153.21 |
$1,153.21 |
$1,352.48 |
$2,032.54
|
|
CT Angiogram of the Head
|
$1,121.48 |
$1,121.48 |
$1,315.27 |
$2,059.85
|
|
CT angio hrt w/3d image
|
$1,045.81 |
$1,045.81 |
$1,045.81 |
$1,601.60
|
|
CT angio pelvis
|
$850.75 |
$850.75 |
$1,066.67 |
$1,802.35
|
|
Cta upper extremity w &/or without contrast left
|
$715.39 |
$715.39 |
$839.00 |
$1,691.30
|
|
CT colonography dx w/dye
|
$4,417.35 |
$4,417.35 |
$4,417.35 |
$1,009.98
|
|
CT guidance for needle placement
|
$413.33 |
$413.33 |
$483.98 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$705.75 |
$705.75 |
$884.86 |
$1,058.40
|
|
CT guid parench tis ablat
|
$328.82 |
$328.82 |
$328.82 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$638.32 |
$638.32 |
$638.32 |
$192.00
|
|
CT hrt w/3d image
|
$214.10 |
$214.10 |
$251.09 |
$1,481.04
|
|
CT limited or localized follow-up study
|
$384.41 |
$384.41 |
$626.07 |
$630.75
|
|
CT lower extremity w/contrast (both sides)
|
$814.20 |
$814.20 |
$954.89 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$796.93 |
$796.93 |
$1,015.66 |
$1,400.00
|
