|
Complx repair trunk addl 5cm/< 13102
|
$204.11 |
$204.11 |
$204.11 |
$741.60
|
|
Concentration infection agents any type
|
$22.13 |
$22.13 |
$22.13 |
$51.32
|
|
Condylomata destruction 56420
|
$310.45 |
$310.45 |
$310.45 |
$503.67
|
|
Conjugated estrogens 25 mg solution for injection
|
$452.52 |
$452.52 |
$452.52 |
$839.07
|
|
Connect omega .5mm
|
$180.04 |
$180.04 |
$180.04 |
$747.50
|
|
Connector tis 2x10mm
|
$644.64 |
$644.64 |
$644.64 |
$2,988.26
|
|
Consultation pathology during surgery cytological exam initial site
|
$45.68 |
$45.68 |
$45.68 |
$381.15
|
|
Consultation pathology during surgery frozen section each additional block
|
$216.60 |
$216.60 |
$216.60 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$44.97 |
$44.97 |
$44.97 |
$210.80
|
|
Consult comp w/report rfrd material
|
$398.95 |
$398.95 |
$398.95 |
$357.60
|
|
Contrast baths charges
|
$48.89 |
$48.89 |
$48.89 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$1,294.96 |
$1,294.96 |
$1,294.96 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$2,158.50 |
$2,158.50 |
$2,158.50 |
$3,728.24
|
|
Contrast x-ray of ankle
|
$203.76 |
$203.76 |
$203.76 |
$566.28
|
|
Contrast x-ray of elbow
|
$332.58 |
$332.58 |
$332.58 |
$623.60
|
|
Contrast x-ray of hip
|
$401.44 |
$401.44 |
$401.44 |
$770.88
|
|
Contrast x-ray of knee joint
|
$225.52 |
$225.52 |
$225.52 |
$655.05
|
|
Contrast x-ray of wrist
|
$307.95 |
$307.95 |
$307.95 |
$566.28
|
|
Controller infinity pt dbs
|
$675.14 |
$675.14 |
$675.14 |
$3,101.00
|
|
Control nosebleed pack+caut 30905
|
$220.89 |
$220.89 |
$220.89 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$584.14 |
$584.14 |
$584.14 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$210.54 |
$210.54 |
$210.54 |
$385.45
|
|
Conv gtube to jtube
|
$1,600.77 |
$1,600.77 |
$1,600.77 |
$2,101.52
|
|
Coombs direct
|
$40.33 |
$40.33 |
$40.33 |
$72.05
|
|
Coombs indirect qualitative each reagent red cell reference
|
$45.68 |
$45.68 |
$45.68 |
$94.90
|
|
Coombs indirect titer reference
|
$44.97 |
$44.97 |
$44.97 |
$140.40
|
|
Core ndl bx lng/med perq
|
$1,509.06 |
$1,509.06 |
$1,509.06 |
$3,003.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$1,819.87 |
$1,819.87 |
$1,819.87 |
$8,580.59
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$8,024.16 |
$8,024.16 |
$8,024.16 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$9,015.81 |
$9,015.81 |
$9,015.81 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$7,483.20 |
$7,483.20 |
$7,483.20 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$2,601.69 |
$2,601.69 |
$2,601.69 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,309.36 |
$5,309.36 |
$5,309.36 |
$7,697.25
|
|
Coronary thrombolysis/iv infusion 92977
|
$182.35 |
$182.35 |
$182.35 |
$484.37
|
|
Cortisol total am
|
$138.46 |
$138.46 |
$138.46 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$130.35 |
$130.35 |
$130.35 |
$258.83
|
|
Counseling smoke cess interm >10mins
|
$62.45 |
$62.45 |
$62.45 |
$57.77
|
|
Coveredge 32 lead kit 40cm 48
|
$124.90 |
$124.90 |
$124.90 |
$2,981.93
|
|
Covid-19 administration immunization im inj 1st/only component
|
$13.92 |
$13.92 |
$13.92 |
$63.25
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$203.76 |
$203.76 |
$203.76 |
$600.05
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$413.58 |
$413.58 |
$413.58 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$49.96 |
$49.96 |
$49.96 |
$59.50
|
|
#coxa-coxsackie a serotype a16
|
$30.34 |
$30.34 |
$30.34 |
$65.36
|
|
C-peptide
|
$66.38 |
$66.38 |
$66.38 |
$100.65
|
|
Crbrospnl fld flw imag cistern
|
$724.38 |
$724.38 |
$724.38 |
$1,410.04
|
|
C-reactive protein
|
$44.25 |
$44.25 |
$44.25 |
$61.20
|
|
C-reactive protein high sensitivity
|
$44.61 |
$44.61 |
$44.61 |
$91.65
|
|
Creatine kinase
|
$44.25 |
$44.25 |
$44.25 |
$58.30
|
|
Creatine kinase isoenzymes
|
$35.69 |
$35.69 |
$35.69 |
$51.60
|
|
Creatine kinase mb
|
$101.70 |
$101.70 |
$101.70 |
$106.60
|
|
Creatine - sendout
|
$47.11 |
$47.11 |
$47.11 |
$41.25
|
|
Creatinine
|
$35.33 |
$35.33 |
$35.33 |
$43.80
|
|
Creatinine 24 hour urine
|
$31.76 |
$31.76 |
$31.76 |
$60.97
|
|
Creatinine clearance urine
|
$68.16 |
$68.16 |
$68.16 |
$85.80
|
|
#creutz-prot.,western blot
|
$55.67 |
$55.67 |
$55.67 |
$182.75
|
|
Crisis psychotherapy 90839
|
$60.67 |
$60.67 |
$60.67 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$28.55 |
$28.55 |
$28.55 |
$152.10
|
|
Critical care 30-74 minutes
|
$1,288.89 |
$1,288.89 |
$1,288.89 |
$2,616.80
|
|
Critical care each additional 30 minutes
|
$554.53 |
$554.53 |
$554.53 |
$756.00
|
|
Crotalidae poly immune fab
|
$3,480.41 |
$3,480.41 |
$3,480.41 |
$6,236.10
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$4,450.45 |
$4,450.45 |
$4,450.45 |
$2,649.05
|
|
Cryofibrinogen qualitative - sendout
|
$21.77 |
$21.77 |
$21.77 |
$52.25
|
|
Cryoprecipitate each unit
|
$108.48 |
$108.48 |
$108.48 |
$193.88
|
|
Cryptococcus abs qn - sendout
|
$106.70 |
$106.70 |
$106.70 |
$80.85
|
|
Cryptosporidium antigen
|
$38.90 |
$38.90 |
$38.90 |
$61.20
|
|
Crystal identification light microscopy
|
$25.70 |
$25.70 |
$25.70 |
$59.15
|
|
CT 3d report other modality w/workstation
|
$727.59 |
$727.59 |
$727.59 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$618.04 |
$618.04 |
$618.04 |
$2,050.28
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$627.68 |
$627.68 |
$627.68 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$563.45 |
$563.45 |
$563.45 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,299.60 |
$1,299.60 |
$1,299.60 |
$1,950.39
|
|
CT Angiogram of Abdomen and Pelvis
|
$950.61 |
$950.61 |
$950.61 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,165.79 |
$1,165.79 |
$1,165.79 |
$2,032.54
|
|
CT Angiogram of the Head
|
$974.52 |
$974.52 |
$974.52 |
$2,059.85
|
|
CT angio hrt w/3d image
|
$147.02 |
$147.02 |
$147.02 |
$1,601.60
|
|
CT angio pelvis
|
$1,069.44 |
$1,069.44 |
$1,069.44 |
$1,802.35
|
|
Cta upper extremity w &/or without contrast left
|
$740.08 |
$740.08 |
$740.08 |
$1,691.30
|
|
CT guidance for needle placement
|
$529.19 |
$529.19 |
$529.19 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$621.61 |
$621.61 |
$621.61 |
$1,058.40
|
|
CT lower extremity w/contrast (both sides)
|
$660.15 |
$660.15 |
$660.15 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$568.80 |
$568.80 |
$568.80 |
$1,400.00
|
|
CT lwr extremity w/o&w/dye
|
$858.91 |
$858.91 |
$858.91 |
$1,829.75
|
|
CT neck soft tissue w/contrast
|
$1,098.34 |
$1,098.34 |
$1,098.34 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$988.44 |
$988.44 |
$988.44 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,032.33 |
$1,032.33 |
$1,032.33 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,116.54 |
$1,116.54 |
$1,116.54 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$944.19 |
$944.19 |
$944.19 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$907.79 |
$907.79 |
$907.79 |
$1,360.45
|
|
Ctrl nosebld postir subsq 30906
|
$399.66 |
$399.66 |
$399.66 |
$456.00
|
|
CT scan for therapy guide
|
$264.06 |
$264.06 |
$264.06 |
$777.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,037.74 |
$3,037.74 |
$3,037.74 |
$3,337.20
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,552.45 |
$2,552.45 |
$2,552.45 |
$2,928.00
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,476.09 |
$2,476.09 |
$2,476.09 |
$2,383.54
|
|
CT thoracic spine w/contrast
|
$969.53 |
$969.53 |
$969.53 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$1,020.55 |
$1,020.55 |
$1,020.55 |
$1,437.75
|
|
CT thorax low dose for lung screening without contrast
|
$1,050.17 |
$1,050.17 |
$1,050.17 |
$427.43
|
|
CT t-spine w /wo contrast
|
$1,010.21 |
$1,010.21 |
$1,010.21 |
$2,033.46
|
|
CT upper extremity w/contrast (both sides)
|
$897.80 |
$897.80 |
$897.80 |
$1,698.00
|
|
CT upper extremity without contrast (both sides)
|
$965.24 |
$965.24 |
$965.24 |
$1,473.75
|
|
CT uppr extremity w/o&w/dye
|
$936.34 |
$936.34 |
$936.34 |
$1,845.36
|