|
Cltx mndblr fx w/mnpj
|
$654.91 |
$654.91 |
$654.91 |
$2,432.15
|
|
Cltx scap fx w/mnpj +-tractj
|
$218.06 |
$218.06 |
$218.06 |
$2,211.05
|
|
#cmvcul-virus inoculation shell
|
$115.45 |
$115.45 |
$115.45 |
$102.57
|
|
Cmv pcr-sendout
|
$178.85 |
$178.85 |
$178.85 |
$172.25
|
|
Co2 monitor per day
|
$286.23 |
$286.23 |
$286.23 |
$389.49
|
|
Coagulation time activated teg
|
$32.99 |
$32.99 |
$32.99 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$88.51 |
$88.51 |
$88.51 |
$781.82
|
|
Coil axium 3d 14mmx40cm qc
|
$498.42 |
$498.42 |
$498.42 |
$577.03
|
|
Cold agglutinin titer
|
$45.45 |
$45.45 |
$45.45 |
$49.95
|
|
Colistimethate sodium inj
|
$55.64 |
$55.64 |
$55.64 |
$84.22
|
|
Collection blood specimen from completely implantable venous access device
|
$64.87 |
$64.87 |
$64.87 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$64.87 |
$64.87 |
$64.87 |
$166.94
|
|
Collection of venous blood by venipuncture
|
$19.43 |
$19.43 |
$19.43 |
$22.05
|
|
Colonoscopy flex with decompression 45393
|
$1,032.75 |
$1,032.75 |
$1,032.75 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,315.30 |
$1,315.30 |
$1,315.30 |
$2,537.25
|
|
Colonoscopy w/balloon dilat
|
$1,315.30 |
$1,315.30 |
$1,315.30 |
$1,645.43
|
|
Colonoscopy (with biopsy)
|
$1,315.30 |
$1,315.30 |
$1,315.30 |
$2,538.00
|
|
Colonoscopy (with polyp removal)
|
$881.39 |
$881.39 |
$881.39 |
$2,472.75
|
|
Compatibility test each unit antiglobulin technique
|
$68.17 |
$68.17 |
$68.17 |
$158.51
|
|
Compatibility test each unit electronic
|
$48.75 |
$48.75 |
$48.75 |
$163.80
|
|
Compatibility test each unit immediate spin technique
|
$53.51 |
$53.51 |
$53.51 |
$158.27
|
|
Complement antigen each component c3
|
$69.64 |
$69.64 |
$69.64 |
$113.30
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$371.98 |
$371.98 |
$371.98 |
$952.60
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$466.17 |
$466.17 |
$466.17 |
$1,445.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$476.06 |
$476.06 |
$476.06 |
$1,247.95
|
|
Complx repair fccmnaxghf 13131
|
$386.64 |
$386.64 |
$386.64 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$496.59 |
$496.59 |
$496.59 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$371.98 |
$371.98 |
$371.98 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$371.98 |
$371.98 |
$371.98 |
$590.20
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$466.17 |
$466.17 |
$466.17 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$371.98 |
$371.98 |
$371.98 |
$741.60
|
|
Concentration infection agents any type
|
$42.52 |
$42.52 |
$42.52 |
$51.32
|
|
Condylomata destruction 56420
|
$225.39 |
$225.39 |
$225.39 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$464.75 |
$464.75 |
$464.75 |
$839.07
|
|
Connect omega .5mm
|
$184.90 |
$184.90 |
$184.90 |
$747.50
|
|
Connector tis 2x10mm
|
$662.06 |
$662.06 |
$662.06 |
$2,988.26
|
|
Consultation pathology during surgery cytological exam initial site
|
$217.33 |
$217.33 |
$217.33 |
$381.15
|
|
Consultation pathology during surgery frozen section each additional block
|
$12.83 |
$12.83 |
$12.83 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$116.18 |
$116.18 |
$116.18 |
$214.00
|
|
Consult comp w/report rfrd material
|
$1,083.32 |
$1,083.32 |
$1,083.32 |
$359.87
|
|
Contrast baths charges
|
$48.38 |
$48.38 |
$48.38 |
$77.98
|
|
Contrast x-ray of hip
|
$413.39 |
$413.39 |
$413.39 |
$785.60
|
|
Contrast x-ray of knee joint
|
$413.39 |
$413.39 |
$413.39 |
$660.00
|
|
Contrast x-ray of wrist
|
$413.39 |
$413.39 |
$413.39 |
$583.92
|
|
Controller infinity pt dbs
|
$693.39 |
$693.39 |
$693.39 |
$3,101.00
|
|
Control nosebleed pack+caut 30905
|
$283.66 |
$283.66 |
$283.66 |
$460.17
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$293.56 |
$293.56 |
$293.56 |
$790.80
|
|
Control of nosebleed ant comp 30903
|
$253.98 |
$253.98 |
$253.98 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$253.98 |
$253.98 |
$253.98 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$225.39 |
$225.39 |
$225.39 |
$632.80
|
|
Conv gtube to jtube
|
$1,675.92 |
$1,675.92 |
$1,675.92 |
$2,099.70
|
|
Coombs direct
|
$29.32 |
$29.32 |
$29.32 |
$72.45
|
|
Coombs indirect titer reference
|
$52.78 |
$52.78 |
$52.78 |
$137.27
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$1,869.05 |
$1,869.05 |
$1,869.05 |
$8,580.59
|
|
Coronary angio/lv gram/lt heart
|
$4,615.09 |
$4,615.09 |
$4,615.09 |
$10,364.90
|
|
Cortisol total am
|
$80.26 |
$80.26 |
$80.26 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$133.88 |
$133.88 |
$133.88 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$171.88 |
$171.88 |
$171.88 |
$110.40
|
|
Counseling smoke cess interm >10mins
|
$62.31 |
$62.31 |
$62.31 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$128.27 |
$128.27 |
$128.27 |
$2,981.93
|
|
Covid-19 administration immunization im inj 1st/only component
|
$14.30 |
$14.30 |
$14.30 |
$64.50
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$432.82 |
$432.82 |
$432.82 |
$664.50
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$432.82 |
$432.82 |
$432.82 |
$551.64
|
|
#covid19rsv-rsv
|
$67.80 |
$67.80 |
$67.80 |
$140.95
|
|
#coxa-coxsackie a serotype a16
|
$48.01 |
$48.01 |
$48.01 |
$65.36
|
|
C-peptide
|
$136.70 |
$136.70 |
$136.70 |
$101.60
|
|
Crbrospnl fld flw imag cistern
|
$1,152.22 |
$1,152.22 |
$1,152.22 |
$1,429.60
|
|
C-reactive protein
|
$27.49 |
$27.49 |
$27.49 |
$63.50
|
|
C-reactive protein high sensitivity
|
$70.74 |
$70.74 |
$70.74 |
$91.65
|
|
C-reactive protein, quantitative
|
$31.16 |
$31.16 |
$31.16 |
$65.16
|
|
Creatine kinase
|
$53.51 |
$53.51 |
$53.51 |
$59.78
|
|
Creatine kinase isoenzymes
|
$79.16 |
$79.16 |
$79.16 |
$53.00
|
|
Creatine kinase mb
|
$81.73 |
$81.73 |
$81.73 |
$109.20
|
|
Creatine - sendout
|
$54.61 |
$54.61 |
$54.61 |
$41.40
|
|
Creatinine
|
$15.03 |
$15.03 |
$15.03 |
$44.10
|
|
Creatinine 24 hour urine
|
$36.29 |
$36.29 |
$36.29 |
$62.00
|
|
Creatinine clearance urine
|
$59.01 |
$59.01 |
$59.01 |
$86.40
|
|
#creutz-prot.,western blot
|
$538.73 |
$538.73 |
$538.73 |
$189.80
|
|
Critical care 30-74 minutes
|
$1,130.96 |
$1,130.96 |
$1,130.96 |
$2,627.30
|
|
Critical care each additional 30 minutes
|
$271.57 |
$271.57 |
$271.57 |
$756.00
|
|
Crotalidae poly immune fab
|
$3,574.48 |
$3,574.48 |
$3,574.48 |
$6,443.97
|
|
Cryofibrinogen qualitative - sendout
|
$65.60 |
$65.60 |
$65.60 |
$52.25
|
|
Cryoprecipitate each unit
|
$82.10 |
$82.10 |
$82.10 |
$198.60
|
|
Cryptosporidium antigen
|
$54.98 |
$54.98 |
$54.98 |
$62.16
|
|
Crystal identification light microscopy
|
$20.53 |
$20.53 |
$20.53 |
$64.35
|
|
CT 3d report other modality w/workstation
|
$247.75 |
$247.75 |
$247.75 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,114.11 |
$1,114.11 |
$1,114.11 |
$2,084.86
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,418.65 |
$1,418.65 |
$1,418.65 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,154.78 |
$1,154.78 |
$1,154.78 |
$2,079.00
|
|
Cta neck without &/or w/contrast
|
$1,130.60 |
$1,130.60 |
$1,130.60 |
$1,987.50
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,114.11 |
$1,114.11 |
$1,114.11 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,343.52 |
$1,343.52 |
$1,343.52 |
$2,057.90
|
|
CT Angiogram of the Head
|
$1,130.60 |
$1,130.60 |
$1,130.60 |
$2,080.00
|
|
CT angio pelvis
|
$1,231.01 |
$1,231.01 |
$1,231.01 |
$1,819.20
|
|
Cta upper extremity w &/or without contrast left
|
$1,231.01 |
$1,231.01 |
$1,231.01 |
$1,697.80
|
|
CT bone density axial
|
$233.45 |
$233.45 |
$233.45 |
$343.66
|
|
CT guidance for needle placement
|
$559.99 |
$559.99 |
$559.99 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$672.13 |
$672.13 |
$672.13 |
$1,058.40
|
|
CT limited or localized follow-up study
|
$358.06 |
$358.06 |
$358.06 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$810.29 |
$810.29 |
$810.29 |
$1,693.20
|
