|
Complx repair fccmnaxghf 13131
|
$1,355.40 |
$1,355.40 |
$1,355.40 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$8,721.48 |
$8,721.48 |
$8,721.48 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,361.40 |
$1,361.40 |
$1,361.40 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$918.00 |
$918.00 |
$918.00 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$34,077.05 |
$34,077.05 |
$34,077.05 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,481.63 |
$1,481.63 |
$1,481.63 |
$1,350.27
|
|
Concentration infection agents any type
|
$11.40 |
$11.40 |
$11.40 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$22,176.95 |
$22,176.95 |
$22,176.95 |
$3,322.20
|
|
Condylomata destruction 56420
|
$976.80 |
$976.80 |
$976.80 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$8,879.22 |
$8,879.22 |
$8,879.22 |
$4,840.07
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,854.30 |
$1,854.30 |
$1,854.30 |
$871.08
|
|
Connect omega .5mm
|
$9,270.79 |
$9,270.79 |
$9,270.79 |
$1,260.00
|
|
Connector tis 2x10mm
|
$9,802.88 |
$9,802.88 |
$9,802.88 |
$4,091.00
|
|
Consultation pathology during surgery
|
$57.60 |
$57.60 |
$57.60 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$159.00 |
$159.00 |
$159.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$253.80 |
$253.80 |
$253.80 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$873.00 |
$873.00 |
$873.00 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$634.80 |
$634.80 |
$634.80 |
$171.65
|
|
Consult comp w/report rfrd material
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$4,471.20 |
$4,471.20 |
$4,471.20 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$6,165.60 |
$6,165.60 |
$6,165.60 |
$3,728.24
|
|
Contrast x-ray of brain
|
$1,261.20 |
$1,261.20 |
$1,261.20 |
$981.75
|
|
Contrast x-ray of elbow
|
$704.40 |
$704.40 |
$704.40 |
$649.80
|
|
Contrast x-ray of hip
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$771.12
|
|
Contrast x-ray of knee joint
|
$910.20 |
$910.20 |
$910.20 |
$769.88
|
|
Contrast x-ray of wrist
|
$1,837.20 |
$1,837.20 |
$1,837.20 |
$637.00
|
|
Controler lvad heartmate 3 includes ebb
|
$22,668.36 |
$22,668.36 |
$22,668.36 |
$13,218.75
|
|
Controller infinity pt dbs
|
$5,389.68 |
$5,389.68 |
$5,389.68 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$612.60 |
$612.60 |
$612.60 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$612.60 |
$612.60 |
$612.60 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$878.40 |
$878.40 |
$878.40 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$481.20 |
$481.20 |
$481.20 |
$634.80
|
|
Control throat bleeding
|
$3,526.80 |
$3,526.80 |
$3,526.80 |
$3,984.00
|
|
Conversion ext bil drg cath
|
$4,642.20 |
$4,642.20 |
$4,642.20 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$3,220.80 |
$3,220.80 |
$3,220.80 |
$2,777.60
|
|
Coombs direct
|
$54.00 |
$54.00 |
$54.00 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$218.40 |
$218.40 |
$218.40 |
$102.90
|
|
Coombs indirect titer reference
|
$305.40 |
$305.40 |
$305.40 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$7,290.00 |
$7,290.00 |
$7,290.00 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$6,145.80 |
$6,145.80 |
$6,145.80 |
$2,678.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$15,852.00 |
$15,852.00 |
$15,852.00 |
$8,272.50
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,820.20 |
$9,820.20 |
$9,820.20 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$8,143.80 |
$8,143.80 |
$8,143.80 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$8,127.00 |
$8,127.00 |
$8,127.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$7,609.20 |
$7,609.20 |
$7,609.20 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,777.60 |
$6,777.60 |
$6,777.60 |
$7,914.00
|
|
Cortisol total am
|
$71.40 |
$71.40 |
$71.40 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$126.78 |
$126.78 |
$126.78 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$171.00 |
$171.00 |
$171.00 |
$110.00
|
|
Coveredge 32 lead kit 40cm 48
|
$10,097.72 |
$10,097.72 |
$10,097.72 |
$3,908.16
|
|
Covers for upright each
|
$100.40 |
$100.40 |
$100.40 |
$89.98
|
|
Cover wrist
|
$98.38 |
$98.38 |
$98.38 |
$225.00
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$862.20 |
$862.20 |
$862.20 |
$592.49
|
|
Covid-19 lab test non-cdc
|
$122.40 |
$122.40 |
$122.40 |
$80.50
|
|
#covid19rsv-rsv
|
$232.20 |
$232.20 |
$232.20 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$73.20 |
$73.20 |
$73.20 |
$60.00
|
|
C-peptide
|
$89.40 |
$89.40 |
$89.40 |
$97.30
|
|
Cptr-asst dir ms px
|
$40,338.53 |
$40,338.53 |
$40,338.53 |
$7,972.25
|
|
Cranial cervical orthosis
|
$11,130.00 |
$11,130.00 |
$11,130.00 |
$11,130.00
|
|
Crbrospnl fld flw imag cistern
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$1,240.80
|
|
C-reactive protein
|
$28.20 |
$28.20 |
$28.20 |
$68.38
|
|
C-reactive protein high sensitivity
|
$151.20 |
$151.20 |
$151.20 |
$85.00
|
|
C-reactive protein, quantitative
|
$135.00 |
$135.00 |
$135.00 |
$71.06
|
|
Create eardrum opening
|
$11,288.11 |
$11,288.11 |
$11,288.11 |
$3,062.80
|
|
Creatine kinase
|
$91.80 |
$91.80 |
$91.80 |
$66.30
|
|
Creatine kinase isoenzymes
|
$38.40 |
$38.40 |
$38.40 |
$56.80
|
|
Creatine kinase mb
|
$45.00 |
$45.00 |
$45.00 |
$114.00
|
|
Creatine - sendout
|
$78.60 |
$78.60 |
$78.60 |
$39.00
|
|
Creatinine
|
$102.60 |
$102.60 |
$102.60 |
$44.72
|
|
Creatinine 24 hour urine
|
$45.00 |
$45.00 |
$45.00 |
$58.85
|
|
Creatinine clearance urine
|
$124.80 |
$124.80 |
$124.80 |
$89.50
|
|
#creutz-prot.,western blot
|
$82.20 |
$82.20 |
$82.20 |
$166.20
|
|
Crisis psychotherapy 90839
|
$496.20 |
$496.20 |
$496.20 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$249.00 |
$249.00 |
$249.00 |
$149.52
|
|
Critical care 30-74 minutes
|
$2,171.40 |
$2,171.40 |
$2,171.40 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$300.00 |
$300.00 |
$300.00 |
$731.40
|
|
Crotalidae poly immune fab
|
$8,720.52 |
$8,720.52 |
$8,720.52 |
$5,590.35
|
|
Cryofibrinogen qualitative - sendout
|
$30.00 |
$30.00 |
$30.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$994.20 |
$994.20 |
$994.20 |
$144.78
|
|
Cryptosporidium antigen
|
$135.00 |
$135.00 |
$135.00 |
$52.08
|
|
Crystal identification light microscopy
|
$189.60 |
$189.60 |
$189.60 |
$62.50
|
|
Cstb gene full gene sequence
|
$694.80 |
$694.80 |
$694.80 |
$302.31
|
|
CT 3d report other modality w/workstation
|
$1,033.80 |
$1,033.80 |
$1,033.80 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,842.00 |
$1,842.00 |
$1,842.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,927.20 |
$1,927.20 |
$1,927.20 |
$1,500.38
|
|
CT angio pelvis
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$1,698.00
|
|
CT guidance for needle placement
|
$4,258.20 |
$4,258.20 |
$4,258.20 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,568.60 |
$2,568.60 |
$2,568.60 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$153.00 |
$153.00 |
$153.00 |
$171.60
|
|
CT hrt c+ strux cgen hrt ds
|
$1,927.20 |
$1,927.20 |
$1,927.20 |
$1,371.50
|
|
CT hrt w/3d image
|
$595.20 |
$595.20 |
$595.20 |
$1,383.06
|
