|
Cltx post ankle fx w/mnpj
|
$2,771.10 |
$2,771.10 |
$4,709.60 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$817.85 |
$817.85 |
$817.85 |
|
|
Cltx strnclav dislc w/mnpj
|
$708.60 |
$708.60 |
$708.60 |
|
|
Cltx tmprmand dislc comp
|
$2,182.45 |
$2,182.45 |
$2,182.45 |
|
|
#cmvcul-virus inoculation shell
|
$58.10 |
$175.75 |
$315.40 |
|
|
Cmv pcr-sendout
|
$97.45 |
$133.30 |
$233.85 |
|
|
Cold agglutinin titer
|
$18.90 |
$18.90 |
$18.90 |
|
|
Collagen imp urinary 2.5 ml
|
$349.95 |
$349.95 |
$349.95 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$207.05 |
$332.00 |
$473.75 |
|
|
Collection blood specimen from completely implantable venous access device
|
$64.75 |
$197.80 |
$515.00 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$157.80 |
$202.45 |
$248.10 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$296.90 |
$1,630.45 |
$8,837.45 |
|
|
Colpotomy drng of abscess 57010
|
$4,856.25 |
$4,856.25 |
$4,856.25 |
|
|
Combination bilateral ho
|
$858.20 |
$858.20 |
$858.20 |
|
|
Compatibility test each unit antiglobulin technique
|
$14.25 |
$155.75 |
$265.90 |
|
|
Compatibility test each unit electronic
|
$54.55 |
$339.15 |
$699.80 |
|
|
Compatibility test each unit immediate spin technique
|
$55.30 |
$156.55 |
$513.65 |
|
|
Complement antigen each component c3
|
$25.10 |
$75.05 |
$149.75 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$676.20 |
$1,004.35 |
$1,043.30 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$732.85 |
$835.45 |
$2,181.10 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$782.75 |
$859.25 |
$2,519.80 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$310.20 |
$939.45 |
$4,236.70 |
|
|
Complx repair enel addl 5cm/< 13153
|
$399.85 |
$1,055.45 |
$1,552.35 |
|
|
Complx repair fccmnaxghf 13131
|
$228.65 |
$757.30 |
$2,096.10 |
|
|
Complx repair fccmnaxghf 13132
|
$556.30 |
$1,226.00 |
$3,274.35 |
|
|
Complx repair fccmnaxghf 13133
|
$161.05 |
$676.20 |
$10,403.10 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$287.50 |
$416.55 |
$676.20 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$676.20 |
$676.20 |
$1,599.35 |
|
|
Complx repair trunk addl 5cm/< 13102
|
$259.60 |
$676.20 |
$2,355.20 |
|
|
Comprehensive hearing test
|
$288.80 |
$288.80 |
$360.30 |
|
|
Compression stocking bk18-30
|
$90.00 |
$90.00 |
$90.00 |
|
|
Concentration infection agents any type
|
$19.80 |
$59.95 |
$207.60 |
|
|
Conditioning play audiometry 92582
|
$176.85 |
$176.85 |
$206.55 |
|
|
Condylomata destruction 56420
|
$209.40 |
$467.80 |
$897.50 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,289.50 |
$1,594.54 |
$2,188.40 |
|
|
Connect omega .5mm
|
$248.19 |
$451.00 |
$452.27 |
|
|
Connector tis 2x10mm
|
$2,749.00 |
$2,749.00 |
$2,749.00 |
|
|
Consultation pathology during surgery
|
$74.00 |
$74.00 |
$74.00 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$136.00 |
$136.00 |
$136.00 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$93.70 |
$141.00 |
$272.65 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$190.00 |
$320.00 |
$350.20 |
|
|
Consultation/report referred material w/preparation of slides
|
$474.00 |
$474.00 |
$474.00 |
|
|
Consultation/report referred slides prepared elsewhere
|
$21.25 |
$318.70 |
$561.00 |
|
|
Consultation with family
|
$142.90 |
$142.90 |
$142.90 |
|
|
Consult comp w/report rfrd material
|
$682.00 |
$682.00 |
$682.00 |
|
|
Contact layer >16<= 48 sq in
|
$35.15 |
$35.15 |
$35.15 |
|
|
Cont gluc mntr analysis i&r 95251
|
$65.70 |
$65.70 |
$65.70 |
|
|
Contrast baths charges
|
$36.80 |
$80.95 |
$167.35 |
|
|
Contrast exam abdominl aorta 75625-26
|
$2,859.80 |
$2,859.80 |
$2,859.80 |
|
|
Contrast exam thoracic aorta 75605-26
|
$4,667.15 |
$4,667.15 |
$6,074.90 |
|
|
Contrast x-ray gallbladder
|
$677.35 |
$677.35 |
$677.35 |
|
|
Contrast x-ray of ankle
|
$221.00 |
$1,025.75 |
$2,304.00 |
|
|
Contrast x-ray of elbow
|
$831.70 |
$1,147.20 |
$1,816.35 |
|
|
Contrast x-ray of hip
|
$210.00 |
$1,568.35 |
$2,304.00 |
|
|
Contrast x-ray of knee joint
|
$975.80 |
$1,083.85 |
$1,816.35 |
|
|
Contrast x-ray of wrist
|
$877.25 |
$1,523.70 |
$2,304.00 |
|
|
Controller infinity pt dbs
|
$843.00 |
$1,950.00 |
$1,950.00 |
|
|
Control nosebleed pack+caut 30905
|
$500.75 |
$507.10 |
$1,743.75 |
|
|
Control of nosebleed ant comp 30903
|
$184.15 |
$462.90 |
$921.85 |
|
|
Control of nosebleedantersmpl 30901
|
$221.10 |
$325.25 |
$373.35 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$257.80 |
$257.80 |
$621.45 |
|
|
Convert nephrostomy catheter
|
$1,726.75 |
$1,726.75 |
$1,726.75 |
|
|
Coombs direct
|
$13.35 |
$101.60 |
$295.55 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$20.85 |
$25.80 |
$276.70 |
|
|
Coombs indirect titer reference
|
$14.40 |
$91.75 |
$473.75 |
|
|
Copper intrauterine device
|
$1,731.96 |
$3,464.16 |
$4,960.24 |
|
|
Core ndl bx lng/med perq
|
$1,549.45 |
$2,661.00 |
$4,326.75 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
|
|
Coronary angio/lv gram/lt heart
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
|
|
Coronary angio/lv gram/rt< heart
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
|
|
Coronary art/grft angio s&i
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$11,903.70 |
$11,903.70 |
$11,903.70 |
|
|
Coronary thrombolysis/iv infusion 92977
|
$437.20 |
$508.20 |
$809.85 |
|
|
Correction trichiasis epilation forcep 67820
|
$260.45 |
$260.45 |
$260.45 |
|
|
Cortisol acth stimulation test - sendout
|
$358.65 |
$383.30 |
$513.60 |
|
|
Cortisol total am
|
$179.05 |
$185.15 |
$270.15 |
|
|
Cosyntropin 0.25 mg solution for injection
|
$274.41 |
$284.19 |
$782.74 |
|
|
Co-treatment - group 15 mins, st
|
$37.25 |
$144.85 |
$421.15 |
|
|
Counseling smoke cess interm >10mins
|
$44.45 |
$49.20 |
$102.95 |
|
|
Coveredge 32 lead kit 40cm 48
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
|
|
Covid-19 administration immunization im inj 1st/only component
|
$50.00 |
$50.00 |
$50.00 |
|
|
Covid-19 lab test non-cdc
|
$107.00 |
$107.00 |
$107.00 |
|
|
#covid19rsv-rsv
|
$87.70 |
$194.95 |
$350.75 |
|
|
CPAP or BiPAP Setup (first day)
|
$318.20 |
$736.75 |
$913.75 |
|
|
C-peptide
|
$23.00 |
$135.65 |
$221.35 |
|
|
CPR (Cardiopulmonary Resuscitation)
|
$538.65 |
$790.65 |
$1,793.75 |
|
|
Cranial cervical torticollis
|
$377.95 |
$377.95 |
$377.95 |
|
|
Crbrospnl fld flw imag cistern
|
$86.00 |
$2,558.95 |
$2,558.95 |
|
|
C-reactive protein
|
$59.40 |
$147.75 |
$218.10 |
|
|
C-reactive protein high sensitivity
|
$59.40 |
$95.60 |
$166.00 |
|
|
Creatine kinase
|
$71.50 |
$108.30 |
$165.00 |
|
|
Creatine kinase isoenzymes
|
$21.30 |
$21.30 |
$33.50 |
|
|
Creatine kinase mb
|
$87.55 |
$161.25 |
$300.75 |
|
|
Creatinine
|
$29.70 |
$95.80 |
$108.30 |
|
|
Creatinine 24 hour urine
|
$38.80 |
$62.05 |
$138.80 |
|
|
Creatinine clearance urine
|
$103.80 |
$167.40 |
$223.60 |
|
|
#creutz-prot.,western blot
|
$45.25 |
$173.45 |
$336.55 |
|
|
Crisis psychotherapy 90839
|
$221.10 |
$397.00 |
$483.20 |
|
|
Crisis psychotherapy additional 30 mins 90840
|
$134.05 |
$199.95 |
$403.55 |
|
|
Critical care each additional 30 minutes
|
$265.90 |
$518.90 |
$1,326.80 |
|