|
Controller infinity pt dbs
|
$1,392.80 |
$8,822.88 |
$10,293.36 |
|
|
Control nosebleed pack+caut 30905
|
$326.40 |
$383.20 |
$468.80 |
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$413.60 |
$413.60 |
$413.60 |
|
|
Control of nosebleed ant comp 30903
|
$237.60 |
$383.20 |
$440.00 |
|
|
Control of nosebleedantersmpl 30901
|
$236.00 |
$307.20 |
$391.20 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$312.00 |
$650.40 |
$892.00 |
|
|
Control throat bleeding
|
$3,155.20 |
$3,155.20 |
$3,155.20 |
|
|
Conversion ext bil drg cath
|
$1,747.03 |
$1,747.03 |
$2,725.68 |
|
|
Convert nephrostomy catheter
|
$1,723.79 |
$1,723.79 |
$3,569.60 |
|
|
Coombs direct
|
$32.80 |
$75.31 |
$94.92 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$28.00 |
$28.00 |
$31.82 |
|
|
Coombs indirect titer reference
|
$40.80 |
$365.76 |
$460.88 |
|
|
Copper cu 64 dotatate diag
|
$1,372.85 |
$1,601.66 |
$1,601.66 |
|
|
Copper intrauterine device
|
$1,320.91 |
$1,541.06 |
$2,848.80 |
|
|
Core ndl bx lng/med perq
|
$2,112.80 |
$3,996.05 |
$4,417.11 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$7,767.74 |
$7,767.74 |
$19,779.20 |
|
|
Coronary angio/lv gram/lt heart
|
$5,940.00 |
$5,940.00 |
$15,952.00 |
|
|
Coronary angio/lv gram/rt< heart
|
$7,615.39 |
$7,615.39 |
$19,350.40 |
|
|
Coronary art/grft angio s&i
|
$4,569.26 |
$4,569.26 |
$13,275.20 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,569.26 |
$4,569.26 |
$11,734.40 |
|
|
Coroners autopsy (necropsy)
|
$335.22 |
$335.22 |
$335.22 |
|
|
Corticorelin ovine triflutal
|
$1,462.49 |
$1,462.49 |
$1,462.49 |
|
|
Cortisol acth stimulation test - sendout
|
$34.05 |
$34.05 |
$40.82 |
|
|
Cortisol total am
|
$69.60 |
$117.60 |
$167.20 |
|
|
Cosyntropin 0.25 mg solution for injection
|
$62.56 |
$132.23 |
$273.56 |
|
|
Co-treatment - group 15 mins, st
|
$140.00 |
$228.58 |
$240.35 |
|
|
Counseling smoke cess interm >10mins
|
$57.60 |
$61.78 |
$108.36 |
|
|
Counseling visit to discuss need for ldct g0296
|
$167.62 |
$167.62 |
$167.62 |
|
|
Coveredge 32 lead kit 40cm 48
|
$1,400.00 |
$3,583.54 |
$4,180.79 |
|
|
Covers for upright each
|
$60.20 |
$82.21 |
$82.21 |
|
|
Cover wrist
|
$498.34 |
$661.92 |
$661.92 |
|
|
Covid-19 administration immunization im inj 1st/only component
|
$12.29 |
$71.20 |
$71.20 |
|
|
Covid-19 convalescent plasma
|
$636.80 |
$881.60 |
$906.40 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$304.81 |
$304.81 |
$760.00 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$304.81 |
$304.81 |
$812.80 |
|
|
Covid-19 lab test non-cdc
|
$134.34 |
$138.21 |
$138.21 |
|
|
#covid19rsv-rsv
|
$171.20 |
$285.66 |
$666.51 |
|
|
#coxa-coxsackie a serotype a16
|
$37.58 |
$37.60 |
$48.72 |
|
|
CPAP or BiPAP Setup (first day)
|
$246.90 |
$409.06 |
$922.40 |
|
|
C-peptide
|
$33.26 |
$36.96 |
$178.40 |
|
|
CPR (Cardiopulmonary Resuscitation)
|
$416.35 |
$534.41 |
$1,293.60 |
|
|
Cranial cervical orthosis
|
$2,214.74 |
$2,941.90 |
$2,941.90 |
|
|
Crbrospnl fld flw imag cistern
|
$2,380.75 |
$4,140.98 |
$4,140.98 |
|
|
C-reactive protein
|
$35.90 |
$39.26 |
$116.00 |
|
|
C-reactive protein high sensitivity
|
$35.90 |
$39.22 |
$148.00 |
|
|
Create passage to kidney
|
$7,638.91 |
$7,638.91 |
$7,638.91 |
|
|
Creatine kinase
|
$20.83 |
$21.12 |
$120.80 |
|
|
Creatine kinase isoenzymes
|
$113.60 |
$232.00 |
$232.00 |
|
|
Creatine kinase mb
|
$62.50 |
$72.91 |
$179.20 |
|
|
Creatine - sendout
|
$59.20 |
$59.20 |
$59.20 |
|
|
Creatinine
|
$28.80 |
$80.86 |
$96.66 |
|
|
Creatinine 24 hour urine
|
$28.84 |
$31.54 |
$109.60 |
|
|
Creatinine clearance urine
|
$33.04 |
$36.19 |
$133.60 |
|
|
#creutz-prot.,western blot
|
$73.60 |
$321.22 |
$462.28 |
|
|
Crisis psychotherapy 90839
|
$267.12 |
$267.12 |
$267.12 |
|
|
Crisis psychotherapy additional 30 mins 90840
|
$133.25 |
$133.25 |
$133.25 |
|
|
Critical care each additional 30 minutes
|
$456.80 |
$584.86 |
$870.40 |
|
|
Critical Care (first 30 to 74 minutes)
|
$1,485.57 |
$1,664.00 |
$2,949.60 |
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$4,087.20 |
$4,087.20 |
$4,087.20 |
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$2,606.06 |
$2,606.06 |
$2,606.06 |
|
|
Cryocautery of cervix 57511
|
$371.20 |
$371.20 |
$371.20 |
|
|
Cryofibrinogen qualitative - sendout
|
$57.60 |
$57.60 |
$57.60 |
|
|
Cryoprecipitate each unit
|
$183.20 |
$1,336.99 |
$1,642.98 |
|
|
Crystal identification light microscopy
|
$43.20 |
$85.01 |
$95.98 |
|
|
Csf leakage imaging
|
$1,758.62 |
$1,758.62 |
$1,880.80 |
|
|
Csf shunt reprogram 62252
|
$516.80 |
$817.30 |
$817.30 |
|
|
Csf ventriculography
|
$425.18 |
$693.56 |
$693.56 |
|
|
CT 3d report other modality w/workstation
|
$728.26 |
$944.80 |
$1,573.32 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,079.57 |
$2,281.27 |
$2,542.40 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,511.52 |
$3,984.80 |
$4,839.20 |
|
|
CT Angiogram of the Abdomen
|
$863.71 |
$1,824.98 |
$3,770.40 |
|
|
CT Angiogram of the Abdomen and Both Legs
|
$863.71 |
$1,824.98 |
$3,770.40 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$431.81 |
$2,612.00 |
$3,344.00 |
|
|
CT Angiogram of the Head
|
$863.71 |
$2,555.20 |
$3,188.80 |
|
|
CT Angiogram of the Neck
|
$647.76 |
$2,536.80 |
$3,288.80 |
|
|
CT angio hrt w/3d image
|
$2,159.28 |
$4,562.54 |
$4,562.54 |
|
|
CT angio pelvis
|
$647.76 |
$1,688.90 |
$2,888.80 |
|
|
Cta upper extremity w &/or without contrast left
|
$863.71 |
$1,824.98 |
$2,582.40 |
|
|
CT cerebral perf w cont & prcssng
|
$351.23 |
$351.23 |
$800.00 |
|
|
CT colonography dx
|
$1,079.57 |
$2,281.27 |
$2,281.27 |
|
|
CT colonography dx w/dye
|
$1,079.57 |
$2,281.27 |
$2,281.27 |
|
|
CT colonography screening
|
$1,079.57 |
$2,281.27 |
$2,281.27 |
|
|
CT guidance for needle placement
|
$1,306.37 |
$2,061.60 |
$2,737.39 |
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,010.40 |
$1,612.80 |
$2,379.44 |
|
|
CT guid cryo ablat intramuscular
|
$740.99 |
$740.99 |
$4,885.60 |
|
|
CT guid parench tis ablat
|
$1,502.26 |
$1,502.26 |
$1,950.40 |
|
|
CT heart w/evaluation of calcium without contrast
|
$231.20 |
$794.70 |
$912.46 |
|
|
CT hrt c+ strux cgen hrt ds
|
$2,031.20 |
$4,553.86 |
$4,553.86 |
|
|
CT hrt w/3d image
|
$359.86 |
$698.60 |
$2,015.20 |
|
|
CT limited or localized follow-up study
|
$430.75 |
$600.99 |
$1,361.60 |
|
|
Ctlso a-p-l control molded
|
$3,150.22 |
$4,184.49 |
$4,184.49 |
|
|
Ctlso a-p-l control with inter
|
$3,462.93 |
$4,599.90 |
$5,407.03 |
|
|
Ctlso axilla sling
|
$132.44 |
$180.88 |
$180.88 |
|
|
Ctlso milwauke initial model
|
$3,208.80 |
$4,262.27 |
$4,262.27 |
|
|
CT lwr extremity w/o&w/dye
|
$1,151.62 |
$2,433.37 |
$3,152.80 |
|
|
Ctrl nosebld postir subsq 30906
|
$334.90 |
$425.60 |
$496.00 |
|
|
CT scan for localization
|
$1,351.22 |
$1,351.22 |
$1,351.22 |
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,079.57 |
$3,182.40 |
$5,261.60 |
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$863.71 |
$2,488.80 |
$4,656.00 |
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$647.76 |
$1,921.60 |
$3,885.60 |
|
