|
Colpotomy w/exploration 57000
|
$10,782.49 |
$10,782.49 |
$10,782.49 |
|
|
Compatibility test each unit antiglobulin technique
|
$105.95 |
$125.45 |
$178.75 |
|
|
Compatibility test each unit electronic
|
$56.55 |
$124.15 |
$306.15 |
|
|
Compatibility test each unit immediate spin technique
|
$70.20 |
$114.40 |
$159.90 |
|
|
Compatibility test incubate
|
$47.45 |
$66.95 |
$120.25 |
|
|
Comp cystometrogram/void presssure 51728
|
$847.60 |
$847.60 |
$847.60 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$740.35 |
$740.35 |
$2,421.03 |
|
|
Complement antigen each component c3
|
$34.50 |
$131.95 |
$240.50 |
|
|
Complex cystometrogram 51726
|
$3,693.85 |
$3,693.85 |
$3,693.85 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$182.65 |
$588.25 |
$765.05 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$867.10 |
$6,628.82 |
$29,873.27 |
|
|
Complex uroflowmetry (electronic) 51741
|
$209.30 |
$209.30 |
$2,421.03 |
|
|
Compl oph exam general anes
|
$3,783.00 |
$3,783.00 |
$3,783.00 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$954.85 |
$954.85 |
$11,142.88 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$864.50 |
$1,122.55 |
$7,293.69 |
|
|
Complx repair enel addl 5cm/< 13153
|
$399.10 |
$399.10 |
$9,718.80 |
|
|
Complx repair fccmnaxghf 13131
|
$653.90 |
$993.85 |
$3,717.51 |
|
|
Complx repair fccmnaxghf 13132
|
$263.90 |
$1,012.70 |
$8,323.70 |
|
|
Complx repair fccmnaxghf 13133
|
$300.30 |
$300.30 |
$312.65 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$260.65 |
$268.45 |
$26,419.37 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$582.40 |
$588.25 |
$26,329.32 |
|
|
Complx repair trunk addl 5cm/< 13102
|
$228.80 |
$1,329.90 |
$21,420.20 |
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,115.40 |
$1,115.40 |
$1,115.40 |
|
|
Comprehensive hearing test
|
$164.45 |
$164.45 |
$265.20 |
|
|
Compre oph exam est pt 1/>
|
$129.35 |
$129.35 |
$129.35 |
|
|
Compre oph exam new pt 1/>
|
$129.35 |
$129.35 |
$129.35 |
|
|
Computed tomographic angiography head and neck with contrast
|
$2,060.50 |
$2,670.85 |
$2,967.90 |
|
|
Concentration infection agents any type
|
$13.50 |
$53.95 |
$65.00 |
|
|
Condylomata destruction 56420
|
$386.75 |
$397.15 |
$540.83 |
|
|
Conivaptan hcl
|
$2,693.96 |
$2,693.96 |
$2,693.96 |
|
|
Conization/cerv/loop electrode exc 57522
|
$4,332.95 |
$6,346.46 |
$14,402.13 |
|
|
Conization of cervix
|
$9,952.56 |
$9,952.56 |
$16,773.26 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,169.89 |
$1,169.89 |
$1,257.94 |
|
|
Constj trachesophgl fstl
|
$11,957.93 |
$11,957.93 |
$11,957.93 |
|
|
Consultation pathology during surgery
|
$76.05 |
$76.05 |
$5,731.05 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$111.15 |
$139.10 |
$34,793.36 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$84.50 |
$128.05 |
$20,398.48 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$143.65 |
$222.30 |
$20,544.13 |
|
|
Consultation/report referred material w/preparation of slides
|
$182.00 |
$258.05 |
$7,351.64 |
|
|
Consultation/report referred slides prepared elsewhere
|
$182.00 |
$200.85 |
$5,235.10 |
|
|
Consult comp w/report rfrd material
|
$278.20 |
$293.15 |
$24,890.05 |
|
|
Cont gluc mntr analysis i&r 95251
|
$36.75 |
$55.25 |
$59.80 |
|
|
Contrast baths charges
|
$49.40 |
$55.25 |
$107.90 |
|
|
Contrast exam abdominl aorta 75625-26
|
$2,146.95 |
$2,146.95 |
$4,737.85 |
|
|
Contrast exam thoracic aorta
|
$3,093.35 |
$3,093.35 |
$3,093.35 |
|
|
Contrast exam thoracic aorta 75605-26
|
$2,624.05 |
$2,624.05 |
$2,624.05 |
|
|
Contrast x-ray of ankle
|
$1,266.85 |
$1,266.85 |
$1,266.85 |
|
|
Contrast x-ray of elbow
|
$313.95 |
$313.95 |
$1,225.25 |
|
|
Contrast x-ray of hip
|
$700.05 |
$1,091.35 |
$1,235.00 |
|
|
Contrast x-ray of knee joint
|
$1,161.55 |
$1,161.55 |
$1,443.00 |
|
|
Contrast x-ray of wrist
|
$642.85 |
$657.80 |
$1,483.30 |
|
|
Controler lvad heartmate 3 includes ebb
|
$9,581.00 |
$9,581.00 |
$9,581.00 |
|
|
Control nosebleed pack+caut 30905
|
$452.40 |
$483.60 |
$490.10 |
|
|
Control of nosebleed ant comp 30903
|
$241.50 |
$429.00 |
$471.90 |
|
|
Control of nosebleedantersmpl 30901
|
$239.20 |
$245.05 |
$7,907.44 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$382.85 |
$382.85 |
$2,746.90 |
|
|
Conversion ext bil drg cath
|
$5,700.50 |
$5,700.50 |
$5,700.50 |
|
|
Convert nephrostomy catheter
|
$3,577.60 |
$3,577.60 |
$3,577.60 |
|
|
Coombs direct
|
$10.50 |
$74.10 |
$147.55 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$26.65 |
$85.80 |
$116.35 |
|
|
Coombs indirect titer reference
|
$96.20 |
$125.45 |
$151.45 |
|
|
Copper cu 64 dotatate diag
|
$1,997.45 |
$1,997.45 |
$1,997.45 |
|
|
Core ndl bx lng/med perq
|
$6,732.33 |
$6,732.33 |
$7,467.45 |
|
|
Corneal smear
|
$1,741.35 |
$1,741.35 |
$1,741.35 |
|
|
Corneal transplant
|
$20,609.23 |
$20,609.23 |
$20,609.23 |
|
|
Corneal transplant
|
$23,282.26 |
$23,282.26 |
$23,282.26 |
|
|
Corneal transplant
|
$34,151.27 |
$34,151.27 |
$34,151.27 |
|
|
Corneal transplant
|
$22,853.63 |
$22,853.63 |
$22,853.63 |
|
|
Corneal trnspl endothelial
|
$19,895.59 |
$19,895.59 |
$19,895.59 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$12,414.35 |
$12,414.35 |
$14,868.75 |
|
|
Coronary angio/lv gram/lt heart
|
$12,282.40 |
$12,282.40 |
$12,976.60 |
|
|
Coronary angio/lv gram/rt< heart
|
$12,912.25 |
$12,912.25 |
$16,782.35 |
|
|
Coronary art/grft angio s&i
|
$8,918.00 |
$8,918.00 |
$11,520.60 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,456.20 |
$9,456.20 |
$10,524.80 |
|
|
Correction eyelid w/implant
|
$8,306.27 |
$8,306.27 |
$8,306.27 |
|
|
Correction of astigmatism
|
$5,732.07 |
$5,732.07 |
$5,732.07 |
|
|
Correction trichiasis epilation forcep 67820
|
$323.70 |
$323.70 |
$323.70 |
|
|
Correction trichiasis inccision lid margin 67830
|
$7,528.48 |
$7,528.48 |
$7,528.48 |
|
|
Correct rectal prolapse
|
$14,503.36 |
$14,503.36 |
$14,503.36 |
|
|
Correct rectal prolapse; abdominal approach 45540
|
$16,314.89 |
$16,314.89 |
$16,314.89 |
|
|
Cortisol acth stimulation test - sendout
|
$101.40 |
$163.80 |
$234.65 |
|
|
Cortisol total am
|
$45.00 |
$152.10 |
$183.95 |
|
|
Cosyntropin 0.25 mg solution for injection
|
$322.14 |
$338.84 |
$346.38 |
|
|
Co-treatment - group 15 mins, st
|
$134.55 |
$141.05 |
$245.70 |
|
|
Counseling smoke cess interm >10mins
|
$33.75 |
$48.10 |
$66.30 |
|
|
Cover eye w/membrane
|
$2,663.05 |
$2,663.05 |
$2,663.05 |
|
|
Covid-19 administration immunization im inj 1st/only component
|
$40.30 |
$41.60 |
$43.55 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$412.10 |
$451.75 |
$484.25 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$451.75 |
$465.40 |
$605.80 |
|
|
#covid19rsv-rsv
|
$65.25 |
$135.85 |
$157.95 |
|
|
#coxa-coxsackie a serotype a16
|
$43.55 |
$53.95 |
$98.15 |
|
|
C-peptide
|
$77.25 |
$143.65 |
$200.85 |
|
|
Cptrized corneal topography
|
$59.80 |
$59.80 |
$59.80 |
|
|
Cptr ophth dx img post segmt
|
$73.45 |
$73.45 |
$73.45 |
|
|
Cptrz oph img pst sg rta oct
|
$339.30 |
$339.30 |
$339.30 |
|
|
Cr-51 sodium chromate
|
$4,440.15 |
$4,440.15 |
$4,440.15 |
|
|
Crbrospnl fld flw imag cistern
|
$453.05 |
$453.05 |
$1,588.60 |
|
|
C-reactive protein
|
$19.50 |
$82.55 |
$92.30 |
|
|
C-reactive protein high sensitivity
|
$14.30 |
$96.85 |
$126.10 |
|
|
C-reactive protein, quantitative
|
$72.15 |
$79.30 |
$114.40 |
|