|
Complx repair enel 2.6-7.5 cm 13152
|
$649.65 |
$649.65 |
$649.65 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$454.45 |
$454.45 |
$454.45 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$359.90 |
$359.90 |
$359.90 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$781.41 |
$781.41 |
$781.41 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$172.02 |
$172.02 |
$172.02 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$370.88 |
$370.88 |
$370.88 |
$502.50
|
|
Concentration infection agents any type
|
$15.25 |
$15.25 |
$15.25 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$567.18 |
$567.18 |
$567.18 |
$3,322.20
|
|
Condylomata destruction 56420
|
$166.53 |
$166.53 |
$166.53 |
$469.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$210.27 |
$210.27 |
$210.27 |
$871.08
|
|
Connect omega .5mm
|
$596.86 |
$596.86 |
$596.86 |
$1,260.00
|
|
Connector tis 2x10mm
|
$2,598.15 |
$2,598.15 |
$2,598.15 |
$4,091.00
|
|
Consultation pathology during surgery
|
$32.33 |
$32.33 |
$32.33 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$71.37 |
$71.37 |
$71.37 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$128.71 |
$128.71 |
$128.71 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$129.93 |
$129.93 |
$129.93 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$225.70 |
$225.70 |
$225.70 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$204.35 |
$204.35 |
$204.35 |
$171.65
|
|
Consultation with family
|
$95.77 |
$95.77 |
$95.77 |
$135.79
|
|
Contact layer >16<= 48 sq in
|
$50.02 |
$50.02 |
$50.02 |
$36.17
|
|
Contrast exam abdominl aorta 75625-26
|
$3,134.79 |
$3,134.79 |
$3,134.79 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$2,924.95 |
$2,924.95 |
$2,924.95 |
$3,728.24
|
|
Contrast x-ray of brain
|
$1,257.82 |
$1,257.82 |
$1,257.82 |
$981.75
|
|
Contrast x-ray of hip
|
$986.37 |
$986.37 |
$986.37 |
$771.12
|
|
Contrast x-ray of knee joint
|
$954.04 |
$954.04 |
$954.04 |
$769.88
|
|
Contrast x-ray of wrist
|
$574.01 |
$574.01 |
$574.01 |
$637.00
|
|
Controller infinity pt dbs
|
$3,348.90 |
$3,348.90 |
$3,348.90 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$261.69 |
$261.69 |
$261.69 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$238.51 |
$238.51 |
$238.51 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$273.89 |
$273.89 |
$273.89 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$188.49 |
$188.49 |
$188.49 |
$634.80
|
|
Conversion ext bil drg cath
|
$2,935.32 |
$2,935.32 |
$2,935.32 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$1,595.15 |
$1,595.15 |
$1,595.15 |
$2,777.60
|
|
Coombs direct
|
$40.87 |
$40.87 |
$40.87 |
$75.00
|
|
Coombs indirect titer reference
|
$75.03 |
$75.03 |
$75.03 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$1,374.33 |
$1,374.33 |
$1,374.33 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$1,963.59 |
$1,963.59 |
$1,963.59 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$16,954.95 |
$16,954.95 |
$16,954.95 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$15,698.96 |
$15,698.96 |
$15,698.96 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$19,623.70 |
$19,623.70 |
$19,623.70 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$10,335.23 |
$10,335.23 |
$10,335.23 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$11,879.75 |
$11,879.75 |
$11,879.75 |
$7,914.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$506.91 |
$506.91 |
$506.91 |
$476.00
|
|
Cortisol acth stimulation test - sendout
|
$34.77 |
$34.77 |
$34.77 |
$146.25
|
|
Cortisol total am
|
$92.72 |
$92.72 |
$92.72 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$15.35 |
$15.35 |
$15.35 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$42.70 |
$42.70 |
$42.70 |
$110.00
|
|
Coveredge 32 lead kit 40cm 48
|
$10,046.70 |
$10,046.70 |
$10,046.70 |
$3,908.16
|
|
Covid-19 administration immunization im inj 1st/only component
|
$44.53 |
$44.53 |
$44.53 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$294.02 |
$294.02 |
$294.02 |
$592.49
|
|
Covid-19 lab test non-cdc
|
$100.65 |
$100.65 |
$100.65 |
$80.50
|
|
#coxa-coxsackie a serotype a16
|
$191.54 |
$191.54 |
$191.54 |
$60.00
|
|
C-peptide
|
$130.54 |
$130.54 |
$130.54 |
$97.30
|
|
C-reactive protein
|
$95.77 |
$95.77 |
$95.77 |
$68.38
|
|
C-reactive protein high sensitivity
|
$95.16 |
$95.16 |
$95.16 |
$85.00
|
|
Creatine kinase
|
$61.61 |
$61.61 |
$61.61 |
$66.30
|
|
Creatine kinase isoenzymes
|
$95.77 |
$95.77 |
$95.77 |
$56.80
|
|
Creatine kinase mb
|
$123.83 |
$123.83 |
$123.83 |
$114.00
|
|
Creatinine
|
$70.76 |
$70.76 |
$70.76 |
$44.72
|
|
Creatinine 24 hour urine
|
$59.78 |
$59.78 |
$59.78 |
$58.85
|
|
Creatinine clearance urine
|
$81.74 |
$81.74 |
$81.74 |
$89.50
|
|
#creutz-prot.,western blot
|
$91.50 |
$91.50 |
$91.50 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,715.93 |
$1,715.93 |
$1,715.93 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$652.70 |
$652.70 |
$652.70 |
$731.40
|
|
Crotalidae poly immune fab
|
$1,092.29 |
$1,092.29 |
$1,092.29 |
$5,590.35
|
|
Cryoprecipitate each unit
|
$103.09 |
$103.09 |
$103.09 |
$144.78
|
|
Crystal identification light microscopy
|
$32.94 |
$32.94 |
$32.94 |
$62.50
|
|
Csf leakage imaging
|
$1,389.58 |
$1,389.58 |
$1,389.58 |
$1,544.85
|
|
Csf shunt reprogram 62252
|
$204.96 |
$204.96 |
$204.96 |
$524.81
|
|
CT 3d report other modality w/workstation
|
$602.07 |
$602.07 |
$602.07 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,136.01 |
$3,136.01 |
$3,136.01 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,602.87 |
$2,602.87 |
$2,602.87 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,067.90 |
$2,067.90 |
$2,067.90 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,168.55 |
$2,168.55 |
$2,168.55 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,649.23 |
$2,649.23 |
$2,649.23 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,471.72 |
$2,471.72 |
$2,471.72 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,993.48 |
$1,993.48 |
$1,993.48 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$240.34 |
$240.34 |
$240.34 |
$1,500.38
|
|
CT angio pelvis
|
$1,046.76 |
$1,046.76 |
$1,046.76 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,072.17 |
$2,072.17 |
$2,072.17 |
$1,698.00
|
|
CT bone density axial
|
$268.40 |
$268.40 |
$268.40 |
$387.62
|
|
CT colonography dx
|
$1,321.26 |
$1,321.26 |
$1,321.26 |
$791.00
|
|
CT colonography dx w/dye
|
$1,650.05 |
$1,650.05 |
$1,650.05 |
$1,037.00
|
|
CT colonography screening
|
$2,803.56 |
$2,803.56 |
$2,803.56 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,822.07 |
$1,822.07 |
$1,822.07 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,822.07 |
$1,822.07 |
$1,822.07 |
$1,178.52
|
|
CT guid parench tis ablat
|
$1,689.09 |
$1,689.09 |
$1,689.09 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$174.46 |
$174.46 |
$174.46 |
$171.60
|
|
CT hrt c+ strux cgen hrt ds
|
$218.38 |
$218.38 |
$218.38 |
$1,371.50
|
|
CT hrt w/3d image
|
$218.38 |
$218.38 |
$218.38 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$745.42 |
$745.42 |
$745.42 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,859.89 |
$1,859.89 |
$1,859.89 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,442.04 |
$1,442.04 |
$1,442.04 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$2,090.47 |
$2,090.47 |
$2,090.47 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,944.07 |
$1,944.07 |
$1,944.07 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,496.94 |
$1,496.94 |
$1,496.94 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,390.59 |
$2,390.59 |
$2,390.59 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,477.21 |
$2,477.21 |
$2,477.21 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,067.90 |
$2,067.90 |
$2,067.90 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,862.94 |
$1,862.94 |
$1,862.94 |
$1,360.00
|