|
Colporrhapy/vag injury sut/non ob 57200
|
$1,679.16 |
$1,679.16 |
$1,679.16 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$126.42 |
$126.42 |
$126.42 |
$312.90
|
|
Colposcopy vulva 56820
|
$126.84 |
$126.84 |
$126.84 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$252.42 |
$252.42 |
$252.42 |
$393.60
|
|
Compatibility test each unit antiglobulin technique
|
$256.62 |
$256.62 |
$256.62 |
$170.05
|
|
Compatibility test each unit electronic
|
$129.36 |
$129.36 |
$129.36 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$118.44 |
$118.44 |
$118.44 |
$169.52
|
|
Complement antigen each component c3
|
$76.02 |
$76.02 |
$76.02 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$400.26 |
$400.26 |
$400.26 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$459.48 |
$459.48 |
$459.48 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$459.48 |
$459.48 |
$459.48 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$640.92 |
$640.92 |
$640.92 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$400.26 |
$400.26 |
$400.26 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$335.16 |
$335.16 |
$335.16 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$728.28 |
$728.28 |
$728.28 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$452.34 |
$452.34 |
$452.34 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$257.04 |
$257.04 |
$257.04 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$400.26 |
$400.26 |
$400.26 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$400.26 |
$400.26 |
$400.26 |
$537.00
|
|
Comprehensive hearing test
|
$96.60 |
$96.60 |
$96.60 |
$255.00
|
|
Compression stocking bk18-30
|
$62.88 |
$62.88 |
$62.88 |
$97.50
|
|
Concentration infection agents any type
|
$26.88 |
$26.88 |
$26.88 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$390.52 |
$390.52 |
$390.52 |
$3,322.20
|
|
Condylomata destruction 56420
|
$212.94 |
$212.94 |
$212.94 |
$469.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$723.85 |
$723.85 |
$723.85 |
$871.08
|
|
Connect omega .5mm
|
$410.95 |
$410.95 |
$410.95 |
$1,260.00
|
|
Connector tis 2x10mm
|
$1,788.89 |
$1,788.89 |
$1,788.89 |
$4,091.00
|
|
Consultation pathology during surgery
|
$31.92 |
$31.92 |
$31.92 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$550.62 |
$550.62 |
$550.62 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$135.66 |
$135.66 |
$135.66 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$225.96 |
$225.96 |
$225.96 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$166.32 |
$166.32 |
$166.32 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$115.50 |
$115.50 |
$115.50 |
$171.65
|
|
Consultation with family
|
$176.82 |
$176.82 |
$176.82 |
$135.79
|
|
Consult comp w/report rfrd material
|
$336.00 |
$336.00 |
$336.00 |
$365.60
|
|
Contact layer >16<= 48 sq in
|
$36.12 |
$36.12 |
$36.12 |
$36.17
|
|
Contrast baths charges
|
$29.40 |
$29.40 |
$29.40 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$1,669.08 |
$1,669.08 |
$1,669.08 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$1,914.36 |
$1,914.36 |
$1,914.36 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$1,939.98 |
$1,939.98 |
$1,939.98 |
$3,728.24
|
|
Contrast x-ray of ankle
|
$371.70 |
$371.70 |
$371.70 |
$612.30
|
|
Contrast x-ray of elbow
|
$229.74 |
$229.74 |
$229.74 |
$649.80
|
|
Contrast x-ray of hip
|
$471.24 |
$471.24 |
$471.24 |
$771.12
|
|
Contrast x-ray of knee joint
|
$326.34 |
$326.34 |
$326.34 |
$769.88
|
|
Contrast x-ray of wrist
|
$395.22 |
$395.22 |
$395.22 |
$637.00
|
|
Controller infinity pt dbs
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$330.54 |
$330.54 |
$330.54 |
$392.60
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$194.46 |
$194.46 |
$194.46 |
$753.50
|
|
Control of nosebleed ant comp 30903
|
$266.28 |
$266.28 |
$266.28 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$247.80 |
$247.80 |
$247.80 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$434.70 |
$434.70 |
$434.70 |
$634.80
|
|
Contrst x-ray uppr gi tract
|
$517.44 |
$517.44 |
$517.44 |
$737.75
|
|
Conversion ext bil drg cath
|
$2,581.74 |
$2,581.74 |
$2,581.74 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$577.50 |
$577.50 |
$577.50 |
$2,777.60
|
|
Coombs direct
|
$93.66 |
$93.66 |
$93.66 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$26.88 |
$26.88 |
$26.88 |
$102.90
|
|
Coombs indirect titer reference
|
$157.08 |
$157.08 |
$157.08 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$946.26 |
$946.26 |
$946.26 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$1,443.96 |
$1,443.96 |
$1,443.96 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$13,926.36 |
$13,926.36 |
$13,926.36 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$13,926.36 |
$13,926.36 |
$13,926.36 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$14,483.28 |
$14,483.28 |
$14,483.28 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$9,106.86 |
$9,106.86 |
$9,106.86 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,988.40 |
$7,988.40 |
$7,988.40 |
$7,914.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$223.86 |
$223.86 |
$223.86 |
$476.00
|
|
Cortisol acth stimulation test - sendout
|
$341.88 |
$341.88 |
$341.88 |
$146.25
|
|
Cortisol total am
|
$130.62 |
$130.62 |
$130.62 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$52.82 |
$52.82 |
$52.82 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$79.38 |
$79.38 |
$79.38 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$23.94 |
$23.94 |
$23.94 |
$55.90
|
|
Cov-19 amp prb hgh thruput
|
$73.50 |
$73.50 |
$73.50 |
$156.40
|
|
Coveredge 32 lead kit 40cm 48
|
$6,917.40 |
$6,917.40 |
$6,917.40 |
$3,908.16
|
|
Covid-19 administration immunization im inj 1st/only component
|
$28.56 |
$28.56 |
$28.56 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$200.34 |
$200.34 |
$200.34 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$200.34 |
$200.34 |
$200.34 |
$551.64
|
|
Covid-19 lab test non-cdc
|
$73.50 |
$73.50 |
$73.50 |
$80.50
|
|
#covid19rsv-rsv
|
$77.70 |
$77.70 |
$77.70 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$89.88 |
$89.88 |
$89.88 |
$60.00
|
|
C-peptide
|
$110.04 |
$110.04 |
$110.04 |
$97.30
|
|
Cr-51 sodium chromate
|
$776.58 |
$776.58 |
$776.58 |
$688.80
|
|
Crbrospnl fld flw imag cistern
|
$425.88 |
$425.88 |
$425.88 |
$1,240.80
|
|
C-reactive protein
|
$114.66 |
$114.66 |
$114.66 |
$68.38
|
|
C-reactive protein high sensitivity
|
$110.88 |
$110.88 |
$110.88 |
$85.00
|
|
Creat artery-vein fistula autograft 36825
|
$3,376.80 |
$3,376.80 |
$3,376.80 |
$6,396.89
|
|
Creatine kinase
|
$103.74 |
$103.74 |
$103.74 |
$66.30
|
|
Creatine kinase isoenzymes
|
$95.76 |
$95.76 |
$95.76 |
$56.80
|
|
Creatine kinase mb
|
$148.68 |
$148.68 |
$148.68 |
$114.00
|
|
Creatine - sendout
|
$511.14 |
$511.14 |
$511.14 |
$39.00
|
|
Creatinine
|
$53.34 |
$53.34 |
$53.34 |
$44.72
|
|
Creatinine 24 hour urine
|
$73.92 |
$73.92 |
$73.92 |
$58.85
|
|
Creatinine clearance urine
|
$94.08 |
$94.08 |
$94.08 |
$89.50
|
|
#creutz-prot.,western blot
|
$63.00 |
$63.00 |
$63.00 |
$166.20
|
|
Crisis psychotherapy 90839
|
$102.48 |
$102.48 |
$102.48 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$47.88 |
$47.88 |
$47.88 |
$149.52
|
|
Critical care 30-74 minutes
|
$2,250.36 |
$2,250.36 |
$2,250.36 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$517.86 |
$517.86 |
$517.86 |
$731.40
|
|
Crotalidae poly immune fab
|
$3,760.32 |
$3,760.32 |
$3,760.32 |
$5,590.35
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$743.40 |
$743.40 |
$743.40 |
$2,423.75
|
|
Cryoprecipitate each unit
|
$301.14 |
$301.14 |
$301.14 |
$144.78
|
|
Cryopreserve stem cells
|
$10,047.66 |
$10,047.66 |
$10,047.66 |
$2,854.76
|
