|
Colonoscopy w/fb removal
|
$1,040.82 |
$1,053.36 |
$1,065.90 |
|
|
Colonoscopy with ablation
|
$5,888.02 |
$5,958.96 |
$6,029.90 |
|
|
Colonoscopy (with biopsy)
|
$1,044.97 |
$2,656.92 |
$2,688.55 |
|
|
Colonoscopy with biopsy
|
$989.36 |
$1,001.28 |
$1,013.20 |
|
|
Colonoscopy (with polyp removal)
|
$1,087.30 |
$1,916.04 |
$1,938.85 |
|
|
Colonoscopy w/stent plcmt
|
$605.90 |
$613.20 |
$620.50 |
|
|
Colpocentesis 57020
|
$719.04 |
$727.60 |
$790.16 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,423.50 |
$1,679.16 |
$1,996.15 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$127.68 |
$129.20 |
$141.10 |
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$126.42 |
$126.42 |
$285.52 |
|
|
Colposcopy vulva 56820
|
$126.84 |
$126.84 |
$126.84 |
|
|
Colposcopy vulva w/biopsy 56821
|
$193.20 |
$252.42 |
$252.42 |
|
|
Colposcopy w/biopsy of cervix 57455
|
$259.56 |
$262.65 |
$285.52 |
|
|
Compatibility test each unit antiglobulin technique
|
$125.05 |
$256.62 |
$453.18 |
|
|
Compatibility test each unit electronic
|
$129.36 |
$155.94 |
$269.45 |
|
|
Compatibility test each unit immediate spin technique
|
$97.44 |
$118.44 |
$224.63 |
|
|
Compatibility test incubate
|
$62.56 |
$98.28 |
$99.45 |
|
|
Comp cystometrogram/void presssure 51728
|
$613.60 |
$613.60 |
$613.60 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$925.45 |
$925.45 |
$925.45 |
|
|
Complement antigen each component c3
|
$30.82 |
$76.02 |
$224.26 |
|
|
Complex cystometrogram 51726
|
$1,740.50 |
$1,740.50 |
$1,871.48 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$262.27 |
$400.26 |
$855.95 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$280.19 |
$459.48 |
$957.95 |
|
|
Complex uroflowmetry (electronic) 51741
|
$552.83 |
$552.83 |
$552.83 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$317.11 |
$459.48 |
$1,016.60 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$382.27 |
$640.92 |
$1,194.25 |
|
|
Complx repair enel addl 5cm/< 13153
|
$158.01 |
$400.26 |
$493.02 |
|
|
Complx repair fccmnaxghf 13131
|
$276.39 |
$335.16 |
$934.15 |
|
|
Complx repair fccmnaxghf 13132
|
$345.35 |
$728.28 |
$1,135.60 |
|
|
Complx repair fccmnaxghf 13133
|
$141.00 |
$452.34 |
$475.59 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$95.03 |
$257.04 |
$475.59 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$228.06 |
$400.26 |
$821.10 |
|
|
Complx repair trunk addl 5cm/< 13102
|
$82.54 |
$400.26 |
$545.50 |
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$894.62 |
$894.62 |
$894.62 |
|
|
Comprehensive hearing test
|
$96.60 |
$96.60 |
$158.95 |
|
|
Compression stocking bk18-30
|
$62.88 |
$62.88 |
$62.88 |
|
|
Concentration infection agents any type
|
$11.96 |
$26.88 |
$97.75 |
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$390.52 |
$427.71 |
$790.33 |
|
|
Condylomata destruction 56420
|
$116.75 |
$212.94 |
$585.98 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$158.56 |
$723.85 |
$1,464.94 |
|
|
Connect omega .5mm
|
$410.95 |
$450.09 |
$831.69 |
|
|
Connector tis 2x10mm
|
$1,788.89 |
$1,959.26 |
$3,620.37 |
|
|
Consultation pathology during surgery
|
$31.92 |
$31.92 |
$32.33 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$69.03 |
$550.62 |
$911.91 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$13.00 |
$135.66 |
$266.90 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$29.90 |
$225.96 |
$410.64 |
|
|
Consultation/report referred material w/preparation of slides
|
$67.72 |
$166.32 |
$283.05 |
|
|
Consultation/report referred slides prepared elsewhere
|
$115.50 |
$115.50 |
$1,319.20 |
|
|
Consultation with family
|
$95.77 |
$176.82 |
$176.82 |
|
|
Consult comp w/report rfrd material
|
$269.63 |
$336.00 |
$571.20 |
|
|
Contact layer >16<= 48 sq in
|
$36.12 |
$43.00 |
$68.06 |
|
|
Contrast baths charges
|
$29.40 |
$29.40 |
$83.00 |
|
|
Contrast exam abdominl aorta 75625-26
|
$1,669.08 |
$1,808.00 |
$3,275.09 |
|
|
Contrast exam thoracic aorta
|
$441.00 |
$1,914.36 |
$3,100.45 |
|
|
Contrast exam thoracic aorta 75605-26
|
$1,259.02 |
$1,939.98 |
$2,924.95 |
|
|
Contrast x-ray gallbladder
|
$317.36 |
$317.36 |
$317.36 |
|
|
Contrast x-ray of ankle
|
$371.70 |
$371.70 |
$539.26 |
|
|
Contrast x-ray of brain
|
$1,257.82 |
$1,257.82 |
$1,257.82 |
|
|
Contrast x-ray of elbow
|
$229.74 |
$229.74 |
$571.12 |
|
|
Contrast x-ray of hip
|
$471.24 |
$614.88 |
$1,030.73 |
|
|
Contrast x-ray of knee joint
|
$326.34 |
$656.88 |
$960.31 |
|
|
Contrast x-ray of wrist
|
$395.22 |
$395.22 |
$853.73 |
|
|
Controller infinity pt dbs
|
$2,305.80 |
$2,745.00 |
$9,240.18 |
|
|
Control nosebleed pack+caut 30905
|
$120.55 |
$330.54 |
$864.03 |
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$194.46 |
$194.46 |
$194.46 |
|
|
Control of nosebleed ant comp 30903
|
$134.12 |
$266.28 |
$595.00 |
|
|
Control of nosebleedantersmpl 30901
|
$96.65 |
$247.80 |
$379.10 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$154.50 |
$434.70 |
$961.97 |
|
|
Contrst x-ray uppr gi tract
|
$517.44 |
$517.44 |
$1,296.46 |
|
|
Conversion ext bil drg cath
|
$1,873.84 |
$2,581.74 |
$2,935.32 |
|
|
Convert nephrostomy catheter
|
$577.50 |
$577.50 |
$1,610.50 |
|
|
Conv gtube to jtube
|
$441.56 |
$446.88 |
$452.20 |
|
|
Coombs direct
|
$39.56 |
$92.16 |
$107.50 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$11.96 |
$26.88 |
$264.19 |
|
|
Coombs indirect titer reference
|
$55.46 |
$157.08 |
$283.05 |
|
|
Copper cu 64 dotatate diag
|
$946.26 |
$946.26 |
$1,869.99 |
|
|
Core ndl bx lng/med perq
|
$1,231.42 |
$1,443.96 |
$1,963.59 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$7,009.02 |
$13,926.36 |
$16,954.95 |
|
|
Coronary angio/lv gram/lt heart
|
$6,871.48 |
$13,926.36 |
$15,698.96 |
|
|
Coronary angio/lv gram/rt< heart
|
$7,215.10 |
$14,483.28 |
$19,623.70 |
|
|
Coronary art/grft angio s&i
|
$7,012.00 |
$9,106.86 |
$10,335.23 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,764.26 |
$7,988.40 |
$11,879.75 |
|
|
Coronary thrombolysis/iv infusion 92977
|
$190.68 |
$223.86 |
$506.91 |
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$1,367.52 |
$1,367.52 |
$1,383.80 |
|
|
Correction trichiasis epilation forcep 67820
|
$116.76 |
$116.76 |
$118.15 |
|
|
Corrj halux rigdus without implt
|
$897.23 |
$897.23 |
$897.23 |
|
|
Cortisol acth stimulation test - sendout
|
$34.77 |
$341.88 |
$341.88 |
|
|
Cortisol total am
|
$39.84 |
$130.62 |
$209.10 |
|
|
Cosyntropin 0.25 mg solution for injection
|
$11.57 |
$52.82 |
$106.90 |
|
|
Co-treatment - group 15 mins, st
|
$41.30 |
$79.38 |
$107.90 |
|
|
Counseling smoke cess interm >10mins
|
$23.94 |
$23.94 |
$29.50 |
|
|
Cov-19 amp prb hgh thruput
|
$73.50 |
$79.50 |
$156.40 |
|
|
Coveredge 32 lead kit 40cm 48
|
$5,083.26 |
$7,576.20 |
$13,999.50 |
|
|
Covid-19 administration immunization im inj 1st/only component
|
$28.56 |
$33.58 |
$116.45 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$200.34 |
$200.34 |
$294.02 |
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$200.34 |
$200.34 |
$284.38 |
|
|
Covid-19 lab test non-cdc
|
$73.50 |
$79.50 |
$170.00 |
|
|
#covid19rsv-rsv
|
$77.70 |
$77.70 |
$152.22 |
|
|
#coxa-coxsackie a serotype a16
|
$36.50 |
$89.88 |
$273.70 |
|
|
CPAP or BiPAP Setup (first day)
|
$184.80 |
$451.92 |
$835.81 |
|
