|
Complement antigen each component c3
|
$13.20 |
$13.20 |
$13.20 |
$113.13
|
|
Complement fixation each
|
$11.01 |
$11.01 |
$11.01 |
$25.70
|
|
Complete removal of vulva
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,762.53
|
|
Complex cystometrogram 51726
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$710.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$913.68
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$353.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,212.00
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,193.40
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$415.97 |
$415.97 |
$415.97 |
$1,000.10
|
|
Composite graft/pri close/don area 15760
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,364.45
|
|
Comprehensive hearing test
|
$162.82 |
$162.82 |
$162.82 |
$220.23
|
|
Concentration infection agents any type
|
$7.35 |
$7.35 |
$7.35 |
$50.70
|
|
Conditioning play audiometry 92582
|
$194.91 |
$194.91 |
$194.91 |
$185.15
|
|
Condylomata destruction 56420
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$503.67
|
|
Conization/cerv/loop electrode exc 57522
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,198.50
|
|
Conization of cervix
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,577.50
|
|
Connect omega .5mm
|
$228.25 |
$228.25 |
$228.25 |
$747.50
|
|
Connector tis 2x10mm
|
$1,347.50 |
$1,347.50 |
$1,347.50 |
$2,988.26
|
|
Constj trachesophgl fstl
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,786.00
|
|
Construction of vagina
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,339.00
|
|
Construct thumb replacement
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Construct vagina with graft
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,339.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$251.72 |
$251.72 |
$251.72 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$45.40 |
$45.40 |
$45.40 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$77.25 |
$77.25 |
$77.25 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$58.94 |
$58.94 |
$58.94 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$148.08 |
$148.08 |
$148.08 |
$176.15
|
|
Consult comp w/report rfrd material
|
$225.57 |
$225.57 |
$225.57 |
$345.71
|
|
Contour cranial bone lesion
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,110.00
|
|
Contour of face bone lesion
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,672.09
|
|
Contrast exam abdominl aorta 75625-26
|
$1,591.16 |
$1,591.16 |
$1,591.16 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$2,589.26 |
$2,589.26 |
$2,589.26 |
$3,780.00
|
|
Controler lvad heartmate 3 includes ebb
|
$3,303.41 |
$3,303.41 |
$3,303.41 |
$11,723.40
|
|
Control nosebleed pack+caut 30905
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$460.17
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,589.62
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$522.01
|
|
Control of nosebleed ant comp 30903
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$602.63
|
|
Control throat bleeding
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,837.72
|
|
Conversion ext bil drg cath
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,927.00
|
|
Conv gtube to jtube
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,133.54
|
|
Coombs direct
|
$5.93 |
$5.93 |
$5.93 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$6.29 |
$6.29 |
$6.29 |
$100.29
|
|
Coombs indirect titer reference
|
$5.70 |
$5.70 |
$5.70 |
$143.40
|
|
Cor artery disease mrna
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,050.00
|
|
Core ndl bx lng/med perq
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,963.00
|
|
Cor hlx vlgs double osteot
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,110.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,499.12
|
|
Cor hlx vlgs prx phlx osteot
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,419.00
|
|
Corneal smear
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$472.21
|
|
Corneal transplant
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,855.00
|
|
Corneal transplant
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,419.00
|
|
Corneal transplant
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$6,105.79
|
|
Corneal transplant
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,419.00
|
|
Corneal trnspl endothelial
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,667.08
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Correct cock-up 5th toe/plast clos 28286
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,591.33
|
|
Correct finger deformity
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Correct inverted nipple(s)
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,243.90
|
|
Correction claw finger other
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,594.44
|
|
Correction eyelid w/implant
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,269.14
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Correction of astigmatism
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,642.43
|
|
Correction of astigmatism
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,760.73
|
|
Correction of everted punctum 68705
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$612.26
|
|
Correction trichiasis epilation forcep 67820
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$152.54
|
|
Correction trichiasis inccision lid margin 67830
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$1,318.40
|
|
Correct metacarpal flaw
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Correct rectal prolapse
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,581.60
|
|
Correct skin color 6.0 cm/<
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$876.00
|
|
Corrj halux rigdus w/implt
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$6,280.06
|
|
Corrj halux rigdus without implt
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Cortisol acth stimulation test - sendout
|
$35.88 |
$35.88 |
$35.88 |
$120.13
|
|
Cortisol total am
|
$17.93 |
$17.93 |
$17.93 |
$122.00
|
|
Costotransversectomy
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,839.54
|
|
Cover eye w/membrane
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$2,827.97
|
|
Cover eye w/membrane suture
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,462.45
|
|
Covid-19 administration immunization im inj 1st/only component
|
$14.49 |
$14.49 |
$14.49 |
$62.15
|
|
Covid-19 lab test non-cdc
|
$56.44 |
$56.44 |
$56.44 |
$56.44
|
|
#covid19rsv-rsv
|
$77.22 |
$77.22 |
$77.22 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$14.33 |
$14.33 |
$14.33 |
$65.36
|
|
C-peptide
|
$22.89 |
$22.89 |
$22.89 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$687.19 |
$687.19 |
$687.19 |
$1,409.85
|
|
C-reactive protein
|
$5.70 |
$5.70 |
$5.70 |
$61.10
|
|
C-reactive protein high sensitivity
|
$14.25 |
$14.25 |
$14.25 |
$91.20
|
|
C-reactive protein, quantitative
|
$11.70 |
$11.70 |
$11.70 |
$63.07
|
|
Creat artery-vein fistula autograft 36825
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$5,988.54
|
|
Create eardrum opening
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,006.50
|
|
Create passage to kidney
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$3,769.31
|
|
Create tear duct drain
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,177.59
|
|
Create tear duct drain
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,462.45
|
|
Create tear sac drain
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$4,173.97
|
|
Creatine isoforms
|
$13.06 |
$13.06 |
$13.06 |
$13.06
|
|
Creatine kinase
|
$7.16 |
$7.16 |
$7.16 |
$58.30
|
