|
Corneal transplant
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,220.80
|
|
Corneal transplant
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,683.61
|
|
Corneal trnspl endothelial
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,667.08
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$6,500.83 |
$6,500.83 |
$6,500.83 |
$10,742.55
|
|
Coronary angio/lv gram/lt heart
|
$6,171.72 |
$6,171.72 |
$6,171.72 |
$10,364.90
|
|
Coronary angio/lv gram/rt< heart
|
$7,179.47 |
$7,179.47 |
$7,179.47 |
$11,288.38
|
|
Coronary art/grft angio s&i
|
$6,034.86 |
$6,034.86 |
$6,034.86 |
$8,006.25
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,498.91 |
$5,498.91 |
$5,498.91 |
$7,764.90
|
|
Coronary thrombolysis/iv infusion 92977
|
$217.04 |
$217.04 |
$217.04 |
$484.37
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Correct cock-up 5th toe/plast clos 28286
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,183.94
|
|
Correct finger deformity
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,743.15
|
|
Correct inverted nipple(s)
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,242.15
|
|
Correction claw finger other
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,591.33
|
|
Correction eyelid w/implant
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,987.22
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,821.05
|
|
Correction of astigmatism
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,642.43
|
|
Correction of astigmatism
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,790.40
|
|
Correction of everted punctum 68705
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$769.70
|
|
Correction trichiasis epilation forcep 67820
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$176.00
|
|
Correction trichiasis inccision lid margin 67830
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,318.40
|
|
Correct metacarpal flaw
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,786.00
|
|
Correct rectal prolapse
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,581.60
|
|
Correct skin color 6.0 cm/<
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$887.16
|
|
Corrj halux rigdus w/implt
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,280.06
|
|
Corrj halux rigdus without implt
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,821.05
|
|
Cortisol acth stimulation test - sendout
|
$35.88 |
$35.88 |
$35.88 |
$123.73
|
|
Cortisol total am
|
$17.93 |
$17.93 |
$17.93 |
$122.20
|
|
Costotransversectomy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Cover eye w/membrane
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,827.97
|
|
Cover eye w/membrane suture
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,471.17
|
|
Covid-19 administration immunization im inj 1st/only component
|
$12.70 |
$12.70 |
$12.70 |
$64.50
|
|
Covid-19 lab test non-cdc
|
$56.44 |
$56.44 |
$56.44 |
$62.42
|
|
#covid19rsv-rsv
|
$77.22 |
$77.22 |
$77.22 |
$140.95
|
|
#coxa-coxsackie a serotype a16
|
$14.33 |
$14.33 |
$14.33 |
$65.36
|
|
C-peptide
|
$22.89 |
$22.89 |
$22.89 |
$101.60
|
|
Crbrospnl fld flw imag cistern
|
$484.50 |
$484.50 |
$484.50 |
$1,410.04
|
|
C-reactive protein
|
$5.70 |
$5.70 |
$5.70 |
$63.50
|
|
C-reactive protein high sensitivity
|
$14.25 |
$14.25 |
$14.25 |
$91.65
|
|
C-reactive protein, quantitative
|
$11.70 |
$11.70 |
$11.70 |
$65.16
|
|
Creat artery-vein fistula autograft 36825
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,983.35
|
|
Create eardrum opening
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,006.50
|
|
Create passage to kidney
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,648.16
|
|
Create tear duct drain
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,173.97
|
|
Create tear duct drain
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,462.45
|
|
Create tear sac drain
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,121.25
|
|
Creatine isoforms
|
$13.06 |
$13.06 |
$13.06 |
$13.06
|
|
Creatine kinase
|
$7.16 |
$7.16 |
$7.16 |
$59.78
|
|
Creatine kinase isoenzymes
|
$14.73 |
$14.73 |
$14.73 |
$52.80
|
|
Creatine kinase mb
|
$12.71 |
$12.71 |
$12.71 |
$108.55
|
|
Creatine - sendout
|
$5.10 |
$5.10 |
$5.10 |
$41.36
|
|
Creatinine
|
$5.63 |
$5.63 |
$5.63 |
$43.85
|
|
Creatinine 24 hour urine
|
$5.70 |
$5.70 |
$5.70 |
$62.00
|
|
Creatinine clearance urine
|
$10.41 |
$10.41 |
$10.41 |
$85.80
|
|
#creutz-prot.,western blot
|
$32.13 |
$32.13 |
$32.13 |
$189.80
|
|
Cricopharyngeal myotomy 43030
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,881.00
|
|
Cricotracheal resection
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,413.19
|
|
Crisis psychotherapy 90839
|
$138.93 |
$138.93 |
$138.93 |
$313.30
|
|
Critical care 30-74 minutes
|
$1,202.93 |
$1,202.93 |
$1,202.93 |
$2,627.30
|
|
Critical care each additional 30 minutes
|
$407.85 |
$407.85 |
$407.85 |
$756.00
|
|
Cross-over vein graft
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,986.80
|
|
Cryoablate prostate
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$10,244.18
|
|
Cryocautery of cervix 57511
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$429.60
|
|
Cryofibrinogen qualitative - sendout
|
$15.55 |
$15.55 |
$15.55 |
$52.25
|
|
Cryoprecipitate each unit
|
$190.59 |
$190.59 |
$190.59 |
$198.60
|
|
Cryopreserve stem cells
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,650.00
|
|
Cryosurg ablate fa each
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,627.00
|
|
Cryosurgery penis lesion(s) 54056
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$294.58
|
|
Cryotherapy of acne 17340
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$101.79
|
|
Cryptococcus abs qn - sendout
|
$15.85 |
$15.85 |
$15.85 |
$80.85
|
|
Cryptosporidium antigen
|
$13.18 |
$13.18 |
$13.18 |
$61.39
|
|
Crystal identification light microscopy
|
$8.06 |
$8.06 |
$8.06 |
$64.35
|
|
Csf shunt reprogram 62252
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$502.78
|
|
CT 3d report other modality w/workstation
|
$235.17 |
$235.17 |
$235.17 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$681.76 |
$681.76 |
$681.76 |
$2,084.86
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$530.33 |
$530.33 |
$530.33 |
$2,092.73
|
|
Cta neck without &/or w/contrast
|
$946.51 |
$946.51 |
$946.51 |
$1,977.25
|
|
CT Angiogram of Abdomen and Pelvis
|
$897.35 |
$897.35 |
$897.35 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$687.59 |
$687.59 |
$687.59 |
$2,057.90
|
|
CT Angiogram of the Head
|
$543.24 |
$543.24 |
$543.24 |
$2,075.26
|
|
CT angio hrt w/3d image
|
$475.96 |
$475.96 |
$475.96 |
$1,610.08
|
|
CT angio pelvis
|
$541.58 |
$541.58 |
$541.58 |
$1,804.80
|
|
CT guidance for needle placement
|
$541.37 |
$541.37 |
$541.37 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$231.00 |
$231.00 |
$231.00 |
$1,058.40
|
|
CT guid cryo ablat intramuscular
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,136.75
|
|
CT guid parench tis ablat
|
$387.02 |
$387.02 |
$387.02 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$11.66 |
$11.66 |
$11.66 |
$193.68
|
|
CT hrt c+ strux cgen hrt ds
|
$420.14 |
$420.14 |
$420.14 |
$1,318.20
|
|
CT hrt w/3d image
|
$331.61 |
$331.61 |
$331.61 |
$1,513.20
|
|
CT neck soft tissue w/contrast
|
$640.93 |
$640.93 |
$640.93 |
$1,669.00
|
|
CT neck soft tissue without contrast
|
$495.33 |
$495.33 |
$495.33 |
$1,344.60
|
|
CT neck soft tissue without & w/contrast
|
$683.84 |
$683.84 |
$683.84 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$519.91 |
$519.91 |
$519.91 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$493.46 |
$493.46 |
$493.46 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$419.30 |
$419.30 |
$419.30 |
$1,365.36
|
|
Ctrl nosebld postir subsq 30906
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$481.00
|
|
CT scan for therapy guide
|
$314.53 |
$314.53 |
$314.53 |
$777.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$947.55 |
$947.55 |
$947.55 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$750.92 |
$750.92 |
$750.92 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$633.23 |
$633.23 |
$633.23 |
$2,412.75
|