|
Complex repair trunk 1.1-2.5cm 13120
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$913.68
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$353.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$927.55
|
|
Complx repair fccmnaxghf 13132
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,212.00
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,193.40
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$316.05 |
$316.05 |
$316.05 |
$1,000.10
|
|
Composite graft/pri close/don area 15760
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,364.45
|
|
Comprehensive hearing test
|
$102.29 |
$102.29 |
$102.29 |
$220.23
|
|
Concentration infection agents any type
|
$7.35 |
$7.35 |
$7.35 |
$50.70
|
|
Condylomata destruction 56420
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$503.67
|
|
Conization/cerv/loop electrode exc 57522
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,198.50
|
|
Conization of cervix
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,577.50
|
|
Connect omega .5mm
|
$173.42 |
$173.42 |
$173.42 |
$747.50
|
|
Connector tis 2x10mm
|
$1,023.80 |
$1,023.80 |
$1,023.80 |
$2,988.26
|
|
Constj trachesophgl fstl
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,592.74
|
|
Construction of vagina
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,110.00
|
|
Construct thumb replacement
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,839.54
|
|
Construct vagina with graft
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,110.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$139.70 |
$139.70 |
$139.70 |
$382.89
|
|
Consultation pathology during surgery frozen section each additional block
|
$15.73 |
$15.73 |
$15.73 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$42.95 |
$42.95 |
$42.95 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$25.41 |
$25.41 |
$25.41 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$18.83 |
$18.83 |
$18.83 |
$176.15
|
|
Consult comp w/report rfrd material
|
$53.92 |
$53.92 |
$53.92 |
$345.71
|
|
Contour cranial bone lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,110.00
|
|
Contour of face bone lesion
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,672.09
|
|
Contrast exam abdominl aorta 75625-26
|
$783.54 |
$783.54 |
$783.54 |
$3,389.09
|
|
Contrast exam thoracic aorta
|
$1,286.38 |
$1,286.38 |
$1,286.38 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$1,350.75 |
$1,350.75 |
$1,350.75 |
$3,778.20
|
|
Controler lvad heartmate 3 includes ebb
|
$2,509.87 |
$2,509.87 |
$2,509.87 |
$11,723.40
|
|
Control nosebleed pack+caut 30905
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$460.17
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,589.62
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$667.20
|
|
Control of nosebleed ant comp 30903
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$618.80
|
|
Control throat bleeding
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,837.72
|
|
Conversion ext bil drg cath
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,927.00
|
|
Conv gtube to jtube
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$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 |
$94.90
|
|
Coombs indirect titer reference
|
$5.70 |
$5.70 |
$5.70 |
$143.34
|
|
Cor artery disease mrna
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,155.00
|
|
Core ndl bx lng/med perq
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,963.00
|
|
Cor hlx vlgs double osteot
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,110.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,499.12
|
|
Cor hlx vlgs prx phlx osteot
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,339.00
|
|
Corneal smear
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$472.21
|
|
Corneal transplant
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,741.00
|
|
Corneal transplant
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,683.61
|
|
Corneal transplant
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,105.79
|
|
Corneal transplant
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,683.61
|
|
Corneal trnspl endothelial
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,667.08
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$2,909.85 |
$2,909.85 |
$2,909.85 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$2,762.53 |
$2,762.53 |
$2,762.53 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$3,213.64 |
$3,213.64 |
$3,213.64 |
$11,247.60
|
|
Coronary art/grft angio s&i
|
$2,701.26 |
$2,701.26 |
$2,701.26 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,461.32 |
$2,461.32 |
$2,461.32 |
$7,697.25
|
|
Coronary thrombolysis/iv infusion 92977
|
$163.31 |
$163.31 |
$163.31 |
$484.37
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,839.54
|
|
Correct cock-up 5th toe/plast clos 28286
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,591.33
|
|
Correct finger deformity
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,821.05
|
|
Correct inverted nipple(s)
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,243.90
|
|
Correction claw finger other
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,594.44
|
|
Correction eyelid w/implant
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,452.80
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,839.54
|
|
Correction of astigmatism
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,642.43
|
|
Correction of astigmatism
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,760.73
|
|
Correction of everted punctum 68705
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$612.26
|
|
Correction trichiasis epilation forcep 67820
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$176.00
|
|
Correction trichiasis inccision lid margin 67830
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,318.40
|
|
Correct metacarpal flaw
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,839.54
|
|
Correct rectal prolapse
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,581.60
|
|
Correct skin color 6.0 cm/<
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$876.00
|
|
Corrj halux rigdus w/implt
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,280.06
|
|
Corrj halux rigdus without implt
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,839.54
|
|
Cortisol acth stimulation test - sendout
|
$35.88 |
$35.88 |
$35.88 |
$123.73
|
|
Cortisol total am
|
$17.93 |
$17.93 |
$17.93 |
$122.00
|
|
Costotransversectomy
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,839.54
|
|
Cover eye w/membrane
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,827.97
|
|
Cover eye w/membrane suture
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,462.45
|
|
Covid-19 administration immunization im inj 1st/only component
|
$7.86 |
$7.86 |
$7.86 |
$62.74
|
|
Covid-19 lab test non-cdc
|
$56.44 |
$56.44 |
$56.44 |
$57.05
|
|
#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
|
$191.82 |
$191.82 |
$191.82 |
$1,410.04
|
|
C-reactive protein
|
$5.70 |
$5.70 |
$5.70 |
$61.20
|
|
C-reactive protein high sensitivity
|
$14.25 |
$14.25 |
$14.25 |
$91.65
|
|
C-reactive protein, quantitative
|
$11.70 |
$11.70 |
$11.70 |
$63.07
|
|
Creat artery-vein fistula autograft 36825
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,988.54
|
|
Create eardrum opening
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,006.50
|
|
Create passage to kidney
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,769.31
|
|
Create tear duct drain
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,173.97
|
|
Create tear duct drain
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,462.45
|
|
Create tear sac drain
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,173.97
|