|
Colistimethate sodium inj
|
$90.55 |
$90.55 |
$90.55 |
$82.71
|
|
Collagenase, clost hist inj
|
$13,694.93 |
$13,694.93 |
$13,694.93 |
$12,906.28
|
|
Collagen based wound filler
|
$227.50 |
$227.50 |
$227.50 |
$1,794.78
|
|
Collagen dressing <=16 sq in
|
$198.30 |
$198.30 |
$198.30 |
$42.50
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$222.20 |
$222.20 |
$222.20 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$13.50 |
$13.50 |
$13.50 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$17.50 |
$17.50 |
$17.50 |
$224.11
|
|
Collection blood specimen from completely implantable venous access device
|
$87.45 |
$87.45 |
$87.45 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$100.13 |
$100.13 |
$100.13 |
$155.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,115.70 |
$3,115.70 |
$3,115.70 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$618.90 |
$618.90 |
$618.90 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$419.08 |
$419.08 |
$419.08 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$528.93 |
$528.93 |
$528.93 |
$314.00
|
|
Colposcopy vulva 56820
|
$428.58 |
$428.58 |
$428.58 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$343.53 |
$343.53 |
$343.53 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$642.63 |
$642.63 |
$642.63 |
$485.50
|
|
Compatibility test each unit antiglobulin technique
|
$131.80 |
$131.80 |
$131.80 |
$173.50
|
|
Compatibility test each unit electronic
|
$103.50 |
$103.50 |
$103.50 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$170.95 |
$170.95 |
$170.95 |
$169.52
|
|
Compatibility test incubate
|
$55.28 |
$55.28 |
$55.28 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$830.50 |
$830.50 |
$830.50 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$815.10 |
$815.10 |
$815.10 |
$1,111.03
|
|
Complement antigen each component c3
|
$144.63 |
$144.63 |
$144.63 |
$110.00
|
|
Complex cystometrogram 51726
|
$398.70 |
$398.70 |
$398.70 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$248.05 |
$248.05 |
$248.05 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,191.78 |
$1,191.78 |
$1,191.78 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$77.45 |
$77.45 |
$77.45 |
$344.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$386.03 |
$386.03 |
$386.03 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$855.93 |
$855.93 |
$855.93 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$316.18 |
$316.18 |
$316.18 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$454.65 |
$454.65 |
$454.65 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$454.65 |
$454.65 |
$454.65 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$258.90 |
$258.90 |
$258.90 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$274.48 |
$274.48 |
$274.48 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$688.45 |
$688.45 |
$688.45 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,191.78 |
$1,191.78 |
$1,191.78 |
$537.00
|
|
Comprehensive hearing test
|
$220.23 |
$220.23 |
$220.23 |
$261.46
|
|
Concentration infection agents any type
|
$48.68 |
$48.68 |
$48.68 |
$51.32
|
|
Conditioning play audiometry 92582
|
$143.08 |
$143.08 |
$143.08 |
$189.15
|
|
Condylomata destruction 56420
|
$394.48 |
$394.48 |
$394.48 |
$467.35
|
|
Conivaptan hcl
|
$1,660.50 |
$1,660.50 |
$1,660.50 |
$1,625.08
|
|
Conization/cerv/loop electrode exc 57522
|
$2,636.65 |
$2,636.65 |
$2,636.65 |
$4,840.07
|
|
Conjugated estrogens 25 mg solution for injection
|
$871.08 |
$871.08 |
$871.08 |
$860.00
|
|
Connect omega .5mm
|
$243.50 |
$243.50 |
$243.50 |
$1,260.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$100.08 |
$100.08 |
$100.08 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$134.38 |
$134.38 |
$134.38 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$238.40 |
$238.40 |
$238.40 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$181.55 |
$181.55 |
$181.55 |
$224.83
|
|
Consultation with family
|
$108.83 |
$108.83 |
$108.83 |
$135.79
|
|
Consult comp w/report rfrd material
|
$570.33 |
$570.33 |
$570.33 |
$374.40
|
|
Contrast baths charges
|
$77.98 |
$77.98 |
$77.98 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$2,786.28 |
$2,786.28 |
$2,786.28 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$4,158.23 |
$4,158.23 |
$4,158.23 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$2,414.08 |
$2,414.08 |
$2,414.08 |
$3,745.00
|
|
Contrast x-ray of brain
|
$897.88 |
$897.88 |
$897.88 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$588.75 |
$588.75 |
$588.75 |
$708.00
|
|
Contrast x-ray of hip
|
$588.75 |
$588.75 |
$588.75 |
$796.38
|
|
Contrast x-ray of knee joint
|
$577.58 |
$577.58 |
$577.58 |
$790.50
|
|
Contrast x-ray of wrist
|
$744.15 |
$744.15 |
$744.15 |
$667.50
|
|
Controller infinity pt dbs
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$376.05 |
$376.05 |
$376.05 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$255.98 |
$255.98 |
$255.98 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$220.88 |
$220.88 |
$220.88 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$308.60 |
$308.60 |
$308.60 |
$620.00
|
|
Conversion ext bil drg cath
|
$4,885.50 |
$4,885.50 |
$4,885.50 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$4,197.30 |
$4,197.30 |
$4,197.30 |
$2,777.60
|
|
Coombs direct
|
$60.35 |
$60.35 |
$60.35 |
$76.80
|
|
Coombs indirect titer reference
|
$109.08 |
$109.08 |
$109.08 |
$156.71
|
|
Copper cu 64 dotatate diag
|
$11,550.00 |
$11,550.00 |
$11,550.00 |
$2,820.66
|
|
Copper intrauterine device
|
$1,844.50 |
$1,844.50 |
$1,844.50 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,485.80 |
$2,485.80 |
$2,485.80 |
$2,904.48
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$7,849.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$16,184.48 |
$16,184.48 |
$16,184.48 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$14,653.28 |
$14,653.28 |
$14,653.28 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$17,305.98 |
$17,305.98 |
$17,305.98 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$14,176.43 |
$14,176.43 |
$14,176.43 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$12,141.00 |
$12,141.00 |
$12,141.00 |
$7,988.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$644.23 |
$644.23 |
$644.23 |
$484.37
|
|
Cortisol total am
|
$92.68 |
$92.68 |
$92.68 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$156.45 |
$156.45 |
$156.45 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$151.78 |
$151.78 |
$151.78 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$20.78 |
$20.78 |
$20.78 |
$54.60
|
|
Counseling visit to discuss need for ldct g0296
|
$95.08 |
$95.08 |
$95.08 |
$102.38
|
|
Coveredge 32 lead kit 40cm 48
|
$850.00 |
$850.00 |
$850.00 |
$4,180.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$603.65 |
$603.65 |
$603.65 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$603.65 |
$603.65 |
$603.65 |
$540.00
|
|
#covid19rsv-rsv
|
$182.00 |
$182.00 |
$182.00 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$69.00 |
$69.00 |
$69.00 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$443.55 |
$443.55 |
$443.55 |
$584.50
|
|
C-peptide
|
$167.45 |
$167.45 |
$167.45 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$694.05 |
$694.05 |
$694.05 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$806.60 |
$806.60 |
$806.60 |
$1,330.02
|
|
C-reactive protein
|
$131.10 |
$131.10 |
$131.10 |
$69.36
|
|
C-reactive protein high sensitivity
|
$131.10 |
$131.10 |
$131.10 |
$85.50
|
|
Create eardrum opening
|
$3,006.50 |
$3,006.50 |
$3,006.50 |
$3,340.97
|
|
Creatine kinase
|
$78.15 |
$78.15 |
$78.15 |
$66.30
|
|
Creatine kinase isoenzymes
|
$89.28 |
$89.28 |
$89.28 |
$56.20
|
|
Creatine kinase mb
|
$134.08 |
$134.08 |
$134.08 |
$113.63
|
|
Creatinine
|
$53.25 |
$53.25 |
$53.25 |
$46.20
|
|
Creatinine 24 hour urine
|
$53.85 |
$53.85 |
$53.85 |
$57.85
|