|
Cocaine 4 % nasal solution
|
$298.03 |
$298.03 |
$298.03 |
$630.04
|
|
Colistimethate sodium inj
|
$60.96 |
$60.96 |
$60.96 |
$82.71
|
|
Collagenase, clost hist inj
|
$5,049.32 |
$5,049.32 |
$5,049.32 |
$12,906.28
|
|
Collagen based wound filler
|
$827.20 |
$827.20 |
$827.20 |
$1,794.78
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$144.80 |
$144.80 |
$144.80 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$21.39 |
$21.39 |
$21.39 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$53.69 |
$53.69 |
$53.69 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$161.44 |
$161.44 |
$161.44 |
$224.11
|
|
Collar extrication adult univ
|
$1,049.05 |
$1,049.05 |
$1,049.05 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$184.80 |
$184.80 |
$184.80 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$187.20 |
$187.20 |
$187.20 |
$155.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,563.20 |
$4,563.20 |
$4,563.20 |
$3,907.93
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$912.80 |
$912.80 |
$912.80 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$914.40 |
$914.40 |
$914.40 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,187.20 |
$1,187.20 |
$1,187.20 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,215.20 |
$1,215.20 |
$1,215.20 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$781.60 |
$781.60 |
$781.60 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$780.00 |
$780.00 |
$780.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,238.40 |
$1,238.40 |
$1,238.40 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$807.20 |
$807.20 |
$807.20 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$321.60 |
$321.60 |
$321.60 |
$508.44
|
|
Complx repair trunk addl 5cm/< 13102
|
$778.40 |
$778.40 |
$778.40 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$312.80 |
$312.80 |
$312.80 |
$1,350.27
|
|
Composite graft/pri close/don area 15760
|
$3,408.80 |
$3,408.80 |
$3,408.80 |
$2,816.50
|
|
Computed tomographic angiography head and neck with contrast
|
$4,849.60 |
$4,849.60 |
$4,849.60 |
$2,247.00
|
|
Condylomata destruction 56420
|
$368.00 |
$368.00 |
$368.00 |
$467.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$385.03 |
$385.03 |
$385.03 |
$860.00
|
|
Connect omega .5mm
|
$1,349.47 |
$1,349.47 |
$1,349.47 |
$1,260.00
|
|
Connector tis 2x10mm
|
$1,536.88 |
$1,536.88 |
$1,536.88 |
$4,024.34
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$148.80 |
$148.80 |
$148.80 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$241.60 |
$241.60 |
$241.60 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$160.80 |
$160.80 |
$160.80 |
$224.83
|
|
Contrast baths charges
|
$64.00 |
$64.00 |
$64.00 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$4,687.20 |
$4,687.20 |
$4,687.20 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$4,905.60 |
$4,905.60 |
$4,905.60 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$5,267.20 |
$5,267.20 |
$5,267.20 |
$3,745.00
|
|
Contrast x-ray of ankle
|
$683.20 |
$683.20 |
$683.20 |
$684.00
|
|
Contrast x-ray of brain
|
$416.80 |
$416.80 |
$416.80 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$647.20 |
$647.20 |
$647.20 |
$708.00
|
|
Contrast x-ray of hip
|
$720.00 |
$720.00 |
$720.00 |
$796.38
|
|
Contrast x-ray of knee joint
|
$668.00 |
$668.00 |
$668.00 |
$790.50
|
|
Contrast x-ray of wrist
|
$668.00 |
$668.00 |
$668.00 |
$667.50
|
|
Controller infinity pt dbs
|
$4,400.00 |
$4,400.00 |
$4,400.00 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$379.20 |
$379.20 |
$379.20 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$328.80 |
$328.80 |
$328.80 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$303.20 |
$303.20 |
$303.20 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$835.20 |
$835.20 |
$835.20 |
$620.00
|
|
Control throat bleeding
|
$4,463.20 |
$4,463.20 |
$4,463.20 |
$972.84
|
|
Conversion ext bil drg cath
|
$6,218.40 |
$6,218.40 |
$6,218.40 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$5,501.60 |
$5,501.60 |
$5,501.60 |
$2,777.60
|
|
Copper cu 64 dotatate diag
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$2,820.66
|
|
Copper intrauterine device
|
$2,089.12 |
$2,089.12 |
$2,089.12 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$3,180.00 |
$3,180.00 |
$3,180.00 |
$2,904.48
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$5,808.00 |
$5,808.00 |
$5,808.00 |
$7,849.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$15,681.60 |
$15,681.60 |
$15,681.60 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$14,268.00 |
$14,268.00 |
$14,268.00 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$17,104.80 |
$17,104.80 |
$17,104.80 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$10,899.20 |
$10,899.20 |
$10,899.20 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,269.60 |
$10,269.60 |
$10,269.60 |
$7,988.40
|
|
Correction trichiasis epilation forcep 67820
|
$198.40 |
$198.40 |
$198.40 |
$176.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$175.75 |
$175.75 |
$175.75 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$87.20 |
$87.20 |
$87.20 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$4,180.79
|
|
Cover wrist
|
$492.00 |
$492.00 |
$492.00 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
$49.13
|
|
Covid-19 convalescent plasma
|
$726.40 |
$726.40 |
$726.40 |
$590.80
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$760.00 |
$760.00 |
$760.00 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$812.80 |
$812.80 |
$812.80 |
$540.00
|
|
CPAP or BiPAP Setup (first day)
|
$656.80 |
$656.80 |
$656.80 |
$584.50
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$1,539.20 |
$1,539.20 |
$1,539.20 |
$1,330.02
|
|
Critical care each additional 30 minutes
|
$839.20 |
$839.20 |
$839.20 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,616.80 |
$2,616.80 |
$2,616.80 |
$2,535.00
|
|
Crotalidae poly immune fab
|
$3,986.29 |
$3,986.29 |
$3,986.29 |
$5,760.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$1,688.00 |
$1,688.00 |
$1,688.00 |
$2,522.88
|
|
Cryoprecipitate each unit
|
$294.41 |
$294.41 |
$294.41 |
$144.78
|
|
Csf shunt reprogram 62252
|
$494.40 |
$494.40 |
$494.40 |
$535.00
|
|
Csf ventriculography
|
$1,330.40 |
$1,330.40 |
$1,330.40 |
$877.00
|
|
CT 3d report other modality w/workstation
|
$607.20 |
$607.20 |
$607.20 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,330.40 |
$2,330.40 |
$2,330.40 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,270.40 |
$4,270.40 |
$4,270.40 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,560.80 |
$2,560.80 |
$2,560.80 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,441.60 |
$2,441.60 |
$2,441.60 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,116.80 |
$2,116.80 |
$2,116.80 |
$1,428.68
|
|
CT angio pelvis
|
$2,321.60 |
$2,321.60 |
$2,321.60 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,180.80 |
$2,180.80 |
$2,180.80 |
$1,691.30
|
|
CT cerebral perf w cont & prcssng
|
$825.60 |
$825.60 |
$825.60 |
$1,040.00
|
|
CT colonography dx
|
$2,036.80 |
$2,036.80 |
$2,036.80 |
$811.41
|
|
CT colonography dx w/dye
|
$2,204.00 |
$2,204.00 |
$2,204.00 |
$1,069.25
|
|
CT guidance for needle placement
|
$836.80 |
$836.80 |
$836.80 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$612.80 |
$612.80 |
$612.80 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$3,522.40 |
$3,522.40 |
$3,522.40 |
$2,039.76
|
|
CT guid parench tis ablat
|
$2,019.20 |
$2,019.20 |
$2,019.20 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$263.20 |
$263.20 |
$263.20 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$1,750.40 |
$1,750.40 |
$1,750.40 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,558.40 |
$1,558.40 |
$1,558.40 |
$1,350.03
|