|
Colonoscopy (with polyp removal)
|
$2,662.40 |
$2,662.40 |
$2,662.40 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$2,704.00
|
|
Colonoscopy w/resection
|
$2,843.20 |
$2,843.20 |
$2,843.20 |
$3,035.44
|
|
Colonoscopy w/stent plcmt
|
$5,805.60 |
$5,805.60 |
$5,805.60 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$2,636.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,983.20 |
$2,983.20 |
$2,983.20 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$637.60 |
$637.60 |
$637.60 |
$314.00
|
|
Colposcopy vulva 56820
|
$519.20 |
$519.20 |
$519.20 |
$333.20
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,348.80 |
$1,348.80 |
$1,348.80 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$1,191.78
|
|
Compl oph exam general anes
|
$1,663.20 |
$1,663.20 |
$1,663.20 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$913.60 |
$913.60 |
$913.60 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$807.20 |
$807.20 |
$807.20 |
$508.44
|
|
Complx repair trunk addl 5cm/< 13102
|
$807.20 |
$807.20 |
$807.20 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,598.31 |
$1,598.31 |
$1,598.31 |
$1,350.27
|
|
Comprehensive hearing test
|
$212.80 |
$212.80 |
$212.80 |
$261.46
|
|
Computed tomographic angiography head and neck with contrast
|
$4,080.00 |
$4,080.00 |
$4,080.00 |
$2,247.00
|
|
Conditioning play audiometry 92582
|
$244.00 |
$244.00 |
$244.00 |
$189.15
|
|
Condylomata destruction 56420
|
$613.60 |
$613.60 |
$613.60 |
$467.35
|
|
Connect omega .5mm
|
$1,756.05 |
$1,756.05 |
$1,756.05 |
$1,260.00
|
|
Connector tis 2x10mm
|
$1,786.12 |
$1,786.12 |
$1,786.12 |
$4,024.34
|
|
Consultation pathology during surgery cytological exam initial site
|
$80.00 |
$80.00 |
$80.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$62.40 |
$62.40 |
$62.40 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$103.20 |
$103.20 |
$103.20 |
$226.50
|
|
Contrast baths charges
|
$97.60 |
$97.60 |
$97.60 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$5,200.00 |
$5,200.00 |
$5,200.00 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$3,192.00 |
$3,192.00 |
$3,192.00 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$3,267.20 |
$3,267.20 |
$3,267.20 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$188.00 |
$188.00 |
$188.00 |
$341.00
|
|
Contrast x-ray of ankle
|
$413.60 |
$413.60 |
$413.60 |
$684.00
|
|
Contrast x-ray of brain
|
$344.00 |
$344.00 |
$344.00 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$476.00 |
$476.00 |
$476.00 |
$708.00
|
|
Contrast x-ray of hip
|
$902.40 |
$902.40 |
$902.40 |
$796.38
|
|
Contrast x-ray of knee joint
|
$683.20 |
$683.20 |
$683.20 |
$790.50
|
|
Contrast x-ray of wrist
|
$724.00 |
$724.00 |
$724.00 |
$667.50
|
|
Controller infinity pt dbs
|
$6,333.60 |
$6,333.60 |
$6,333.60 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$571.20 |
$571.20 |
$571.20 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$571.20 |
$571.20 |
$571.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$545.60 |
$545.60 |
$545.60 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$709.60 |
$709.60 |
$709.60 |
$620.00
|
|
Control throat bleeding
|
$2,936.00 |
$2,936.00 |
$2,936.00 |
$972.84
|
|
Conversion ext bil drg cath
|
$6,016.00 |
$6,016.00 |
$6,016.00 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$2,379.20 |
$2,379.20 |
$2,379.20 |
$2,777.60
|
|
Conv gtube to jtube
|
$2,384.80 |
$2,384.80 |
$2,384.80 |
$2,099.70
|
|
Copper cu 64 dotatate diag
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$2,820.66
|
|
Copper intrauterine device
|
$2,658.88 |
$2,658.88 |
$2,658.88 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,284.80 |
$2,284.80 |
$2,284.80 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$19,396.80 |
$19,396.80 |
$19,396.80 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$18,599.20 |
$18,599.20 |
$18,599.20 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$18,989.60 |
$18,989.60 |
$18,989.60 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$11,265.60 |
$11,265.60 |
$11,265.60 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$11,160.00 |
$11,160.00 |
$11,160.00 |
$7,988.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$359.42 |
$359.42 |
$359.42 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$164.80 |
$164.80 |
$164.80 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$91.20 |
$91.20 |
$91.20 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$2,560.00 |
$2,560.00 |
$2,560.00 |
$4,180.79
|
|
Cover wrist
|
$230.64 |
$230.64 |
$230.64 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
$49.13
|
|
Covid-19 convalescent plasma
|
$971.20 |
$971.20 |
$971.20 |
$590.80
|
|
CPAP or BiPAP Setup (first day)
|
$855.20 |
$855.20 |
$855.20 |
$584.50
|
|
CPR (Cardiopulmonary Resuscitation)
|
$978.40 |
$978.40 |
$978.40 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$1,217.60 |
$1,217.60 |
$1,217.60 |
$1,330.02
|
|
Crisis psychotherapy 90839
|
$357.60 |
$357.60 |
$357.60 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$154.40 |
$154.40 |
$154.40 |
$149.52
|
|
Critical care each additional 30 minutes
|
$854.40 |
$854.40 |
$854.40 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$3,908.80 |
$3,908.80 |
$3,908.80 |
$2,535.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$1,663.20 |
$1,663.20 |
$1,663.20 |
$2,522.88
|
|
Cryocautery of cervix 57511
|
$543.20 |
$543.20 |
$543.20 |
$429.60
|
|
Cryoprecipitate each unit
|
$630.40 |
$630.40 |
$630.40 |
$144.78
|
|
Cryopreservation sperm
|
$240.00 |
$240.00 |
$240.00 |
$234.27
|
|
Cryopreserve stem cells
|
$3,403.20 |
$3,403.20 |
$3,403.20 |
$2,666.50
|
|
Csf leakage imaging
|
$1,057.60 |
$1,057.60 |
$1,057.60 |
$1,564.11
|
|
Csf shunt reprogram 62252
|
$503.20 |
$503.20 |
$503.20 |
$535.00
|
|
CT 3d report other modality w/workstation
|
$1,101.60 |
$1,101.60 |
$1,101.60 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,692.00 |
$2,692.00 |
$2,692.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,313.60 |
$5,313.60 |
$5,313.60 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,949.60 |
$2,949.60 |
$2,949.60 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,721.60 |
$2,721.60 |
$2,721.60 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,312.00 |
$3,312.00 |
$3,312.00 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,796.80 |
$2,796.80 |
$2,796.80 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,357.60 |
$3,357.60 |
$3,357.60 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$2,102.40 |
$2,102.40 |
$2,102.40 |
$1,428.68
|
|
CT angio pelvis
|
$2,488.80 |
$2,488.80 |
$2,488.80 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$1,691.30
|
|
CT cerebral perf w cont & prcssng
|
$800.00 |
$800.00 |
$800.00 |
$1,040.00
|
|
CT colonography dx
|
$1,790.40 |
$1,790.40 |
$1,790.40 |
$811.41
|
|
CT colonography dx w/dye
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$1,069.25
|
|
CT colonography screening
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$2,441.60 |
$2,441.60 |
$2,441.60 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,568.00 |
$1,568.00 |
$1,568.00 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$3,323.20 |
$3,323.20 |
$3,323.20 |
$2,039.76
|
|
CT guid parench tis ablat
|
$2,114.40 |
$2,114.40 |
$2,114.40 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$428.80 |
$428.80 |
$428.80 |
$150.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,114.40 |
$2,114.40 |
$2,114.40 |
$1,395.79
|
|
CT hrt w/3d image
|
$1,868.80 |
$1,868.80 |
$1,868.80 |
$1,350.03
|
