|
Complx repair enel 2.6-7.5 cm 13152
|
$805.50 |
$805.50 |
$805.50 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$139.50 |
$139.50 |
$139.50 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$248.00 |
$248.00 |
$248.00 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$741.00 |
$741.00 |
$741.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$370.50 |
$370.50 |
$370.50 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$83.50 |
$83.50 |
$83.50 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$207.00 |
$207.00 |
$207.00 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$73.50 |
$73.50 |
$73.50 |
$537.00
|
|
Composite byp grft 2 veins
|
$392.50 |
$392.50 |
$392.50 |
$619.20
|
|
Composite byp grft 3/> segmt
|
$459.50 |
$459.50 |
$459.50 |
$574.98
|
|
Composite byp grft pros&vein
|
$89.00 |
$89.00 |
$89.00 |
$205.60
|
|
Comprehensive hearing test
|
$31.50 |
$31.50 |
$31.50 |
$255.00
|
|
Compre oph exam est pt 1/>
|
$76.00 |
$76.00 |
$76.00 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$95.50 |
$95.50 |
$95.50 |
$186.00
|
|
Concentration infection agents any type
|
$24.50 |
$24.50 |
$24.50 |
$49.95
|
|
Conditioning play audiometry 92582
|
$99.00 |
$99.00 |
$99.00 |
$189.15
|
|
Condylomata destruction 56420
|
$262.50 |
$262.50 |
$262.50 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$279.50 |
$279.50 |
$279.50 |
$4,840.07
|
|
Conization of cervix
|
$329.50 |
$329.50 |
$329.50 |
$3,762.53
|
|
Consultation pathology during surgery
|
$34.50 |
$34.50 |
$34.50 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$70.00 |
$70.00 |
$70.00 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$35.50 |
$35.50 |
$35.50 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$70.00 |
$70.00 |
$70.00 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$101.00 |
$101.00 |
$101.00 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$83.00 |
$83.00 |
$83.00 |
$171.65
|
|
Consult comp w/report rfrd material
|
$139.00 |
$139.00 |
$139.00 |
$365.60
|
|
Contact lens fitting for tx
|
$32.00 |
$32.00 |
$32.00 |
$92.96
|
|
Cont gluc mntr analysis i&r 95251
|
$42.50 |
$42.50 |
$42.50 |
$65.70
|
|
Control nosebleed pack+caut 30905
|
$171.00 |
$171.00 |
$171.00 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$171.50 |
$171.50 |
$171.50 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$320.00 |
$320.00 |
$320.00 |
$355.50
|
|
Control throat bleeding
|
$553.00 |
$553.00 |
$553.00 |
$3,984.00
|
|
Coombs direct
|
$34.00 |
$34.00 |
$34.00 |
$75.00
|
|
Copper intrauterine device
|
$1,563.50 |
$1,563.50 |
$1,563.50 |
$1,953.00
|
|
Cor hlx vlgs double osteot
|
$680.50 |
$680.50 |
$680.50 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$585.00 |
$585.00 |
$585.00 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$583.00 |
$583.00 |
$583.00 |
$4,627.00
|
|
Corneal smear
|
$103.00 |
$103.00 |
$103.00 |
$472.21
|
|
Corneal transplant
|
$1,177.50 |
$1,177.50 |
$1,177.50 |
$6,105.79
|
|
Corneal transplant
|
$1,281.50 |
$1,281.50 |
$1,281.50 |
$5,912.40
|
|
Corneal transplant
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
$6,220.80
|
|
Corneal transplant
|
$1,280.00 |
$1,280.00 |
$1,280.00 |
$5,419.00
|
|
Corneal trnspl endothelial
|
$1,197.00 |
$1,197.00 |
$1,197.00 |
$5,667.08
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$554.50 |
$554.50 |
$554.50 |
$3,839.54
|
|
Correct cock-up 5th toe/plast clos 28286
|
$335.50 |
$335.50 |
$335.50 |
$2,508.80
|
|
Correction eyelid w/implant
|
$509.00 |
$509.00 |
$509.00 |
$3,269.14
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$677.50 |
$677.50 |
$677.50 |
$3,839.54
|
|
Correction of astigmatism
|
$420.00 |
$420.00 |
$420.00 |
$2,240.00
|
|
Correction of everted punctum 68705
|
$171.50 |
$171.50 |
$171.50 |
$878.80
|
|
Correction trichiasis epilation forcep 67820
|
$23.00 |
$23.00 |
$23.00 |
$176.00
|
|
Correction trichiasis inccision lid margin 67830
|
$955.00 |
$955.00 |
$955.00 |
$1,370.74
|
|
Correct malrotation of bowel 44055
|
$1,688.50 |
$1,688.50 |
$1,688.50 |
$2,764.20
|
|
Correct rectal prolapse
|
$4,174.00 |
$4,174.00 |
$4,174.00 |
$3,861.00
|
|
Corrj halux rigdus w/implt
|
$536.50 |
$536.50 |
$536.50 |
$5,886.74
|
|
Corrj halux rigdus without implt
|
$528.50 |
$528.50 |
$528.50 |
$3,839.54
|
|
Cortisol total am
|
$152.00 |
$152.00 |
$152.00 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$45.00 |
$45.00 |
$45.00 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$89.00 |
$89.00 |
$89.00 |
$55.90
|
|
Counseling visit to discuss need for ldct g0296
|
$27.50 |
$27.50 |
$27.50 |
$98.14
|
|
Cover eye w/membrane
|
$44.00 |
$44.00 |
$44.00 |
$2,550.48
|
|
Cover eye w/membrane suture
|
$103.50 |
$103.50 |
$103.50 |
$4,350.00
|
|
#covid19rsv-rsv
|
$114.00 |
$114.00 |
$114.00 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$10.00 |
$10.00 |
$10.00 |
$60.00
|
|
C-peptide
|
$89.50 |
$89.50 |
$89.50 |
$97.30
|
|
Cptrized corneal topography
|
$23.00 |
$23.00 |
$23.00 |
$148.20
|
|
Cptr ophth dx img post segmt
|
$21.50 |
$21.50 |
$21.50 |
$105.00
|
|
C-reactive protein
|
$50.50 |
$50.50 |
$50.50 |
$68.38
|
|
C-reactive protein high sensitivity
|
$74.50 |
$74.50 |
$74.50 |
$85.00
|
|
Creat artery-vein fistula autograft 36825
|
$887.50 |
$887.50 |
$887.50 |
$6,396.89
|
|
Create tear duct drain
|
$3,311.00 |
$3,311.00 |
$3,311.00 |
$4,627.00
|
|
Create tear sac drain
|
$840.50 |
$840.50 |
$840.50 |
$4,121.25
|
|
Creatine kinase
|
$50.00 |
$50.00 |
$50.00 |
$66.30
|
|
Creatine kinase mb
|
$16.50 |
$16.50 |
$16.50 |
$114.00
|
|
Creatine - sendout
|
$88.00 |
$88.00 |
$88.00 |
$39.00
|
|
Creatinine
|
$35.00 |
$35.00 |
$35.00 |
$44.72
|
|
Creatinine 24 hour urine
|
$85.50 |
$85.50 |
$85.50 |
$58.85
|
|
#creutz-prot.,western blot
|
$185.00 |
$185.00 |
$185.00 |
$166.20
|
|
Crisis psychotherapy 90839
|
$161.00 |
$161.00 |
$161.00 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$77.50 |
$77.50 |
$77.50 |
$149.52
|
|
Critical care 30-74 minutes
|
$782.00 |
$782.00 |
$782.00 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$605.00 |
$605.00 |
$605.00 |
$731.40
|
|
Crnec exc tum/bone les skull
|
$1,458.00 |
$1,458.00 |
$1,458.00 |
$2,733.60
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$904.00 |
$904.00 |
$904.00 |
$2,423.75
|
|
Cryofibrinogen qualitative - sendout
|
$112.00 |
$112.00 |
$112.00 |
$52.50
|
|
Cryosurgery penis lesion(s) 54056
|
$118.50 |
$118.50 |
$118.50 |
$272.50
|
|
Crystal identification light microscopy
|
$62.00 |
$62.00 |
$62.00 |
$62.50
|
|
C-Section Delivery (full care)
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
$4,721.40
|
|
C-section delivery incl p/p care 59515
|
$1,509.50 |
$1,509.50 |
$1,509.50 |
$2,577.60
|
|
Cta abdomen without & /or w/contrast
|
$1,715.50 |
$1,715.50 |
$1,715.50 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$134.00 |
$134.00 |
$134.00 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,676.50 |
$1,676.50 |
$1,676.50 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,676.50 |
$1,676.50 |
$1,676.50 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,104.00 |
$2,104.00 |
$2,104.00 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,676.50 |
$1,676.50 |
$1,676.50 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,676.50 |
$1,676.50 |
$1,676.50 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$135.00 |
$135.00 |
$135.00 |
$1,500.38
|
|
CT cerebral perf w cont & prcssng
|
$1,970.00 |
$1,970.00 |
$1,970.00 |
$803.40
|
|
CT guid cryo ablat intramuscular
|
$1,040.88 |
$1,040.88 |
$1,040.88 |
$1,643.20
|
|
CT lower extremity w/contrast (both sides)
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$969.00 |
$969.00 |
$969.00 |
$1,421.85
|
