|
Cmv pcr-sendout
|
$522.00 |
$522.00 |
$522.00 |
$172.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$60,696.00 |
$60,696.00 |
$60,696.00 |
$5,782.99
|
|
Coagulation time activated teg
|
$58.20 |
$58.20 |
$58.20 |
$52.00
|
|
Cocaine 4 % nasal solution
|
$99.24 |
$99.24 |
$99.24 |
$624.55
|
|
Coch imp ext proc/contr rplc
|
$31,351.55 |
$31,351.55 |
$31,351.55 |
$20,146.35
|
|
Coch implant microphone repl
|
$774.14 |
$774.14 |
$774.14 |
$977.17
|
|
Cold agglutinin titer
|
$58.20 |
$58.20 |
$58.20 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$223.06 |
$223.06 |
$223.06 |
$62.40
|
|
Collar cerv adlt perfit ace extric
|
$149.58 |
$149.58 |
$149.58 |
$60.00
|
|
Collar cerv ascend 172 reg
|
$360.73 |
$360.73 |
$360.73 |
$213.89
|
|
Collar cerv patriot adlt
|
$247.23 |
$247.23 |
$247.23 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$145.80 |
$145.80 |
$145.80 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$145.80 |
$145.80 |
$145.80 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$18.00 |
$18.00 |
$18.00 |
$20.74
|
|
Colonoscopy (diagnostic)
|
$5,863.02 |
$5,863.02 |
$5,863.02 |
$1,899.00
|
|
Colonoscopy w/control bleed
|
$9,683.71 |
$9,683.71 |
$9,683.71 |
$2,019.60
|
|
Colonoscopy (with biopsy)
|
$9,497.94 |
$9,497.94 |
$9,497.94 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$9,037.66 |
$9,037.66 |
$9,037.66 |
$2,288.00
|
|
Colonoscopy w/resection
|
$8,156.48 |
$8,156.48 |
$8,156.48 |
$3,035.44
|
|
Combination bilateral ho
|
$4,575.46 |
$4,575.46 |
$4,575.46 |
$4,575.46
|
|
Compatibility test each unit antiglobulin technique
|
$104.40 |
$104.40 |
$104.40 |
$165.00
|
|
Compatibility test each unit electronic
|
$234.00 |
$234.00 |
$234.00 |
$176.70
|
|
Compatibility test each unit immediate spin technique
|
$93.60 |
$93.60 |
$93.60 |
$169.52
|
|
Complement antigen each component c3
|
$110.40 |
$110.40 |
$110.40 |
$110.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$11,824.80 |
$11,824.80 |
$11,824.80 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$9,099.42 |
$9,099.42 |
$9,099.42 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$1,210.80
|
|
Complx repair enel addl 5cm/< 13153
|
$1,110.60 |
$1,110.60 |
$1,110.60 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$837.00 |
$837.00 |
$837.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$14,995.68 |
$14,995.68 |
$14,995.68 |
$1,145.60
|
|
Complx repair fccmnaxghf 13133
|
$1,110.60 |
$1,110.60 |
$1,110.60 |
$560.49
|
|
Complx repair sal addl 5 cm/> 13122
|
$552.60 |
$552.60 |
$552.60 |
$533.10
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,116.00 |
$1,116.00 |
$1,116.00 |
$1,003.80
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,110.60 |
$1,110.60 |
$1,110.60 |
$547.14
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,183.35 |
$2,183.35 |
$2,183.35 |
$1,350.27
|
|
Concentration infection agents any type
|
$34.20 |
$34.20 |
$34.20 |
$50.00
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$18,356.42 |
$18,356.42 |
$18,356.42 |
$3,322.20
|
|
Conization/cerv/loop electrode exc 57522
|
$15,868.98 |
$15,868.98 |
$15,868.98 |
$4,451.18
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,700.52 |
$1,700.52 |
$1,700.52 |
$871.08
|
|
Connect omega .5mm
|
$7,673.66 |
$7,673.66 |
$7,673.66 |
$1,348.80
|
|
Connector tis 2x10mm
|
$8,114.09 |
$8,114.09 |
$8,114.09 |
$4,243.82
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,356.60 |
$1,356.60 |
$1,356.60 |
$434.60
|
|
Consultation pathology during surgery frozen section each additional block
|
$100.20 |
$100.20 |
$100.20 |
$108.00
|
|
Consultation pathology during surgery frozen section first tissue block
|
$274.80 |
$274.80 |
$274.80 |
$223.86
|
|
Contrast baths charges
|
$64.20 |
$64.20 |
$64.20 |
$71.37
|
|
Contrast exam abdominl aorta 75625-26
|
$3,746.40 |
$3,746.40 |
$3,746.40 |
$3,439.84
|
|
Contrast exam thoracic aorta
|
$3,412.80 |
$3,412.80 |
$3,412.80 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$3,663.60 |
$3,663.60 |
$3,663.60 |
$3,728.24
|
|
Contrast x-ray of ankle
|
$718.20 |
$718.20 |
$718.20 |
$612.30
|
|
Contrast x-ray of brain
|
$1,261.20 |
$1,261.20 |
$1,261.20 |
$956.16
|
|
Contrast x-ray of elbow
|
$743.40 |
$743.40 |
$743.40 |
$647.15
|
|
Contrast x-ray of hip
|
$750.00 |
$750.00 |
$750.00 |
$768.00
|
|
Contrast x-ray of knee joint
|
$840.00 |
$840.00 |
$840.00 |
$740.40
|
|
Contrast x-ray of wrist
|
$592.20 |
$592.20 |
$592.20 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$18,763.18 |
$18,763.18 |
$18,763.18 |
$12,355.20
|
|
Controller infinity pt dbs
|
$6,494.95 |
$6,494.95 |
$6,494.95 |
$4,558.20
|
|
Control nosebleed pack+caut 30905
|
$282.60 |
$282.60 |
$282.60 |
$385.45
|
|
Control of nosebleed ant comp 30903
|
$285.00 |
$285.00 |
$285.00 |
$399.93
|
|
Control of nosebleedantersmpl 30901
|
$283.80 |
$283.80 |
$283.80 |
$342.24
|
|
Conversion ext bil drg cath
|
$4,454.40 |
$4,454.40 |
$4,454.40 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$2,777.60
|
|
Coombs direct
|
$60.60 |
$60.60 |
$60.60 |
$72.80
|
|
Coombs indirect titer reference
|
$159.60 |
$159.60 |
$159.60 |
$143.64
|
|
Copper cu 64 dotatate diag
|
$6,750.00 |
$6,750.00 |
$6,750.00 |
$2,820.66
|
|
Core ndl bx lng/med perq
|
$10,189.56 |
$10,189.56 |
$10,189.56 |
$2,684.50
|
|
Cor hlx vlgs double osteot
|
$53,102.65 |
$53,102.65 |
$53,102.65 |
$5,419.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$51,134.95 |
$51,134.95 |
$51,134.95 |
$4,539.20
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$13,121.10 |
$13,121.10 |
$13,121.10 |
$8,296.28
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$74,461.64 |
$74,461.64 |
$74,461.64 |
$3,839.54
|
|
Cortisol total am
|
$109.80 |
$109.80 |
$109.80 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$361.92 |
$361.92 |
$361.92 |
$191.76
|
|
Co-treatment - group 15 mins, st
|
$193.80 |
$193.80 |
$193.80 |
$108.81
|
|
Coveredge 32 lead kit 40cm 48
|
$8,358.14 |
$8,358.14 |
$8,358.14 |
$3,867.50
|
|
Covers for upright each
|
$89.98 |
$89.98 |
$89.98 |
$89.98
|
|
Cover wrist
|
$88.18 |
$88.18 |
$88.18 |
$225.00
|
|
Covid-19 lab test non-cdc
|
$130.20 |
$130.20 |
$130.20 |
$77.28
|
|
#coxa-coxsackie a serotype a16
|
$31.80 |
$31.80 |
$31.80 |
$60.00
|
|
C-peptide
|
$33.60 |
$33.60 |
$33.60 |
$93.60
|
|
Cptr-asst dir ms px
|
$46,508.40 |
$46,508.40 |
$46,508.40 |
$4,566.83
|
|
Cranial cervical orthosis
|
$16,401.38 |
$16,401.38 |
$16,401.38 |
$16,401.38
|
|
Crbrospnl fld flw imag cistern
|
$1,164.60 |
$1,164.60 |
$1,164.60 |
$1,217.60
|
|
C-reactive protein
|
$61.20 |
$61.20 |
$61.20 |
$63.00
|
|
C-reactive protein high sensitivity
|
$28.80 |
$28.80 |
$28.80 |
$81.00
|
|
Creat artery-vein fistula autograft 36825
|
$13,658.38 |
$13,658.38 |
$13,658.38 |
$6,396.89
|
|
Create eardrum opening
|
$8,370.00 |
$8,370.00 |
$8,370.00 |
$3,062.80
|
|
Creatine kinase
|
$51.60 |
$51.60 |
$51.60 |
$63.00
|
|
Creatine kinase isoenzymes
|
$24.60 |
$24.60 |
$24.60 |
$51.60
|
|
Creatine kinase mb
|
$133.80 |
$133.80 |
$133.80 |
$112.79
|
|
Creatinine
|
$40.20 |
$40.20 |
$40.20 |
$44.64
|
|
Creatinine 24 hour urine
|
$9.00 |
$9.00 |
$9.00 |
$58.85
|
|
Creatinine clearance urine
|
$118.20 |
$118.20 |
$118.20 |
$87.20
|
|
#creutz-prot.,western blot
|
$51.00 |
$51.00 |
$51.00 |
$166.20
|
|
Cryofibrinogen qualitative - sendout
|
$36.00 |
$36.00 |
$36.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$133.80 |
$133.80 |
$133.80 |
$144.78
|
|
Cryopreservation sperm
|
$274.80 |
$274.80 |
$274.80 |
$202.78
|
|
Cryptococcus abs qn - sendout
|
$72.00 |
$72.00 |
$72.00 |
$82.80
|
|
CT 3d report other modality w/workstation
|
$964.80 |
$964.80 |
$964.80 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$2,026.20
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$1,940.00
|
