|
Clsd tx trimall ankle fx without manip 27816
|
$258.00 |
$258.00 |
$258.00 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$342.75 |
$342.75 |
$342.75 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$699.75 |
$699.75 |
$699.75 |
$648.34
|
|
Clsd tx wrist carpal fx without manip 25630
|
$336.75 |
$336.75 |
$336.75 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$408.75 |
$408.75 |
$408.75 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$315.75 |
$315.75 |
$315.75 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$342.75 |
$342.75 |
$342.75 |
$487.15
|
|
Cltx hum epcndylr fx wo mnpj
|
$486.00 |
$486.00 |
$486.00 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,678.50 |
$1,678.50 |
$1,678.50 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$502.50 |
$502.50 |
$502.50 |
$535.60
|
|
Cltx mndblr fx ntrdntl fixj
|
$5,440.50 |
$5,440.50 |
$5,440.50 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$3,328.50 |
$3,328.50 |
$3,328.50 |
$3,986.00
|
|
Cltx palatal/max fx wire fix
|
$3,162.00 |
$3,162.00 |
$3,162.00 |
$4,377.24
|
|
Cltx post ankle fx
|
$309.00 |
$309.00 |
$309.00 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$424.50 |
$424.50 |
$424.50 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,678.50 |
$1,678.50 |
$1,678.50 |
$2,021.04
|
|
Cmptr ophth dx img ant segmt
|
$117.00 |
$117.00 |
$117.00 |
$83.20
|
|
Cmptr ophth img optic nerve
|
$97.50 |
$97.50 |
$97.50 |
$98.00
|
|
#cms hgb-sulfhemoglobin
|
$132.75 |
$132.75 |
$132.75 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$60.75 |
$60.75 |
$60.75 |
$89.76
|
|
Cmv pcr-sendout
|
$557.25 |
$557.25 |
$557.25 |
$175.70
|
|
Cnbp gene detc abnor allele
|
$2,587.50 |
$2,587.50 |
$2,587.50 |
$313.60
|
|
Co2 monitor per day
|
$312.00 |
$312.00 |
$312.00 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$16,994.46 |
$16,994.46 |
$16,994.46 |
$11,888.50
|
|
Coagulation time activated teg
|
$22.50 |
$22.50 |
$22.50 |
$52.47
|
|
Coch implant tran cable repl
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$193.52
|
|
Cold agglutinin titer
|
$132.75 |
$132.75 |
$132.75 |
$52.00
|
|
Colistimethate sodium inj
|
$39.42 |
$39.42 |
$39.42 |
$82.71
|
|
Collagenase, clost hist inj
|
$26,281.91 |
$26,281.91 |
$26,281.91 |
$12,906.28
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$281.25 |
$281.25 |
$281.25 |
$303.73
|
|
Collar cerv adlt perfit ace extric
|
$29.25 |
$29.25 |
$29.25 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$318.51 |
$318.51 |
$318.51 |
$224.11
|
|
Collection blood specimen from completely implantable venous access device
|
$72.75 |
$72.75 |
$72.75 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$98.25 |
$98.25 |
$98.25 |
$155.40
|
|
Collj & interpj data ea 30 d
|
$162.00 |
$162.00 |
$162.00 |
$172.35
|
|
Colonoscopy (diagnostic)
|
$2,074.50 |
$2,074.50 |
$2,074.50 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,537.25 |
$2,537.25 |
$2,537.25 |
$2,288.00
|
|
Colonoscopy stoma w/snare 44394
|
$1,095.75 |
$1,095.75 |
$1,095.75 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$1,724.25 |
$1,724.25 |
$1,724.25 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$849.75 |
$849.75 |
$849.75 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$2,571.00 |
$2,571.00 |
$2,571.00 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$1,306.50 |
$1,306.50 |
$1,306.50 |
$1,681.30
|
|
Colonoscopy w/control bleed
|
$2,262.00 |
$2,262.00 |
$2,262.00 |
$2,101.71
|
|
Colonoscopy w/endoscope Ultrasound
|
$3,018.75 |
$3,018.75 |
$3,018.75 |
$2,288.00
|
|
Colonoscopy w/endoscopic fnb
|
$3,018.75 |
$3,018.75 |
$3,018.75 |
$2,004.81
|
|
Colonoscopy/w endoscopic stent 45389
|
$2,354.25 |
$2,354.25 |
$2,354.25 |
$3,571.80
|
|
Colonoscopy with ablation
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$2,074.50 |
$2,074.50 |
$2,074.50 |
$2,214.00
|
|
Colonoscopy (with polyp removal)
|
$2,074.50 |
$2,074.50 |
$2,074.50 |
$2,288.00
|
|
Colonoscopy w/resection
|
$2,608.50 |
$2,608.50 |
$2,608.50 |
$3,035.44
|
|
Colposcopy vulva 56820
|
$435.00 |
$435.00 |
$435.00 |
$333.20
|
|
Compatibility test each unit antiglobulin technique
|
$119.25 |
$119.25 |
$119.25 |
$173.50
|
|
Compatibility test each unit electronic
|
$75.75 |
$75.75 |
$75.75 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$69.00 |
$69.00 |
$69.00 |
$169.52
|
|
Complement antigen each component c3
|
$470.25 |
$470.25 |
$470.25 |
$110.00
|
|
Complex cystometrogram 51726
|
$239.25 |
$239.25 |
$239.25 |
$727.35
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$2,929.50 |
$2,929.50 |
$2,929.50 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$3,009.75 |
$3,009.75 |
$3,009.75 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$392.25 |
$392.25 |
$392.25 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$633.00 |
$633.00 |
$633.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,174.50 |
$1,174.50 |
$1,174.50 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$282.00 |
$282.00 |
$282.00 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,965.75 |
$1,965.75 |
$1,965.75 |
$508.44
|
|
Computed tomographic angiography head and neck with contrast
|
$1,781.25 |
$1,781.25 |
$1,781.25 |
$2,247.00
|
|
Concentration infection agents any type
|
$38.25 |
$38.25 |
$38.25 |
$51.32
|
|
Conditioning play audiometry 92582
|
$123.00 |
$123.00 |
$123.00 |
$189.15
|
|
Condylomata destruction 56420
|
$727.50 |
$727.50 |
$727.50 |
$467.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,291.95 |
$1,291.95 |
$1,291.95 |
$860.00
|
|
Connect omega .5mm
|
$1,185.42 |
$1,185.42 |
$1,185.42 |
$1,260.00
|
|
Connector tis 2x10mm
|
$7,960.44 |
$7,960.44 |
$7,960.44 |
$4,024.34
|
|
Consultation pathology during surgery
|
$131.25 |
$131.25 |
$131.25 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$156.00 |
$156.00 |
$156.00 |
$430.00
|
|
Consultation pathology during surgery frozen section first tissue block
|
$175.50 |
$175.50 |
$175.50 |
$226.50
|
|
Contrast exam abdominl aorta 75625-26
|
$4,356.00 |
$4,356.00 |
$4,356.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$4,972.50 |
$4,972.50 |
$4,972.50 |
$3,745.00
|
|
Contrast x-ray of hip
|
$1,169.25 |
$1,169.25 |
$1,169.25 |
$796.38
|
|
Contrast x-ray of knee joint
|
$919.50 |
$919.50 |
$919.50 |
$790.50
|
|
Contrast x-ray of wrist
|
$417.75 |
$417.75 |
$417.75 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$13,218.75 |
$13,218.75 |
$13,218.75 |
$12,355.20
|
|
Controller infinity pt dbs
|
$10,901.25 |
$10,901.25 |
$10,901.25 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$113.25 |
$113.25 |
$113.25 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$288.00 |
$288.00 |
$288.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$268.50 |
$268.50 |
$268.50 |
$352.80
|
|
Conversion ext bil drg cath
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$2,777.60
|
|
Coombs direct
|
$111.00 |
$111.00 |
$111.00 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$9.00 |
$9.00 |
$9.00 |
$107.25
|
|
Coombs indirect titer reference
|
$179.25 |
$179.25 |
$179.25 |
$156.71
|
|
Copper intrauterine device
|
$4,211.46 |
$4,211.46 |
$4,211.46 |
$1,953.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$9,900.00 |
$9,900.00 |
$9,900.00 |
$7,849.80
|
|
Cortisol acth stimulation test - sendout
|
$63.75 |
$63.75 |
$63.75 |
$146.25
|
|
Cortisol total am
|
$182.25 |
$182.25 |
$182.25 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$296.55 |
$296.55 |
$296.55 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$115.50 |
$115.50 |
$115.50 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$134.25 |
$134.25 |
$134.25 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$8,100.00 |
$8,100.00 |
$8,100.00 |
$4,180.79
|
|
#covid19rsv-rsv
|
$84.00 |
$84.00 |
$84.00 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$219.75 |
$219.75 |
$219.75 |
$60.00
|
