|
Complx repair enel 1.1-2.5 cm 13151
|
$18,152.10 |
$18,152.10 |
$18,152.10 |
$1,098.35
|
|
Complx repair fccmnaxghf 13132
|
$15,941.34 |
$15,941.34 |
$15,941.34 |
$1,177.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$12,866.88 |
$12,866.88 |
$12,866.88 |
$538.64
|
|
Complx repair trunk addl 5cm/< 13102
|
$14,610.36 |
$14,610.36 |
$14,610.36 |
$555.33
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$6,556.44 |
$6,556.44 |
$6,556.44 |
$1,232.73
|
|
Concentration infection agents any type
|
$33.60 |
$33.60 |
$33.60 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$24,727.88 |
$24,727.88 |
$24,727.88 |
$3,322.20
|
|
Conization/cerv/loop electrode exc 57522
|
$13,973.82 |
$13,973.82 |
$13,973.82 |
$4,451.18
|
|
Conization of cervix
|
$15,099.78 |
$15,099.78 |
$15,099.78 |
$3,762.53
|
|
Conjugated estrogens 25 mg solution for injection
|
$4,409.52 |
$4,409.52 |
$4,409.52 |
$864.99
|
|
Connect omega .5mm
|
$13,119.29 |
$13,119.29 |
$13,119.29 |
$1,348.80
|
|
Connector tis 2x10mm
|
$10,930.47 |
$10,930.47 |
$10,930.47 |
$3,967.08
|
|
Constj trachesophgl fstl
|
$35,194.04 |
$35,194.04 |
$35,194.04 |
$3,837.72
|
|
Consultation pathology during surgery
|
$96.60 |
$96.60 |
$96.60 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$105.60 |
$105.60 |
$105.60 |
$110.40
|
|
Consultation pathology during surgery frozen section first tissue block
|
$252.00 |
$252.00 |
$252.00 |
$222.97
|
|
Consultation/report referred material w/preparation of slides
|
$417.00 |
$417.00 |
$417.00 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$64.20 |
$64.20 |
$64.20 |
$171.65
|
|
Contrast exam abdominl aorta 75625-26
|
$4,732.80 |
$4,732.80 |
$4,732.80 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$4,543.80 |
$4,543.80 |
$4,543.80 |
$3,663.60
|
|
Contrast x-ray of ankle
|
$1,882.20 |
$1,882.20 |
$1,882.20 |
$612.30
|
|
Contrast x-ray of elbow
|
$682.80 |
$682.80 |
$682.80 |
$647.20
|
|
Contrast x-ray of hip
|
$2,671.20 |
$2,671.20 |
$2,671.20 |
$768.00
|
|
Contrast x-ray of knee joint
|
$2,859.60 |
$2,859.60 |
$2,859.60 |
$719.40
|
|
Contrast x-ray of wrist
|
$1,551.00 |
$1,551.00 |
$1,551.00 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$25,275.82 |
$25,275.82 |
$25,275.82 |
$11,939.40
|
|
Controller infinity pt dbs
|
$11,104.09 |
$11,104.09 |
$11,104.09 |
$4,678.20
|
|
Conversion ext bil drg cath
|
$5,451.60 |
$5,451.60 |
$5,451.60 |
$4,176.15
|
|
Coombs direct
|
$199.20 |
$199.20 |
$199.20 |
$72.78
|
|
Coombs indirect qualitative each reagent red cell reference
|
$144.00 |
$144.00 |
$144.00 |
$102.90
|
|
Coombs indirect titer reference
|
$193.20 |
$193.20 |
$193.20 |
$144.30
|
|
Core ndl bx lng/med perq
|
$4,367.40 |
$4,367.40 |
$4,367.40 |
$2,775.00
|
|
Cor hlx vlgs double osteot
|
$94,414.68 |
$94,414.68 |
$94,414.68 |
$5,855.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$28,228.99 |
$28,228.99 |
$28,228.99 |
$4,499.12
|
|
Corneal trnspl endothelial
|
$33,584.94 |
$33,584.94 |
$33,584.94 |
$5,667.08
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$17,675.40 |
$17,675.40 |
$17,675.40 |
$8,280.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$17,815.68 |
$17,815.68 |
$17,815.68 |
$3,969.00
|
|
Correct rectal prolapse
|
$11,288.04 |
$11,288.04 |
$11,288.04 |
$3,861.00
|
|
Corrj halux rigdus without implt
|
$75,663.39 |
$75,663.39 |
$75,663.39 |
$3,839.54
|
|
Cortisol acth stimulation test - sendout
|
$311.40 |
$311.40 |
$311.40 |
$146.25
|
|
Cortisol total am
|
$166.20 |
$166.20 |
$166.20 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$631.50 |
$631.50 |
$631.50 |
$218.95
|
|
Coveredge 32 lead kit 40cm 48
|
$12,186.59 |
$12,186.59 |
$12,186.59 |
$3,657.50
|
|
Covers for upright each
|
$351.65 |
$351.65 |
$351.65 |
$89.98
|
|
Cover wrist
|
$344.58 |
$344.58 |
$344.58 |
$228.06
|
|
Covid-19 lab test non-cdc
|
$122.40 |
$122.40 |
$122.40 |
$68.50
|
|
#covid19rsv-rsv
|
$46.20 |
$46.20 |
$46.20 |
$146.00
|
|
#coxa-coxsackie a serotype a16
|
$180.00 |
$180.00 |
$180.00 |
$60.00
|
|
C-peptide
|
$95.40 |
$95.40 |
$95.40 |
$90.27
|
|
Cranial cervical orthosis
|
$22,094.25 |
$22,094.25 |
$22,094.25 |
$3,450.75
|
|
Crbrospnl fld flw imag cistern
|
$1,177.20 |
$1,177.20 |
$1,177.20 |
$1,175.46
|
|
C-reactive protein
|
$109.80 |
$109.80 |
$109.80 |
$62.40
|
|
C-reactive protein high sensitivity
|
$140.40 |
$140.40 |
$140.40 |
$78.91
|
|
C-reactive protein, quantitative
|
$29.40 |
$29.40 |
$29.40 |
$62.50
|
|
Create eardrum opening
|
$15,587.10 |
$15,587.10 |
$15,587.10 |
$3,062.80
|
|
Creatine kinase
|
$58.80 |
$58.80 |
$58.80 |
$63.00
|
|
Creatine kinase isoenzymes
|
$89.40 |
$89.40 |
$89.40 |
$48.48
|
|
Creatine kinase mb
|
$84.60 |
$84.60 |
$84.60 |
$114.00
|
|
Creatine - sendout
|
$78.60 |
$78.60 |
$78.60 |
$37.10
|
|
Creatinine
|
$27.60 |
$27.60 |
$27.60 |
$44.35
|
|
Creatinine 24 hour urine
|
$52.80 |
$52.80 |
$52.80 |
$55.25
|
|
Creatinine clearance urine
|
$107.40 |
$107.40 |
$107.40 |
$87.50
|
|
#creutz-prot.,western blot
|
$66.00 |
$66.00 |
$66.00 |
$159.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$9,492.90 |
$9,492.90 |
$9,492.90 |
$4,374.26
|
|
Cryofibrinogen qualitative - sendout
|
$30.00 |
$30.00 |
$30.00 |
$52.50
|
|
Cryptococcus abs qn - sendout
|
$98.40 |
$98.40 |
$98.40 |
$80.85
|
|
Cryptosporidium antigen
|
$135.00 |
$135.00 |
$135.00 |
$52.08
|
|
Crystal identification light microscopy
|
$69.60 |
$69.60 |
$69.60 |
$58.50
|
|
Csf leakage imaging
|
$1,303.20 |
$1,303.20 |
$1,303.20 |
$1,497.12
|
|
Cstb gene full gene sequence
|
$694.80 |
$694.80 |
$694.80 |
$288.21
|
|
CT 3d report other modality w/workstation
|
$1,207.20 |
$1,207.20 |
$1,207.20 |
$614.05
|
|
Cta abdomen without & /or w/contrast
|
$2,158.20 |
$2,158.20 |
$2,158.20 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,942.20 |
$1,942.20 |
$1,942.20 |
$1,934.40
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,158.20 |
$2,158.20 |
$2,158.20 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,168.20 |
$1,168.20 |
$1,168.20 |
$1,940.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$2,848.80
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,327.80 |
$1,327.80 |
$1,327.80 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,330.80 |
$1,330.80 |
$1,330.80 |
$2,005.44
|
|
CT angio hrt w/3d image
|
$2,168.40 |
$2,168.40 |
$2,168.40 |
$1,514.10
|
|
CT angio pelvis
|
$2,158.20 |
$2,158.20 |
$2,158.20 |
$1,842.75
|
|
Cta upper extremity w &/or without contrast left
|
$2,158.20 |
$2,158.20 |
$2,158.20 |
$1,697.80
|
|
CT guidance for needle placement
|
$1,948.80 |
$1,948.80 |
$1,948.80 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$1,113.84
|
|
CT guid cryo ablat intramuscular
|
$35,180.03 |
$35,180.03 |
$35,180.03 |
$1,643.20
|
|
CT guid parench tis ablat
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$192.00 |
$192.00 |
$192.00 |
$192.00
|
|
CT hrt w/3d image
|
$524.40 |
$524.40 |
$524.40 |
$1,371.50
|
|
CT limited or localized follow-up study
|
$847.80 |
$847.80 |
$847.80 |
$633.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,897.80 |
$1,897.80 |
$1,897.80 |
$1,585.20
|
|
CT lower extremity without contrast (both sides)
|
$1,636.80 |
$1,636.80 |
$1,636.80 |
$1,398.82
|
|
Ctlso a-p-l control molded
|
$8,053.00 |
$8,053.00 |
$8,053.00 |
$3,381.32
|
|
Ctlso a-p-l control with inter
|
$8,852.45 |
$8,852.45 |
$8,852.45 |
$4,186.78
|
|
Ctlso axilla sling
|
$728.87 |
$728.87 |
$728.87 |
$197.97
|
|
Ctlso milwauke initial model
|
$8,202.76 |
$8,202.76 |
$8,202.76 |
$4,797.91
|
|
CT lwr extremity w/o&w/dye
|
$2,158.20 |
$2,158.20 |
$2,158.20 |
$1,851.60
|
|
CT neck soft tissue w/contrast
|
$1,168.20 |
$1,168.20 |
$1,168.20 |
$1,645.15
|
|
CT neck soft tissue without contrast
|
$1,441.20 |
$1,441.20 |
$1,441.20 |
$1,318.20
|
|
CT neck soft tissue without & w/contrast
|
$1,900.80 |
$1,900.80 |
$1,900.80 |
$1,946.21
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,900.80 |
$1,900.80 |
$1,900.80 |
$1,686.75
|
