|
#cms hgb-sulfhemoglobin
|
$69.55 |
$69.55 |
$69.55 |
$53.30
|
|
#cmvcul-virus inoculation shell
|
$39.00 |
$39.00 |
$39.00 |
$102.57
|
|
Cmv pcr-sendout
|
$117.00 |
$117.00 |
$117.00 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$37,386.76 |
$37,386.76 |
$37,386.76 |
$2,950.68
|
|
Coagulation time activated teg
|
$304.85 |
$304.85 |
$304.85 |
$50.05
|
|
Cold agglutinin titer
|
$81.90 |
$81.90 |
$81.90 |
$48.57
|
|
Colistimethate sodium inj
|
$54.54 |
$54.54 |
$54.54 |
$84.60
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$131.11 |
$131.11 |
$131.11 |
$66.69
|
|
Collar cerv ascend 172 reg
|
$250.91 |
$250.91 |
$250.91 |
$241.88
|
|
Collar cerv patriot adlt
|
$232.27 |
$232.27 |
$232.27 |
$153.57
|
|
Collar extrication adult univ
|
$1,275.83 |
$1,275.83 |
$1,275.83 |
$567.53
|
|
Collection blood specimen from completely implantable venous access device
|
$443.30 |
$443.30 |
$443.30 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$102.05 |
$102.05 |
$102.05 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$11.70 |
$11.70 |
$11.70 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$2,875.60 |
$2,875.60 |
$2,875.60 |
$1,612.62
|
|
Colonoscopy flex with decompression 45393
|
$3,300.05 |
$3,300.05 |
$3,300.05 |
$1,645.43
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,049.80 |
$3,049.80 |
$3,049.80 |
$1,904.00
|
|
Colonoscopy for bleeding 44391
|
$3,024.45 |
$3,024.45 |
$3,024.45 |
$1,658.40
|
|
Colonoscopy for foreign body
|
$3,179.15 |
$3,179.15 |
$3,179.15 |
$1,278.72
|
|
Colonoscopy & polypectomy 44392
|
$3,026.40 |
$3,026.40 |
$3,026.40 |
$1,395.28
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$3,464.50 |
$3,464.50 |
$3,464.50 |
$1,395.28
|
|
Colonoscopy stoma w/snare 44394
|
$3,210.35 |
$3,210.35 |
$3,210.35 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$2,962.70 |
$2,962.70 |
$2,962.70 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$2,728.70 |
$2,728.70 |
$2,728.70 |
$1,278.72
|
|
Colonoscopy w/ablation
|
$3,029.00 |
$3,029.00 |
$3,029.00 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$3,268.85 |
$3,268.85 |
$3,268.85 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$3,029.65 |
$3,029.65 |
$3,029.65 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$3,011.45 |
$3,011.45 |
$3,011.45 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$3,179.15 |
$3,179.15 |
$3,179.15 |
$1,278.72
|
|
Colonoscopy w/dilation
|
$3,268.85 |
$3,268.85 |
$3,268.85 |
$2,448.60
|
|
Colonoscopy w/endoscope Ultrasound
|
$2,962.70 |
$2,962.70 |
$2,962.70 |
$2,138.50
|
|
Colonoscopy/w endoscopic stent 45389
|
$3,439.15 |
$3,439.15 |
$3,439.15 |
$4,379.25
|
|
Colonoscopy w/fb removal
|
$3,439.15 |
$3,439.15 |
$3,439.15 |
$1,395.28
|
|
Colonoscopy w/injection
|
$2,941.90 |
$2,941.90 |
$2,941.90 |
$2,353.00
|
|
Colonoscopy with ablation
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$2,495.25
|
|
Colonoscopy (with biopsy)
|
$3,198.65 |
$3,198.65 |
$3,198.65 |
$2,512.42
|
|
Colonoscopy with biopsy
|
$3,302.65 |
$3,302.65 |
$3,302.65 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$3,320.85 |
$3,320.85 |
$3,320.85 |
$2,205.33
|
|
Colonoscopy w/resection
|
$3,439.15 |
$3,439.15 |
$3,439.15 |
$3,252.60
|
|
Colonoscopy w/stent plcmt
|
$3,646.50 |
$3,646.50 |
$3,646.50 |
$4,445.35
|
|
Colonoscopy w/ultrasound
|
$3,320.85 |
$3,320.85 |
$3,320.85 |
$2,495.25
|
|
Compatibility test each unit antiglobulin technique
|
$101.40 |
$101.40 |
$101.40 |
$173.25
|
|
Compatibility test each unit electronic
|
$114.40 |
$114.40 |
$114.40 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$111.80 |
$111.80 |
$111.80 |
$169.52
|
|
Compatibility test incubate
|
$114.40 |
$114.40 |
$114.40 |
$143.65
|
|
Complement antigen each component c3
|
$148.20 |
$148.20 |
$148.20 |
$111.15
|
|
Complement fixation each
|
$198.25 |
$198.25 |
$198.25 |
$24.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,430.23 |
$1,430.23 |
$1,430.23 |
$1,051.20
|
|
Concentration infection agents any type
|
$133.90 |
$133.90 |
$133.90 |
$51.32
|
|
Condylomata destruction 56420
|
$397.15 |
$397.15 |
$397.15 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,157.42 |
$1,157.42 |
$1,157.42 |
$986.92
|
|
Connect omega .5mm
|
$899.04 |
$899.04 |
$899.04 |
$1,069.43
|
|
Consultation pathology during surgery
|
$137.80 |
$137.80 |
$137.80 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$501.80 |
$501.80 |
$501.80 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$252.20 |
$252.20 |
$252.20 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$445.25 |
$445.25 |
$445.25 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$390.00 |
$390.00 |
$390.00 |
$239.85
|
|
Consult comp w/report rfrd material
|
$148.85 |
$148.85 |
$148.85 |
$359.87
|
|
Contrast baths charges
|
$94.90 |
$94.90 |
$94.90 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$5,464.55 |
$5,464.55 |
$5,464.55 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$5,382.00 |
$5,382.00 |
$5,382.00 |
$4,178.00
|
|
Contrast x-ray of ankle
|
$1,261.00 |
$1,261.00 |
$1,261.00 |
$602.40
|
|
Contrast x-ray of elbow
|
$3,247.40 |
$3,247.40 |
$3,247.40 |
$637.14
|
|
Contrast x-ray of hip
|
$3,034.20 |
$3,034.20 |
$3,034.20 |
$768.00
|
|
Contrast x-ray of knee joint
|
$1,804.40 |
$1,804.40 |
$1,804.40 |
$683.20
|
|
Contrast x-ray of wrist
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$11,316.09 |
$11,316.09 |
$11,316.09 |
$11,518.85
|
|
Controller infinity pt dbs
|
$2,060.32 |
$2,060.32 |
$2,060.32 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$968.50 |
$968.50 |
$968.50 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,082.90 |
$1,082.90 |
$1,082.90 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$629.20 |
$629.20 |
$629.20 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$371.80 |
$371.80 |
$371.80 |
$618.80
|
|
Conversion ext bil drg cath
|
$5,601.05 |
$5,601.05 |
$5,601.05 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$10,280.40 |
$10,280.40 |
$10,280.40 |
$3,569.60
|
|
Coombs direct
|
$100.10 |
$100.10 |
$100.10 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$114.40 |
$114.40 |
$114.40 |
$94.90
|
|
Coombs indirect titer reference
|
$336.05 |
$336.05 |
$336.05 |
$146.00
|
|
Copper cu 64 dotatate diag
|
$1,882.76 |
$1,882.76 |
$1,882.76 |
$2,083.80
|
|
Core ndl bx lng/med perq
|
$2,678.00 |
$2,678.00 |
$2,678.00 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$10,966.15 |
$10,966.15 |
$10,966.15 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$10,364.90 |
$10,364.90 |
$10,364.90 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$11,408.80 |
$11,408.80 |
$11,408.80 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$10,227.10 |
$10,227.10 |
$10,227.10 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$8,407.10 |
$8,407.10 |
$8,407.10 |
$7,769.30
|
|
Cortisol acth stimulation test - sendout
|
$323.05 |
$323.05 |
$323.05 |
$123.73
|
|
Cortisol total am
|
$93.60 |
$93.60 |
$93.60 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$85.19 |
$85.19 |
$85.19 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$107.90 |
$107.90 |
$107.90 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$24.70 |
$24.70 |
$24.70 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$1,426.61 |
$1,426.61 |
$1,426.61 |
$3,151.80
|
|
Cover wrist
|
$682.84 |
$682.84 |
$682.84 |
$308.82
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$807.30 |
$807.30 |
$807.30 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$807.30 |
$807.30 |
$807.30 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$201.50 |
$201.50 |
$201.50 |
$56.44
|
|
#covid19rsv-rsv
|
$145.60 |
$145.60 |
$145.60 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$222.95 |
$222.95 |
$222.95 |
$65.36
|
|
C-peptide
|
$38.35 |
$38.35 |
$38.35 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$794.30 |
$794.30 |
$794.30 |
$1,466.97
|
|
C-reactive protein
|
$42.25 |
$42.25 |
$42.25 |
$63.00
|
|
C-reactive protein high sensitivity
|
$33.80 |
$33.80 |
$33.80 |
$91.65
|