|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$4,445.35 |
$4,445.35 |
$4,445.35 |
$1,395.28
|
|
Colonoscopy stoma w/snare 44394
|
$3,941.60 |
$3,941.60 |
$3,941.60 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$3,680.30 |
$3,680.30 |
$3,680.30 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$3,391.70 |
$3,391.70 |
$3,391.70 |
$1,278.72
|
|
Colonoscopy w/ablation
|
$3,763.50 |
$3,763.50 |
$3,763.50 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$4,013.10 |
$4,013.10 |
$4,013.10 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$3,718.00 |
$3,718.00 |
$3,718.00 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$3,741.40 |
$3,741.40 |
$3,741.40 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$3,901.30 |
$3,901.30 |
$3,901.30 |
$1,278.72
|
|
Colonoscopy w/dilation
|
$4,013.10 |
$4,013.10 |
$4,013.10 |
$2,448.60
|
|
Colonoscopy w/endoscope Ultrasound
|
$3,680.30 |
$3,680.30 |
$3,680.30 |
$2,138.50
|
|
Colonoscopy/w endoscopic stent 45389
|
$4,437.55 |
$4,437.55 |
$4,437.55 |
$4,379.25
|
|
Colonoscopy w/fb removal
|
$4,271.80 |
$4,271.80 |
$4,271.80 |
$1,395.28
|
|
Colonoscopy w/injection
|
$3,613.35 |
$3,613.35 |
$3,613.35 |
$2,353.00
|
|
Colonoscopy with ablation
|
$4,013.10 |
$4,013.10 |
$4,013.10 |
$2,495.25
|
|
Colonoscopy (with biopsy)
|
$3,974.10 |
$3,974.10 |
$3,974.10 |
$2,512.42
|
|
Colonoscopy with biopsy
|
$4,102.80 |
$4,102.80 |
$4,102.80 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$4,124.90 |
$4,124.90 |
$4,124.90 |
$2,205.33
|
|
Colonoscopy w/resection
|
$4,547.40 |
$4,547.40 |
$4,547.40 |
$3,252.60
|
|
Colonoscopy w/stent plcmt
|
$4,445.35 |
$4,445.35 |
$4,445.35 |
$4,445.35
|
|
Colonoscopy w/ultrasound
|
$4,019.60 |
$4,019.60 |
$4,019.60 |
$2,495.25
|
|
Compatibility test each unit antiglobulin technique
|
$102.05 |
$102.05 |
$102.05 |
$173.25
|
|
Compatibility test each unit electronic
|
$79.30 |
$79.30 |
$79.30 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$127.40 |
$127.40 |
$127.40 |
$169.52
|
|
Compatibility test incubate
|
$17.55 |
$17.55 |
$17.55 |
$143.65
|
|
Complement antigen each component c3
|
$234.00 |
$234.00 |
$234.00 |
$111.15
|
|
Complement fixation each
|
$176.80 |
$176.80 |
$176.80 |
$24.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,448.54 |
$1,448.54 |
$1,448.54 |
$1,051.20
|
|
Concentration infection agents any type
|
$121.55 |
$121.55 |
$121.55 |
$51.32
|
|
Condylomata destruction 56420
|
$312.00 |
$312.00 |
$312.00 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,157.42 |
$1,157.42 |
$1,157.42 |
$986.92
|
|
Consultation pathology during surgery
|
$157.95 |
$157.95 |
$157.95 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$241.15 |
$241.15 |
$241.15 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$290.55 |
$290.55 |
$290.55 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$512.20 |
$512.20 |
$512.20 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$390.00 |
$390.00 |
$390.00 |
$239.85
|
|
Consult comp w/report rfrd material
|
$171.60 |
$171.60 |
$171.60 |
$359.87
|
|
Contrast baths charges
|
$160.55 |
$160.55 |
$160.55 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$6,102.20 |
$6,102.20 |
$6,102.20 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$4,227.60 |
$4,227.60 |
$4,227.60 |
$4,178.00
|
|
Contrast x-ray of ankle
|
$1,502.80 |
$1,502.80 |
$1,502.80 |
$602.40
|
|
Contrast x-ray of elbow
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$637.14
|
|
Contrast x-ray of hip
|
$1,635.40 |
$1,635.40 |
$1,635.40 |
$768.00
|
|
Contrast x-ray of knee joint
|
$2,050.10 |
$2,050.10 |
$2,050.10 |
$683.20
|
|
Contrast x-ray of wrist
|
$1,963.00 |
$1,963.00 |
$1,963.00 |
$623.50
|
|
Controller infinity pt dbs
|
$3,246.17 |
$3,246.17 |
$3,246.17 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$763.10 |
$763.10 |
$763.10 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$852.80 |
$852.80 |
$852.80 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$585.00 |
$585.00 |
$585.00 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$292.50 |
$292.50 |
$292.50 |
$618.80
|
|
Conversion ext bil drg cath
|
$3,422.25 |
$3,422.25 |
$3,422.25 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$6,381.70 |
$6,381.70 |
$6,381.70 |
$3,569.60
|
|
Coombs direct
|
$92.30 |
$92.30 |
$92.30 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$57.85 |
$57.85 |
$57.85 |
$94.90
|
|
Coombs indirect titer reference
|
$389.35 |
$389.35 |
$389.35 |
$146.00
|
|
Copper intrauterine device
|
$2,283.16 |
$2,283.16 |
$2,283.16 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$5,626.40 |
$5,626.40 |
$5,626.40 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$11,986.00 |
$11,986.00 |
$11,986.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$11,326.90 |
$11,326.90 |
$11,326.90 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$12,472.85 |
$12,472.85 |
$12,472.85 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$11,179.35 |
$11,179.35 |
$11,179.35 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,189.70 |
$9,189.70 |
$9,189.70 |
$7,769.30
|
|
Cortisol acth stimulation test - sendout
|
$198.25 |
$198.25 |
$198.25 |
$123.73
|
|
Cortisol total am
|
$89.05 |
$89.05 |
$89.05 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$125.69 |
$125.69 |
$125.69 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$159.90 |
$159.90 |
$159.90 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$22.75 |
$22.75 |
$22.75 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$361.39 |
$361.39 |
$361.39 |
$3,151.80
|
|
Cover wrist
|
$686.83 |
$686.83 |
$686.83 |
$308.82
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$877.50 |
$877.50 |
$877.50 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$877.50 |
$877.50 |
$877.50 |
$533.10
|
|
#covid19rsv-rsv
|
$141.05 |
$141.05 |
$141.05 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$197.60 |
$197.60 |
$197.60 |
$65.36
|
|
C-peptide
|
$29.90 |
$29.90 |
$29.90 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$910.65 |
$910.65 |
$910.65 |
$1,466.97
|
|
C-reactive protein
|
$34.45 |
$34.45 |
$34.45 |
$63.00
|
|
C-reactive protein high sensitivity
|
$29.90 |
$29.90 |
$29.90 |
$91.65
|
|
C-reactive protein, quantitative
|
$165.10 |
$165.10 |
$165.10 |
$62.50
|
|
Creatine kinase
|
$37.05 |
$37.05 |
$37.05 |
$59.78
|
|
Creatine kinase isoenzymes
|
$46.80 |
$46.80 |
$46.80 |
$46.34
|
|
Creatine kinase mb
|
$38.35 |
$38.35 |
$38.35 |
$111.00
|
|
Creatine - sendout
|
$40.30 |
$40.30 |
$40.30 |
$39.00
|
|
Creatinine
|
$6.50 |
$6.50 |
$6.50 |
$44.10
|
|
Creatinine 24 hour urine
|
$31.85 |
$31.85 |
$31.85 |
$59.80
|
|
Creatinine clearance urine
|
$27.95 |
$27.95 |
$27.95 |
$87.50
|
|
#creutz-prot.,western blot
|
$300.30 |
$300.30 |
$300.30 |
$173.00
|
|
Critical care 30-74 minutes
|
$1,744.60 |
$1,744.60 |
$1,744.60 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$329.55 |
$329.55 |
$329.55 |
$777.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$4,749.55 |
$4,749.55 |
$4,749.55 |
$2,649.05
|
|
Crutches underarm other than wood adjustable or e0114
|
$75.20 |
$75.20 |
$75.20 |
$72.70
|
|
Cryo fib comp path redu each
|
$0.65 |
$0.65 |
$0.65 |
$369.51
|
|
Cryofibrinogen qualitative - sendout
|
$70.20 |
$70.20 |
$70.20 |
$50.88
|
|
Cryoprecipitate each unit
|
$212.55 |
$212.55 |
$212.55 |
$185.64
|
|
Crystal identification light microscopy
|
$152.10 |
$152.10 |
$152.10 |
$65.25
|
|
Csf leakage imaging
|
$2,250.30 |
$2,250.30 |
$2,250.30 |
$1,446.24
|
|
Csf shunt reprogram 62252
|
$176.15 |
$176.15 |
$176.15 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$322.40 |
$322.40 |
$322.40 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,733.25 |
$2,733.25 |
$2,733.25 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,771.60 |
$2,771.60 |
$2,771.60 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,189.90 |
$4,189.90 |
$4,189.90 |
$2,075.53
|
