|
Complx repair enel addl 5cm/< 13153
|
$966.60 |
$966.60 |
$966.60 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$367.20 |
$367.20 |
$367.20 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$412.20 |
$412.20 |
$412.20 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$96.00 |
$96.00 |
$96.00 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$325.80 |
$325.80 |
$325.80 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$636.60 |
$636.60 |
$636.60 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,536.99 |
$2,536.99 |
$2,536.99 |
$1,350.27
|
|
Concentration infection agents any type
|
$100.80 |
$100.80 |
$100.80 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$21,329.57 |
$21,329.57 |
$21,329.57 |
$3,322.20
|
|
Condylomata destruction 56420
|
$366.00 |
$366.00 |
$366.00 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$7,463.16 |
$7,463.16 |
$7,463.16 |
$4,840.07
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,413.30 |
$1,413.30 |
$1,413.30 |
$871.08
|
|
Connect omega .5mm
|
$9,675.30 |
$9,675.30 |
$9,675.30 |
$1,260.00
|
|
Connector tis 2x10mm
|
$9,428.31 |
$9,428.31 |
$9,428.31 |
$4,091.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$943.80 |
$943.80 |
$943.80 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$142.20 |
$142.20 |
$142.20 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$333.00 |
$333.00 |
$333.00 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$156.00 |
$156.00 |
$156.00 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$190.80 |
$190.80 |
$190.80 |
$171.65
|
|
Contrast exam abdominl aorta 75625-26
|
$4,643.40 |
$4,643.40 |
$4,643.40 |
$3,458.54
|
|
Contrast x-ray of hip
|
$2,263.20 |
$2,263.20 |
$2,263.20 |
$771.12
|
|
Contrast x-ray of knee joint
|
$2,350.80 |
$2,350.80 |
$2,350.80 |
$769.88
|
|
Controler lvad heartmate 3 includes ebb
|
$21,802.21 |
$21,802.21 |
$21,802.21 |
$13,218.75
|
|
Controller infinity pt dbs
|
$7,546.92 |
$7,546.92 |
$7,546.92 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$235.20 |
$235.20 |
$235.20 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$289.20 |
$289.20 |
$289.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$233.40 |
$233.40 |
$233.40 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$671.40 |
$671.40 |
$671.40 |
$634.80
|
|
Control throat bleeding
|
$4,940.40 |
$4,940.40 |
$4,940.40 |
$3,984.00
|
|
Convert nephrostomy catheter
|
$6,982.80 |
$6,982.80 |
$6,982.80 |
$2,777.60
|
|
Coombs direct
|
$49.80 |
$49.80 |
$49.80 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$256.80 |
$256.80 |
$256.80 |
$102.90
|
|
Coombs indirect titer reference
|
$273.60 |
$273.60 |
$273.60 |
$146.40
|
|
Core ndl bx lng/med perq
|
$2,775.00 |
$2,775.00 |
$2,775.00 |
$2,678.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$15,246.30 |
$15,246.30 |
$15,246.30 |
$8,272.50
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$11,545.80 |
$11,545.80 |
$11,545.80 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$22,759.20 |
$22,759.20 |
$22,759.20 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$23,158.80 |
$23,158.80 |
$23,158.80 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$14,844.60 |
$14,844.60 |
$14,844.60 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,391.40 |
$10,391.40 |
$10,391.40 |
$7,914.00
|
|
Cortisol total am
|
$95.40 |
$95.40 |
$95.40 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$300.78 |
$300.78 |
$300.78 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$67.80 |
$67.80 |
$67.80 |
$110.00
|
|
Counseling visit to discuss need for ldct g0296
|
$139.80 |
$139.80 |
$139.80 |
$98.14
|
|
Coveredge 32 lead kit 40cm 48
|
$9,711.89 |
$9,711.89 |
$9,711.89 |
$3,908.16
|
|
Covers for upright each
|
$201.96 |
$201.96 |
$201.96 |
$89.98
|
|
Cover wrist
|
$197.90 |
$197.90 |
$197.90 |
$225.00
|
|
Covid-19 lab test non-cdc
|
$122.40 |
$122.40 |
$122.40 |
$80.50
|
|
#coxa-coxsackie a serotype a16
|
$127.80 |
$127.80 |
$127.80 |
$60.00
|
|
C-peptide
|
$97.80 |
$97.80 |
$97.80 |
$97.30
|
|
Cranial cervical orthosis
|
$19,057.88 |
$19,057.88 |
$19,057.88 |
$11,130.00
|
|
C-reactive protein
|
$75.60 |
$75.60 |
$75.60 |
$68.38
|
|
C-reactive protein high sensitivity
|
$114.60 |
$114.60 |
$114.60 |
$85.00
|
|
C-reactive protein, quantitative
|
$36.00 |
$36.00 |
$36.00 |
$71.06
|
|
Creatine kinase
|
$131.40 |
$131.40 |
$131.40 |
$66.30
|
|
Creatine kinase isoenzymes
|
$159.60 |
$159.60 |
$159.60 |
$56.80
|
|
Creatine kinase mb
|
$97.80 |
$97.80 |
$97.80 |
$114.00
|
|
Creatine - sendout
|
$127.20 |
$127.20 |
$127.20 |
$39.00
|
|
Creatinine
|
$40.80 |
$40.80 |
$40.80 |
$44.72
|
|
Creatinine 24 hour urine
|
$33.60 |
$33.60 |
$33.60 |
$58.85
|
|
Creatinine clearance urine
|
$96.00 |
$96.00 |
$96.00 |
$89.50
|
|
#creutz-prot.,western blot
|
$408.60 |
$408.60 |
$408.60 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$398.40 |
$398.40 |
$398.40 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$44.40 |
$44.40 |
$44.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$436.80 |
$436.80 |
$436.80 |
$144.78
|
|
Cryptosporidium antigen
|
$115.20 |
$115.20 |
$115.20 |
$52.08
|
|
Crystal identification light microscopy
|
$37.80 |
$37.80 |
$37.80 |
$62.50
|
|
Cstb gene full gene sequence
|
$694.80 |
$694.80 |
$694.80 |
$302.31
|
|
CT 3d report other modality w/workstation
|
$658.20 |
$658.20 |
$658.20 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,749.00 |
$4,749.00 |
$4,749.00 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$1,996.80
|
|
CT angio pelvis
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,698.00
|
|
CT guidance for needle placement
|
$726.00 |
$726.00 |
$726.00 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$1,178.52
|
|
CT limited or localized follow-up study
|
$366.00 |
$366.00 |
$366.00 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,239.60 |
$1,239.60 |
$1,239.60 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$1,421.85
|
|
Ctlso a-p-l control molded
|
$5,473.24 |
$5,473.24 |
$5,473.24 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$6,016.58 |
$6,016.58 |
$6,016.58 |
$4,186.78
|
|
Ctlso axilla sling
|
$412.27 |
$412.27 |
$412.27 |
$197.97
|
|
Ctlso milwauke initial model
|
$5,575.03 |
$5,575.03 |
$5,575.03 |
$4,797.91
|
|
CT lwr extremity w/o&w/dye
|
$2,523.60 |
$2,523.60 |
$2,523.60 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,871.40 |
$1,871.40 |
$1,871.40 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$992.40 |
$992.40 |
$992.40 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,232.60 |
$2,232.60 |
$2,232.60 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$861.60 |
$861.60 |
$861.60 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$805.20 |
$805.20 |
$805.20 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$405.60 |
$405.60 |
$405.60 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,982.00 |
$2,982.00 |
$2,982.00 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,203.20 |
$5,203.20 |
$5,203.20 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,494.60 |
$4,494.60 |
$4,494.60 |
$2,370.63
|
