|
Colposcopy/cervix/bx vagina/cervix 57421
|
$19,877.52 |
$19,877.52 |
$19,877.52 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$42,181.13 |
$42,181.13 |
$42,181.13 |
$3,744.41
|
|
Colposcopy vulva 56820
|
$13,387.32 |
$13,387.32 |
$13,387.32 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$15,535.56 |
$15,535.56 |
$15,535.56 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$17,117.16 |
$17,117.16 |
$17,117.16 |
$502.80
|
|
Combination bilateral ho
|
$5,265.07 |
$5,265.07 |
$5,265.07 |
$4,575.46
|
|
Compatibility test each unit antiglobulin technique
|
$360.00 |
$360.00 |
$360.00 |
$170.05
|
|
Compatibility test each unit electronic
|
$268.80 |
$268.80 |
$268.80 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$287.40 |
$287.40 |
$287.40 |
$169.52
|
|
Compatibility test incubate
|
$273.60 |
$273.60 |
$273.60 |
$155.40
|
|
Comp cystometrogram/void presssure 51728
|
$78,854.53 |
$78,854.53 |
$78,854.53 |
$958.81
|
|
Complement antigen each component c3
|
$189.00 |
$189.00 |
$189.00 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$8,908.50 |
$8,908.50 |
$8,908.50 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$28,201.02 |
$28,201.02 |
$28,201.02 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$12,123.78 |
$12,123.78 |
$12,123.78 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$15,530.34 |
$15,530.34 |
$15,530.34 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$966.60 |
$966.60 |
$966.60 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$12,125.10 |
$12,125.10 |
$12,125.10 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$24,684.24 |
$24,684.24 |
$24,684.24 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$117,352.36 |
$117,352.36 |
$117,352.36 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$15,894.48 |
$15,894.48 |
$15,894.48 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$28,201.02 |
$28,201.02 |
$28,201.02 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,512.42 |
$2,512.42 |
$2,512.42 |
$1,350.27
|
|
Composite byp grft pros&vein
|
$11,673.00 |
$11,673.00 |
$11,673.00 |
$205.60
|
|
Concentration infection agents any type
|
$192.60 |
$192.60 |
$192.60 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$21,123.08 |
$21,123.08 |
$21,123.08 |
$3,322.20
|
|
Condylomata destruction 56420
|
$301.80 |
$301.80 |
$301.80 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$22,039.44 |
$22,039.44 |
$22,039.44 |
$4,840.07
|
|
Conization of cervix
|
$24,094.30 |
$24,094.30 |
$24,094.30 |
$3,762.53
|
|
Conjugated estrogens 25 mg solution for injection
|
$6,851.70 |
$6,851.70 |
$6,851.70 |
$871.08
|
|
Connect omega .5mm
|
$8,830.24 |
$8,830.24 |
$8,830.24 |
$1,260.00
|
|
Connector tis 2x10mm
|
$9,337.04 |
$9,337.04 |
$9,337.04 |
$4,091.00
|
|
Consultation pathology during surgery
|
$37.20 |
$37.20 |
$37.20 |
$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
|
$420.60 |
$420.60 |
$420.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$167.40 |
$167.40 |
$167.40 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$165.60 |
$165.60 |
$165.60 |
$171.65
|
|
Contrast exam abdominl aorta 75625-26
|
$65,495.90 |
$65,495.90 |
$65,495.90 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$142,883.51 |
$142,883.51 |
$142,883.51 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$1,032.60 |
$1,032.60 |
$1,032.60 |
$350.22
|
|
Contrast x-ray of ankle
|
$2,732.40 |
$2,732.40 |
$2,732.40 |
$612.30
|
|
Contrast x-ray of brain
|
$903.60 |
$903.60 |
$903.60 |
$981.75
|
|
Contrast x-ray of elbow
|
$2,732.40 |
$2,732.40 |
$2,732.40 |
$649.80
|
|
Contrast x-ray of hip
|
$2,350.80 |
$2,350.80 |
$2,350.80 |
$771.12
|
|
Contrast x-ray of knee joint
|
$2,732.40 |
$2,732.40 |
$2,732.40 |
$769.88
|
|
Contrast x-ray of wrist
|
$2,350.80 |
$2,350.80 |
$2,350.80 |
$637.00
|
|
Controler lvad heartmate 3 includes ebb
|
$21,591.14 |
$21,591.14 |
$21,591.14 |
$13,218.75
|
|
Controller infinity pt dbs
|
$7,473.86 |
$7,473.86 |
$7,473.86 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$738.60 |
$738.60 |
$738.60 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$916.20 |
$916.20 |
$916.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$944.40 |
$944.40 |
$944.40 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$634.80
|
|
Control throat bleeding
|
$4,940.40 |
$4,940.40 |
$4,940.40 |
$3,984.00
|
|
Conversion ext bil drg cath
|
$3,691.20 |
$3,691.20 |
$3,691.20 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$2,407.20 |
$2,407.20 |
$2,407.20 |
$2,777.60
|
|
Coombs direct
|
$163.80 |
$163.80 |
$163.80 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$277.20 |
$277.20 |
$277.20 |
$102.90
|
|
Coombs indirect titer reference
|
$273.60 |
$273.60 |
$273.60 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$4,934.28 |
$4,934.28 |
$4,934.28 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$7,166.40 |
$7,166.40 |
$7,166.40 |
$2,678.00
|
|
Cor hlx vlgs double osteot
|
$39,728.32 |
$39,728.32 |
$39,728.32 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$46,678.70 |
$46,678.70 |
$46,678.70 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$27,077.43 |
$27,077.43 |
$27,077.43 |
$4,627.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$15,098.70 |
$15,098.70 |
$15,098.70 |
$8,272.50
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$11,916.60 |
$11,916.60 |
$11,916.60 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$11,468.40 |
$11,468.40 |
$11,468.40 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$12,617.40 |
$12,617.40 |
$12,617.40 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$5,137.20 |
$5,137.20 |
$5,137.20 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,725.00 |
$10,725.00 |
$10,725.00 |
$7,914.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$21,472.83 |
$21,472.83 |
$21,472.83 |
$3,839.54
|
|
Correct rectal prolapse
|
$32,564.21 |
$32,564.21 |
$32,564.21 |
$3,861.00
|
|
Corrj halux rigdus w/implt
|
$48,450.76 |
$48,450.76 |
$48,450.76 |
$5,886.74
|
|
Corrj halux rigdus without implt
|
$32,516.41 |
$32,516.41 |
$32,516.41 |
$3,839.54
|
|
Cortisol total am
|
$288.60 |
$288.60 |
$288.60 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$890.22 |
$890.22 |
$890.22 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$323.40 |
$323.40 |
$323.40 |
$110.00
|
|
Coveredge 32 lead kit 40cm 48
|
$9,617.87 |
$9,617.87 |
$9,617.87 |
$3,908.16
|
|
Covers for upright each
|
$103.55 |
$103.55 |
$103.55 |
$89.98
|
|
Cover wrist
|
$101.47 |
$101.47 |
$101.47 |
$225.00
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$862.20 |
$862.20 |
$862.20 |
$592.49
|
|
Covid-19 lab test non-cdc
|
$122.40 |
$122.40 |
$122.40 |
$80.50
|
|
#covid19rsv-rsv
|
$46.20 |
$46.20 |
$46.20 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$100.80 |
$100.80 |
$100.80 |
$60.00
|
|
C-peptide
|
$325.20 |
$325.20 |
$325.20 |
$97.30
|
|
Cranial cervical orthosis
|
$18,873.38 |
$18,873.38 |
$18,873.38 |
$11,130.00
|
|
Crbrospnl fld flw imag cistern
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$1,240.80
|
|
C-reactive protein
|
$75.00 |
$75.00 |
$75.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$148.20 |
$148.20 |
$148.20 |
$85.00
|
|
C-reactive protein, quantitative
|
$27.60 |
$27.60 |
$27.60 |
$71.06
|
|
Create eardrum opening
|
$10,979.71 |
$10,979.71 |
$10,979.71 |
$3,062.80
|
|
Creatine kinase
|
$183.60 |
$183.60 |
$183.60 |
$66.30
|
|
Creatine kinase isoenzymes
|
$139.20 |
$139.20 |
$139.20 |
$56.80
|
|
Creatine kinase mb
|
$210.00 |
$210.00 |
$210.00 |
$114.00
|
|
Creatine - sendout
|
$111.00 |
$111.00 |
$111.00 |
$39.00
|
|
Creatinine
|
$145.20 |
$145.20 |
$145.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$130.80 |
$130.80 |
$130.80 |
$58.85
|
|
Creatinine clearance urine
|
$186.60 |
$186.60 |
$186.60 |
$89.50
|
