|
Clsd tx temporomandibular dislocat 21480
|
$322.20 |
$322.20 |
$322.20 |
$445.15
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,504.80 |
$1,504.80 |
$1,504.80 |
$1,592.00
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$375.60 |
$375.60 |
$375.60 |
$496.61
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,539.80 |
$2,539.80 |
$2,539.80 |
$2,211.05
|
|
Cltx post ankle fx w/mnpj
|
$1,504.80 |
$1,504.80 |
$1,504.80 |
$2,172.80
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,024.40 |
$2,024.40 |
$2,024.40 |
$2,035.80
|
|
#cmvcul-virus inoculation shell
|
$78.00 |
$78.00 |
$78.00 |
$97.50
|
|
Cmv pcr-sendout
|
$154.20 |
$154.20 |
$154.20 |
$172.25
|
|
Coagulation time activated teg
|
$45.00 |
$45.00 |
$45.00 |
$52.00
|
|
Coch imp ext proc/contr rplc
|
$31,351.55 |
$31,351.55 |
$31,351.55 |
$14,283.08
|
|
Coch implant microphone repl
|
$774.14 |
$774.14 |
$774.14 |
$878.84
|
|
Cold agglutinin screen (arc)
|
$40.20 |
$40.20 |
$40.20 |
$44.94
|
|
Cold agglutinin titer
|
$60.00 |
$60.00 |
$60.00 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$223.06 |
$223.06 |
$223.06 |
$52.78
|
|
Collar cerv adlt perfit ace extric
|
$149.58 |
$149.58 |
$149.58 |
$56.85
|
|
Collar cerv ascend 172 reg
|
$360.73 |
$360.73 |
$360.73 |
$187.48
|
|
Collar cerv patriot adlt
|
$247.23 |
$247.23 |
$247.23 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$90.60 |
$90.60 |
$90.60 |
$156.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$205.80 |
$205.80 |
$205.80 |
$154.80
|
|
Collection of venous blood by venipuncture
|
$18.00 |
$18.00 |
$18.00 |
$20.40
|
|
Colonoscopy (with biopsy)
|
$6,938.04 |
$6,938.04 |
$6,938.04 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$8,230.56 |
$8,230.56 |
$8,230.56 |
$2,288.00
|
|
Combination bilateral ho
|
$4,575.46 |
$4,575.46 |
$4,575.46 |
$4,575.46
|
|
Compatibility test each unit antiglobulin technique
|
$256.80 |
$256.80 |
$256.80 |
$165.00
|
|
Compatibility test each unit electronic
|
$261.60 |
$261.60 |
$261.60 |
$176.70
|
|
Compatibility test each unit immediate spin technique
|
$256.80 |
$256.80 |
$256.80 |
$169.52
|
|
Compatibility test incubate
|
$256.80 |
$256.80 |
$256.80 |
$143.65
|
|
Complement antigen each component c3
|
$243.00 |
$243.00 |
$243.00 |
$108.80
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$955.80 |
$955.80 |
$955.80 |
$1,098.35
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$955.80 |
$955.80 |
$955.80 |
$1,218.40
|
|
Complx repair fccmnaxghf 13131
|
$631.20 |
$631.20 |
$631.20 |
$820.00
|
|
Complx repair fccmnaxghf 13132
|
$741.60 |
$741.60 |
$741.60 |
$1,177.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$457.80 |
$457.80 |
$457.80 |
$538.64
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$955.80 |
$955.80 |
$955.80 |
$1,016.25
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,183.35 |
$2,183.35 |
$2,183.35 |
$1,232.73
|
|
Concentration infection agents any type
|
$39.00 |
$39.00 |
$39.00 |
$49.80
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$18,356.42 |
$18,356.42 |
$18,356.42 |
$3,322.20
|
|
Condylomata destruction 56420
|
$184.80 |
$184.80 |
$184.80 |
$473.75
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,639.44 |
$1,639.44 |
$1,639.44 |
$871.08
|
|
Connect omega .5mm
|
$7,673.66 |
$7,673.66 |
$7,673.66 |
$1,348.80
|
|
Connector tis 2x10mm
|
$8,114.09 |
$8,114.09 |
$8,114.09 |
$4,075.31
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$447.33
|
|
Consultation pathology during surgery frozen section each additional block
|
$139.80 |
$139.80 |
$139.80 |
$110.40
|
|
Consultation pathology during surgery frozen section first tissue block
|
$246.60 |
$246.60 |
$246.60 |
$223.86
|
|
Consultation/report referred material w/preparation of slides
|
$117.00 |
$117.00 |
$117.00 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$165.60 |
$165.60 |
$165.60 |
$171.65
|
|
Consult comp w/report rfrd material
|
$856.80 |
$856.80 |
$856.80 |
$365.60
|
|
Contrast baths charges
|
$167.40 |
$167.40 |
$167.40 |
$72.15
|
|
Contrast x-ray gallbladder
|
$761.40 |
$761.40 |
$761.40 |
$350.22
|
|
Contrast x-ray of ankle
|
$780.60 |
$780.60 |
$780.60 |
$612.30
|
|
Contrast x-ray of brain
|
$755.40 |
$755.40 |
$755.40 |
$934.93
|
|
Contrast x-ray of elbow
|
$441.60 |
$441.60 |
$441.60 |
$649.80
|
|
Contrast x-ray of hip
|
$645.00 |
$645.00 |
$645.00 |
$768.00
|
|
Contrast x-ray of knee joint
|
$684.60 |
$684.60 |
$684.60 |
$719.40
|
|
Contrast x-ray of wrist
|
$784.80 |
$784.80 |
$784.80 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$18,763.18 |
$18,763.18 |
$18,763.18 |
$11,939.40
|
|
Controller infinity pt dbs
|
$6,494.95 |
$6,494.95 |
$6,494.95 |
$4,624.54
|
|
Control nosebleed pack+caut 30905
|
$163.80 |
$163.80 |
$163.80 |
$426.40
|
|
Control of nosebleed ant comp 30903
|
$121.80 |
$121.80 |
$121.80 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$163.80 |
$163.80 |
$163.80 |
$364.96
|
|
Coombs direct
|
$66.60 |
$66.60 |
$66.60 |
$72.48
|
|
Coombs indirect qualitative each reagent red cell reference
|
$84.00 |
$84.00 |
$84.00 |
$102.90
|
|
Coombs indirect titer reference
|
$109.20 |
$109.20 |
$109.20 |
$145.60
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$13,121.10 |
$13,121.10 |
$13,121.10 |
$8,280.00
|
|
Coroners autopsy (necropsy)
|
$738.00 |
$738.00 |
$738.00 |
$352.80
|
|
Cortisol acth stimulation test - sendout
|
$262.20 |
$262.20 |
$262.20 |
$146.25
|
|
Cortisol total am
|
$163.20 |
$163.20 |
$163.20 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$112.08 |
$112.08 |
$112.08 |
$219.49
|
|
Co-treatment - group 15 mins, st
|
$221.40 |
$221.40 |
$221.40 |
$110.00
|
|
Coveredge 32 lead kit 40cm 48
|
$8,358.14 |
$8,358.14 |
$8,358.14 |
$3,657.50
|
|
Covers for upright each
|
$89.98 |
$89.98 |
$89.98 |
$89.98
|
|
Cover wrist
|
$88.18 |
$88.18 |
$88.18 |
$230.64
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$821.40 |
$821.40 |
$821.40 |
$562.44
|
|
Covid-19 lab test non-cdc
|
$116.40 |
$116.40 |
$116.40 |
$68.50
|
|
#covid19rsv-rsv
|
$116.40 |
$116.40 |
$116.40 |
$146.00
|
|
#coxa-coxsackie a serotype a16
|
$75.00 |
$75.00 |
$75.00 |
$60.00
|
|
C-peptide
|
$133.80 |
$133.80 |
$133.80 |
$90.27
|
|
Cranial cervical orthosis
|
$16,401.38 |
$16,401.38 |
$16,401.38 |
$3,450.75
|
|
Crbrospnl fld flw imag cistern
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$1,177.20
|
|
C-reactive protein
|
$143.40 |
$143.40 |
$143.40 |
$62.40
|
|
C-reactive protein high sensitivity
|
$143.40 |
$143.40 |
$143.40 |
$79.72
|
|
C-reactive protein, quantitative
|
$29.40 |
$29.40 |
$29.40 |
$62.50
|
|
Creatine kinase
|
$94.80 |
$94.80 |
$94.80 |
$63.00
|
|
Creatine kinase isoenzymes
|
$111.00 |
$111.00 |
$111.00 |
$48.60
|
|
Creatine kinase mb
|
$135.60 |
$135.60 |
$135.60 |
$114.00
|
|
Creatine - sendout
|
$75.00 |
$75.00 |
$75.00 |
$37.10
|
|
Creatinine
|
$40.80 |
$40.80 |
$40.80 |
$44.40
|
|
Creatinine 24 hour urine
|
$93.00 |
$93.00 |
$93.00 |
$55.25
|
|
Creatinine clearance urine
|
$114.00 |
$114.00 |
$114.00 |
$87.50
|
|
#creutz-prot.,western blot
|
$225.00 |
$225.00 |
$225.00 |
$156.60
|
|
Crisis psychotherapy 90839
|
$256.80 |
$256.80 |
$256.80 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$256.80 |
$256.80 |
$256.80 |
$149.52
|
|
Critical care 30-74 minutes
|
$2,438.40 |
$2,438.40 |
$2,438.40 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$957.60 |
$957.60 |
$957.60 |
$735.00
|
|
Cryofibrinogen qualitative - sendout
|
$103.20 |
$103.20 |
$103.20 |
$52.50
|
|
Cryptosporidium antigen
|
$128.40 |
$128.40 |
$128.40 |
$52.08
|
|
Crystal identification light microscopy
|
$110.40 |
$110.40 |
$110.40 |
$58.50
|
|
Csf leakage imaging
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$1,537.41
|
|
Cstb gene full gene sequence
|
$694.80 |
$694.80 |
$694.80 |
$288.21
|
|
CT 3d report other modality w/workstation
|
$189.00 |
$189.00 |
$189.00 |
$614.05
|
