|
Coagulation time activated teg
|
$130.80 |
$130.80 |
$130.80 |
$53.72
|
|
Coch imp ext proc/contr rplc
|
$31,593.13 |
$31,593.13 |
$31,593.13 |
$20,146.35
|
|
Coch implant microphone repl
|
$977.17 |
$977.17 |
$977.17 |
$977.17
|
|
Cold agglutinin screen (arc)
|
$40.20 |
$40.20 |
$40.20 |
$45.00
|
|
Cold agglutinin titer
|
$112.80 |
$112.80 |
$112.80 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$398.56 |
$398.56 |
$398.56 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$267.26 |
$267.26 |
$267.26 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$596.30 |
$596.30 |
$596.30 |
$213.89
|
|
Collar cerv patriot adlt
|
$441.74 |
$441.74 |
$441.74 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$83.40 |
$83.40 |
$83.40 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$105.60 |
$105.60 |
$105.60 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$20.40 |
$20.40 |
$20.40 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$10,417.68 |
$10,417.68 |
$10,417.68 |
$1,899.00
|
|
Colonoscopy (with biopsy)
|
$14,752.80 |
$14,752.80 |
$14,752.80 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$9,171.36 |
$9,171.36 |
$9,171.36 |
$2,288.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,893.20 |
$2,893.20 |
$2,893.20 |
$3,762.53
|
|
Combination bilateral ho
|
$4,610.71 |
$4,610.71 |
$4,610.71 |
$4,575.46
|
|
Compatibility test each unit antiglobulin technique
|
$111.60 |
$111.60 |
$111.60 |
$170.05
|
|
Compatibility test each unit electronic
|
$268.80 |
$268.80 |
$268.80 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$273.60 |
$273.60 |
$273.60 |
$169.52
|
|
Compatibility test incubate
|
$273.60 |
$273.60 |
$273.60 |
$155.40
|
|
Complement antigen each component c3
|
$139.80 |
$139.80 |
$139.80 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$849.00 |
$849.00 |
$849.00 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,008.60 |
$1,008.60 |
$1,008.60 |
$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
|
$648.00 |
$648.00 |
$648.00 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,008.60 |
$1,008.60 |
$1,008.60 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$142.20 |
$142.20 |
$142.20 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$375.00 |
$375.00 |
$375.00 |
$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
|
$652.80 |
$652.80 |
$652.80 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,200.18 |
$2,200.18 |
$2,200.18 |
$1,350.27
|
|
Concentration infection agents any type
|
$127.80 |
$127.80 |
$127.80 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$18,497.86 |
$18,497.86 |
$18,497.86 |
$3,322.20
|
|
Condylomata destruction 56420
|
$424.20 |
$424.20 |
$424.20 |
$469.00
|
|
Connect omega .5mm
|
$7,732.79 |
$7,732.79 |
$7,732.79 |
$1,260.00
|
|
Connector tis 2x10mm
|
$8,176.61 |
$8,176.61 |
$8,176.61 |
$4,091.00
|
|
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
|
$150.60 |
$150.60 |
$150.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$358.20 |
$358.20 |
$358.20 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$153.00 |
$153.00 |
$153.00 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$208.80 |
$208.80 |
$208.80 |
$171.65
|
|
Contrast x-ray of hip
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$771.12
|
|
Controler lvad heartmate 3 includes ebb
|
$18,907.75 |
$18,907.75 |
$18,907.75 |
$13,218.75
|
|
Controller infinity pt dbs
|
$6,544.99 |
$6,544.99 |
$6,544.99 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$310.20 |
$310.20 |
$310.20 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$334.80 |
$334.80 |
$334.80 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$269.40 |
$269.40 |
$269.40 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$776.40 |
$776.40 |
$776.40 |
$634.80
|
|
Control throat bleeding
|
$4,940.40 |
$4,940.40 |
$4,940.40 |
$3,984.00
|
|
Coombs direct
|
$69.60 |
$69.60 |
$69.60 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$79.80 |
$79.80 |
$79.80 |
$102.90
|
|
Coombs indirect titer reference
|
$273.60 |
$273.60 |
$273.60 |
$146.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$46,718.20 |
$46,718.20 |
$46,718.20 |
$4,539.20
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$13,222.20 |
$13,222.20 |
$13,222.20 |
$8,272.50
|
|
Cortisol total am
|
$219.00 |
$219.00 |
$219.00 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$96.60 |
$96.60 |
$96.60 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$55.20 |
$55.20 |
$55.20 |
$110.00
|
|
Coveredge 32 lead kit 40cm 48
|
$8,422.54 |
$8,422.54 |
$8,422.54 |
$3,908.16
|
|
Covers for upright each
|
$171.89 |
$171.89 |
$171.89 |
$89.98
|
|
Cover wrist
|
$168.43 |
$168.43 |
$168.43 |
$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
|
|
#coxa-coxsackie a serotype a16
|
$115.80 |
$115.80 |
$115.80 |
$60.00
|
|
C-peptide
|
$181.20 |
$181.20 |
$181.20 |
$97.30
|
|
Cranial cervical orthosis
|
$16,527.75 |
$16,527.75 |
$16,527.75 |
$11,130.00
|
|
C-reactive protein
|
$132.60 |
$132.60 |
$132.60 |
$68.38
|
|
C-reactive protein high sensitivity
|
$143.40 |
$143.40 |
$143.40 |
$85.00
|
|
C-reactive protein, quantitative
|
$31.80 |
$31.80 |
$31.80 |
$71.06
|
|
Creatine kinase
|
$152.40 |
$152.40 |
$152.40 |
$66.30
|
|
Creatine kinase isoenzymes
|
$184.80 |
$184.80 |
$184.80 |
$56.80
|
|
Creatine kinase mb
|
$166.80 |
$166.80 |
$166.80 |
$114.00
|
|
Creatine - sendout
|
$147.60 |
$147.60 |
$147.60 |
$39.00
|
|
Creatinine
|
$64.20 |
$64.20 |
$64.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$97.20 |
$97.20 |
$97.20 |
$58.85
|
|
Creatinine clearance urine
|
$130.80 |
$130.80 |
$130.80 |
$89.50
|
|
#creutz-prot.,western blot
|
$472.80 |
$472.80 |
$472.80 |
$166.20
|
|
Crisis psychotherapy 90839
|
$253.20 |
$253.20 |
$253.20 |
$313.30
|
|
Critical care 30-74 minutes
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$526.80 |
$526.80 |
$526.80 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$50.40 |
$50.40 |
$50.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$427.80 |
$427.80 |
$427.80 |
$144.78
|
|
Cryptosporidium antigen
|
$147.00 |
$147.00 |
$147.00 |
$52.08
|
|
Crystal identification light microscopy
|
$57.60 |
$57.60 |
$57.60 |
$62.50
|
|
Cstb gene full gene sequence
|
$694.80 |
$694.80 |
$694.80 |
$302.31
|
|
CT 3d report other modality w/workstation
|
$546.60 |
$546.60 |
$546.60 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,177.40 |
$2,177.40 |
$2,177.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,177.40 |
$2,177.40 |
$2,177.40 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,077.20 |
$2,077.20 |
$2,077.20 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,357.20 |
$1,357.20 |
$1,357.20 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,484.80 |
$3,484.80 |
$3,484.80 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,357.20 |
$1,357.20 |
$1,357.20 |
$1,996.80
|
|
CT angio pelvis
|
$2,177.40 |
$2,177.40 |
$2,177.40 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,077.20 |
$2,077.20 |
$2,077.20 |
$1,698.00
|
|
CT guidance for needle placement
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$1,494.00
|
|
CT limited or localized follow-up study
|
$556.20 |
$556.20 |
$556.20 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,897.80 |
$1,897.80 |
$1,897.80 |
$1,652.00
|
