|
Cold agglutinin screen (arc)
|
$40.20 |
$40.20 |
$40.20 |
$45.00
|
|
Cold agglutinin titer
|
$20.40 |
$20.40 |
$20.40 |
$50.00
|
|
Colistimethate sodium inj
|
$157.92 |
$157.92 |
$157.92 |
$68.47
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$715.26 |
$715.26 |
$715.26 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$226.50 |
$226.50 |
$226.50 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$546.22 |
$546.22 |
$546.22 |
$213.89
|
|
Collar cerv patriot adlt
|
$374.36 |
$374.36 |
$374.36 |
$154.00
|
|
Collar extrication adult univ
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$764.15
|
|
Collection of venous blood by venipuncture
|
$16.20 |
$16.20 |
$16.20 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$5,350.98 |
$5,350.98 |
$6,657.00 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$7,037.82 |
$7,037.82 |
$7,037.82 |
$2,288.00
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$9,452.00 |
$9,452.00 |
$9,452.00 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$5,559.00 |
$5,559.00 |
$5,559.00 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$6,545.40 |
$6,545.40 |
$12,606.05 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$3,788.40 |
$3,788.40 |
$4,760.76 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$5,334.18 |
$5,334.18 |
$5,334.18 |
$2,708.80
|
|
Colonoscopy w/band ligation
|
$5,965.68 |
$5,965.68 |
$5,965.68 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$9,364.52 |
$9,364.52 |
$12,314.17 |
$2,030.25
|
|
Colonoscopy (with biopsy)
|
$8,286.20 |
$8,286.20 |
$9,647.76 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$5,559.00 |
$5,559.00 |
$5,559.00 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$5,978.02 |
$5,978.02 |
$9,949.97 |
$2,288.00
|
|
Colonoscopy w/resection
|
$10,657.57 |
$10,657.57 |
$23,849.79 |
$3,029.60
|
|
Colpocentesis 57020
|
$8,048.40 |
$8,048.40 |
$8,048.40 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$18,757.50 |
$18,757.50 |
$18,757.50 |
$5,419.00
|
|
Colpopexy intraperitoneal
|
$24,467.11 |
$24,467.11 |
$24,467.11 |
$6,906.50
|
|
Combination bilateral ho
|
$4,575.46 |
$4,575.46 |
$4,575.46 |
$4,575.46
|
|
Compatibility test each unit antiglobulin technique
|
$260.40 |
$260.40 |
$260.40 |
$170.05
|
|
Compatibility test each unit electronic
|
$221.40 |
$221.40 |
$221.40 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$116.40 |
$116.40 |
$116.40 |
$169.52
|
|
Compatibility test incubate
|
$260.40 |
$260.40 |
$260.40 |
$155.40
|
|
Complement antigen each component c3
|
$174.60 |
$174.60 |
$174.60 |
$108.55
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$11,944.68 |
$11,944.68 |
$11,944.68 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$7,970.76 |
$7,970.76 |
$7,970.76 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$8,808.66 |
$8,808.66 |
$8,808.66 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$8,257.32 |
$8,257.32 |
$8,257.32 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$88,268.41 |
$88,268.41 |
$88,268.41 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$10,789.86 |
$10,789.86 |
$34,465.88 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$8,187.96 |
$8,187.96 |
$11,907.78 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$10,506.30 |
$10,506.30 |
$10,506.30 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$10,013.04 |
$10,013.04 |
$10,013.04 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$15,625.69 |
$15,625.69 |
$15,625.69 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,183.35 |
$2,183.35 |
$2,183.35 |
$1,350.27
|
|
Concentration infection agents any type
|
$68.40 |
$68.40 |
$68.40 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$27,795.89 |
$27,795.89 |
$27,795.89 |
$3,322.20
|
|
Conization/cerv/loop electrode exc 57522
|
$8,270.40 |
$8,270.40 |
$8,270.40 |
$4,840.07
|
|
Conization of cervix
|
$12,164.52 |
$12,164.52 |
$12,164.52 |
$3,762.53
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,035.20 |
$2,035.20 |
$2,125.62 |
$871.08
|
|
Connect omega .5mm
|
$11,619.71 |
$11,619.71 |
$11,619.71 |
$1,260.00
|
|
Connector tis 2x10mm
|
$12,286.62 |
$12,286.62 |
$12,286.62 |
$4,091.00
|
|
Consultation pathology during surgery
|
$33.60 |
$33.60 |
$33.60 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$16.80 |
$16.80 |
$16.80 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$109.20 |
$109.20 |
$109.20 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$178.80 |
$178.80 |
$178.80 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$172.80 |
$172.80 |
$172.80 |
$171.65
|
|
Consult comp w/report rfrd material
|
$260.40 |
$260.40 |
$260.40 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$5,328.60 |
$5,328.60 |
$5,328.60 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$5,023.20 |
$5,023.20 |
$5,023.20 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$8,924.40 |
$8,924.40 |
$8,924.40 |
$3,728.24
|
|
Contrast x-ray of ankle
|
$901.80 |
$901.80 |
$901.80 |
$612.30
|
|
Contrast x-ray of elbow
|
$901.80 |
$901.80 |
$901.80 |
$649.80
|
|
Contrast x-ray of hip
|
$901.80 |
$901.80 |
$901.80 |
$771.12
|
|
Contrast x-ray of knee joint
|
$835.20 |
$835.20 |
$835.20 |
$769.88
|
|
Contrast x-ray of wrist
|
$901.80 |
$901.80 |
$901.80 |
$637.00
|
|
Controler lvad heartmate 3 includes ebb
|
$28,411.81 |
$28,411.81 |
$28,411.81 |
$13,218.75
|
|
Controller infinity pt dbs
|
$6,755.26 |
$6,755.26 |
$6,755.26 |
$4,611.60
|
|
Conversion ext bil drg cath
|
$3,429.60 |
$3,429.60 |
$3,429.60 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$3,429.60 |
$3,429.60 |
$3,429.60 |
$2,777.60
|
|
Coombs direct
|
$87.60 |
$87.60 |
$87.60 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$256.80 |
$256.80 |
$256.80 |
$102.90
|
|
Coombs indirect titer reference
|
$146.40 |
$146.40 |
$146.40 |
$146.40
|
|
Core ndl bx lng/med perq
|
$6,550.80 |
$6,550.80 |
$6,550.80 |
$2,678.00
|
|
Cor hlx vlgs double osteot
|
$24,751.73 |
$24,751.73 |
$24,751.73 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$34,707.94 |
$34,707.94 |
$34,707.94 |
$4,539.20
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$19,868.40 |
$19,868.40 |
$19,868.40 |
$8,272.50
|
|
Correct cock-up 5th toe/plast clos 28286
|
$7,873.41 |
$7,873.41 |
$7,873.41 |
$2,508.80
|
|
Correction eyelid w/implant
|
$11,343.18 |
$11,343.18 |
$11,343.18 |
$3,269.14
|
|
Correction of astigmatism
|
$9,593.47 |
$9,593.47 |
$9,593.47 |
$2,240.00
|
|
Corrj halux rigdus without implt
|
$9,773.88 |
$9,773.88 |
$9,773.88 |
$3,839.54
|
|
Cortisol total am
|
$65.40 |
$65.40 |
$65.40 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$139.14 |
$139.14 |
$145.32 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$12,656.17 |
$12,656.17 |
$12,656.17 |
$3,908.16
|
|
Covers for upright each
|
$136.26 |
$136.26 |
$136.26 |
$89.98
|
|
Cover wrist
|
$133.52 |
$133.52 |
$133.52 |
$225.00
|
|
Covid-19 lab test non-cdc
|
$116.40 |
$116.40 |
$116.40 |
$80.50
|
|
#covid19rsv-rsv
|
$232.20 |
$232.20 |
$232.20 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$87.60 |
$87.60 |
$87.60 |
$60.00
|
|
C-peptide
|
$103.20 |
$103.20 |
$103.20 |
$97.30
|
|
Cptr-asst dir ms px
|
$46,224.05 |
$46,224.05 |
$46,224.05 |
$7,972.25
|
|
Cranial cervical orthosis
|
$16,401.38 |
$16,401.38 |
$16,401.38 |
$11,130.00
|
|
Crbrospnl fld flw imag cistern
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$1,240.80
|
|
C-reactive protein
|
$75.00 |
$75.00 |
$75.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$55.20 |
$55.20 |
$55.20 |
$85.00
|
|
C-reactive protein, quantitative
|
$128.40 |
$128.40 |
$128.40 |
$71.06
|
|
Create eardrum opening
|
$8,611.16 |
$8,611.16 |
$17,661.25 |
$3,062.80
|
|
Creatine kinase
|
$12.00 |
$12.00 |
$12.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$18.00 |
$18.00 |
$18.00 |
$56.80
|
|
Creatine kinase mb
|
$90.60 |
$90.60 |
$90.60 |
$114.00
|
|
Creatine - sendout
|
$109.80 |
$109.80 |
$109.80 |
$39.00
|
|
Creatinine
|
$30.60 |
$30.60 |
$30.60 |
$44.72
|
