|
Complx repair fccmnaxghf 13131
|
$809.46 |
$809.46 |
$809.46 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$981.18 |
$981.18 |
$981.18 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$278.91 |
$278.91 |
$278.91 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$262.44 |
$262.44 |
$262.44 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$420.12 |
$420.12 |
$420.12 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$241.38 |
$241.38 |
$241.38 |
$537.00
|
|
Comprehensive hearing test
|
$69.66 |
$69.66 |
$69.66 |
$255.00
|
|
Computed tomographic angiography head and neck with contrast
|
$309.42 |
$309.42 |
$309.42 |
$2,237.25
|
|
Conditioning play audiometry 92582
|
$151.20 |
$151.20 |
$151.20 |
$189.15
|
|
Condylomata destruction 56420
|
$386.10 |
$386.10 |
$386.10 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$631.26 |
$631.26 |
$631.26 |
$4,840.07
|
|
Conjugated estrogens 25 mg solution for injection
|
$683.82 |
$683.82 |
$683.82 |
$871.08
|
|
Connect omega .5mm
|
$852.66 |
$852.66 |
$852.66 |
$1,260.00
|
|
Consultation pathology during surgery
|
$123.66 |
$123.66 |
$123.66 |
$100.00
|
|
Consultation pathology during surgery frozen section first tissue block
|
$218.16 |
$218.16 |
$218.16 |
$225.96
|
|
Contrast x-ray gallbladder
|
$57.24 |
$57.24 |
$57.24 |
$350.22
|
|
Contrast x-ray of ankle
|
$145.80 |
$145.80 |
$145.80 |
$612.30
|
|
Contrast x-ray of elbow
|
$100.44 |
$100.44 |
$100.44 |
$649.80
|
|
Contrast x-ray of hip
|
$103.14 |
$103.14 |
$103.14 |
$771.12
|
|
Contrast x-ray of knee joint
|
$162.54 |
$162.54 |
$162.54 |
$769.88
|
|
Contrast x-ray of wrist
|
$100.44 |
$100.44 |
$100.44 |
$637.00
|
|
Control nosebleed pack+caut 30905
|
$724.68 |
$724.68 |
$724.68 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$335.88 |
$335.88 |
$335.88 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$326.70 |
$326.70 |
$326.70 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$339.66 |
$339.66 |
$339.66 |
$634.80
|
|
Control throat bleeding
|
$884.52 |
$884.52 |
$884.52 |
$972.84
|
|
Control throat bleeding
|
$1,089.72 |
$1,089.72 |
$1,089.72 |
$3,984.00
|
|
Copper intrauterine device
|
$292.68 |
$292.68 |
$292.68 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$478.98 |
$478.98 |
$478.98 |
$2,678.00
|
|
Cor hlx vlgs double osteot
|
$1,266.30 |
$1,266.30 |
$1,266.30 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$1,098.36 |
$1,098.36 |
$1,098.36 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$1,468.80 |
$1,468.80 |
$1,468.80 |
$4,627.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$1,614.60 |
$1,614.60 |
$1,614.60 |
$3,839.54
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$1,268.46 |
$1,268.46 |
$1,268.46 |
$3,839.54
|
|
Correct malrotation of bowel 44055
|
$3,349.89 |
$3,349.89 |
$3,349.89 |
$2,764.20
|
|
Corrj halux rigdus w/implt
|
$1,422.36 |
$1,422.36 |
$1,422.36 |
$5,886.74
|
|
Corrj halux rigdus without implt
|
$1,502.28 |
$1,502.28 |
$1,502.28 |
$3,839.54
|
|
Cosyntropin 0.25 mg solution for injection
|
$191.70 |
$191.70 |
$191.70 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$64.26 |
$64.26 |
$64.26 |
$55.90
|
|
Covid-19 administration immunization im inj 1st/only component
|
$27.00 |
$27.00 |
$27.00 |
$49.13
|
|
Crbrospnl fld flw imag cistern
|
$118.80 |
$118.80 |
$118.80 |
$1,240.80
|
|
Create eardrum opening
|
$737.10 |
$737.10 |
$737.10 |
$3,062.80
|
|
Crisis psychotherapy 90839
|
$198.18 |
$198.18 |
$198.18 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$97.20 |
$97.20 |
$97.20 |
$149.52
|
|
Critical care 30-74 minutes
|
$712.80 |
$712.80 |
$712.80 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$356.94 |
$356.94 |
$356.94 |
$731.40
|
|
Cryocautery of cervix 57511
|
$413.10 |
$413.10 |
$413.10 |
$429.60
|
|
Cryoprecipitate each unit
|
$98.82 |
$98.82 |
$98.82 |
$144.78
|
|
Cryosurgery penis lesion(s) 54056
|
$309.96 |
$309.96 |
$309.96 |
$272.50
|
|
Cryotherapy of acne 17340
|
$111.24 |
$111.24 |
$111.24 |
$101.79
|
|
C-Section Delivery (full care)
|
$5,450.76 |
$5,450.76 |
$5,450.76 |
$4,721.40
|
|
CT 3d report other modality w/workstation
|
$139.86 |
$139.86 |
$139.86 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$319.68 |
$319.68 |
$319.68 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$416.88 |
$416.88 |
$416.88 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$332.64 |
$332.64 |
$332.64 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$309.42 |
$309.42 |
$309.42 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$525.15 |
$525.15 |
$525.15 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$321.30 |
$321.30 |
$321.30 |
$1,940.00
|
|
CT Angiogram of the Head
|
$309.42 |
$309.42 |
$309.42 |
$1,996.80
|
|
CT angio pelvis
|
$315.90 |
$315.90 |
$315.90 |
$1,837.80
|
|
CT bone density axial
|
$43.74 |
$43.74 |
$43.74 |
$387.62
|
|
CT guidance for needle placement
|
$259.20 |
$259.20 |
$259.20 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$204.12 |
$204.12 |
$204.12 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$103.14 |
$103.14 |
$103.14 |
$171.60
|
|
CT limited or localized follow-up study
|
$168.48 |
$168.48 |
$168.48 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$329.13 |
$329.13 |
$329.13 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$309.96 |
$309.96 |
$309.96 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$345.60 |
$345.60 |
$345.60 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$245.16 |
$245.16 |
$245.16 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$227.34 |
$227.34 |
$227.34 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$285.12 |
$285.12 |
$285.12 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$223.56 |
$223.56 |
$223.56 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$199.80 |
$199.80 |
$199.80 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$227.34 |
$227.34 |
$227.34 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$788.40 |
$788.40 |
$788.40 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$363.15 |
$363.15 |
$363.15 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$337.23 |
$337.23 |
$337.23 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$317.25 |
$317.25 |
$317.25 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$216.00 |
$216.00 |
$216.00 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$175.50 |
$175.50 |
$175.50 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$191.16 |
$191.16 |
$191.16 |
$331.50
|
|
CT t-spine w /wo contrast
|
$224.64 |
$224.64 |
$224.64 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$329.40 |
$329.40 |
$329.40 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$286.74 |
$286.74 |
$286.74 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$215.46 |
$215.46 |
$215.46 |
$1,845.36
|
|
Curette/treat cornea
|
$145.80 |
$145.80 |
$145.80 |
$1,345.80
|
|
Cv stress test i&r only 93018
|
$163.62 |
$163.62 |
$163.62 |
$40.20
|
|
Cv stress test/supervision only 93016
|
$244.89 |
$244.89 |
$244.89 |
$51.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$21.20 |
$21.20 |
$21.20 |
$25.20
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$435.84 |
$435.84 |
$435.84 |
$1,305.02
|
|
Cystogram >= 3 views supervision & interpretation
|
$56.16 |
$56.16 |
$56.16 |
$542.10
|
|
Cystorrhaphy wound comp 51865
|
$1,937.52 |
$1,937.52 |
$1,937.52 |
$1,756.80
|
|
Cystorrhaphy wound simple 51860
|
$1,546.56 |
$1,546.56 |
$1,546.56 |
$5,855.00
|
|
Cystoscopy and biopsy
|
$343.44 |
$343.44 |
$343.44 |
$4,081.37
|
|
Cystoscopy and treatment
|
$360.18 |
$360.18 |
$360.18 |
$4,081.37
|
|
Cystoscopy and treatment
|
$1,559.52 |
$1,559.52 |
$1,559.52 |
$4,160.10
|
|
Cystoscopy and treatment
|
$567.00 |
$567.00 |
$567.00 |
$5,162.50
|
|
Cystoscopy and treatment
|
$667.17 |
$667.17 |
$667.17 |
$5,995.60
|
|
Cystoscopy and treatment
|
$852.12 |
$852.12 |
$852.12 |
$6,475.26
|
|
Cystoscopy and treatment
|
$433.62 |
$433.62 |
$433.62 |
$3,213.14
|