|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$7.40 |
$7.40 |
$7.40 |
$11,888.50
|
|
Coagulation time activated teg
|
$43.80 |
$43.80 |
$43.80 |
$52.47
|
|
Cold agglutinin titer
|
$119.40 |
$119.40 |
$119.40 |
$52.00
|
|
Colistimethate sodium inj
|
$204.00 |
$204.00 |
$204.00 |
$82.71
|
|
Collagen imp urinary 2.5 ml
|
$2,143.80 |
$2,143.80 |
$2,143.80 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$436.20 |
$436.20 |
$436.20 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$25.80 |
$25.80 |
$25.80 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$436.80 |
$436.80 |
$436.80 |
$224.11
|
|
Collection blood specimen from completely implantable venous access device
|
$156.60 |
$156.60 |
$156.60 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$436.80 |
$436.80 |
$436.80 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,147.00
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$2,420.40 |
$2,420.40 |
$2,420.40 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$3,903.60 |
$3,903.60 |
$3,903.60 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$2,710.80 |
$2,710.80 |
$2,710.80 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$3,284.40 |
$3,284.40 |
$3,284.40 |
$1,681.30
|
|
Colonoscopy w/control bleed
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$3,264.60 |
$3,264.60 |
$3,264.60 |
$1,572.20
|
|
Colonoscopy w/fb removal
|
$3,211.80 |
$3,211.80 |
$3,211.80 |
$1,645.43
|
|
Colonoscopy w/injection
|
$3,263.40 |
$3,263.40 |
$3,263.40 |
$2,449.20
|
|
Colonoscopy with ablation
|
$1,647.60 |
$1,647.60 |
$1,647.60 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$2,288.00
|
|
Colonoscopy w/resection
|
$3,264.60 |
$3,264.60 |
$3,264.60 |
$3,035.44
|
|
Compatibility test each unit antiglobulin technique
|
$536.40 |
$536.40 |
$536.40 |
$173.50
|
|
Compatibility test each unit electronic
|
$360.60 |
$360.60 |
$360.60 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$268.20 |
$268.20 |
$268.20 |
$169.52
|
|
Complement antigen each component c3
|
$179.40 |
$179.40 |
$179.40 |
$110.00
|
|
Complement fixation each
|
$83.40 |
$83.40 |
$83.40 |
$29.12
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$4,030.80 |
$4,030.80 |
$4,030.80 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,751.60 |
$2,751.60 |
$2,751.60 |
$1,212.00
|
|
Complx repair fccmnaxghf 13131
|
$3,824.40 |
$3,824.40 |
$3,824.40 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$3,504.60 |
$3,504.60 |
$3,504.60 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,062.00 |
$1,062.00 |
$1,062.00 |
$508.44
|
|
Composite drsg >16<=48 sq in
|
$4.20 |
$4.20 |
$4.20 |
$42.60
|
|
Composite drsg <= 16 sq in
|
$3.60 |
$3.60 |
$3.60 |
$6.62
|
|
Concentration infection agents any type
|
$147.00 |
$147.00 |
$147.00 |
$51.32
|
|
Condylomata destruction 56420
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$467.35
|
|
Conform band n/s w>=3"<5"/yd
|
$17.40 |
$17.40 |
$17.40 |
$1.04
|
|
Conjugated estrogens 25 mg solution for injection
|
$860.00 |
$860.00 |
$860.00 |
$860.00
|
|
Connector tis 2x10mm
|
$3,529.20 |
$3,529.20 |
$3,529.20 |
$4,024.34
|
|
Consultation pathology during surgery
|
$159.60 |
$159.60 |
$159.60 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$287.40 |
$287.40 |
$287.40 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$153.00 |
$153.00 |
$153.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$303.00 |
$303.00 |
$303.00 |
$226.50
|
|
Contrast baths charges
|
$83.40 |
$83.40 |
$83.40 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$5,562.00 |
$5,562.00 |
$5,562.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$5,562.00 |
$5,562.00 |
$5,562.00 |
$3,745.00
|
|
Controller infinity pt dbs
|
$3,442.80 |
$3,442.80 |
$3,442.80 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$444.60 |
$444.60 |
$444.60 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$2,857.80 |
$2,857.80 |
$2,857.80 |
$620.00
|
|
Conversion ext bil drg cath
|
$3,058.80 |
$3,058.80 |
$3,058.80 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$3,058.80 |
$3,058.80 |
$3,058.80 |
$2,777.60
|
|
Coombs direct
|
$80.40 |
$80.40 |
$80.40 |
$76.80
|
|
Coombs indirect titer reference
|
$108.60 |
$108.60 |
$108.60 |
$156.71
|
|
Core ndl bx lng/med perq
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$2,904.48
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$7,849.80 |
$7,849.80 |
$7,849.80 |
$7,849.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$7,418.40 |
$7,418.40 |
$7,418.40 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$6,775.20 |
$6,775.20 |
$6,775.20 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$7,430.40 |
$7,430.40 |
$7,430.40 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$6,611.40 |
$6,611.40 |
$6,611.40 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,641.20 |
$5,641.20 |
$5,641.20 |
$7,988.40
|
|
Correct rectal prolapse
|
$8,036.40 |
$8,036.40 |
$8,036.40 |
$3,861.00
|
|
Cortisol total am
|
$243.00 |
$243.00 |
$243.00 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$6,440.40 |
$6,440.40 |
$6,440.40 |
$4,180.79
|
|
Covid-19 administration immunization im inj 1st/only component
|
$24.00 |
$24.00 |
$24.00 |
$49.13
|
|
#coxa-coxsackie a serotype a16
|
$198.00 |
$198.00 |
$198.00 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$866.40 |
$866.40 |
$866.40 |
$584.50
|
|
C-peptide
|
$308.40 |
$308.40 |
$308.40 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$733.80 |
$733.80 |
$733.80 |
$777.71
|
|
C-reactive protein
|
$76.20 |
$76.20 |
$76.20 |
$69.36
|
|
C-reactive protein high sensitivity
|
$266.40 |
$266.40 |
$266.40 |
$85.50
|
|
C-reactive protein, quantitative
|
$213.60 |
$213.60 |
$213.60 |
$65.16
|
|
Creatine kinase
|
$97.20 |
$97.20 |
$97.20 |
$66.30
|
|
Creatine kinase isoenzymes
|
$201.00 |
$201.00 |
$201.00 |
$56.20
|
|
Creatine kinase mb
|
$149.40 |
$149.40 |
$149.40 |
$113.63
|
|
Creatine - sendout
|
$33.60 |
$33.60 |
$33.60 |
$41.25
|
|
Creatinine
|
$75.60 |
$75.60 |
$75.60 |
$46.20
|
|
Creatinine 24 hour urine
|
$76.20 |
$76.20 |
$76.20 |
$57.85
|
|
Creatinine clearance urine
|
$141.00 |
$141.00 |
$141.00 |
$90.26
|
|
#creutz-prot.,western blot
|
$379.20 |
$379.20 |
$379.20 |
$163.50
|
|
Critical Care (first 30 to 74 minutes)
|
$1,501.80 |
$1,501.80 |
$1,501.80 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$179.40 |
$179.40 |
$179.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$346.80 |
$346.80 |
$346.80 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$150.00 |
$150.00 |
$150.00 |
$89.70
|
|
Cryptosporidium antigen
|
$171.00 |
$171.00 |
$171.00 |
$52.08
|
|
Crystal identification light microscopy
|
$99.00 |
$99.00 |
$99.00 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$1,348.80 |
$1,348.80 |
$1,348.80 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,282.60 |
$3,282.60 |
$3,282.60 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,632.80 |
$5,632.80 |
$5,632.80 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,282.60 |
$3,282.60 |
$3,282.60 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$1,909.90
|
