|
Colonoscopy for bleeding 44391
|
$2,565.60 |
$2,565.60 |
$2,565.60 |
$2,147.00
|
|
Colonoscopy for foreign body
|
$3,315.00 |
$3,315.00 |
$3,315.00 |
$2,288.00
|
|
Colonoscopy stoma w/snare 44394
|
$1,798.20 |
$1,798.20 |
$1,798.20 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$3,696.60 |
$3,696.60 |
$3,696.60 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$2,704.20 |
$2,704.20 |
$2,704.20 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$2,597.40 |
$2,597.40 |
$2,597.40 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$2,449.20 |
$2,449.20 |
$2,449.20 |
$1,572.20
|
|
Colonoscopy w/injection
|
$2,449.20 |
$2,449.20 |
$2,449.20 |
$2,449.20
|
|
Colonoscopy (with biopsy)
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,288.00
|
|
Compatibility test each unit antiglobulin technique
|
$109.20 |
$109.20 |
$109.20 |
$173.50
|
|
Compatibility test each unit electronic
|
$109.20 |
$109.20 |
$109.20 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$109.20 |
$109.20 |
$109.20 |
$169.52
|
|
Complement antigen each component c3
|
$60.00 |
$60.00 |
$60.00 |
$110.00
|
|
Complement fixation each
|
$73.80 |
$73.80 |
$73.80 |
$29.12
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$925.80 |
$925.80 |
$925.80 |
$1,191.78
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$791.40 |
$791.40 |
$791.40 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$483.60 |
$483.60 |
$483.60 |
$490.50
|
|
Complx repair fccmnaxghf 13132
|
$760.80 |
$760.80 |
$760.80 |
$1,107.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$472.20 |
$472.20 |
$472.20 |
$508.44
|
|
Complx repair trunk addl 5cm/< 13102
|
$431.40 |
$431.40 |
$431.40 |
$537.00
|
|
Concentration infection agents any type
|
$67.80 |
$67.80 |
$67.80 |
$51.32
|
|
Condylomata destruction 56420
|
$613.20 |
$613.20 |
$613.20 |
$467.35
|
|
Consultation pathology during surgery
|
$55.80 |
$55.80 |
$55.80 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$456.60 |
$456.60 |
$456.60 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$28.20 |
$28.20 |
$28.20 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$327.00 |
$327.00 |
$327.00 |
$226.50
|
|
Contrast baths charges
|
$97.20 |
$97.20 |
$97.20 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$4,533.00 |
$4,533.00 |
$4,533.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$3,606.00 |
$3,606.00 |
$3,606.00 |
$3,745.00
|
|
Controller infinity pt dbs
|
$697.20 |
$697.20 |
$697.20 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$231.00 |
$231.00 |
$231.00 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$231.00 |
$231.00 |
$231.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$231.00 |
$231.00 |
$231.00 |
$352.80
|
|
Coombs direct
|
$60.60 |
$60.60 |
$60.60 |
$76.80
|
|
Coombs indirect titer reference
|
$109.20 |
$109.20 |
$109.20 |
$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
|
$8,864.40 |
$8,864.40 |
$8,864.40 |
$7,849.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$4,585.80 |
$4,585.80 |
$4,585.80 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$7,875.00 |
$7,875.00 |
$7,875.00 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$9,062.40 |
$9,062.40 |
$9,062.40 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$4,585.80 |
$4,585.80 |
$4,585.80 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$8,597.40 |
$8,597.40 |
$8,597.40 |
$7,988.40
|
|
Cortisol total am
|
$102.60 |
$102.60 |
$102.60 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$369.60 |
$369.60 |
$369.60 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$48.00 |
$48.00 |
$48.00 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$3,649.20 |
$3,649.20 |
$3,649.20 |
$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
|
$47.40 |
$47.40 |
$47.40 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$327.00 |
$327.00 |
$327.00 |
$584.50
|
|
C-peptide
|
$60.00 |
$60.00 |
$60.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$591.00 |
$591.00 |
$591.00 |
$777.71
|
|
C-reactive protein
|
$60.00 |
$60.00 |
$60.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$60.00 |
$60.00 |
$60.00 |
$85.50
|
|
C-reactive protein, quantitative
|
$173.40 |
$173.40 |
$173.40 |
$65.16
|
|
Creatine kinase
|
$46.20 |
$46.20 |
$46.20 |
$66.30
|
|
Creatine kinase isoenzymes
|
$52.80 |
$52.80 |
$52.80 |
$56.20
|
|
Creatine kinase mb
|
$56.40 |
$56.40 |
$56.40 |
$113.63
|
|
Creatine - sendout
|
$43.80 |
$43.80 |
$43.80 |
$41.25
|
|
Creatinine
|
$18.00 |
$18.00 |
$18.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$30.60 |
$30.60 |
$30.60 |
$57.85
|
|
Creatinine clearance urine
|
$45.00 |
$45.00 |
$45.00 |
$90.26
|
|
#creutz-prot.,western blot
|
$166.20 |
$166.20 |
$166.20 |
$163.50
|
|
Critical care each additional 30 minutes
|
$690.00 |
$690.00 |
$690.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,378.20 |
$1,378.20 |
$1,378.20 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$86.40 |
$86.40 |
$86.40 |
$52.50
|
|
Cryoprecipitate each unit
|
$53.40 |
$53.40 |
$53.40 |
$144.78
|
|
Cryptosporidium antigen
|
$115.20 |
$115.20 |
$115.20 |
$52.08
|
|
Crystal identification light microscopy
|
$18.60 |
$18.60 |
$18.60 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$653.40 |
$653.40 |
$653.40 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,169.00 |
$2,169.00 |
$2,169.00 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,885.20 |
$1,885.20 |
$1,885.20 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$642.00 |
$642.00 |
$642.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,942.80 |
$1,942.80 |
$1,942.80 |
$1,915.30
|
|
CT Angiogram of the Head
|
$653.40 |
$653.40 |
$653.40 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,689.60 |
$1,689.60 |
$1,689.60 |
$1,881.75
|
|
CT angio pelvis
|
$1,885.20 |
$1,885.20 |
$1,885.20 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$653.40 |
$653.40 |
$653.40 |
$1,691.30
|
|
CT guidance for needle placement
|
$844.80 |
$844.80 |
$844.80 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$526.80 |
$526.80 |
$526.80 |
$1,215.06
|
|
CT guid parench tis ablat
|
$2,815.20 |
$2,815.20 |
$2,815.20 |
$1,281.75
|
|
CT limited or localized follow-up study
|
$222.00 |
$222.00 |
$222.00 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$1,599.60 |
$1,599.60 |
$1,599.60 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$2,396.40 |
$2,396.40 |
$2,396.40 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,337.20 |
$3,337.20 |
$3,337.20 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,754.60 |
$2,754.60 |
$2,754.60 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,161.80 |
$2,161.80 |
$2,161.80 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,043.60 |
$2,043.60 |
$2,043.60 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$1,710.00 |
$1,710.00 |
$1,710.00 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$47.40 |
$47.40 |
$47.40 |
$72.00
|
|
Culture afb any source
|
$70.80 |
$70.80 |
$70.80 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$42.00 |
$42.00 |
$42.00 |
$84.76
|
|
Culture anaerobic except blood
|
$46.20 |
$46.20 |
$46.20 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$25.80 |
$25.80 |
$25.80 |
$52.50
|
|
Culture body fluid
|
$51.00 |
$51.00 |
$51.00 |
$126.75
|
