|
Compatibility test each unit antiglobulin technique
|
$109.20 |
$240.00 |
$714.80 |
|
|
Compatibility test each unit electronic
|
$82.80 |
$203.40 |
$728.40 |
|
|
Compatibility test each unit immediate spin technique
|
$81.00 |
$203.40 |
$653.60 |
|
|
Compatibility test incubate
|
$139.80 |
$139.80 |
$185.00 |
|
|
Comp cystometrogram/void presssure 51728
|
$832.50 |
$2,793.60 |
$3,818.40 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,060.00 |
$2,174.40 |
$3,412.80 |
|
|
Complement antigen each component c3
|
$49.60 |
$80.40 |
$846.60 |
|
|
Complement fixation each
|
$70.80 |
$85.80 |
$122.40 |
|
|
Complex cystometrogram 51726
|
$420.00 |
$4,291.20 |
$5,500.80 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$467.00 |
$1,927.80 |
$4,321.80 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$925.80 |
$1,941.60 |
$6,231.60 |
|
|
Complex simulation w/pet-ct
|
$5,011.20 |
$5,011.20 |
$5,011.20 |
|
|
Complex uroflowmetry (electronic) 51741
|
$248.00 |
$1,501.20 |
$2,136.60 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$674.40 |
$2,172.00 |
$5,765.40 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$791.40 |
$2,172.00 |
$5,608.80 |
|
|
Complx repair enel addl 5cm/< 13153
|
$319.20 |
$654.00 |
$2,219.40 |
|
|
Complx repair fccmnaxghf 13131
|
$538.80 |
$2,172.00 |
$4,893.00 |
|
|
Complx repair fccmnaxghf 13132
|
$695.40 |
$2,097.00 |
$5,469.60 |
|
|
Complx repair fccmnaxghf 13133
|
$438.00 |
$1,089.00 |
$2,172.00 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$378.00 |
$828.60 |
$1,247.40 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$849.50 |
$1,927.80 |
$5,677.80 |
|
|
Complx repair trunk addl 5cm/< 13102
|
$399.60 |
$741.60 |
$1,095.60 |
|
|
Composite drsg >16<=48 sq in
|
$3.60 |
$4.80 |
$43.20 |
|
|
Composite drsg <= 16 sq in
|
$3.00 |
$3.60 |
$37.60 |
|
|
Composite graft/pri close/don area 15760
|
$2,371.50 |
$3,734.40 |
$4,080.00 |
|
|
Comprehensive hearing test
|
$222.00 |
$256.80 |
$354.60 |
|
|
Concentration infection agents any type
|
$22.50 |
$40.80 |
$1,537.20 |
|
|
Conditioning play audiometry 92582
|
$112.80 |
$112.80 |
$324.00 |
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$1,786.20 |
$1,786.20 |
$1,786.20 |
|
|
Condylomata destruction 56420
|
$265.00 |
$831.60 |
$3,560.40 |
|
|
Conform band n/s w>=3"<5"/yd
|
$4.80 |
$9.00 |
$17.40 |
|
|
Conform band s w>=3" <5"/yd
|
$31.20 |
$31.20 |
$31.20 |
|
|
Conform band s w >=5"/yd
|
$3.00 |
$3.00 |
$3.00 |
|
|
Conivaptan hcl
|
$54.60 |
$54.60 |
$4,051.20 |
|
|
Conization/cerv/loop electrode exc 57522
|
$451.20 |
$818.50 |
$8,883.00 |
|
|
Conization of cervix
|
$512.40 |
$512.40 |
$512.40 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$220.80 |
$860.00 |
$2,712.60 |
|
|
Connect omega .5mm
|
$728.40 |
$1,881.00 |
$37,255.80 |
|
|
Connector tis 2x10mm
|
$3,529.20 |
$5,560.80 |
$9,382.20 |
|
|
Consultation pathology during surgery
|
$42.60 |
$90.50 |
$231.60 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$79.80 |
$235.20 |
$1,472.40 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$28.20 |
$113.60 |
$336.60 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$104.40 |
$337.20 |
$882.00 |
|
|
Consultation/report referred material w/preparation of slides
|
$60.60 |
$176.40 |
$1,830.60 |
|
|
Consultation/report referred slides prepared elsewhere
|
$78.60 |
$184.20 |
$342.00 |
|
|
Consult comp w/report rfrd material
|
$189.00 |
$324.60 |
$1,294.80 |
|
|
Contact layer >16<= 48 sq in
|
$3.00 |
$24.00 |
$243.00 |
|
|
Contact lens fitg aphakia 1
|
$513.50 |
$513.50 |
$513.50 |
|
|
Contact lens fitg aphakia ou
|
$153.00 |
$153.00 |
$153.00 |
|
|
Contour cranial bone lesion
|
$898.80 |
$898.80 |
$898.80 |
|
|
Contrast baths charges
|
$40.50 |
$91.20 |
$198.00 |
|
|
Contrast exam abdominl aorta 75625-26
|
$2,766.60 |
$5,260.20 |
$7,103.40 |
|
|
Contrast exam thoracic aorta
|
$2,669.50 |
$5,906.40 |
$5,906.40 |
|
|
Contrast exam thoracic aorta 75605-26
|
$2,557.80 |
$5,562.00 |
$10,811.20 |
|
|
Contrast x-ray gallbladder
|
$31.20 |
$427.80 |
$1,312.80 |
|
|
Contrast x-ray of ankle
|
$262.50 |
$896.40 |
$2,649.60 |
|
|
Contrast x-ray of brain
|
$4,984.80 |
$4,984.80 |
$4,984.80 |
|
|
Contrast x-ray of elbow
|
$248.00 |
$814.20 |
$2,649.60 |
|
|
Contrast x-ray of hip
|
$292.80 |
$814.20 |
$4,294.20 |
|
|
Contrast x-ray of knee joint
|
$718.20 |
$896.40 |
$4,294.20 |
|
|
Contrast x-ray of wrist
|
$297.00 |
$896.40 |
$2,649.60 |
|
|
Controler lvad heartmate 3 includes ebb
|
$26,560.20 |
$26,560.20 |
$26,560.20 |
|
|
Controller infinity pt dbs
|
$697.20 |
$4,347.00 |
$64,921.20 |
|
|
Control nosebleed pack+caut 30905
|
$231.00 |
$992.40 |
$3,560.40 |
|
|
Control nose/throat bleeding comp req hospital 42971
|
$784.80 |
$784.80 |
$784.80 |
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$956.40 |
$956.40 |
$956.40 |
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$442.80 |
$442.80 |
$442.80 |
|
|
Control of nosebleed ant comp 30903
|
$231.00 |
$896.40 |
$3,560.40 |
|
|
Control of nosebleedantersmpl 30901
|
$231.00 |
$520.80 |
$1,338.60 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$620.00 |
$1,546.80 |
$3,772.80 |
|
|
Control throat bleeding
|
$8,917.80 |
$8,917.80 |
$8,917.80 |
|
|
Control throat bleeding
|
$944.40 |
$944.40 |
$944.40 |
|
|
Contrst x-ray uppr gi tract
|
$471.00 |
$471.00 |
$471.00 |
|
|
Conversion ext bil drg cath
|
$2,273.40 |
$7,502.40 |
$8,884.20 |
|
|
Convert nephrostomy catheter
|
$1,941.60 |
$3,669.60 |
$8,884.20 |
|
|
Conv gtube to jtube
|
$3,123.00 |
$3,848.40 |
$5,378.40 |
|
|
Coombs direct
|
$37.20 |
$75.00 |
$238.40 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$32.40 |
$336.00 |
$653.60 |
|
|
Coombs indirect titer reference
|
$53.40 |
$203.40 |
$828.60 |
|
|
Copper cu 64 dotatate diag
|
$2,083.80 |
$2,083.80 |
$3,172.80 |
|
|
Copper intrauterine device
|
$651.00 |
$2,345.00 |
$7,249.00 |
|
|
Core ndl bx lng/med perq
|
$1,321.60 |
$3,052.80 |
$4,069.80 |
|
|
Cor hlx vlgs double osteot
|
$1,300.20 |
$1,300.20 |
$3,633.50 |
|
|
Cor hlx vlgs dstl mtar osteo
|
$1,174.80 |
$2,511.50 |
$5,397.60 |
|
|
Cor hlx vlgs prx phlx osteot
|
$963.60 |
$963.60 |
$2,172.00 |
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$1,200.00 |
$12,602.40 |
$21,789.60 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$4,402.50 |
$9,024.60 |
$25,078.20 |
|
|
Coronary angio/lv gram/lt heart
|
$4,406.00 |
$8,070.00 |
$21,966.40 |
|
|
Coronary angio/lv gram/rt< heart
|
$4,409.00 |
$9,062.40 |
$25,355.20 |
|
|
Coronary art/grft angio s&i
|
$4,404.00 |
$6,734.20 |
$21,966.40 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,891.00 |
$7,491.00 |
$21,966.40 |
|
|
Coronary thrombolysis/iv infusion 92977
|
$369.50 |
$477.60 |
$577.60 |
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
|
|
Correct finger deformity
|
$706.20 |
$706.20 |
$706.20 |
|
|
Correction eyelid w/implant
|
$2,732.50 |
$2,732.50 |
$2,732.50 |
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$863.40 |
$863.40 |
$863.40 |
|
|
Correct rectal prolapse
|
$3,817.00 |
$8,616.60 |
$10,834.80 |
|
|
Corrj halux rigdus w/implt
|
$775.80 |
$775.80 |
$3,042.00 |
|
|
Corrj halux rigdus without implt
|
$841.20 |
$841.20 |
$2,330.00 |
|
|
Corticorelin ovine triflutal
|
$19.80 |
$24.00 |
$210.00 |
|