|
Collection blood specimen from completely implantable venous access device
|
$110.50 |
$110.50 |
$110.50 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$95.00 |
$95.00 |
$95.00 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$9.00 |
$9.00 |
$9.00 |
$21.00
|
|
Colon motility 6 hr study
|
$421.00 |
$421.00 |
$421.00 |
$477.92
|
|
Colonoscopy (with polyp removal)
|
$637.00 |
$637.00 |
$637.00 |
$2,288.00
|
|
Colpocentesis 57020
|
$1,997.00 |
$1,997.00 |
$1,997.00 |
$4,232.80
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,221.50 |
$3,221.50 |
$3,221.50 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$555.00 |
$555.00 |
$555.00 |
$1,030.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$403.00 |
$403.00 |
$403.00 |
$314.00
|
|
Colposcopy vulva 56820
|
$241.50 |
$241.50 |
$241.50 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$241.50 |
$241.50 |
$241.50 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$579.00 |
$579.00 |
$579.00 |
$485.50
|
|
Combination bilateral ho
|
$4,015.50 |
$4,015.50 |
$4,015.50 |
$4,015.50
|
|
Compatibility test each unit antiglobulin technique
|
$81.50 |
$81.50 |
$81.50 |
$172.00
|
|
Compatibility test each unit electronic
|
$63.00 |
$63.00 |
$63.00 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$144.50 |
$144.50 |
$144.50 |
$167.17
|
|
Compatibility test incubate
|
$63.00 |
$63.00 |
$63.00 |
$149.60
|
|
Comp cystometrogram/void presssure 51728
|
$727.50 |
$727.50 |
$727.50 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$477.50 |
$477.50 |
$477.50 |
$1,111.03
|
|
Complement antigen each component c3
|
$368.50 |
$368.50 |
$368.50 |
$110.00
|
|
Complex cystometrogram 51726
|
$761.00 |
$761.00 |
$761.00 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$621.50 |
$621.50 |
$621.50 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,358.50 |
$1,358.50 |
$1,358.50 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$393.50 |
$393.50 |
$393.50 |
$344.68
|
|
Compl oph exam general anes
|
$1,345.50 |
$1,345.50 |
$1,345.50 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$731.50 |
$731.50 |
$731.50 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$881.00 |
$881.00 |
$881.00 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$472.00 |
$472.00 |
$472.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$504.50 |
$504.50 |
$504.50 |
$789.60
|
|
Complx repair fccmnaxghf 13132
|
$621.50 |
$621.50 |
$621.50 |
$1,066.92
|
|
Complx repair fccmnaxghf 13133
|
$481.50 |
$481.50 |
$481.50 |
$493.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$421.00 |
$421.00 |
$421.00 |
$494.34
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,012.00 |
$1,012.00 |
$1,012.00 |
$1,003.80
|
|
Complx repair trunk addl 5cm/< 13102
|
$481.50 |
$481.50 |
$481.50 |
$502.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,442.50 |
$1,442.50 |
$1,442.50 |
$1,350.27
|
|
Composite graft/pri close/don area 15760
|
$3,373.50 |
$3,373.50 |
$3,373.50 |
$2,816.50
|
|
Comprehensive hearing test
|
$236.50 |
$236.50 |
$236.50 |
$260.40
|
|
Compre oph exam est pt 1/>
|
$74.00 |
$74.00 |
$74.00 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$99.00 |
$99.00 |
$99.00 |
$188.51
|
|
Computed tomographic angiography head and neck with contrast
|
$324.50 |
$324.50 |
$324.50 |
$2,237.25
|
|
Concentration infection agents any type
|
$106.00 |
$106.00 |
$106.00 |
$51.32
|
|
Conditioning play audiometry 92582
|
$236.50 |
$236.50 |
$236.50 |
$189.15
|
|
Condylomata destruction 56420
|
$519.00 |
$519.00 |
$519.00 |
$463.98
|
|
Conization/cerv/loop electrode exc 57522
|
$3,516.00 |
$3,516.00 |
$3,516.00 |
$4,752.00
|
|
Connect omega .5mm
|
$1,091.00 |
$1,091.00 |
$1,091.00 |
$1,260.00
|
|
Connector tis 2x10mm
|
$4,055.00 |
$4,055.00 |
$4,055.00 |
$4,055.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$233.50 |
$233.50 |
$233.50 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$63.00 |
$63.00 |
$63.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$160.00 |
$160.00 |
$160.00 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$65.50 |
$65.50 |
$65.50 |
$224.80
|
|
Contact lens fitg aphakia 1
|
$152.50 |
$152.50 |
$152.50 |
$472.21
|
|
Contact lens fitting for tx
|
$62.00 |
$62.00 |
$62.00 |
$92.96
|
|
Cont intraop neuro monitor
|
$271.50 |
$271.50 |
$271.50 |
$73.60
|
|
Contrast exam abdominl aorta 75625-26
|
$3,239.00 |
$3,239.00 |
$3,239.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$3,455.50 |
$3,455.50 |
$3,455.50 |
$3,663.60
|
|
Contrast x-ray gallbladder
|
$163.00 |
$163.00 |
$163.00 |
$341.00
|
|
Contrast x-ray of ankle
|
$661.50 |
$661.50 |
$661.50 |
$676.80
|
|
Contrast x-ray of brain
|
$838.50 |
$838.50 |
$838.50 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$686.95
|
|
Contrast x-ray of hip
|
$1,126.00 |
$1,126.00 |
$1,126.00 |
$781.13
|
|
Contrast x-ray of knee joint
|
$777.00 |
$777.00 |
$777.00 |
$777.00
|
|
Contrast x-ray of wrist
|
$759.00 |
$759.00 |
$759.00 |
$655.00
|
|
Controler lvad heartmate 3 includes ebb
|
$151,471.50 |
$151,471.50 |
$151,471.50 |
$13,218.75
|
|
Controller infinity pt dbs
|
$4,447.50 |
$4,447.50 |
$4,447.50 |
$5,123.14
|
|
Control nosebleed pack+caut 30905
|
$208.00 |
$208.00 |
$208.00 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$183.50 |
$183.50 |
$183.50 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$239.50 |
$239.50 |
$239.50 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$473.00 |
$473.00 |
$473.00 |
$618.80
|
|
Conversion ext bil drg cath
|
$4,334.00 |
$4,334.00 |
$4,334.00 |
$4,099.56
|
|
Convert nephrostomy catheter
|
$1,423.00 |
$1,423.00 |
$1,423.00 |
$2,777.60
|
|
Coombs direct
|
$60.00 |
$60.00 |
$60.00 |
$76.44
|
|
Coombs indirect titer reference
|
$102.50 |
$102.50 |
$102.50 |
$155.40
|
|
Core ndl bx lng/med perq
|
$1,923.00 |
$1,923.00 |
$1,923.00 |
$2,862.11
|
|
Corneal smear
|
$332.00 |
$332.00 |
$332.00 |
$472.21
|
|
Corneal transplant
|
$4,790.00 |
$4,790.00 |
$4,790.00 |
$6,105.79
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$2,731.00 |
$2,731.00 |
$2,731.00 |
$8,244.87
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,982.50 |
$9,982.50 |
$9,982.50 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$8,902.00 |
$8,902.00 |
$8,902.00 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$11,388.50 |
$11,388.50 |
$11,388.50 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$8,954.00 |
$8,954.00 |
$8,954.00 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,103.50 |
$7,103.50 |
$7,103.50 |
$7,950.49
|
|
Coronary thrombolysis/iv infusion 92977
|
$757.50 |
$757.50 |
$757.50 |
$482.09
|
|
Correction eyelid w/implant
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$3,269.14
|
|
Correction of astigmatism
|
$1,031.00 |
$1,031.00 |
$1,031.00 |
$2,240.00
|
|
Correction of astigmatism
|
$2,213.00 |
$2,213.00 |
$2,213.00 |
$2,790.40
|
|
Correction trichiasis epilation forcep 67820
|
$458.00 |
$458.00 |
$458.00 |
$176.00
|
|
Correction trichiasis inccision lid margin 67830
|
$794.00 |
$794.00 |
$794.00 |
$1,366.20
|
|
Correct skin color 6.0 cm/<
|
$453.50 |
$453.50 |
$453.50 |
$1,016.25
|
|
Cortisol total am
|
$97.00 |
$97.00 |
$97.00 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$112.00 |
$112.00 |
$112.00 |
$114.00
|
|
Counseling smoke cess interm >10mins
|
$30.00 |
$30.00 |
$30.00 |
$54.12
|
|
Counseling visit to discuss need for ldct g0296
|
$58.00 |
$58.00 |
$58.00 |
$102.38
|
|
Coveredge 32 lead kit 40cm 48
|
$4,501.50 |
$4,501.50 |
$4,501.50 |
$4,395.30
|
|
Cover eye w/membrane
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$2,550.48
|
|
Cover eye w/membrane suture
|
$3,535.00 |
$3,535.00 |
$3,535.00 |
$4,177.59
|
|
Covid-19 administration immunization im inj 1st/only component
|
$25.00 |
$25.00 |
$25.00 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$497.50 |
$497.50 |
$497.50 |
$588.08
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$497.50 |
$497.50 |
$497.50 |
$540.00
|
|
#coxa-coxsackie a serotype a16
|
$59.00 |
$59.00 |
$59.00 |
$60.00
|
|
C-peptide
|
$114.00 |
$114.00 |
$114.00 |
$93.60
|
