|
Clsd tx/radial head/neck fx/no manip 24650
|
$118.50 |
$118.50 |
$118.50 |
$451.68
|
|
Clsd tx radius fracture w/manip 24655
|
$581.50 |
$581.50 |
$581.50 |
$1,772.97
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,018.00 |
$1,018.00 |
$1,018.00 |
$1,815.75
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,010.00 |
$2,010.00 |
$2,010.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$420.50 |
$420.50 |
$420.50 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$316.50 |
$316.50 |
$316.50 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,946.00 |
$2,946.00 |
$2,946.00 |
$1,565.74
|
|
Cltx carpl scphd fx w/mnpj
|
$2,946.00 |
$2,946.00 |
$2,946.00 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$902.00 |
$902.00 |
$902.00 |
$1,985.60
|
|
C motor evoked upr&lwr limbs
|
$1,869.50 |
$1,869.50 |
$1,869.50 |
$1,308.00
|
|
#cmvcul-virus inoculation shell
|
$109.00 |
$109.00 |
$109.00 |
$87.75
|
|
Cmv pcr-sendout
|
$601.00 |
$601.00 |
$601.00 |
$177.50
|
|
Co2 monitor per day
|
$335.00 |
$335.00 |
$335.00 |
$459.20
|
|
Coagulation time activated teg
|
$61.00 |
$61.00 |
$61.00 |
$53.55
|
|
Coil axium 3d 14mmx40cm qc
|
$3,778.50 |
$3,778.50 |
$3,778.50 |
$308.00
|
|
Cold agglutinin titer
|
$55.00 |
$55.00 |
$55.00 |
$51.60
|
|
Collagen based wound filler
|
$3,456.00 |
$3,456.00 |
$3,456.00 |
$1,823.25
|
|
Collagen drsg>16<=48 sq in
|
$6,969.50 |
$6,969.50 |
$6,969.50 |
$25.75
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$101.00 |
$101.00 |
$101.00 |
$62.40
|
|
Collar cerv ascend 172 reg
|
$422.00 |
$422.00 |
$422.00 |
$213.89
|
|
Collar cerv patriot adlt
|
$16.50 |
$16.50 |
$16.50 |
$134.66
|
|
Collar extrication adult univ
|
$1,111.00 |
$1,111.00 |
$1,111.00 |
$800.32
|
|
Collection blood specimen from completely implantable venous access device
|
$101.00 |
$101.00 |
$101.00 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$211.00 |
$211.00 |
$211.00 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$10.00 |
$10.00 |
$10.00 |
$21.00
|
|
Colon motility 6 hr study
|
$411.50 |
$411.50 |
$411.50 |
$477.92
|
|
Colonoscopy (with polyp removal)
|
$666.00 |
$666.00 |
$666.00 |
$2,288.00
|
|
Compatibility test each unit antiglobulin technique
|
$84.00 |
$84.00 |
$84.00 |
$172.00
|
|
Compatibility test each unit electronic
|
$116.50 |
$116.50 |
$116.50 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$181.50 |
$181.50 |
$181.50 |
$167.17
|
|
Complement antigen each component c3
|
$399.50 |
$399.50 |
$399.50 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,065.50 |
$1,065.50 |
$1,065.50 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,065.50 |
$1,065.50 |
$1,065.50 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,065.50 |
$1,065.50 |
$1,065.50 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,065.50 |
$1,065.50 |
$1,065.50 |
$1,194.25
|
|
Complx repair fccmnaxghf 13131
|
$678.50 |
$678.50 |
$678.50 |
$789.60
|
|
Complx repair fccmnaxghf 13132
|
$1,065.50 |
$1,065.50 |
$1,065.50 |
$1,066.92
|
|
Complx repair fccmnaxghf 13133
|
$425.50 |
$425.50 |
$425.50 |
$493.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$533.00 |
$533.00 |
$533.00 |
$494.34
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,065.50 |
$1,065.50 |
$1,065.50 |
$1,003.80
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,154.00 |
$2,154.00 |
$2,154.00 |
$1,350.27
|
|
Concentration infection agents any type
|
$102.50 |
$102.50 |
$102.50 |
$51.32
|
|
Condylomata destruction 56420
|
$427.50 |
$427.50 |
$427.50 |
$463.98
|
|
Connect omega .5mm
|
$1,402.50 |
$1,402.50 |
$1,402.50 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,889.00 |
$3,889.00 |
$3,889.00 |
$4,055.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$233.00 |
$233.00 |
$233.00 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$54.50 |
$54.50 |
$54.50 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$180.00 |
$180.00 |
$180.00 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$50.50 |
$50.50 |
$50.50 |
$224.80
|
|
Contrast baths charges
|
$135.50 |
$135.50 |
$135.50 |
$74.25
|
|
Contrast exam abdominl aorta 75625-26
|
$3,011.50 |
$3,011.50 |
$3,011.50 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$3,663.60
|
|
Contrast x-ray of elbow
|
$337.00 |
$337.00 |
$337.00 |
$686.95
|
|
Contrast x-ray of hip
|
$767.00 |
$767.00 |
$767.00 |
$781.13
|
|
Contrast x-ray of knee joint
|
$436.00 |
$436.00 |
$436.00 |
$777.00
|
|
Contrast x-ray of wrist
|
$521.50 |
$521.50 |
$521.50 |
$655.00
|
|
Controler lvad heartmate 3 includes ebb
|
$167,836.00 |
$167,836.00 |
$167,836.00 |
$13,218.75
|
|
Controller infinity pt dbs
|
$6,758.50 |
$6,758.50 |
$6,758.50 |
$5,123.14
|
|
Control nosebleed pack+caut 30905
|
$171.00 |
$171.00 |
$171.00 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$185.00 |
$185.00 |
$185.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$196.50 |
$196.50 |
$196.50 |
$352.80
|
|
Conversion ext bil drg cath
|
$4,624.00 |
$4,624.00 |
$4,624.00 |
$4,099.56
|
|
Coombs direct
|
$60.00 |
$60.00 |
$60.00 |
$76.44
|
|
Coombs indirect titer reference
|
$191.00 |
$191.00 |
$191.00 |
$155.40
|
|
Core ndl bx lng/med perq
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$2,862.11
|
|
Cornea 1/2moon str split thick
|
$12,462.50 |
$12,462.50 |
$12,462.50 |
$7,193.20
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$3,204.50 |
$3,204.50 |
$3,204.50 |
$8,244.87
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$5,096.00 |
$5,096.00 |
$5,096.00 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$5,096.00 |
$5,096.00 |
$5,096.00 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$5,096.00 |
$5,096.00 |
$5,096.00 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$7,950.49
|
|
Coronary thrombolysis/iv infusion 92977
|
$682.00 |
$682.00 |
$682.00 |
$482.09
|
|
Cortisol total am
|
$254.50 |
$254.50 |
$254.50 |
$121.20
|
|
Counseling smoke cess interm >10mins
|
$80.50 |
$80.50 |
$80.50 |
$54.12
|
|
Counseling visit to discuss need for ldct g0296
|
$128.50 |
$128.50 |
$128.50 |
$102.38
|
|
Coveredge 32 lead kit 40cm 48
|
$6,841.50 |
$6,841.50 |
$6,841.50 |
$4,395.30
|
|
Covid-19 administration immunization im inj 1st/only component
|
$25.00 |
$25.00 |
$25.00 |
$49.13
|
|
#coxa-coxsackie a serotype a16
|
$97.50 |
$97.50 |
$97.50 |
$60.00
|
|
C-peptide
|
$144.00 |
$144.00 |
$144.00 |
$93.60
|
|
Cranial cervical torticollis
|
$779.00 |
$779.00 |
$779.00 |
$483.65
|
|
Crbrospnl fld flw imag cistern
|
$1,316.50 |
$1,316.50 |
$1,316.50 |
$1,281.00
|
|
C-reactive protein
|
$74.50 |
$74.50 |
$74.50 |
$68.38
|
|
C-reactive protein high sensitivity
|
$87.50 |
$87.50 |
$87.50 |
$85.00
|
|
Creatine kinase
|
$59.00 |
$59.00 |
$59.00 |
$65.60
|
|
Creatine kinase isoenzymes
|
$34.00 |
$34.00 |
$34.00 |
$54.60
|
|
Creatine kinase mb
|
$87.00 |
$87.00 |
$87.00 |
$113.63
|
|
Creatinine
|
$105.50 |
$105.50 |
$105.50 |
$45.65
|
|
Creatinine 24 hour urine
|
$54.50 |
$54.50 |
$54.50 |
$57.60
|
|
Creatinine clearance urine
|
$119.00 |
$119.00 |
$119.00 |
$89.28
|
|
#creutz-prot.,western blot
|
$85.00 |
$85.00 |
$85.00 |
$163.50
|
|
Critical care 30-74 minutes
|
$2,519.00 |
$2,519.00 |
$2,519.00 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$252.00 |
$252.00 |
$252.00 |
$686.86
|
|
Cryo fib comp path redu each
|
$1,653.50 |
$1,653.50 |
$1,653.50 |
$470.50
|
|
Cryoprecipitate each unit
|
$719.00 |
$719.00 |
$719.00 |
$144.78
|
|
Cryopreserve stem cells
|
$2,884.00 |
$2,884.00 |
$2,884.00 |
$2,588.88
|
|
Crystal identification light microscopy
|
$67.00 |
$67.00 |
$67.00 |
$65.50
|
|
CT 3d report other modality w/workstation
|
$150.50 |
$150.50 |
$150.50 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$889.00 |
$889.00 |
$889.00 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$875.00 |
$875.00 |
$875.00 |
$1,916.50
|
