|
Corneal transplant
|
$44,938.85 |
$44,938.85 |
$44,938.85 |
$5,912.40
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$31,350.00 |
$31,350.00 |
$31,350.00 |
$8,272.50
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,445.20 |
$9,445.20 |
$9,445.20 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$11,386.20 |
$11,386.20 |
$11,386.20 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$12,232.20 |
$12,232.20 |
$12,232.20 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$9,502.80 |
$9,502.80 |
$9,502.80 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,720.80 |
$7,720.80 |
$7,720.80 |
$7,914.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$8,907.23 |
$8,907.23 |
$8,907.23 |
$3,839.54
|
|
Corrj halux rigdus without implt
|
$23,922.34 |
$23,922.34 |
$23,922.34 |
$3,839.54
|
|
Cortisol total am
|
$148.20 |
$148.20 |
$148.20 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$666.46 |
$666.46 |
$745.86 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$48.00 |
$48.00 |
$48.00 |
$110.00
|
|
Coveredge 32 lead kit 40cm 48
|
$19,969.95 |
$19,969.95 |
$19,969.95 |
$3,908.16
|
|
Covers for upright each
|
$215.00 |
$215.00 |
$215.00 |
$89.98
|
|
Cover wrist
|
$210.67 |
$210.67 |
$210.67 |
$225.00
|
|
Cptr-asst dir ms px
|
$57,410.66 |
$57,410.66 |
$57,410.66 |
$7,972.25
|
|
Cranial cervical orthosis
|
$39,187.50 |
$39,187.50 |
$39,187.50 |
$11,130.00
|
|
Crbrospnl fld flw imag cistern
|
$1,368.60 |
$1,368.60 |
$1,368.60 |
$1,240.80
|
|
C-reactive protein
|
$114.00 |
$114.00 |
$114.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$56.40 |
$56.40 |
$56.40 |
$85.00
|
|
Create eardrum opening
|
$6,662.98 |
$6,662.98 |
$13,545.62 |
$3,062.80
|
|
Creatine kinase
|
$72.60 |
$72.60 |
$72.60 |
$66.30
|
|
Creatine kinase isoenzymes
|
$87.60 |
$87.60 |
$87.60 |
$56.80
|
|
Creatine kinase mb
|
$174.00 |
$174.00 |
$174.00 |
$114.00
|
|
Creatine - sendout
|
$91.20 |
$91.20 |
$91.20 |
$39.00
|
|
Creatinine
|
$54.60 |
$54.60 |
$54.60 |
$44.72
|
|
Creatinine 24 hour urine
|
$91.80 |
$91.80 |
$91.80 |
$58.85
|
|
Creatinine clearance urine
|
$163.80 |
$163.80 |
$163.80 |
$89.50
|
|
#creutz-prot.,western blot
|
$228.60 |
$228.60 |
$228.60 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,576.20 |
$1,576.20 |
$1,576.20 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$1,576.20 |
$1,576.20 |
$1,576.20 |
$731.40
|
|
Crotalidae poly immune fab
|
$13,431.60 |
$13,431.60 |
$15,350.40 |
$5,590.35
|
|
Cryofibrinogen qualitative - sendout
|
$63.00 |
$63.00 |
$63.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$148.80 |
$148.80 |
$148.80 |
$144.78
|
|
Crystal identification light microscopy
|
$211.20 |
$211.20 |
$211.20 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$399.00 |
$399.00 |
$399.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,819.80 |
$1,819.80 |
$1,819.80 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,047.80 |
$2,047.80 |
$2,047.80 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$1,371.00 |
$1,371.00 |
$1,371.00 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$1,371.00 |
$1,371.00 |
$1,371.00 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$1,509.00 |
$1,509.00 |
$1,509.00 |
$1,500.38
|
|
CT angio pelvis
|
$1,806.60 |
$1,806.60 |
$1,806.60 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,363.80 |
$1,363.80 |
$1,363.80 |
$1,698.00
|
|
CT colonography dx
|
$1,314.60 |
$1,314.60 |
$1,314.60 |
$791.00
|
|
CT colonography dx w/dye
|
$1,995.60 |
$1,995.60 |
$1,995.60 |
$1,037.00
|
|
CT colonography screening
|
$585.60 |
$585.60 |
$585.60 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,430.40 |
$1,430.40 |
$1,430.40 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,285.80 |
$1,285.80 |
$1,285.80 |
$1,178.52
|
|
CT guid cryo ablat intramuscular
|
$24,438.19 |
$24,438.19 |
$24,438.19 |
$1,643.20
|
|
CT guid parench tis ablat
|
$949.20 |
$949.20 |
$949.20 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$957.00 |
$957.00 |
$957.00 |
$171.60
|
|
CT hrt w/3d image
|
$1,722.60 |
$1,722.60 |
$1,722.60 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$663.60 |
$663.60 |
$663.60 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,538.40 |
$1,538.40 |
$1,538.40 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$1,421.85
|
|
Ctlso a-p-l control molded
|
$11,254.27 |
$11,254.27 |
$11,254.27 |
$3,746.69
|
|
Ctlso a-p-l control with inter
|
$12,371.53 |
$12,371.53 |
$12,371.53 |
$4,186.78
|
|
Ctlso axilla sling
|
$473.01 |
$473.01 |
$473.01 |
$197.97
|
|
Ctlso milwauke initial model
|
$11,463.56 |
$11,463.56 |
$11,463.56 |
$4,797.91
|
|
CT lwr extremity w/o&w/dye
|
$2,162.40 |
$2,162.40 |
$2,162.40 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,413.00 |
$1,413.00 |
$1,413.00 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,180.20 |
$1,180.20 |
$1,180.20 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,340.60 |
$2,340.60 |
$2,340.60 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,981.20 |
$1,981.20 |
$1,981.20 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,517.40 |
$1,517.40 |
$1,517.40 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$273.00 |
$273.00 |
$273.00 |
$437.04
|
|
CT scan for localization
|
$1,388.40 |
$1,388.40 |
$1,388.40 |
$1,205.14
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,105.60 |
$3,105.60 |
$3,105.60 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,175.60 |
$2,175.60 |
$2,175.60 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,247.60 |
$2,247.60 |
$2,247.60 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$1,291.80 |
$1,291.80 |
$1,291.80 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$1,148.40 |
$1,148.40 |
$1,148.40 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$598.80 |
$598.80 |
$598.80 |
$331.50
|
|
CT t-spine w /wo contrast
|
$2,865.60 |
$2,865.60 |
$2,865.60 |
$2,027.52
|
|
CT upper extremity w/contrast (both sides)
|
$2,680.80 |
$2,680.80 |
$2,680.80 |
$1,694.16
|
|
CT upper extremity without contrast (both sides)
|
$1,087.20 |
$1,087.20 |
$1,087.20 |
$1,430.20
|
|
Cuffs adj lock with active con
|
$5,528.20 |
$5,528.20 |
$5,528.20 |
$1,472.80
|
|
Culture aerobic additional method definitive id each
|
$99.60 |
$99.60 |
$99.60 |
$68.64
|
|
Culture anaerobic additional method definitive id each
|
$60.00 |
$60.00 |
$81.60 |
$79.00
|
|
Culture anaerobic except blood
|
$210.00 |
$210.00 |
$210.00 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$71.40 |
$71.40 |
$71.40 |
$51.45
|
|
Culture body fluid
|
$162.60 |
$162.60 |
$162.60 |
$126.75
|
|
Culture fungi definitive id mold
|
$89.40 |
$89.40 |
$89.40 |
$77.28
|
|
Culture fungi definitive id yeast
|
$100.20 |
$100.20 |
$100.20 |
$79.10
|
|
Culture fungi other (except blood)
|
$156.60 |
$156.60 |
$156.60 |
$108.00
|
|
Culture mycobacteria definitive id each isolate
|
$361.20 |
$361.20 |
$361.20 |
$89.70
|
|
Culture mycoplasma any source
|
$126.60 |
$126.60 |
$126.60 |
$85.26
|
|
Culture screening strep group a
|
$120.00 |
$120.00 |
$120.00 |
$81.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$654.00 |
$654.00 |
$654.00 |
$392.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$105.00 |
$105.00 |
$105.00 |
$133.90
|
|
Culture urine each isolate
|
$85.80 |
$85.80 |
$85.80 |
$57.00
|
|
Cutter lead
|
$22,383.90 |
$22,383.90 |
$22,383.90 |
$6,092.06
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$45.00 |
$45.00 |
$45.00 |
$25.20
|
|
Cyclophosphamide 25 mg capsule
|
$81.65 |
$81.65 |
$101.86 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$591.47 |
$591.47 |
$661.93 |
$140.78
|
|
Cyclosporine 2 hour
|
$325.80 |
$325.80 |
$325.80 |
$129.48
|