|
Cltx hum epcndylr fx wo mnpj
|
$413.60 |
$413.60 |
$413.60 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,784.00 |
$1,784.00 |
$1,784.00 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$432.80 |
$432.80 |
$432.80 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$2,466.40 |
$2,466.40 |
$2,466.40 |
$2,384.00
|
|
Cltx mndblr fx w/mnpj
|
$5,202.40 |
$5,202.40 |
$5,202.40 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$5,249.60 |
$5,249.60 |
$5,249.60 |
$3,986.00
|
|
Cltx post ankle fx w/mnpj
|
$2,760.80 |
$2,760.80 |
$2,760.80 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,587.20 |
$1,587.20 |
$1,587.20 |
$2,021.04
|
|
Cltx strnclav dislc w/mnpj
|
$337.60 |
$337.60 |
$337.60 |
$619.30
|
|
C motor evoked lwr limbs
|
$1,617.60 |
$1,617.60 |
$1,617.60 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$3,635.20 |
$3,635.20 |
$3,635.20 |
$1,333.36
|
|
Co2 monitor per day
|
$400.00 |
$400.00 |
$400.00 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$9,880.00 |
$9,880.00 |
$9,880.00 |
$11,888.50
|
|
Cocaine 4 % nasal solution
|
$284.81 |
$284.81 |
$284.81 |
$630.04
|
|
Cocaine hcl nasal (numbrino)
|
$172.32 |
$172.32 |
$172.32 |
$512.30
|
|
Colistimethate sodium inj
|
$332.16 |
$332.16 |
$332.16 |
$82.71
|
|
Collagenase, clost hist inj
|
$16,403.22 |
$16,403.22 |
$16,403.22 |
$12,906.28
|
|
Collagen based wound filler
|
$3,168.00 |
$3,168.00 |
$3,168.00 |
$1,794.78
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$418.40 |
$418.40 |
$418.40 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$84.00 |
$84.00 |
$84.00 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$37.60 |
$37.60 |
$37.60 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$364.80 |
$364.80 |
$364.80 |
$224.11
|
|
Collar extrication adult univ
|
$899.20 |
$899.20 |
$899.20 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$144.00 |
$144.00 |
$144.00 |
$162.00
|
|
Colpocentesis 57020
|
$2,329.60 |
$2,329.60 |
$2,329.60 |
$4,232.80
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,594.40 |
$3,594.40 |
$3,594.40 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$255.20 |
$255.20 |
$255.20 |
$314.00
|
|
Colposcopy vulva 56820
|
$188.80 |
$188.80 |
$188.80 |
$333.20
|
|
Compatibility test each unit electronic
|
$56.00 |
$56.00 |
$56.00 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$54.29 |
$54.29 |
$54.29 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$985.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$701.60 |
$701.60 |
$701.60 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$928.00 |
$928.00 |
$928.00 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$928.00 |
$928.00 |
$928.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$912.00 |
$912.00 |
$912.00 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$656.80 |
$656.80 |
$656.80 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$739.20 |
$739.20 |
$739.20 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$968.00 |
$968.00 |
$968.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$651.20 |
$651.20 |
$651.20 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$682.40 |
$682.40 |
$682.40 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$2,270.40 |
$2,270.40 |
$2,270.40 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$681.60 |
$681.60 |
$681.60 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$220.80 |
$220.80 |
$220.80 |
$1,350.27
|
|
Comprehensive hearing test
|
$200.80 |
$200.80 |
$200.80 |
$261.46
|
|
Computed tomographic angiography head and neck with contrast
|
$3,371.20 |
$3,371.20 |
$3,371.20 |
$2,247.00
|
|
Conditioning play audiometry 92582
|
$345.60 |
$345.60 |
$345.60 |
$189.15
|
|
Condylomata destruction 56420
|
$392.00 |
$392.00 |
$392.00 |
$467.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$584.32 |
$584.32 |
$584.32 |
$860.00
|
|
Connect omega .5mm
|
$3,414.40 |
$3,414.40 |
$3,414.40 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,492.80 |
$3,492.80 |
$3,492.80 |
$4,024.34
|
|
Consultation pathology during surgery cytological exam initial site
|
$115.20 |
$115.20 |
$115.20 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$63.20 |
$63.20 |
$63.20 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$106.40 |
$106.40 |
$106.40 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$100.80 |
$100.80 |
$100.80 |
$224.83
|
|
Consultation with family
|
$195.20 |
$195.20 |
$195.20 |
$135.79
|
|
Contrast baths charges
|
$87.20 |
$87.20 |
$87.20 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$6,025.60 |
$6,025.60 |
$6,025.60 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$4,993.60 |
$4,993.60 |
$4,993.60 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$5,828.00 |
$5,828.00 |
$5,828.00 |
$3,745.00
|
|
Contrast x-ray of brain
|
$1,654.40 |
$1,654.40 |
$1,654.40 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$996.00 |
$996.00 |
$996.00 |
$708.00
|
|
Contrast x-ray of hip
|
$1,340.80 |
$1,340.80 |
$1,340.80 |
$796.38
|
|
Contrast x-ray of knee joint
|
$1,295.20 |
$1,295.20 |
$1,295.20 |
$790.50
|
|
Contrast x-ray of wrist
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$667.50
|
|
Controller infinity pt dbs
|
$9,000.00 |
$9,000.00 |
$9,000.00 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$453.60 |
$453.60 |
$453.60 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$444.80 |
$444.80 |
$444.80 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$406.40 |
$406.40 |
$406.40 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$345.60 |
$345.60 |
$345.60 |
$620.00
|
|
Conversion ext bil drg cath
|
$5,401.60 |
$5,401.60 |
$5,401.60 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$3,749.60 |
$3,749.60 |
$3,749.60 |
$2,777.60
|
|
Coombs direct
|
$20.52 |
$20.52 |
$20.52 |
$76.80
|
|
Copper cu 64 dotatate diag
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$2,820.66
|
|
Copper intrauterine device
|
$4,273.60 |
$4,273.60 |
$4,273.60 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$16,795.20 |
$16,795.20 |
$16,795.20 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$15,510.40 |
$15,510.40 |
$15,510.40 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$16,838.40 |
$16,838.40 |
$16,838.40 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$13,225.60 |
$13,225.60 |
$13,225.60 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$12,465.60 |
$12,465.60 |
$12,465.60 |
$7,988.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$390.95 |
$390.95 |
$390.95 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$84.00 |
$84.00 |
$84.00 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$88.80 |
$88.80 |
$88.80 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$10,707.20 |
$10,707.20 |
$10,707.20 |
$4,180.79
|
|
Cover wrist
|
$208.80 |
$208.80 |
$208.80 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
$49.13
|
|
Covid-19 convalescent plasma
|
$920.80 |
$920.80 |
$920.80 |
$590.80
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$760.00 |
$760.00 |
$760.00 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$812.80 |
$812.80 |
$812.80 |
$540.00
|
|
CPAP or BiPAP Setup (first day)
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$584.50
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,329.60 |
$1,329.60 |
$1,329.60 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$1,567.20 |
$1,567.20 |
$1,567.20 |
$1,330.02
|
|
Crisis psychotherapy 90839
|
$360.00 |
$360.00 |
$360.00 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$156.00 |
$156.00 |
$156.00 |
$149.52
|
|
Critical care each additional 30 minutes
|
$560.00 |
$560.00 |
$560.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,793.60 |
$2,793.60 |
$2,793.60 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$6,819.37 |
$6,819.37 |
$6,819.37 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$7,691.20 |
$7,691.20 |
$7,691.20 |
$5,760.00
|
|
Cryoprecipitate each unit
|
$388.80 |
$388.80 |
$388.80 |
$144.78
|
