|
Cltx thigh fx
|
$1,444.95 |
$1,444.95 |
$1,444.95 |
$4,008.00
|
|
C motor evoked lwr limbs
|
$413.85 |
$413.85 |
$413.85 |
$627.89
|
|
C motor evoked uppr limbs
|
$413.85 |
$413.85 |
$413.85 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$347.85 |
$347.85 |
$347.85 |
$1,308.00
|
|
#cmvcul-virus inoculation shell
|
$34.20 |
$34.20 |
$34.20 |
$100.80
|
|
Cmv pcr-sendout
|
$61.50 |
$61.50 |
$61.50 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$11,735.79 |
$11,735.79 |
$11,735.79 |
$8,980.00
|
|
Coagulation time activated teg
|
$7.35 |
$7.35 |
$7.35 |
$53.72
|
|
Cold agglutinin screen (arc)
|
$11.85 |
$11.85 |
$11.85 |
$45.00
|
|
Cold agglutinin titer
|
$13.95 |
$13.95 |
$13.95 |
$50.00
|
|
Colistimethate sodium inj
|
$68.47 |
$68.47 |
$68.47 |
$68.47
|
|
Collagen based wound filler
|
$4,635.84 |
$4,635.84 |
$4,635.84 |
$1,823.25
|
|
Collar cerv ascend 172 reg
|
$26.10 |
$26.10 |
$26.10 |
$213.89
|
|
Collection blood specimen from completely implantable venous access device
|
$33.90 |
$33.90 |
$33.90 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$25.50 |
$25.50 |
$25.50 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$6.90 |
$6.90 |
$6.90 |
$21.00
|
|
Colonoscopy (with biopsy)
|
$484.05 |
$484.05 |
$484.05 |
$2,080.00
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$246.60 |
$246.60 |
$246.60 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$37.20 |
$37.20 |
$37.20 |
$312.90
|
|
Colposcopy vulva 56820
|
$37.20 |
$37.20 |
$37.20 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$61.65 |
$61.65 |
$61.65 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$61.65 |
$61.65 |
$61.65 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$62.25 |
$62.25 |
$62.25 |
$170.05
|
|
Compatibility test each unit electronic
|
$31.20 |
$31.20 |
$31.20 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$62.25 |
$62.25 |
$62.25 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$300.15 |
$300.15 |
$300.15 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$125.40 |
$125.40 |
$125.40 |
$1,111.03
|
|
Complement antigen each component c3
|
$21.00 |
$21.00 |
$21.00 |
$108.55
|
|
Complex cystometrogram 51726
|
$309.00 |
$309.00 |
$309.00 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$416.40 |
$416.40 |
$416.40 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$424.65 |
$424.65 |
$424.65 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$47.10 |
$47.10 |
$47.10 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$441.75 |
$441.75 |
$441.75 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$473.55 |
$473.55 |
$473.55 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$417.00 |
$417.00 |
$417.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$429.00 |
$429.00 |
$429.00 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$430.50 |
$430.50 |
$430.50 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$312.60 |
$312.60 |
$312.60 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$387.00 |
$387.00 |
$387.00 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$265.95 |
$265.95 |
$265.95 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$387.00 |
$387.00 |
$387.00 |
$537.00
|
|
Comprehensive hearing test
|
$44.25 |
$44.25 |
$44.25 |
$255.00
|
|
Compre oph exam est pt 1/>
|
$58.35 |
$58.35 |
$58.35 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$58.35 |
$58.35 |
$58.35 |
$186.00
|
|
Concentration infection agents any type
|
$11.85 |
$11.85 |
$11.85 |
$49.95
|
|
Condylomata destruction 56420
|
$222.45 |
$222.45 |
$222.45 |
$469.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$490.81 |
$490.81 |
$490.81 |
$871.08
|
|
Consultation pathology during surgery
|
$52.05 |
$52.05 |
$52.05 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$207.75 |
$207.75 |
$207.75 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$14.25 |
$14.25 |
$14.25 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$47.40 |
$47.40 |
$47.40 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$68.40 |
$68.40 |
$68.40 |
$224.80
|
|
Consult comp w/report rfrd material
|
$135.15 |
$135.15 |
$135.15 |
$365.60
|
|
Contrast baths charges
|
$17.40 |
$17.40 |
$17.40 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$63.90 |
$63.90 |
$63.90 |
$350.22
|
|
Contrast x-ray of ankle
|
$69.30 |
$69.30 |
$69.30 |
$612.30
|
|
Contrast x-ray of brain
|
$321.60 |
$321.60 |
$321.60 |
$981.75
|
|
Contrast x-ray of elbow
|
$182.55 |
$182.55 |
$182.55 |
$649.80
|
|
Contrast x-ray of hip
|
$182.55 |
$182.55 |
$182.55 |
$771.12
|
|
Contrast x-ray of knee joint
|
$182.55 |
$182.55 |
$182.55 |
$769.88
|
|
Contrast x-ray of wrist
|
$182.55 |
$182.55 |
$182.55 |
$637.00
|
|
Controller infinity pt dbs
|
$2,177.91 |
$2,177.91 |
$2,177.91 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$245.85 |
$245.85 |
$245.85 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$211.95 |
$211.95 |
$211.95 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$77.40 |
$77.40 |
$77.40 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$211.95 |
$211.95 |
$211.95 |
$634.80
|
|
Conversion ext bil drg cath
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$369.60 |
$369.60 |
$369.60 |
$2,777.60
|
|
Coombs direct
|
$16.65 |
$16.65 |
$16.65 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$44.85 |
$44.85 |
$44.85 |
$102.90
|
|
Coombs indirect titer reference
|
$44.85 |
$44.85 |
$44.85 |
$146.40
|
|
Core ndl bx lng/med perq
|
$667.95 |
$667.95 |
$667.95 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$2,405.40 |
$2,405.40 |
$2,405.40 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$2,405.40 |
$2,405.40 |
$2,405.40 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$2,576.70 |
$2,576.70 |
$2,576.70 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$7,914.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$394.05 |
$394.05 |
$394.05 |
$476.00
|
|
Cortisol acth stimulation test - sendout
|
$30.60 |
$30.60 |
$30.60 |
$146.25
|
|
Cortisol total am
|
$28.65 |
$28.65 |
$28.65 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$189.22 |
$189.22 |
$189.22 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$22.65 |
$22.65 |
$22.65 |
$110.00
|
|
Counseling visit to discuss need for ldct g0296
|
$38.55 |
$38.55 |
$38.55 |
$98.14
|
|
Covid-19 administration immunization im inj 1st/only component
|
$17.85 |
$17.85 |
$17.85 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$130.20 |
$130.20 |
$130.20 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$130.20 |
$130.20 |
$130.20 |
$551.64
|
|
Covid-19 lab test non-cdc
|
$15.00 |
$15.00 |
$15.00 |
$80.50
|
|
#covid19rsv-rsv
|
$111.15 |
$111.15 |
$111.15 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$22.80 |
$22.80 |
$22.80 |
$60.00
|
|
C-peptide
|
$36.45 |
$36.45 |
$36.45 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$452.25 |
$452.25 |
$452.25 |
$1,240.80
|
|
C-reactive protein
|
$9.15 |
$9.15 |
$9.15 |
$68.38
|
|
C-reactive protein high sensitivity
|
$22.65 |
$22.65 |
$22.65 |
$85.00
|
|
C-reactive protein, quantitative
|
$18.75 |
$18.75 |
$18.75 |
$71.06
|
|
Creatine kinase
|
$11.40 |
$11.40 |
$11.40 |
$66.30
|
|
Creatine kinase isoenzymes
|
$11.25 |
$11.25 |
$11.25 |
$56.80
|
