|
Cold agglutinin screen (arc)
|
$156.90 |
$156.90 |
$156.90 |
$45.00
|
|
Cold agglutinin titer
|
$209.85 |
$209.85 |
$209.85 |
$50.00
|
|
Colistimethate sodium inj
|
$35.27 |
$35.27 |
$35.27 |
$68.47
|
|
Collagen based wound filler
|
$3,108.00 |
$3,108.00 |
$3,108.00 |
$1,823.25
|
|
Collagen dressing <=16 sq in
|
$56.02 |
$56.02 |
$56.02 |
$42.50
|
|
Collagen drsg>16<=48 sq in
|
$3,348.00 |
$3,348.00 |
$3,348.00 |
$24.71
|
|
Collagen gel/paste wound fil
|
$9.65 |
$9.65 |
$9.65 |
$9.65
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$86.48 |
$86.48 |
$86.48 |
$56.88
|
|
Collar cerv ascend 172 reg
|
$136.56 |
$136.56 |
$136.56 |
$213.89
|
|
Collar cerv patriot adlt
|
$16.50 |
$16.50 |
$16.50 |
$154.00
|
|
Collar extrication adult univ
|
$1,370.20 |
$1,370.20 |
$1,370.20 |
$764.15
|
|
Collection blood specimen from completely implantable venous access device
|
$77.40 |
$77.40 |
$77.40 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$94.50 |
$94.50 |
$94.50 |
$154.28
|
|
Collection of venous blood by venipuncture
|
$23.85 |
$23.85 |
$23.85 |
$20.90
|
|
Coll-e-derm 1 sq cm
|
$342.21 |
$342.21 |
$342.21 |
$171.12
|
|
Colonoscopy (diagnostic)
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$760.95 |
$760.95 |
$760.95 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$760.95 |
$760.95 |
$760.95 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$760.95 |
$760.95 |
$760.95 |
$2,288.00
|
|
Colonoscopy stoma w/snare 44394
|
$760.95 |
$760.95 |
$760.95 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$760.95 |
$760.95 |
$760.95 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$760.95 |
$760.95 |
$760.95 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$760.95 |
$760.95 |
$760.95 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$760.95 |
$760.95 |
$760.95 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$760.95 |
$760.95 |
$760.95 |
$2,071.85
|
|
Colonoscopy w/endoscope Ultrasound
|
$760.95 |
$760.95 |
$760.95 |
$1,846.00
|
|
Colonoscopy w/endoscopic fnb
|
$760.95 |
$760.95 |
$760.95 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$760.95 |
$760.95 |
$760.95 |
$1,395.28
|
|
Colonoscopy (with biopsy)
|
$760.95 |
$760.95 |
$760.95 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$760.95 |
$760.95 |
$760.95 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$760.95 |
$760.95 |
$760.95 |
$2,288.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,070.30 |
$2,070.30 |
$2,070.30 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$156.90 |
$156.90 |
$156.90 |
$170.50
|
|
Compatibility test each unit electronic
|
$171.00 |
$171.00 |
$171.00 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$177.90 |
$177.90 |
$177.90 |
$169.52
|
|
Complement antigen each component c3
|
$265.50 |
$265.50 |
$265.50 |
$104.80
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$478.95 |
$478.95 |
$478.95 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$695.40 |
$695.40 |
$695.40 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$478.95 |
$478.95 |
$478.95 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$487.20 |
$487.20 |
$487.20 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$490.50 |
$490.50 |
$490.50 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$449.25 |
$449.25 |
$449.25 |
$813.40
|
|
Complx repair fccmnaxghf 13132
|
$478.95 |
$478.95 |
$478.95 |
$1,135.60
|
|
Complx repair fccmnaxghf 13133
|
$490.50 |
$490.50 |
$490.50 |
$494.34
|
|
Complx repair sal addl 5 cm/> 13122
|
$478.95 |
$478.95 |
$478.95 |
$506.40
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$423.45 |
$423.45 |
$423.45 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$382.80 |
$382.80 |
$382.80 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,350.27 |
$1,350.27 |
$1,350.27 |
$1,350.27
|
|
Composite drsg >16<=48 sq in
|
$147.60 |
$147.60 |
$147.60 |
$42.60
|
|
Composite drsg <= 16 sq in
|
$31.98 |
$31.98 |
$31.98 |
$6.62
|
|
Compression stocking bk18-30
|
$186.96 |
$186.96 |
$186.96 |
$97.50
|
|
Concentration infection agents any type
|
$430.50 |
$430.50 |
$430.50 |
$48.75
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$5,061.60 |
$5,061.60 |
$5,061.60 |
$3,322.20
|
|
Condylomata destruction 56420
|
$306.90 |
$306.90 |
$306.90 |
$469.00
|
|
Conivaptan hcl
|
$1,838.43 |
$1,838.43 |
$1,838.43 |
$1,625.08
|
|
Conjugated estrogens 25 mg solution for injection
|
$794.99 |
$794.99 |
$794.99 |
$871.08
|
|
Connect omega .5mm
|
$1,393.59 |
$1,393.59 |
$1,393.59 |
$1,260.00
|
|
Connector tis 2x10mm
|
$6,223.20 |
$6,223.20 |
$6,223.20 |
$4,091.00
|
|
Consultation pathology during surgery
|
$74.70 |
$74.70 |
$74.70 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$490.20 |
$490.20 |
$490.20 |
$434.60
|
|
Consultation pathology during surgery frozen section each additional block
|
$377.25 |
$377.25 |
$377.25 |
$113.03
|
|
Consultation pathology during surgery frozen section first tissue block
|
$832.50 |
$832.50 |
$832.50 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$97.05 |
$97.05 |
$97.05 |
$215.63
|
|
Consultation/report referred slides prepared elsewhere
|
$581.25 |
$581.25 |
$581.25 |
$171.65
|
|
Consult comp w/report rfrd material
|
$446.85 |
$446.85 |
$446.85 |
$365.60
|
|
Contact layer >16<= 48 sq in
|
$285.36 |
$285.36 |
$285.36 |
$36.17
|
|
Contrast baths charges
|
$92.85 |
$92.85 |
$92.85 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$3,439.84
|
|
Contrast exam thoracic aorta 75605-26
|
$3,267.30 |
$3,267.30 |
$3,267.30 |
$3,728.24
|
|
Contrast x-ray of ankle
|
$571.35 |
$571.35 |
$571.35 |
$612.30
|
|
Contrast x-ray of elbow
|
$594.30 |
$594.30 |
$594.30 |
$647.20
|
|
Contrast x-ray of hip
|
$468.00 |
$468.00 |
$468.00 |
$768.00
|
|
Contrast x-ray of knee joint
|
$564.45 |
$564.45 |
$564.45 |
$760.00
|
|
Contrast x-ray of wrist
|
$564.45 |
$564.45 |
$564.45 |
$623.50
|
|
Controller infinity pt dbs
|
$5,277.60 |
$5,277.60 |
$5,277.60 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$284.40 |
$284.40 |
$284.40 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$261.30 |
$261.30 |
$261.30 |
$399.93
|
|
Control of nosebleedantersmpl 30901
|
$284.40 |
$284.40 |
$284.40 |
$356.00
|
|
Control oropharyngeal hemorr/simp 42960
|
$741.45 |
$741.45 |
$741.45 |
$634.80
|
|
Conversion ext bil drg cath
|
$2,790.30 |
$2,790.30 |
$2,790.30 |
$4,156.03
|
|
Conv gtube to jtube
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,099.70
|
|
Coombs direct
|
$160.35 |
$160.35 |
$160.35 |
$74.75
|
|
Coombs indirect qualitative each reagent red cell reference
|
$102.90 |
$102.90 |
$102.90 |
$102.90
|
|
Coombs indirect titer reference
|
$285.00 |
$285.00 |
$285.00 |
$146.00
|
|
Core ndl bx lng/med perq
|
$972.15 |
$972.15 |
$972.15 |
$2,823.10
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$11,443.20 |
$11,443.20 |
$11,443.20 |
$8,244.87
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,316.35 |
$9,316.35 |
$9,316.35 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$9,316.35 |
$9,316.35 |
$9,316.35 |
$10,165.00
|
|
Coronary angio/lv gram/rt< heart
|
$9,316.35 |
$9,316.35 |
$9,316.35 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$9,316.35 |
$9,316.35 |
$9,316.35 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,316.35 |
$9,316.35 |
$9,316.35 |
$7,914.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$863.25 |
$863.25 |
$863.25 |
$477.60
|
|
Cortisol total am
|
$161.85 |
$161.85 |
$161.85 |
$119.60
|
|
Cosyntropin 0.25 mg solution for injection
|
$230.22 |
$230.22 |
$230.22 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$30,000.00 |
$30,000.00 |
$30,000.00 |
$3,902.40
|
|
#covid19rsv-rsv
|
$367.80 |
$367.80 |
$367.80 |
$143.50
|
|
#coxa-coxsackie a serotype a16
|
$81.15 |
$81.15 |
$81.15 |
$60.00
|
|
C-peptide
|
$67.95 |
$67.95 |
$67.95 |
$94.40
|