|
Colonoscopy w/balloon dilat
|
$760.95 |
$760.95 |
$760.95 |
$1,645.43
|
|
Colonoscopy w/control bleed
|
$760.95 |
$760.95 |
$760.95 |
$2,030.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$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 |
$170.05
|
|
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 |
$108.55
|
|
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 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$490.50 |
$490.50 |
$490.50 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$449.25 |
$449.25 |
$449.25 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$478.95 |
$478.95 |
$478.95 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$490.50 |
$490.50 |
$490.50 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$478.95 |
$478.95 |
$478.95 |
$502.50
|
|
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
|
$133.35 |
$133.35 |
$133.35 |
$49.95
|
|
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 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$377.25 |
$377.25 |
$377.25 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$832.50 |
$832.50 |
$832.50 |
$225.96
|
|
Consultation/report referred slides prepared elsewhere
|
$581.25 |
$581.25 |
$581.25 |
$171.65
|
|
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 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 |
$649.80
|
|
Contrast x-ray of hip
|
$468.00 |
$468.00 |
$468.00 |
$771.12
|
|
Contrast x-ray of knee joint
|
$564.45 |
$564.45 |
$564.45 |
$769.88
|
|
Contrast x-ray of wrist
|
$564.45 |
$564.45 |
$564.45 |
$637.00
|
|
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 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$284.40 |
$284.40 |
$284.40 |
$355.50
|
|
Convert nephrostomy catheter
|
$3,009.45 |
$3,009.45 |
$3,009.45 |
$2,777.60
|
|
Conv gtube to jtube
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,099.70
|
|
Coombs direct
|
$160.35 |
$160.35 |
$160.35 |
$75.00
|
|
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 |
$146.40
|
|
Core ndl bx lng/med perq
|
$972.15 |
$972.15 |
$972.15 |
$2,678.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$11,443.20 |
$11,443.20 |
$11,443.20 |
$8,272.50
|
|
Coronary angio/lv gram/lt heart
|
$9,316.35 |
$9,316.35 |
$9,316.35 |
$10,246.32
|
|
Coronary thrombolysis/iv infusion 92977
|
$863.25 |
$863.25 |
$863.25 |
$476.00
|
|
Cortisol total am
|
$161.85 |
$161.85 |
$161.85 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$230.22 |
$230.22 |
$230.22 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$214.50 |
$214.50 |
$214.50 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$42.30 |
$42.30 |
$42.30 |
$55.90
|
|
Coveredge 32 lead kit 40cm 48
|
$30,000.00 |
$30,000.00 |
$30,000.00 |
$3,908.16
|
|
#covid19rsv-rsv
|
$367.80 |
$367.80 |
$367.80 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$63.00 |
$63.00 |
$63.00 |
$60.00
|
|
C-peptide
|
$67.95 |
$67.95 |
$67.95 |
$97.30
|
|
Cranial cervical torticollis
|
$573.85 |
$573.85 |
$573.85 |
$573.85
|
|
Crbrospnl fld flw imag cistern
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,240.80
|
|
C-reactive protein
|
$123.90 |
$123.90 |
$123.90 |
$68.38
|
|
C-reactive protein high sensitivity
|
$47.55 |
$47.55 |
$47.55 |
$85.00
|
|
Creatine kinase
|
$236.40 |
$236.40 |
$236.40 |
$66.30
|
|
Creatine kinase isoenzymes
|
$46.80 |
$46.80 |
$46.80 |
$56.80
|
|
Creatine kinase mb
|
$317.85 |
$317.85 |
$317.85 |
$114.00
|
|
Creatine - sendout
|
$213.15 |
$213.15 |
$213.15 |
$39.00
|
|
Creatinine
|
$166.20 |
$166.20 |
$166.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$113.40 |
$113.40 |
$113.40 |
$58.85
|
|
Creatinine clearance urine
|
$135.45 |
$135.45 |
$135.45 |
$89.50
|
|
#creutz-prot.,western blot
|
$326.40 |
$326.40 |
$326.40 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$731.40 |
$731.40 |
$731.40 |
$731.40
|
|
Crotalidae poly immune fab
|
$12,664.08 |
$12,664.08 |
$12,664.08 |
$5,590.35
|
|
Cryofibrinogen qualitative - sendout
|
$55.65 |
$55.65 |
$55.65 |
$52.50
|
|
Cryoprecipitate each unit
|
$122.40 |
$122.40 |
$122.40 |
$144.78
|
|
Crystal identification light microscopy
|
$84.00 |
$84.00 |
$84.00 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$1,067.10 |
$1,067.10 |
$1,067.10 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,229.10 |
$1,229.10 |
$1,229.10 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,135.20 |
$4,135.20 |
$4,135.20 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,878.20 |
$5,878.20 |
$5,878.20 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$835.65 |
$835.65 |
$835.65 |
$1,500.38
|
|
Cta upper extremity w &/or without contrast left
|
$4,135.20 |
$4,135.20 |
$4,135.20 |
$1,698.00
|
|
CT guidance for needle placement
|
$2,155.95 |
$2,155.95 |
$2,155.95 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,221.45 |
$1,221.45 |
$1,221.45 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$136.50 |
$136.50 |
$136.50 |
$171.60
|
|
CT hrt c+ strux cgen hrt ds
|
$835.65 |
$835.65 |
$835.65 |
$1,371.50
|
