|
Colonoscopy with biopsy
|
$760.95 |
$760.95 |
$760.95 |
$1,555.20
|
|
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 |
$3,907.93 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$139.80 |
$139.80 |
$139.80 |
$314.00
|
|
Colposcopy vulva 56820
|
$90.00 |
$90.00 |
$90.00 |
$333.20
|
|
Colpotomy w/exploration 57000
|
$2,788.64 |
$2,788.64 |
$2,788.64 |
$4,075.20
|
|
Compatibility test each unit antiglobulin technique
|
$156.90 |
$156.90 |
$182.86 |
$173.50
|
|
Compatibility test each unit electronic
|
$171.00 |
$171.00 |
$188.22 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$169.52 |
$169.52 |
$177.90 |
$169.52
|
|
Complement antigen each component c3
|
$265.50 |
$265.50 |
$542.33 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$478.95 |
$478.95 |
$1,109.03 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$695.40 |
$695.40 |
$1,612.19 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$478.95 |
$478.95 |
$1,278.25 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$487.20 |
$487.20 |
$1,622.55 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$490.50 |
$490.50 |
$680.92 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$449.25 |
$449.25 |
$1,065.98 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$478.95 |
$478.95 |
$1,528.04 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$490.50 |
$490.50 |
$896.48 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$478.95 |
$478.95 |
$592.69 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$423.45 |
$423.45 |
$1,427.85 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$382.80 |
$382.80 |
$1,267.55 |
$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 |
$62.88
|
|
Computed tomographic angiography head and neck with contrast
|
$7,050.71 |
$7,050.71 |
$7,050.71 |
$2,247.00
|
|
Concentration infection agents any type
|
$51.32 |
$51.32 |
$133.35 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$5,061.60 |
$5,061.60 |
$5,061.60 |
$3,352.21
|
|
Condylomata destruction 56420
|
$306.90 |
$306.90 |
$509.81 |
$467.35
|
|
Conivaptan hcl
|
$1,611.54 |
$1,611.54 |
$1,838.43 |
$1,625.08
|
|
Conjugated estrogens 25 mg solution for injection
|
$794.99 |
$794.99 |
$993.74 |
$860.00
|
|
Connect omega .5mm
|
$1,393.59 |
$1,393.59 |
$1,447.28 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,862.15 |
$3,862.15 |
$6,223.20 |
$4,024.34
|
|
Consultation pathology during surgery
|
$74.70 |
$74.70 |
$134.66 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$461.95 |
$461.95 |
$490.20 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$154.18 |
$154.18 |
$377.25 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$297.87 |
$297.87 |
$832.50 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$97.05 |
$97.05 |
$275.42 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$171.65 |
$171.65 |
$581.25 |
$176.28
|
|
Consultation with family
|
$135.79 |
$135.79 |
$135.79 |
$135.79
|
|
Consult comp w/report rfrd material
|
$425.93 |
$425.93 |
$446.85 |
$374.40
|
|
Contact layer >16<= 48 sq in
|
$285.36 |
$285.36 |
$285.36 |
$36.17
|
|
Contrast baths charges
|
$87.17 |
$87.17 |
$92.85 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$3,389.09 |
$3,389.09 |
$3,480.00 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$3,570.00 |
$3,570.00 |
$3,570.00 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$3,167.26 |
$3,167.26 |
$3,267.30 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$186.25 |
$186.25 |
$186.25 |
$341.00
|
|
Contrast x-ray of ankle
|
$495.58 |
$495.58 |
$571.35 |
$684.00
|
|
Contrast x-ray of brain
|
$1,336.32 |
$1,336.32 |
$1,336.32 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$495.60 |
$495.60 |
$594.30 |
$708.00
|
|
Contrast x-ray of hip
|
$468.00 |
$468.00 |
$520.38 |
$796.38
|
|
Contrast x-ray of knee joint
|
$495.60 |
$495.60 |
$564.45 |
$790.50
|
|
Contrast x-ray of wrist
|
$495.58 |
$495.58 |
$564.45 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$16,559.40 |
$16,559.40 |
$16,559.40 |
$12,355.20
|
|
Controller infinity pt dbs
|
$5,277.60 |
$5,277.60 |
$35,689.50 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$284.40 |
$284.40 |
$460.17 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$261.30 |
$261.30 |
$410.06 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$284.40 |
$284.40 |
$461.69 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$682.33 |
$682.33 |
$741.45 |
$620.00
|
|
Contrst x-ray uppr gi tract
|
$762.93 |
$762.93 |
$762.93 |
$762.93
|
|
Conversion ext bil drg cath
|
$2,790.30 |
$2,790.30 |
$4,896.87 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$3,009.45 |
$3,009.45 |
$4,267.48 |
$2,777.60
|
|
Conv gtube to jtube
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,099.70
|
|
Coombs direct
|
$98.01 |
$98.01 |
$160.35 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$60.26 |
$60.26 |
$102.90 |
$107.25
|
|
Coombs indirect titer reference
|
$146.00 |
$146.00 |
$285.00 |
$156.71
|
|
Copper intrauterine device
|
$1,953.00 |
$1,953.00 |
$1,953.00 |
$1,953.00
|
|
Cor artery disease mrna
|
$357.79 |
$357.79 |
$357.79 |
$1,155.00
|
|
Core ndl bx lng/med perq
|
$972.15 |
$972.15 |
$3,063.31 |
$2,904.48
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$11,443.20 |
$11,443.20 |
$11,443.20 |
$7,849.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,316.35 |
$9,316.35 |
$16,963.25 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$9,316.35 |
$9,316.35 |
$15,525.65 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$9,316.35 |
$9,316.35 |
$18,931.51 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$9,316.35 |
$9,316.35 |
$12,782.64 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,316.35 |
$9,316.35 |
$11,159.61 |
$7,988.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$863.25 |
$863.25 |
$1,033.69 |
$484.37
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$6,354.00 |
$6,354.00 |
$6,354.00 |
$3,839.54
|
|
Cortisol total am
|
$161.85 |
$161.85 |
$164.33 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$230.22 |
$230.22 |
$287.77 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$76.53 |
$76.53 |
$76.53 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$42.30 |
$42.30 |
$69.32 |
$54.60
|
|
Counseling visit to discuss need for ldct g0296
|
$98.14 |
$98.14 |
$98.14 |
$102.38
|
|
Cov-19 amp prb hgh thruput
|
$108.68 |
$108.68 |
$108.68 |
$156.40
|
|
Coveredge 32 lead kit 40cm 48
|
$8,071.26 |
$8,071.26 |
$30,000.00 |
$4,180.79
|
|
Covid-19 administration immunization im inj 1st/only component
|
$48.00 |
$48.00 |
$48.00 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$540.00 |
$540.00 |
$540.00 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$540.00 |
$540.00 |
$540.00 |
$540.00
|
|
Covid-19 lab test non-cdc
|
$58.32 |
$58.32 |
$58.32 |
$82.40
|
|
#covid19rsv-rsv
|
$129.47 |
$129.47 |
$367.80 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$63.00 |
$63.00 |
$116.55 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$927.61 |
$927.61 |
$1,305.00 |
$584.50
|
|
C-peptide
|
$67.95 |
$67.95 |
$144.03 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$545.40 |
$545.40 |
$1,209.04 |
$777.71
|
|
Cptrized corneal topography
|
$182.35 |
$182.35 |
$182.35 |
$148.20
|
|
Cptr ophth dx img post segmt
|
$192.24 |
$192.24 |
$192.24 |
$105.00
|
|
Cptrz oph img pst sg rta oct
|
$357.00 |
$357.00 |
$357.00 |
$357.00
|
|
Cranial cervical torticollis
|
$573.85 |
$573.85 |
$573.85 |
$377.95
|
|
Crbrospnl fld flw imag cistern
|
$1,132.80 |
$1,132.80 |
$1,609.18 |
$1,330.02
|
|
C-reactive protein
|
$101.59 |
$101.59 |
$123.90 |
$69.36
|
|
C-reactive protein high sensitivity
|
$47.55 |
$47.55 |
$105.53 |
$85.50
|
