|
Cltx humrl cndylr fx w/mnpj
|
$2,327.55 |
$2,327.55 |
$2,327.55 |
$1,815.75
|
|
Cltx tmprmand dislc comp
|
$2,247.45 |
$2,247.45 |
$2,247.45 |
$3,740.85
|
|
#cmvcul-virus inoculation shell
|
$286.65 |
$286.65 |
$286.65 |
$91.00
|
|
Cmv pcr-sendout
|
$418.20 |
$418.20 |
$418.20 |
$172.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$7,332.48 |
$7,332.48 |
$7,332.48 |
$6,203.02
|
|
Coagulation time activated teg
|
$97.05 |
$97.05 |
$97.05 |
$53.55
|
|
Cocaine 4 % nasal solution
|
$529.20 |
$529.20 |
$529.20 |
$624.55
|
|
Cold agglutinin screen (arc)
|
$156.90 |
$156.90 |
$156.90 |
$44.94
|
|
Cold agglutinin titer
|
$88.20 |
$88.20 |
$88.20 |
$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 |
$1,788.15
|
|
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 |
$66.69
|
|
Collar cerv ascend 172 reg
|
$136.56 |
$136.56 |
$136.56 |
$217.62
|
|
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 of venous blood by venipuncture
|
$23.85 |
$23.85 |
$23.85 |
$21.00
|
|
Coll-e-derm 1 sq cm
|
$342.21 |
$342.21 |
$342.21 |
$342.21
|
|
Colonoscopy (diagnostic)
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$1,899.00
|
|
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 |
$1,904.00
|
|
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 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$760.95 |
$760.95 |
$760.95 |
$1,501.08
|
|
Colonoscopy w/band ligation
|
$760.95 |
$760.95 |
$760.95 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$760.95 |
$760.95 |
$760.95 |
$2,019.60
|
|
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 |
$168.72
|
|
Compatibility test each unit immediate spin technique
|
$177.90 |
$177.90 |
$177.90 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$775.50 |
$775.50 |
$775.50 |
$933.75
|
|
Comp cystometrogram/void/uret pres 51729
|
$791.55 |
$791.55 |
$791.55 |
$1,099.00
|
|
Complement antigen each component c3
|
$265.50 |
$265.50 |
$265.50 |
$110.40
|
|
Complex cystometrogram 51726
|
$791.55 |
$791.55 |
$791.55 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$478.95 |
$478.95 |
$478.95 |
$876.00
|
|
Complex uroflowmetry (electronic) 51741
|
$235.35 |
$235.35 |
$235.35 |
$346.71
|
|
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 |
$1,193.40
|
|
Complx repair fccmnaxghf 13131
|
$449.25 |
$449.25 |
$449.25 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$478.95 |
$478.95 |
$478.95 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$490.50 |
$490.50 |
$490.50 |
$532.40
|
|
Complx repair sal addl 5 cm/> 13122
|
$478.95 |
$478.95 |
$478.95 |
$506.40
|
|
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 |
$43.20
|
|
Composite drsg <= 16 sq in
|
$31.98 |
$31.98 |
$31.98 |
$4.80
|
|
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 |
$469.80
|
|
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 |
$3,967.08
|
|
Consultation pathology during surgery
|
$74.70 |
$74.70 |
$74.70 |
$97.29
|
|
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 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$832.50 |
$832.50 |
$832.50 |
$223.86
|
|
Consultation/report referred material w/preparation of slides
|
$97.05 |
$97.05 |
$97.05 |
$223.19
|
|
Contact layer >16<= 48 sq in
|
$285.36 |
$285.36 |
$285.36 |
$36.12
|
|
Contrast exam abdominl aorta 75625-26
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$3,401.31
|
|
Contrast exam thoracic aorta
|
$4,432.20 |
$4,432.20 |
$4,432.20 |
$3,570.00
|
|
Contrast exam thoracic aorta 75605-26
|
$3,267.30 |
$3,267.30 |
$3,267.30 |
$3,663.60
|
|
Contrast x-ray gallbladder
|
$505.95 |
$505.95 |
$505.95 |
$350.22
|
|
Contrast x-ray of ankle
|
$571.35 |
$571.35 |
$571.35 |
$602.40
|
|
Contrast x-ray of elbow
|
$594.30 |
$594.30 |
$594.30 |
$637.14
|
|
Contrast x-ray of hip
|
$468.00 |
$468.00 |
$468.00 |
$752.76
|
|
Contrast x-ray of knee joint
|
$564.45 |
$564.45 |
$564.45 |
$722.40
|
|
Contrast x-ray of wrist
|
$564.45 |
$564.45 |
$564.45 |
$616.70
|
|
Controller infinity pt dbs
|
$5,277.60 |
$5,277.60 |
$5,277.60 |
$4,507.75
|
|
Control nosebleed pack+caut 30905
|
$284.40 |
$284.40 |
$284.40 |
$385.45
|
|
Control of nosebleed ant comp 30903
|
$261.30 |
$261.30 |
$261.30 |
$397.98
|
|
Control of nosebleedantersmpl 30901
|
$284.40 |
$284.40 |
$284.40 |
$342.24
|
|
Control oropharyngeal hemorr/simp 42960
|
$741.45 |
$741.45 |
$741.45 |
$624.78
|
|
Conversion ext bil drg cath
|
$2,790.30 |
$2,790.30 |
$2,790.30 |
$4,156.03
|
|
Convert nephrostomy catheter
|
$3,009.45 |
$3,009.45 |
$3,009.45 |
$2,777.60
|
|
Coombs direct
|
$160.35 |
$160.35 |
$160.35 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$102.90 |
$102.90 |
$102.90 |
$98.40
|
|
Coombs indirect titer reference
|
$285.00 |
$285.00 |
$285.00 |
$146.00
|
|
Core ndl bx lng/med perq
|
$972.15 |
$972.15 |
$972.15 |
$2,661.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$11,443.20 |
$11,443.20 |
$11,443.20 |
$8,296.28
|
|
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 |
$8,006.25
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,316.35 |
$9,316.35 |
$9,316.35 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$863.25 |
$863.25 |
$863.25 |
$463.05
|
|
Cortisol total am
|
$161.85 |
$161.85 |
$161.85 |
$121.55
|
|
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 |
$108.81
|
|
Coveredge 32 lead kit 40cm 48
|
$30,000.00 |
$30,000.00 |
$30,000.00 |
$4,086.60
|
|
#covid19rsv-rsv
|
$367.80 |
$367.80 |
$367.80 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$81.15 |
$81.15 |
$81.15 |
$60.00
|
|
C-peptide
|
$67.95 |
$67.95 |
$67.95 |
$93.60
|
