|
Cocaine 4 % nasal solution
|
$88.14 |
$88.14 |
$334.00 |
$781.82
|
|
Cold agglutinin screen (arc)
|
$55.65 |
$55.65 |
$672.58 |
$47.19
|
|
Cold agglutinin titer
|
$52.50 |
$579.21 |
$688.00 |
$49.40
|
|
Colistimethate sodium inj
|
$31.96 |
$1,610.00 |
$2,416.34 |
$84.60
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$88.00 |
$88.00 |
$88.00 |
$46.88
|
|
Collar cerv ascend 172 reg
|
$191.00 |
$191.00 |
$709.00 |
$174.01
|
|
Collection blood specimen from completely implantable venous access device
|
$140.35 |
$140.35 |
$140.35 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$149.10 |
$149.10 |
$149.10 |
$164.05
|
|
Collection of venous blood by venipuncture
|
$22.05 |
$22.05 |
$22.05 |
$22.00
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$528.50 |
$528.50 |
$528.50 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$2,068.15 |
$2,068.15 |
$2,068.15 |
$3,519.29
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$79.10 |
$79.10 |
$79.10 |
$314.00
|
|
Colposcopy vulva 56820
|
$74.20 |
$74.20 |
$74.20 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$264.60 |
$264.60 |
$264.60 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$264.60 |
$264.60 |
$264.60 |
$534.30
|
|
Compatibility test each unit antiglobulin technique
|
$249.55 |
$529.83 |
$957.45 |
$165.00
|
|
Compatibility test each unit electronic
|
$249.55 |
$249.55 |
$2,220.00 |
$171.25
|
|
Compatibility test each unit immediate spin technique
|
$249.55 |
$249.55 |
$455.00 |
$159.95
|
|
Compatibility test incubate
|
$133.70 |
$374.17 |
$2,220.00 |
$143.64
|
|
Comp cystometrogram/void presssure 51728
|
$339.50 |
$339.50 |
$339.50 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$1,099.00
|
|
Complement antigen each component c3
|
$121.45 |
$121.45 |
$121.45 |
$113.13
|
|
Complement fixation each
|
$779.00 |
$779.00 |
$779.00 |
$25.70
|
|
Complex cystometrogram 51726
|
$474.95 |
$474.95 |
$474.95 |
$710.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$643.65 |
$643.65 |
$643.65 |
$913.68
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$518.00 |
$518.00 |
$518.00 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$266.35 |
$266.35 |
$266.35 |
$353.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$534.45 |
$534.45 |
$534.45 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$643.65 |
$643.65 |
$643.65 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$163.10 |
$163.10 |
$163.10 |
$927.55
|
|
Complx repair fccmnaxghf 13132
|
$518.00 |
$518.00 |
$518.00 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$67.90 |
$67.90 |
$67.90 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$66.85 |
$66.85 |
$66.85 |
$590.20
|
|
Complx repair trunk addl 5cm/< 13102
|
$170.80 |
$170.80 |
$170.80 |
$741.60
|
|
Comprehensive hearing test
|
$126.70 |
$126.70 |
$126.70 |
$220.23
|
|
Concentration infection agents any type
|
$64.75 |
$64.75 |
$64.75 |
$50.70
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$3,982.05 |
$3,982.05 |
$3,982.05 |
$2,242.57
|
|
Condylomata destruction 56420
|
$98.35 |
$98.35 |
$98.35 |
$503.67
|
|
Conization/cerv/loop electrode exc 57522
|
$2,068.15 |
$2,068.15 |
$2,068.15 |
$4,198.50
|
|
Conization of cervix
|
$2,068.15 |
$2,068.15 |
$2,068.15 |
$3,577.50
|
|
Conjugated estrogens 25 mg solution for injection
|
$515.34 |
$1,933.00 |
$2,525.80 |
$792.24
|
|
Connect omega .5mm
|
$1,854.12 |
$1,854.12 |
$1,854.12 |
$765.53
|
|
Connector tis 2x10mm
|
$6,638.97 |
$6,638.97 |
$6,638.97 |
$2,988.26
|
|
Consultation pathology during surgery
|
$58.10 |
$58.10 |
$97.29 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$848.75 |
$848.75 |
$1,081.00 |
$382.89
|
|
Consultation pathology during surgery frozen section each additional block
|
$103.25 |
$103.25 |
$311.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$288.40 |
$288.40 |
$1,081.00 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$259.35 |
$259.35 |
$455.00 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$54.95 |
$54.95 |
$129.24 |
$176.15
|
|
Contrast baths charges
|
$262.00 |
$262.00 |
$262.00 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$3,124.10 |
$3,124.10 |
$3,124.10 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$4,982.25 |
$4,982.25 |
$5,642.33 |
$3,780.00
|
|
Contrast x-ray of ankle
|
$410.20 |
$410.20 |
$3,250.63 |
$566.28
|
|
Contrast x-ray of brain
|
$727.65 |
$727.65 |
$727.65 |
$900.00
|
|
Contrast x-ray of elbow
|
$410.20 |
$410.20 |
$410.20 |
$620.95
|
|
Contrast x-ray of hip
|
$1,040.55 |
$1,040.55 |
$1,040.55 |
$770.88
|
|
Contrast x-ray of knee joint
|
$603.40 |
$603.40 |
$603.40 |
$655.05
|
|
Contrast x-ray of wrist
|
$366.80 |
$366.80 |
$366.80 |
$561.00
|
|
Controler lvad heartmate 3 includes ebb
|
$20,818.35 |
$20,818.35 |
$20,818.35 |
$11,723.40
|
|
Controller infinity pt dbs
|
$79,380.00 |
$79,380.00 |
$79,380.00 |
$3,101.00
|
|
Control nosebleed pack+caut 30905
|
$75.95 |
$75.95 |
$75.95 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$197.05 |
$197.05 |
$197.05 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$128.10 |
$128.10 |
$128.10 |
$385.45
|
|
Conversion ext bil drg cath
|
$5,218.50 |
$5,218.50 |
$5,218.50 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$7,902.30 |
$7,902.30 |
$7,902.30 |
$3,927.00
|
|
Coombs direct
|
$81.90 |
$81.90 |
$81.90 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$513.37 |
$597.41 |
$608.00 |
$100.29
|
|
Coombs indirect titer reference
|
$86.80 |
$364.46 |
$549.00 |
$143.40
|
|
Copper cu 64 dotatate diag
|
$960.75 |
$960.75 |
$960.75 |
$2,083.80
|
|
Core ndl bx lng/med perq
|
$3,720.85 |
$3,720.85 |
$3,720.85 |
$2,963.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$18,742.50 |
$18,742.50 |
$18,742.50 |
$8,610.58
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,259.95 |
$9,259.95 |
$9,259.95 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$8,642.55 |
$8,642.55 |
$8,642.55 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$10,288.60 |
$10,288.60 |
$10,288.60 |
$11,247.60
|
|
Coronary art/grft angio s&i
|
$5,654.25 |
$5,654.25 |
$5,654.25 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,916.45 |
$4,916.45 |
$4,916.45 |
$7,697.25
|
|
Coronary thrombolysis/iv infusion 92977
|
$435.40 |
$435.40 |
$4,134.06 |
$484.37
|
|
Cortisol total am
|
$130.55 |
$130.55 |
$130.55 |
$122.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$61.91 |
$1,948.24 |
$2,750.00 |
$256.99
|
|
Co-treatment - group 15 mins, st
|
$13.30 |
$13.30 |
$343.27 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$24.15 |
$24.15 |
$130.00 |
$57.60
|
|
Counseling visit to discuss need for ldct g0296
|
$333.00 |
$333.00 |
$2,748.00 |
$102.47
|
|
Coveredge 32 lead kit 40cm 48
|
$14,810.25 |
$14,810.25 |
$14,810.25 |
$2,981.93
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.05 |
$71.05 |
$107.00 |
$62.15
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$315.00 |
$315.00 |
$779.51 |
$569.31
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$283.50 |
$283.50 |
$761.21 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$80.00 |
$81.76 |
$89.25 |
$56.44
|
|
#covid19rsv-rsv
|
$119.00 |
$119.00 |
$119.00 |
$140.80
|
|
C-peptide
|
$72.80 |
$72.80 |
$455.00 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$773.15 |
$773.15 |
$6,960.67 |
$1,410.04
|
|
C-reactive protein
|
$121.45 |
$121.45 |
$171.95 |
$61.10
|
|
C-reactive protein high sensitivity
|
$43.05 |
$43.05 |
$688.00 |
$91.65
|
|
C-reactive protein, quantitative
|
$56.70 |
$56.70 |
$56.70 |
$63.07
|
|
Creatine kinase
|
$83.30 |
$83.30 |
$83.30 |
$58.30
|
|
Creatine kinase isoenzymes
|
$17.15 |
$17.15 |
$1,270.00 |
$49.40
|
|
Creatine kinase mb
|
$32.55 |
$32.55 |
$784.00 |
$106.60
|
|
Creatine - sendout
|
$37.10 |
$37.10 |
$37.10 |
$40.59
|
|
Creatinine
|
$44.10 |
$44.10 |
$44.10 |
$42.50
|
|
Creatinine 24 hour urine
|
$71.40 |
$71.40 |
$71.40 |
$59.80
|
|
Creatinine clearance urine
|
$142.80 |
$142.80 |
$762.00 |
$85.80
|
