|
Control throat bleeding
|
$4,122.30 |
$4,122.30 |
$4,122.30 |
$4,122.30
|
|
Conversion ext bil drg cath
|
$5,132.40 |
$5,132.40 |
$5,132.40 |
$4,661.80
|
|
Coombs direct
|
$327.60 |
$327.60 |
$327.60 |
$73.26
|
|
Coombs indirect titer reference
|
$343.98 |
$343.98 |
$343.98 |
$146.00
|
|
Copper intrauterine device
|
$2,643.05 |
$2,643.05 |
$2,643.05 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$2,112.60 |
$2,112.60 |
$2,112.60 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$4,192.86 |
$4,192.86 |
$4,192.86 |
$4,499.12
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$9,928.17 |
$9,928.17 |
$9,928.17 |
$9,900.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$20,643.42 |
$20,643.42 |
$20,643.42 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$19,599.72 |
$19,599.72 |
$19,599.72 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$21,724.92 |
$21,724.92 |
$21,724.92 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$11,687.76 |
$11,687.76 |
$11,687.76 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,644.48 |
$10,644.48 |
$10,644.48 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$508.62 |
$508.62 |
$508.62 |
$489.00
|
|
Correct finger deformity
|
$4,192.86 |
$4,192.86 |
$4,192.86 |
$4,108.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$4,192.86 |
$4,192.86 |
$4,192.86 |
$4,108.00
|
|
Correct rectal prolapse
|
$3,722.88 |
$3,722.88 |
$3,722.88 |
$3,722.88
|
|
Cortisol total am
|
$439.74 |
$439.74 |
$439.74 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$238.42 |
$238.42 |
$647.09 |
$222.48
|
|
Coveredge 32 lead kit 40cm 48
|
$3,647.70 |
$3,647.70 |
$3,647.70 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$23.10 |
$23.10 |
$23.10 |
$58.61
|
|
#covid19rsv-rsv
|
$122.64 |
$122.64 |
$122.64 |
$140.80
|
|
Crbrospnl fld flw imag cistern
|
$2,162.04 |
$2,162.04 |
$2,162.16 |
$1,466.97
|
|
C-reactive protein
|
$387.66 |
$387.66 |
$387.66 |
$63.00
|
|
C-reactive protein high sensitivity
|
$469.14 |
$469.14 |
$469.14 |
$91.65
|
|
C-reactive protein, quantitative
|
$103.74 |
$103.74 |
$103.74 |
$62.50
|
|
Creatine kinase
|
$177.24 |
$177.24 |
$177.24 |
$59.78
|
|
Creatine kinase isoenzymes
|
$43.26 |
$43.26 |
$43.26 |
$46.34
|
|
Creatinine
|
$133.56 |
$133.56 |
$133.56 |
$44.10
|
|
Creatinine 24 hour urine
|
$213.78 |
$213.78 |
$213.78 |
$59.80
|
|
Creatinine clearance urine
|
$255.78 |
$255.78 |
$255.78 |
$87.50
|
|
Crisis psychotherapy 90839
|
$26.04 |
$26.04 |
$26.04 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$13.44 |
$13.44 |
$13.44 |
$152.10
|
|
Critical care 30-74 minutes
|
$4,887.96 |
$4,887.96 |
$4,887.96 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$2,443.98 |
$2,443.98 |
$2,443.98 |
$777.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$16,093.84 |
$16,093.84 |
$16,093.84 |
$1,026.00
|
|
Crotalidae poly immune fab
|
$9,673.96 |
$9,673.96 |
$9,673.96 |
$5,160.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$911.40 |
$911.40 |
$911.40 |
$2,649.05
|
|
Cryoprecipitate each unit
|
$21.63 |
$21.84 |
$21.84 |
$185.64
|
|
Cryopreserve stem cells
|
$1,560.72 |
$1,560.72 |
$1,560.72 |
$2,588.88
|
|
Cryptosporidium antigen
|
$15.12 |
$15.12 |
$15.12 |
$56.00
|
|
Crystal identification light microscopy
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$65.25
|
|
Csf leakage imaging
|
$493.18 |
$5,769.12 |
$5,769.12 |
$1,446.24
|
|
Csf shunt reprogram 62252
|
$400.68 |
$400.68 |
$400.68 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$2,062.62 |
$2,062.62 |
$2,062.62 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,554.88 |
$3,554.88 |
$3,979.92 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,340.64 |
$1,340.64 |
$1,500.66 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,070.62 |
$3,070.62 |
$3,437.70 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$230.00 |
$1,185.66 |
$1,185.66 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$8,867.46 |
$8,867.46 |
$9,927.12 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$230.00 |
$3,711.12 |
$4,154.64 |
$1,955.80
|
|
CT Angiogram of the Head
|
$230.00 |
$4,035.36 |
$4,035.36 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,383.48 |
$1,383.48 |
$1,548.96 |
$1,588.60
|
|
CT angio pelvis
|
$3,711.12 |
$3,711.12 |
$4,154.64 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$3,070.62 |
$3,070.62 |
$3,437.70 |
$1,652.25
|
|
CT guidance for needle placement
|
$3,598.14 |
$3,598.14 |
$4,028.22 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$1,085.05
|
|
CT guid parench tis ablat
|
$842.52 |
$842.52 |
$943.32 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$110.00 |
$1,014.30 |
$1,135.26 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,569.14 |
$2,569.14 |
$2,876.16 |
$1,217.45
|
|
CT hrt w/3d image
|
$1,383.06 |
$1,383.06 |
$1,548.12 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$1,023.12 |
$1,023.12 |
$1,145.76 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$2,777.46 |
$2,777.46 |
$3,109.68 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$2,155.86 |
$2,155.86 |
$2,413.74 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$3,966.06 |
$3,966.06 |
$4,440.24 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$230.00 |
$3,228.54 |
$3,228.54 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$2,421.30 |
$2,421.30 |
$2,421.30 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$4,035.36 |
$4,035.36 |
$4,035.36 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$4,444.86 |
$4,444.86 |
$4,444.86 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$3,555.72 |
$3,555.72 |
$3,555.72 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,667.00 |
$2,667.00 |
$2,667.00 |
$1,351.20
|
|
Ctrl nosebld postir subsq 30906
|
$292.74 |
$292.74 |
$292.74 |
$456.00
|
|
CT scan for therapy guide
|
$1,335.18 |
$1,335.18 |
$1,495.20 |
$729.40
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$460.00 |
$460.00 |
$8,867.46 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$460.00 |
$460.00 |
$5,962.74 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$310.00 |
$310.00 |
$4,472.16 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$2,495.64 |
$2,704.38 |
$2,704.38 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$2,226.84 |
$2,226.84 |
$2,492.70 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$78.12 |
$341.04 |
$341.04 |
$400.20
|
|
CT t-spine w /wo contrast
|
$3,268.86 |
$3,268.86 |
$3,659.46 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$2,496.06 |
$2,496.06 |
$2,794.26 |
$1,700.00
|
|
CT upper extremity without contrast (both sides)
|
$1,871.94 |
$1,871.94 |
$2,095.38 |
$1,468.83
|
|
CT uppr extremity w/o&w/dye
|
$3,119.76 |
$3,119.76 |
$3,492.72 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$497.70 |
$497.70 |
$497.70 |
$63.75
|
|
Culture anaerobic additional method definitive id each
|
$411.60 |
$411.60 |
$411.60 |
$77.31
|
|
Culture anaerobic except blood
|
$509.88 |
$509.88 |
$509.88 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$341.88 |
$341.88 |
$341.88 |
$52.80
|
|
Culture body fluid
|
$412.44 |
$412.44 |
$412.44 |
$130.50
|
|
Culture fungi definitive id mold
|
$497.70 |
$497.70 |
$497.70 |
$70.00
|
|
Culture fungi definitive id yeast
|
$497.70 |
$497.70 |
$497.70 |
$80.60
|
|
Culture fungi other (except blood)
|
$403.62 |
$403.62 |
$403.62 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$354.06 |
$354.06 |
$354.06 |
$77.40
|
|
Culture screening strep group a
|
$486.36 |
$486.36 |
$486.36 |
$81.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$374.64 |
$374.64 |
$374.64 |
$408.75
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$241.92 |
$241.92 |
$241.92 |
$124.40
|
|
Curette/treat cornea
|
$1,168.02 |
$1,168.02 |
$1,168.02 |
$1,317.39
|
|
Curette/treat cornea
|
$2,819.46 |
$2,819.46 |
$2,819.46 |
$2,818.14
|
|
Cutter lead
|
$17,876.25 |
$17,876.25 |
$17,876.25 |
$5,538.98
|
|
Cv line/pic reposition
|
$1,017.24 |
$1,017.24 |
$1,017.24 |
$1,829.42
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$33.37
|