|
Collar cerv adlt perfit ace extric
|
$49.90 |
$49.90 |
$49.90 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$543.09 |
$543.09 |
$543.09 |
$241.88
|
|
Collar cerv patriot adlt
|
$268.74 |
$268.74 |
$268.74 |
$153.57
|
|
Collar extrication adult univ
|
$279.95 |
$279.95 |
$279.95 |
$567.53
|
|
Collection blood specimen from completely implantable venous access device
|
$155.40 |
$155.40 |
$155.40 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$72.24 |
$72.24 |
$72.24 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$15.96 |
$15.96 |
$15.96 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$963.48 |
$963.48 |
$963.48 |
$1,612.62
|
|
Colonoscopy w/control bleed
|
$1,255.38 |
$1,255.38 |
$1,255.38 |
$2,101.71
|
|
Colpocentesis 57020
|
$6,180.30 |
$6,180.30 |
$6,180.30 |
$5,419.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$5,186.58 |
$5,186.58 |
$5,186.58 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$214.62 |
$214.62 |
$214.62 |
$326.30
|
|
Colposcopy vulva 56820
|
$180.18 |
$180.18 |
$180.18 |
$295.20
|
|
Colposcopy w/biopsy of cervix 57455
|
$183.54 |
$183.54 |
$183.54 |
$544.70
|
|
Colpotomy drng of abscess 57010
|
$4,109.28 |
$4,109.28 |
$4,109.28 |
$3,744.41
|
|
Colpotomy w/exploration 57000
|
$4,109.28 |
$4,109.28 |
$4,109.28 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$233.10 |
$233.10 |
$233.10 |
$173.25
|
|
Compatibility test each unit electronic
|
$233.10 |
$233.10 |
$233.10 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$233.10 |
$233.10 |
$233.10 |
$169.52
|
|
Complement antigen each component c3
|
$102.90 |
$102.90 |
$102.90 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$298.62 |
$298.62 |
$298.62 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,373.82 |
$1,373.82 |
$1,373.82 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,698.06 |
$1,698.06 |
$1,698.06 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,698.06 |
$1,698.06 |
$1,698.06 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$387.66 |
$387.66 |
$387.66 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$1,406.58 |
$1,406.58 |
$1,406.58 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$1,466.22 |
$1,466.22 |
$1,466.22 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$606.48 |
$606.48 |
$606.48 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$274.68 |
$274.68 |
$274.68 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$774.90 |
$774.90 |
$774.90 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$387.66 |
$387.66 |
$387.66 |
$683.25
|
|
Composite graft/pri close/don area 15760
|
$2,508.24 |
$2,508.24 |
$2,508.24 |
$2,692.80
|
|
Compre oph exam est pt 1/>
|
$87.36 |
$87.36 |
$87.36 |
$214.50
|
|
Compre oph exam new pt 1/>
|
$103.32 |
$103.32 |
$103.32 |
$186.00
|
|
Condylomata destruction 56420
|
$542.64 |
$542.64 |
$542.64 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,728.54 |
$2,728.54 |
$2,728.54 |
$986.92
|
|
Connect omega .5mm
|
$2,063.25 |
$2,063.25 |
$2,063.25 |
$1,069.43
|
|
Connector tis 2x10mm
|
$4,727.06 |
$4,727.06 |
$4,727.06 |
$3,934.53
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,319.24 |
$2,319.24 |
$2,319.24 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$114.24 |
$114.24 |
$114.24 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$527.10 |
$527.10 |
$527.10 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$175.98 |
$175.98 |
$175.98 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$119.70 |
$119.70 |
$119.70 |
$176.15
|
|
Cont gluc mntr analysis i&r 95251
|
$21.00 |
$21.00 |
$21.00 |
$80.00
|
|
Contrast baths charges
|
$26.46 |
$26.46 |
$26.46 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$6,708.66 |
$6,708.66 |
$6,708.66 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$11,183.34 |
$11,183.34 |
$11,183.34 |
$4,178.00
|
|
Contrast x-ray of elbow
|
$863.10 |
$863.10 |
$863.10 |
$637.14
|
|
Contrast x-ray of hip
|
$863.10 |
$863.10 |
$863.10 |
$768.00
|
|
Controler lvad heartmate 3 includes ebb
|
$11,451.13 |
$11,451.13 |
$11,451.13 |
$11,518.85
|
|
Controller infinity pt dbs
|
$6,148.80 |
$6,148.80 |
$6,148.80 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$821.94 |
$821.94 |
$821.94 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$220.50 |
$220.50 |
$220.50 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$378.00 |
$378.00 |
$378.00 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$941.64 |
$941.64 |
$941.64 |
$618.80
|
|
Control throat bleeding
|
$4,134.48 |
$4,134.48 |
$4,134.48 |
$4,122.30
|
|
Conversion ext bil drg cath
|
$5,147.52 |
$5,147.52 |
$5,147.52 |
$4,661.80
|
|
Coombs direct
|
$87.36 |
$87.36 |
$87.36 |
$73.26
|
|
Coombs indirect titer reference
|
$233.10 |
$233.10 |
$233.10 |
$146.00
|
|
Copper intrauterine device
|
$2,643.05 |
$2,643.05 |
$2,643.05 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$1,738.38 |
$1,738.38 |
$1,738.38 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$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 thrombolysis/iv infusion 92977
|
$456.12 |
$456.12 |
$456.12 |
$489.00
|
|
Correct finger deformity
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$4,108.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$4,108.00
|
|
Correction trichiasis epilation forcep 67820
|
$46.20 |
$46.20 |
$46.20 |
$152.54
|
|
Correct rectal prolapse
|
$3,734.22 |
$3,734.22 |
$3,734.22 |
$3,722.88
|
|
Cortisol total am
|
$92.40 |
$92.40 |
$92.40 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$146.72 |
$146.72 |
$146.72 |
$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
|
$70.14 |
$70.14 |
$70.14 |
$58.61
|
|
#covid19rsv-rsv
|
$107.10 |
$107.10 |
$107.10 |
$140.80
|
|
Cptr ophth dx img post segmt
|
$33.60 |
$33.60 |
$33.60 |
$97.50
|
|
C-reactive protein
|
$44.52 |
$44.52 |
$44.52 |
$63.00
|
|
C-reactive protein high sensitivity
|
$111.30 |
$111.30 |
$111.30 |
$91.65
|
|
Creatine kinase
|
$38.64 |
$38.64 |
$38.64 |
$59.78
|
|
Creatinine
|
$30.24 |
$30.24 |
$30.24 |
$44.10
|
|
Creatinine 24 hour urine
|
$30.66 |
$30.66 |
$30.66 |
$59.80
|
|
Creatinine clearance urine
|
$56.28 |
$56.28 |
$56.28 |
$87.50
|
|
Critical care 30-74 minutes
|
$1,546.86 |
$1,546.86 |
$1,546.86 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,315.86 |
$1,315.86 |
$1,315.86 |
$777.00
|
|
Crotalidae poly immune fab
|
$7,731.56 |
$7,731.56 |
$7,731.56 |
$5,160.00
|
|
Cryocautery of cervix 57511
|
$97.02 |
$97.02 |
$97.02 |
$429.60
|
|
Cryoprecipitate each unit
|
$21.63 |
$21.63 |
$21.63 |
$185.64
|
|
Cryotherapy of acne 17340
|
$43.26 |
$43.26 |
$43.26 |
$97.80
|
|
Crystal identification light microscopy
|
$16.80 |
$16.80 |
$16.80 |
$65.25
|
|
Csf shunt reprogram 62252
|
$402.36 |
$402.36 |
$402.36 |
$497.60
|
|
CT 3d report other modality w/workstation
|
$76.02 |
$76.02 |
$76.02 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,231.86 |
$1,231.86 |
$1,231.86 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,231.86 |
$1,231.86 |
$1,231.86 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,231.86 |
$1,231.86 |
$1,231.86 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,572.48 |
$1,572.48 |
$1,572.48 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,539.74 |
$2,539.74 |
$2,539.74 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,231.86 |
$1,231.86 |
$1,231.86 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,572.48 |
$1,572.48 |
$1,572.48 |
$2,021.40
|
|
CT angio pelvis
|
$1,231.86 |
$1,231.86 |
$1,231.86 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,231.86 |
$1,231.86 |
$1,231.86 |
$1,652.25
|
|
CT bone density axial
|
$558.60 |
$558.60 |
$558.60 |
$326.30
|
|
CT guidance for needle placement
|
$1,399.02 |
$1,399.02 |
$1,399.02 |
$1,506.04
|
