|
Clsd tx/shoulder dislo/manip/anest 23655
|
$637.35 |
$637.35 |
$637.35 |
$2,287.20
|
|
Clsd tx temporomandibular dislocat 21480
|
$205.50 |
$205.50 |
$205.50 |
$445.15
|
|
Clsd tx toe dislocation without anes28660
|
$72.75 |
$72.75 |
$72.75 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$229.20 |
$229.20 |
$229.20 |
$501.20
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$337.05 |
$337.05 |
$337.05 |
$1,592.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$191.10 |
$191.10 |
$191.10 |
$618.72
|
|
Cls tx of heel fracture w/manip 28405
|
$283.95 |
$283.95 |
$283.95 |
$759.00
|
|
Cltx carpl scphd fx w/mnpj
|
$283.95 |
$283.95 |
$283.95 |
$2,064.40
|
|
Cltx humrl cndylr fx w/mnpj
|
$211.95 |
$211.95 |
$211.95 |
$1,858.00
|
|
Cltx post ankle fx w/mnpj
|
$659.25 |
$659.25 |
$659.25 |
$2,172.80
|
|
Cltx scap fx w/mnpj +-tractj
|
$723.45 |
$723.45 |
$723.45 |
$2,035.80
|
|
Cltx thigh fx
|
$1,444.95 |
$1,444.95 |
$1,444.95 |
$3,986.00
|
|
C motor evoked lwr limbs
|
$413.85 |
$413.85 |
$413.85 |
$627.89
|
|
C motor evoked uppr limbs
|
$413.85 |
$413.85 |
$413.85 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$347.85 |
$347.85 |
$347.85 |
$1,308.00
|
|
#cmvcul-virus inoculation shell
|
$34.20 |
$34.20 |
$34.20 |
$100.20
|
|
Cmv pcr-sendout
|
$61.50 |
$61.50 |
$61.50 |
$172.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$4,311.24 |
$4,311.24 |
$4,311.24 |
$6.90
|
|
Coagulation time activated teg
|
$7.35 |
$7.35 |
$7.35 |
$52.00
|
|
Cold agglutinin titer
|
$13.95 |
$13.95 |
$13.95 |
$50.00
|
|
Colistimethate sodium inj
|
$68.45 |
$68.45 |
$68.45 |
$68.47
|
|
Collagen based wound filler
|
$4,635.84 |
$4,635.84 |
$4,635.84 |
$1,788.15
|
|
Collection blood specimen from completely implantable venous access device
|
$33.90 |
$33.90 |
$33.90 |
$156.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$25.50 |
$25.50 |
$25.50 |
$154.80
|
|
Collection of venous blood by venipuncture
|
$6.90 |
$6.90 |
$6.90 |
$20.40
|
|
Colonoscopy (with biopsy)
|
$484.05 |
$484.05 |
$484.05 |
$2,080.00
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$246.60 |
$246.60 |
$246.60 |
$1,030.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$37.20 |
$37.20 |
$37.20 |
$323.20
|
|
Colposcopy w/biopsy of cervix 57455
|
$61.65 |
$61.65 |
$61.65 |
$515.50
|
|
Compatibility test each unit antiglobulin technique
|
$62.25 |
$62.25 |
$62.25 |
$165.00
|
|
Compatibility test each unit electronic
|
$31.20 |
$31.20 |
$31.20 |
$176.70
|
|
Compatibility test each unit immediate spin technique
|
$62.25 |
$62.25 |
$62.25 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$300.15 |
$300.15 |
$300.15 |
$958.81
|
|
Complement antigen each component c3
|
$21.00 |
$21.00 |
$21.00 |
$108.80
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$416.40 |
$416.40 |
$416.40 |
$887.25
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$424.65 |
$424.65 |
$424.65 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$47.10 |
$47.10 |
$47.10 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$441.75 |
$441.75 |
$441.75 |
$1,098.35
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$473.55 |
$473.55 |
$473.55 |
$1,218.40
|
|
Complx repair enel addl 5cm/< 13153
|
$417.00 |
$417.00 |
$417.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$429.00 |
$429.00 |
$429.00 |
$820.00
|
|
Complx repair fccmnaxghf 13132
|
$430.50 |
$430.50 |
$430.50 |
$1,177.60
|
|
Complx repair fccmnaxghf 13133
|
$312.60 |
$312.60 |
$312.60 |
$589.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$387.00 |
$387.00 |
$387.00 |
$538.64
|
|
Complx repair trunk addl 5cm/< 13102
|
$387.00 |
$387.00 |
$387.00 |
$555.33
|
|
Concentration infection agents any type
|
$11.85 |
$11.85 |
$11.85 |
$49.95
|
|
Condylomata destruction 56420
|
$222.45 |
$222.45 |
$222.45 |
$473.75
|
|
Conjugated estrogens 25 mg solution for injection
|
$490.81 |
$490.81 |
$490.81 |
$871.08
|
|
Consultation pathology during surgery
|
$52.05 |
$52.05 |
$52.05 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$207.75 |
$207.75 |
$207.75 |
$447.33
|
|
Consultation pathology during surgery frozen section each additional block
|
$14.25 |
$14.25 |
$14.25 |
$110.51
|
|
Consultation pathology during surgery frozen section first tissue block
|
$47.40 |
$47.40 |
$47.40 |
$223.86
|
|
Consultation/report referred material w/preparation of slides
|
$68.40 |
$68.40 |
$68.40 |
$231.75
|
|
Consult comp w/report rfrd material
|
$135.15 |
$135.15 |
$135.15 |
$365.60
|
|
Contrast baths charges
|
$17.40 |
$17.40 |
$17.40 |
$72.15
|
|
Contrast exam abdominl aorta 75625-26
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,663.60
|
|
Contrast x-ray of elbow
|
$182.55 |
$182.55 |
$182.55 |
$649.80
|
|
Contrast x-ray of hip
|
$182.55 |
$182.55 |
$182.55 |
$768.00
|
|
Contrast x-ray of knee joint
|
$182.55 |
$182.55 |
$182.55 |
$719.40
|
|
Contrast x-ray of wrist
|
$182.55 |
$182.55 |
$182.55 |
$623.50
|
|
Controller infinity pt dbs
|
$2,177.91 |
$2,177.91 |
$2,177.91 |
$4,624.54
|
|
Control nosebleed pack+caut 30905
|
$245.85 |
$245.85 |
$245.85 |
$426.40
|
|
Control of nosebleed ant comp 30903
|
$211.95 |
$211.95 |
$211.95 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$77.40 |
$77.40 |
$77.40 |
$364.96
|
|
Control oropharyngeal hemorr/simp 42960
|
$211.95 |
$211.95 |
$211.95 |
$638.25
|
|
Conversion ext bil drg cath
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$369.60 |
$369.60 |
$369.60 |
$2,780.38
|
|
Coombs direct
|
$16.65 |
$16.65 |
$16.65 |
$72.78
|
|
Coombs indirect titer reference
|
$44.85 |
$44.85 |
$44.85 |
$146.00
|
|
Core ndl bx lng/med perq
|
$667.95 |
$667.95 |
$667.95 |
$2,684.50
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$2,405.40 |
$2,405.40 |
$2,405.40 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$2,405.40 |
$2,405.40 |
$2,405.40 |
$9,933.30
|
|
Coronary angio/lv gram/rt< heart
|
$2,576.70 |
$2,576.70 |
$2,576.70 |
$11,069.89
|
|
Coronary art/grft angio s&i
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$7,764.90
|
|
Coronary thrombolysis/iv infusion 92977
|
$394.05 |
$394.05 |
$394.05 |
$484.37
|
|
Cortisol acth stimulation test - sendout
|
$30.60 |
$30.60 |
$30.60 |
$146.25
|
|
Cortisol total am
|
$28.65 |
$28.65 |
$28.65 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$156.54 |
$156.54 |
$156.54 |
$219.49
|
|
Co-treatment - group 15 mins, st
|
$22.65 |
$22.65 |
$22.65 |
$110.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$17.85 |
$17.85 |
$17.85 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$130.20 |
$130.20 |
$130.20 |
$569.31
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$130.20 |
$130.20 |
$130.20 |
$553.80
|
|
Covid-19 lab test non-cdc
|
$15.00 |
$15.00 |
$15.00 |
$68.50
|
|
#covid19rsv-rsv
|
$111.15 |
$111.15 |
$111.15 |
$146.00
|
|
#coxa-coxsackie a serotype a16
|
$22.80 |
$22.80 |
$22.80 |
$60.00
|
|
C-peptide
|
$36.45 |
$36.45 |
$36.45 |
$90.50
|
|
Crbrospnl fld flw imag cistern
|
$452.25 |
$452.25 |
$452.25 |
$1,192.80
|
|
C-reactive protein
|
$9.15 |
$9.15 |
$9.15 |
$63.00
|
|
C-reactive protein high sensitivity
|
$22.65 |
$22.65 |
$22.65 |
$79.72
|
|
Creatine kinase
|
$11.40 |
$11.40 |
$11.40 |
$64.35
|
|
Creatine kinase isoenzymes
|
$11.25 |
$11.25 |
$11.25 |
$49.02
|
|
Creatine kinase mb
|
$20.10 |
$20.10 |
$20.10 |
$114.00
|
|
Creatine - sendout
|
$8.10 |
$8.10 |
$8.10 |
$37.10
|
|
Creatinine
|
$9.00 |
$9.00 |
$9.00 |
$44.40
|
|
Creatinine 24 hour urine
|
$9.15 |
$9.15 |
$9.15 |
$55.25
|
|
Creatinine clearance urine
|
$16.50 |
$16.50 |
$16.50 |
$87.50
|
|
#creutz-prot.,western blot
|
$31.65 |
$31.65 |
$31.65 |
$156.60
|
|
Critical care 30-74 minutes
|
$699.60 |
$699.60 |
$699.60 |
$2,540.23
|
