|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$445.80 |
$445.80 |
$445.80 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$453.60 |
$453.60 |
$453.60 |
$600.60
|
|
Cls tx of heel fracture w/manip 28405
|
$445.80 |
$445.80 |
$445.80 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$2,437.00
|
|
Cltx post ankle fx w/mnpj
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,989.20 |
$2,989.20 |
$2,989.20 |
$2,021.04
|
|
Cltx thigh fx w/mnpj
|
$5,419.20 |
$5,419.20 |
$5,419.20 |
$3,503.71
|
|
#cmvcul-virus inoculation shell
|
$103.20 |
$103.20 |
$103.20 |
$100.80
|
|
Cmv pcr-sendout
|
$204.00 |
$204.00 |
$204.00 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$65,332.50 |
$65,332.50 |
$65,332.50 |
$8,980.00
|
|
Coagulation time activated teg
|
$57.60 |
$57.60 |
$57.60 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$532.95 |
$532.95 |
$532.95 |
$629.41
|
|
Coch imp ext proc/contr rplc
|
$55,338.50 |
$55,338.50 |
$55,338.50 |
$20,146.35
|
|
Coch implant microphone repl
|
$1,366.44 |
$1,366.44 |
$1,366.44 |
$977.17
|
|
Cold agglutinin screen (arc)
|
$85.20 |
$85.20 |
$85.20 |
$45.00
|
|
Cold agglutinin titer
|
$78.60 |
$78.60 |
$78.60 |
$50.00
|
|
Colistimethate sodium inj
|
$200.76 |
$200.76 |
$200.76 |
$68.47
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$393.72 |
$393.72 |
$393.72 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$264.02 |
$264.02 |
$264.02 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$636.71 |
$636.71 |
$636.71 |
$213.89
|
|
Collar cerv patriot adlt
|
$436.38 |
$436.38 |
$436.38 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$113.40 |
$113.40 |
$113.40 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$127.20 |
$127.20 |
$127.20 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$21.60 |
$21.60 |
$21.60 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$4,227.00 |
$4,227.00 |
$4,227.00 |
$1,899.00
|
|
Colonoscopy submucous njx
|
$5,632.20 |
$5,632.20 |
$5,632.20 |
$2,080.00
|
|
Colonoscopy w/ablation
|
$4,503.60 |
$4,503.60 |
$4,503.60 |
$2,708.80
|
|
Colonoscopy (with biopsy)
|
$5,008.43 |
$5,008.43 |
$5,008.43 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$6,304.81 |
$6,304.81 |
$6,304.81 |
$2,288.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,928.20 |
$3,928.20 |
$3,928.20 |
$3,762.53
|
|
Combination bilateral ho
|
$8,076.13 |
$8,076.13 |
$8,076.13 |
$4,575.46
|
|
Compatibility test each unit antiglobulin technique
|
$229.20 |
$229.20 |
$229.20 |
$170.05
|
|
Compatibility test each unit electronic
|
$329.40 |
$329.40 |
$329.40 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$243.60 |
$243.60 |
$243.60 |
$169.52
|
|
Compatibility test incubate
|
$219.60 |
$219.60 |
$219.60 |
$155.40
|
|
Complement antigen each component c3
|
$136.20 |
$136.20 |
$136.20 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$8,889.02 |
$8,889.02 |
$8,889.02 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,210.80 |
$1,210.80 |
$1,210.80 |
$1,194.25
|
|
Complx repair fccmnaxghf 13131
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$3,853.82 |
$3,853.82 |
$3,853.82 |
$1,350.27
|
|
Concentration infection agents any type
|
$54.60 |
$54.60 |
$54.60 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$32,400.84 |
$32,400.84 |
$32,400.84 |
$3,322.20
|
|
Condylomata destruction 56420
|
$469.80 |
$469.80 |
$469.80 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$10,553.09 |
$10,553.09 |
$10,553.09 |
$4,840.07
|
|
Conization of cervix
|
$10,385.84 |
$10,385.84 |
$10,385.84 |
$3,762.53
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,702.23 |
$2,702.23 |
$2,702.23 |
$871.08
|
|
Connect omega .5mm
|
$13,544.75 |
$13,544.75 |
$13,544.75 |
$1,260.00
|
|
Connector tis 2x10mm
|
$14,322.14 |
$14,322.14 |
$14,322.14 |
$4,091.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$312.00 |
$312.00 |
$312.00 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$89.40 |
$89.40 |
$89.40 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$314.40 |
$314.40 |
$314.40 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$201.60 |
$201.60 |
$201.60 |
$224.80
|
|
Consult comp w/report rfrd material
|
$778.80 |
$778.80 |
$778.80 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$3,266.40 |
$3,266.40 |
$3,266.40 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$2,265.60 |
$2,265.60 |
$2,265.60 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$2,651.40 |
$2,651.40 |
$2,651.40 |
$3,728.24
|
|
Controler lvad heartmate 3 includes ebb
|
$33,118.80 |
$33,118.80 |
$33,118.80 |
$13,218.75
|
|
Controller infinity pt dbs
|
$8,536.78 |
$8,536.78 |
$8,536.78 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$252.60 |
$252.60 |
$252.60 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$162.00 |
$162.00 |
$162.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$162.00 |
$162.00 |
$162.00 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$634.80 |
$634.80 |
$634.80 |
$634.80
|
|
Control throat bleeding
|
$3,953.40 |
$3,953.40 |
$3,953.40 |
$3,984.00
|
|
Convert nephrostomy catheter
|
$1,330.20 |
$1,330.20 |
$1,330.20 |
$2,777.60
|
|
Coombs direct
|
$92.40 |
$92.40 |
$92.40 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$67.80 |
$67.80 |
$67.80 |
$102.90
|
|
Coombs indirect titer reference
|
$96.60 |
$96.60 |
$96.60 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$36,960.00 |
$36,960.00 |
$36,960.00 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$4,122.00 |
$4,122.00 |
$4,122.00 |
$2,678.00
|
|
Cor hlx vlgs double osteot
|
$96,064.09 |
$96,064.09 |
$96,064.09 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$64,270.21 |
$64,270.21 |
$64,270.21 |
$4,539.20
|
|
Corneal transplant
|
$57,285.79 |
$57,285.79 |
$57,285.79 |
$5,912.40
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$23,160.00 |
$23,160.00 |
$23,160.00 |
$8,272.50
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$14,302.80 |
$14,302.80 |
$14,302.80 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$15,299.40 |
$15,299.40 |
$15,299.40 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$15,024.60 |
$15,024.60 |
$15,024.60 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$10,465.80 |
$10,465.80 |
$10,465.80 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,499.20 |
$9,499.20 |
$9,499.20 |
$7,914.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$96,064.09 |
$96,064.09 |
$96,064.09 |
$3,839.54
|
|
Corrj halux rigdus without implt
|
$46,843.31 |
$46,843.31 |
$46,843.31 |
$3,839.54
|
|
Cortisol total am
|
$130.80 |
$130.80 |
$130.80 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$184.70 |
$184.70 |
$184.70 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$14,752.92 |
$14,752.92 |
$14,752.92 |
$3,908.16
|
|
Covers for upright each
|
$158.83 |
$158.83 |
$158.83 |
$89.98
|
|
Cover wrist
|
$155.63 |
$155.63 |
$155.63 |
$225.00
|
|
#coxa-coxsackie a serotype a16
|
$75.00 |
$75.00 |
$75.00 |
$60.00
|
|
C-peptide
|
$181.80 |
$181.80 |
$181.80 |
$97.30
|
|
Cptr-asst dir ms px
|
$52,447.39 |
$52,447.39 |
$52,447.39 |
$7,972.25
|
|
Cranial cervical orthosis
|
$28,950.00 |
$28,950.00 |
$28,950.00 |
$11,130.00
|
|
C-reactive protein
|
$91.20 |
$91.20 |
$91.20 |
$68.38
|
|
C-reactive protein high sensitivity
|
$128.40 |
$128.40 |
$128.40 |
$85.00
|