|
Colistimethate sodium inj
|
$109.00 |
$109.00 |
$109.00 |
$71.09
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$27.20 |
$27.20 |
$73.07 |
$62.40
|
|
Collar cerv adlt perfit ace extric
|
$50.00 |
$50.00 |
$50.00 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$99.67 |
$339.20 |
$339.20 |
$213.89
|
|
Collar cerv patriot adlt
|
$66.40 |
$66.40 |
$66.40 |
$134.66
|
|
Collar extrication adult univ
|
$378.40 |
$378.40 |
$378.40 |
$800.32
|
|
Collection blood specimen from completely implantable venous access device
|
$97.50 |
$136.40 |
$136.40 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$78.75 |
$136.40 |
$136.40 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$8.40 |
$8.40 |
$24.23 |
$21.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,178.43 |
$1,178.43 |
$1,178.43 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$338.00 |
$338.00 |
$338.00 |
$1,030.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$314.00
|
|
Colposcopy vulva 56820
|
$372.40 |
$372.40 |
$372.40 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$456.80 |
$456.80 |
$456.80 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$377.20 |
$377.20 |
$377.20 |
$485.50
|
|
Colpotomy w/exploration 57000
|
$6,279.60 |
$6,279.60 |
$6,279.60 |
$4,075.20
|
|
Combination bilateral ho
|
$1,182.40 |
$1,182.40 |
$1,182.40 |
$4,015.50
|
|
Combo ankle/foot prosthesis
|
$284.00 |
$284.00 |
$284.00 |
$512.40
|
|
Compatibility test each unit antiglobulin technique
|
$101.32 |
$118.00 |
$118.00 |
$172.00
|
|
Compatibility test each unit electronic
|
$87.81 |
$118.00 |
$118.00 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$96.19 |
$118.00 |
$118.00 |
$167.17
|
|
Comp cystometrogram/void presssure 51728
|
$996.00 |
$996.00 |
$996.00 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,621.20 |
$1,621.20 |
$1,621.20 |
$1,111.03
|
|
Complement antigen each component c3
|
$31.20 |
$31.20 |
$98.87 |
$110.00
|
|
Complement fixation each
|
$17.60 |
$17.60 |
$68.74 |
$29.12
|
|
Complex cystometrogram 51726
|
$664.00 |
$664.00 |
$664.00 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$534.32 |
$534.32 |
$534.32 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$626.09 |
$626.09 |
$626.09 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$315.60 |
$315.60 |
$315.60 |
$344.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$602.11 |
$602.11 |
$602.11 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$824.80 |
$824.80 |
$824.80 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$362.91 |
$362.91 |
$362.91 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$722.31 |
$722.31 |
$722.31 |
$789.60
|
|
Complx repair fccmnaxghf 13132
|
$989.47 |
$989.47 |
$989.47 |
$1,066.92
|
|
Complx repair fccmnaxghf 13133
|
$267.52 |
$267.52 |
$267.52 |
$493.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$349.79 |
$349.79 |
$349.79 |
$494.34
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$784.21 |
$2,753.60 |
$2,753.60 |
$1,003.80
|
|
Complx repair trunk addl 5cm/< 13102
|
$278.24 |
$278.24 |
$278.24 |
$502.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$433.20 |
$433.20 |
$433.20 |
$1,350.27
|
|
Comprehensive hearing test
|
$354.00 |
$354.00 |
$354.00 |
$260.40
|
|
Compression stocking bk18-30
|
$32.00 |
$32.00 |
$32.00 |
$62.88
|
|
Computed tomographic angiography head and neck with contrast
|
$3,020.40 |
$3,020.40 |
$3,020.40 |
$2,237.25
|
|
Concentration infection agents any type
|
$16.40 |
$16.40 |
$56.42 |
$51.32
|
|
Conditioning play audiometry 92582
|
$298.00 |
$298.00 |
$298.00 |
$189.15
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$4,638.40 |
$4,638.40 |
$4,638.40 |
$3,352.21
|
|
Condylomata destruction 56420
|
$303.33 |
$303.33 |
$303.33 |
$463.98
|
|
Conjugated estrogens 25 mg solution for injection
|
$456.68 |
$591.48 |
$718.37 |
$839.07
|
|
Connect omega .5mm
|
$1,352.23 |
$1,413.20 |
$1,413.20 |
$1,260.00
|
|
Connector tis 2x10mm
|
$4,247.14 |
$4,247.14 |
$4,247.14 |
$4,055.00
|
|
Consultation pathology during surgery
|
$113.33 |
$113.33 |
$113.33 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$327.71 |
$518.00 |
$518.00 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$46.00 |
$46.00 |
$73.29 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$149.60 |
$149.60 |
$153.01 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$104.82 |
$259.20 |
$259.20 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$151.56 |
$236.40 |
$236.40 |
$176.15
|
|
Consult comp w/report rfrd material
|
$446.00 |
$446.00 |
$446.00 |
$375.00
|
|
Contrast baths charges
|
$28.40 |
$28.40 |
$28.40 |
$74.25
|
|
Contrast exam abdominl aorta 75625-26
|
$2,915.60 |
$2,915.60 |
$2,988.51 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$2,980.41 |
$5,138.40 |
$5,138.40 |
$3,570.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,561.03 |
$3,877.60 |
$3,877.60 |
$3,663.60
|
|
Contrast x-ray gallbladder
|
$223.27 |
$311.60 |
$311.60 |
$341.00
|
|
Contrast x-ray of ankle
|
$706.00 |
$706.00 |
$706.00 |
$676.80
|
|
Contrast x-ray of brain
|
$981.11 |
$981.11 |
$981.11 |
$735.93
|
|
Contrast x-ray of elbow
|
$859.60 |
$859.60 |
$859.60 |
$686.95
|
|
Contrast x-ray of hip
|
$993.60 |
$993.60 |
$993.60 |
$781.13
|
|
Contrast x-ray of knee joint
|
$921.60 |
$921.60 |
$921.60 |
$777.00
|
|
Contrast x-ray of wrist
|
$874.00 |
$874.00 |
$874.00 |
$655.00
|
|
Controler lvad heartmate 3 includes ebb
|
$10,508.80 |
$10,508.80 |
$10,508.80 |
$13,218.75
|
|
Controller infinity pt dbs
|
$4,444.00 |
$4,592.80 |
$39,967.10 |
$5,123.14
|
|
Control nosebleed pack+caut 30905
|
$308.14 |
$308.14 |
$308.14 |
$383.52
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$233.64 |
$233.64 |
$233.64 |
$644.80
|
|
Control of nosebleedantersmpl 30901
|
$238.00 |
$238.00 |
$238.00 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$237.50 |
$321.60 |
$321.60 |
$618.80
|
|
Conversion ext bil drg cath
|
$1,506.40 |
$1,809.20 |
$1,809.20 |
$4,099.56
|
|
Convert nephrostomy catheter
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$2,777.60
|
|
Coombs direct
|
$37.60 |
$37.60 |
$52.86 |
$76.44
|
|
Coombs indirect titer reference
|
$110.34 |
$118.00 |
$118.00 |
$155.40
|
|
Copper intrauterine device
|
$1,067.32 |
$1,067.32 |
$1,805.77 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$1,725.60 |
$1,725.60 |
$2,195.75 |
$2,862.11
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$10,567.78 |
$10,567.78 |
$10,567.78 |
$8,244.87
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,531.20 |
$9,531.20 |
$11,330.40 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$9,060.40 |
$9,060.40 |
$10,790.86 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$9,346.80 |
$9,346.80 |
$12,193.67 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$8,298.00 |
$8,298.00 |
$8,445.50 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,677.73 |
$8,298.00 |
$8,298.00 |
$7,950.49
|
|
Coronary thrombolysis/iv infusion 92977
|
$457.74 |
$457.74 |
$457.74 |
$482.09
|
|
Cortisol acth stimulation test - sendout
|
$250.53 |
$250.53 |
$250.53 |
$146.25
|
|
Cortisol total am
|
$40.40 |
$40.40 |
$93.70 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$59.51 |
$92.18 |
$188.39 |
$189.02
|
|
Co-treatment - group 15 mins, st
|
$68.80 |
$68.80 |
$68.80 |
$114.00
|
|
Counseling smoke cess interm >10mins
|
$23.83 |
$52.00 |
$52.00 |
$54.12
|
|
Counseling visit to discuss need for ldct g0296
|
$219.20 |
$219.20 |
$219.20 |
$102.38
|
|
Coveredge 32 lead kit 40cm 48
|
$2,760.09 |
$7,256.00 |
$7,256.00 |
$4,395.30
|
|
Cover wrist
|
$206.00 |
$206.00 |
$206.00 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$34.78 |
$34.78 |
$34.78 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$261.48 |
$1,146.00 |
$1,146.00 |
$588.08
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$261.48 |
$1,146.00 |
$1,146.00 |
$540.00
|
|
Covid-19 lab test non-cdc
|
$75.60 |
$75.60 |
$75.60 |
$81.00
|
|
#covid19rsv-rsv
|
$85.60 |
$85.60 |
$85.60 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$30.04 |
$32.40 |
$32.40 |
$60.00
|
