|
Colectomy/end colost/close dis seg 44143
|
$3,215.37 |
$3,215.37 |
$3,215.37 |
$4,085.60
|
|
Colectomy partial w/anastomosis 44140
|
$2,600.91 |
$2,600.91 |
$2,600.91 |
$3,296.80
|
|
Colectomy prtl w/coloproctostomy 44145
|
$3,313.98 |
$3,313.98 |
$3,313.98 |
$4,078.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$2,401.41 |
$2,401.41 |
$2,401.41 |
$3,053.60
|
|
Collagenase, clost hist inj
|
$71.82 |
$71.82 |
$71.82 |
$71.16
|
|
Collection blood specimen from completely implantable venous access device
|
$95.19 |
$95.19 |
$95.19 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$84.36 |
$84.36 |
$84.36 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$21.66 |
$21.66 |
$21.66 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$372.78 |
$372.78 |
$372.78 |
$1,612.62
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$434.91 |
$434.91 |
$434.91 |
$1,904.00
|
|
Colonoscopy stoma w/snare 44394
|
$531.81 |
$531.81 |
$531.81 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$410.97 |
$410.97 |
$410.97 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$367.08 |
$367.08 |
$367.08 |
$1,278.72
|
|
Colonoscopy w/control bleed
|
$477.09 |
$477.09 |
$477.09 |
$2,101.71
|
|
Colonoscopy (with biopsy)
|
$430.35 |
$430.35 |
$430.35 |
$2,512.42
|
|
Colonoscopy (with polyp removal)
|
$599.64 |
$599.64 |
$599.64 |
$2,205.33
|
|
Colonoscopy w/resection
|
$902.31 |
$902.31 |
$902.31 |
$3,252.60
|
|
Colostomy skin level cecostomy 44320
|
$2,285.13 |
$2,285.13 |
$2,285.13 |
$2,953.60
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$347.13 |
$347.13 |
$347.13 |
$326.30
|
|
Colposcopy w/biopsy of cervix 57455
|
$455.43 |
$455.43 |
$455.43 |
$544.70
|
|
Compatibility test each unit antiglobulin technique
|
$102.60 |
$102.60 |
$102.60 |
$173.25
|
|
Compatibility test each unit electronic
|
$261.06 |
$261.06 |
$261.06 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$98.61 |
$98.61 |
$98.61 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$977.55 |
$977.55 |
$977.55 |
$958.81
|
|
Complement antigen each component c3
|
$83.79 |
$83.79 |
$83.79 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$291.27 |
$291.27 |
$291.27 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$231.42 |
$231.42 |
$231.42 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$261.63 |
$261.63 |
$261.63 |
$353.50
|
|
Complx repair fccmnaxghf 13132
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$1,244.09
|
|
Complx repair sal addl 5 cm/> 13122
|
$976.98 |
$976.98 |
$976.98 |
$576.66
|
|
Complx repair trunk addl 5cm/< 13102
|
$112.29 |
$112.29 |
$112.29 |
$683.25
|
|
Comprehensive hearing test
|
$37.05 |
$37.05 |
$37.05 |
$224.40
|
|
Concentration infection agents any type
|
$25.08 |
$25.08 |
$25.08 |
$51.32
|
|
Condylomata destruction 56420
|
$341.43 |
$341.43 |
$341.43 |
$509.81
|
|
Connect omega .5mm
|
$369.36 |
$369.36 |
$369.36 |
$1,069.43
|
|
Consultation pathology during surgery
|
$100.89 |
$100.89 |
$100.89 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$467.40 |
$467.40 |
$467.40 |
$428.00
|
|
Consultation pathology during surgery frozen section first tissue block
|
$98.61 |
$98.61 |
$98.61 |
$214.00
|
|
Cont gluc mntr analysis i&r 95251
|
$122.55 |
$122.55 |
$122.55 |
$80.00
|
|
Contrast x-ray of hip
|
$576.27 |
$576.27 |
$576.27 |
$768.00
|
|
Contrast x-ray of knee joint
|
$576.27 |
$576.27 |
$576.27 |
$683.20
|
|
Contrast x-ray of wrist
|
$674.31 |
$674.31 |
$674.31 |
$623.50
|
|
Control nosebleed pack+caut 30905
|
$778.05 |
$778.05 |
$778.05 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$541.50 |
$541.50 |
$541.50 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$306.66 |
$306.66 |
$306.66 |
$385.45
|
|
Coombs direct
|
$35.34 |
$35.34 |
$35.34 |
$73.26
|
|
Copper intrauterine device
|
$784.89 |
$784.89 |
$784.89 |
$2,346.79
|
|
Cor hlx vlgs double osteot
|
$927.96 |
$927.96 |
$927.96 |
$5,110.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$742.71 |
$742.71 |
$742.71 |
$4,499.12
|
|
Cor hlx vlgs prx phlx osteot
|
$744.99 |
$744.99 |
$744.99 |
$5,419.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$1,289.34 |
$1,289.34 |
$1,289.34 |
$489.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$942.78 |
$942.78 |
$942.78 |
$3,839.54
|
|
Corrj halux rigdus without implt
|
$767.22 |
$767.22 |
$767.22 |
$3,839.54
|
|
Cortisol total am
|
$86.07 |
$86.07 |
$86.07 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$54.72 |
$54.72 |
$54.72 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$58.71 |
$58.71 |
$58.71 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$86.64 |
$86.64 |
$86.64 |
$57.85
|
|
#covid19rsv-rsv
|
$71.25 |
$71.25 |
$71.25 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$39.90 |
$39.90 |
$39.90 |
$65.36
|
|
C-peptide
|
$27.93 |
$27.93 |
$27.93 |
$100.00
|
|
C-reactive protein
|
$19.38 |
$19.38 |
$19.38 |
$63.00
|
|
C-reactive protein high sensitivity
|
$27.93 |
$27.93 |
$27.93 |
$91.65
|
|
Creatine kinase
|
$25.08 |
$25.08 |
$25.08 |
$59.78
|
|
Creatine kinase isoenzymes
|
$49.02 |
$49.02 |
$49.02 |
$46.34
|
|
Creatine kinase mb
|
$31.35 |
$31.35 |
$31.35 |
$111.00
|
|
Creatinine
|
$20.52 |
$20.52 |
$20.52 |
$44.10
|
|
Creatinine 24 hour urine
|
$24.51 |
$24.51 |
$24.51 |
$59.80
|
|
Creatinine clearance urine
|
$34.77 |
$34.77 |
$34.77 |
$87.50
|
|
#creutz-prot.,western blot
|
$50.16 |
$50.16 |
$50.16 |
$173.00
|
|
Critical care 30-74 minutes
|
$2,368.35 |
$2,368.35 |
$2,368.35 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$2,368.35 |
$2,368.35 |
$2,368.35 |
$777.00
|
|
Cromolyn sodium noncomp unit
|
$6.27 |
$6.27 |
$6.27 |
$10.57
|
|
Cryptosporidium antigen
|
$43.32 |
$43.32 |
$43.32 |
$56.00
|
|
Crystal identification light microscopy
|
$27.36 |
$27.36 |
$27.36 |
$65.25
|
|
Cta abdomen without & /or w/contrast
|
$1,143.42 |
$1,143.42 |
$1,143.42 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,257.99 |
$1,257.99 |
$1,257.99 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$916.56 |
$916.56 |
$916.56 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,309.29 |
$1,309.29 |
$1,309.29 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,820.01 |
$1,820.01 |
$1,820.01 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,371.99 |
$1,371.99 |
$1,371.99 |
$1,955.80
|
|
CT Angiogram of the Head
|
$1,374.84 |
$1,374.84 |
$1,374.84 |
$2,021.40
|
|
Cta upper extremity w &/or without contrast left
|
$917.13 |
$917.13 |
$917.13 |
$1,652.25
|
|
CT colonography dx
|
$1,063.62 |
$1,063.62 |
$1,063.62 |
$770.90
|
|
CT colonography screening
|
$1,719.69 |
$1,719.69 |
$1,719.69 |
$1,084.20
|
|
CT lower extremity w/contrast (both sides)
|
$651.51 |
$651.51 |
$651.51 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$519.84 |
$519.84 |
$519.84 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$862.41 |
$862.41 |
$862.41 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$731.88 |
$731.88 |
$731.88 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$516.42 |
$516.42 |
$516.42 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$803.13 |
$803.13 |
$803.13 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$907.44 |
$907.44 |
$907.44 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$791.73 |
$791.73 |
$791.73 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$669.18 |
$669.18 |
$669.18 |
$1,351.20
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,644.45 |
$1,644.45 |
$1,644.45 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,553.25 |
$1,553.25 |
$1,553.25 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,371.99 |
$1,371.99 |
$1,371.99 |
$2,284.15
|
|
CT thoracic spine without contrast
|
$548.91 |
$548.91 |
$548.91 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$72.96 |
$72.96 |
$72.96 |
$400.20
|
|
CT t-spine w /wo contrast
|
$869.82 |
$869.82 |
$869.82 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$644.10 |
$644.10 |
$644.10 |
$1,700.00
|