|
Clsd tx iphal jnt disl w/manip req anes
|
$563.92 |
$563.92 |
$563.92 |
$1,014.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$456.33 |
$456.33 |
$456.33 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$620.32 |
$620.32 |
$620.32 |
$716.95
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$738.29 |
$738.29 |
$738.29 |
$3,839.54
|
|
Clsd tx patella disloc without anes 27560
|
$1,295.54 |
$1,295.54 |
$1,295.54 |
$705.60
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$848.11 |
$848.11 |
$848.11 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$4,805.20 |
$4,805.20 |
$4,805.20 |
$1,884.74
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$643.32 |
$643.32 |
$643.32 |
$2,466.40
|
|
Clsd tx toe dislocation without anes28660
|
$601.77 |
$601.77 |
$601.77 |
$436.70
|
|
Clsd tx trimall ankle fx without manip 27816
|
$435.56 |
$435.56 |
$435.56 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$5,367.63 |
$5,367.63 |
$5,367.63 |
$1,707.42
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$461.53 |
$461.53 |
$461.53 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$397.72 |
$397.72 |
$397.72 |
$494.40
|
|
Cltx post ankle fx
|
$429.62 |
$429.62 |
$429.62 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$4,929.85 |
$4,929.85 |
$4,929.85 |
$2,621.64
|
|
C motor evoked lwr limbs
|
$834.01 |
$834.01 |
$834.01 |
$627.89
|
|
C motor evoked upr&lwr limbs
|
$1,672.47 |
$1,672.47 |
$1,672.47 |
$1,308.00
|
|
#cmvcul-virus inoculation shell
|
$123.92 |
$123.92 |
$123.92 |
$102.57
|
|
Cmv pcr-sendout
|
$267.87 |
$267.87 |
$267.87 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$7,990.60 |
$7,990.60 |
$7,990.60 |
$2,950.68
|
|
Coagulation time activated teg
|
$72.72 |
$72.72 |
$72.72 |
$50.05
|
|
Cold agglutinin titer
|
$62.33 |
$62.33 |
$62.33 |
$48.57
|
|
Colectomy/end colost/close dis seg 44143
|
$2,371.44 |
$2,371.44 |
$2,371.44 |
$4,085.60
|
|
Colectomy/ ileostomy without prctect 44150
|
$3,019.94 |
$3,019.94 |
$3,019.94 |
$4,586.40
|
|
Colectomy partial w/anastomosis 44140
|
$2,013.79 |
$2,013.79 |
$2,013.79 |
$3,296.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$3,011.04 |
$3,011.04 |
$3,011.04 |
$5,203.20
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$1,786.74 |
$1,786.74 |
$1,786.74 |
$3,053.60
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$2,603.68 |
$2,603.68 |
$2,603.68 |
$4,476.80
|
|
Colectomy/w colostomy or ileostomy 44144
|
$2,531.71 |
$2,531.71 |
$2,531.71 |
$4,344.00
|
|
Colistimethate sodium inj
|
$86.82 |
$86.82 |
$86.82 |
$84.60
|
|
Collection blood specimen from completely implantable venous access device
|
$235.22 |
$235.22 |
$235.22 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$184.02 |
$184.02 |
$184.02 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$29.68 |
$29.68 |
$29.68 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$1,909.91 |
$1,909.91 |
$1,909.91 |
$1,612.62
|
|
Colonoscopy flex with decompression 45393
|
$1,670.25 |
$1,670.25 |
$1,670.25 |
$1,645.43
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,512.42 |
$2,512.42 |
$2,512.42 |
$1,904.00
|
|
Colonoscopy for bleeding 44391
|
$2,182.23 |
$2,182.23 |
$2,182.23 |
$1,658.40
|
|
Colonoscopy for foreign body
|
$1,653.18 |
$1,653.18 |
$1,653.18 |
$1,278.72
|
|
Colonoscopy & polypectomy 44392
|
$2,182.23 |
$2,182.23 |
$2,182.23 |
$1,395.28
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$2,182.23 |
$2,182.23 |
$2,182.23 |
$1,395.28
|
|
Colonoscopy stoma w/snare 44394
|
$2,182.23 |
$2,182.23 |
$2,182.23 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$2,512.42 |
$2,512.42 |
$2,512.42 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$1,653.18 |
$1,653.18 |
$1,653.18 |
$1,278.72
|
|
Colonoscopy w/ablation
|
$2,512.42 |
$2,512.42 |
$2,512.42 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$2,512.42 |
$2,512.42 |
$2,512.42 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$1,670.25 |
$1,670.25 |
$1,670.25 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$2,512.42 |
$2,512.42 |
$2,512.42 |
$2,101.71
|
|
Colonoscopy w/dilation
|
$2,182.23 |
$2,182.23 |
$2,182.23 |
$2,448.60
|
|
Colonoscopy w/endoscope Ultrasound
|
$2,512.42 |
$2,512.42 |
$2,512.42 |
$2,138.50
|
|
Colonoscopy/w endoscopic stent 45389
|
$11,960.30 |
$11,960.30 |
$11,960.30 |
$4,379.25
|
|
Colonoscopy w/fb removal
|
$2,512.42 |
$2,512.42 |
$2,512.42 |
$1,395.28
|
|
Colonoscopy w/injection
|
$2,182.23 |
$2,182.23 |
$2,182.23 |
$2,353.00
|
|
Colonoscopy with ablation
|
$2,182.23 |
$2,182.23 |
$2,182.23 |
$2,495.25
|
|
Colonoscopy (with biopsy)
|
$2,512.42 |
$2,512.42 |
$2,512.42 |
$2,512.42
|
|
Colonoscopy with biopsy
|
$2,182.23 |
$2,182.23 |
$2,182.23 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$2,512.42 |
$2,512.42 |
$2,512.42 |
$2,205.33
|
|
Colonoscopy w/resection
|
$5,329.79 |
$5,329.79 |
$5,329.79 |
$3,252.60
|
|
Colonoscopy w/stent plcmt
|
$10,350.90 |
$10,350.90 |
$10,350.90 |
$4,445.35
|
|
Colostomy skin level cecostomy 44320
|
$1,729.61 |
$1,729.61 |
$1,729.61 |
$2,953.60
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$1,384.58 |
$1,384.58 |
$1,384.58 |
$2,417.60
|
|
Compatibility test each unit antiglobulin technique
|
$307.93 |
$307.93 |
$307.93 |
$173.25
|
|
Compatibility test each unit electronic
|
$255.99 |
$255.99 |
$255.99 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$235.96 |
$235.96 |
$235.96 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$158.79 |
$158.79 |
$158.79 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$192.92 |
$192.92 |
$192.92 |
$1,099.00
|
|
Complement antigen each component c3
|
$219.64 |
$219.64 |
$219.64 |
$111.15
|
|
Complex cystometrogram 51726
|
$117.98 |
$117.98 |
$117.98 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$538.70 |
$538.70 |
$538.70 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$581.73 |
$581.73 |
$581.73 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$13.36 |
$13.36 |
$13.36 |
$353.50
|
|
Complx repair fccmnaxghf 13131
|
$376.20 |
$376.20 |
$376.20 |
$942.00
|
|
Complx repair sal addl 5 cm/> 13122
|
$118.72 |
$118.72 |
$118.72 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$517.18 |
$517.18 |
$517.18 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$178.83 |
$178.83 |
$178.83 |
$683.25
|
|
Compre oph exam est pt 1/>
|
$186.99 |
$186.99 |
$186.99 |
$214.50
|
|
Concentration infection agents any type
|
$483.20 |
$483.20 |
$483.20 |
$51.32
|
|
Condylomata destruction 56420
|
$785.04 |
$785.04 |
$785.04 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,822.36 |
$1,822.36 |
$1,822.36 |
$986.92
|
|
Consultation pathology during surgery
|
$137.27 |
$137.27 |
$137.27 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$607.70 |
$607.70 |
$607.70 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$78.66 |
$78.66 |
$78.66 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$413.30 |
$413.30 |
$413.30 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$376.20 |
$376.20 |
$376.20 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$422.20 |
$422.20 |
$422.20 |
$176.15
|
|
Consult comp w/report rfrd material
|
$138.76 |
$138.76 |
$138.76 |
$359.87
|
|
Cont gluc mntr analysis i&r 95251
|
$53.43 |
$53.43 |
$53.43 |
$80.00
|
|
Contrast baths charges
|
$106.11 |
$106.11 |
$106.11 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$4,527.69 |
$4,527.69 |
$4,527.69 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$5,286.75 |
$5,286.75 |
$5,286.75 |
$4,178.00
|
|
Contrast x-ray of ankle
|
$1,529.27 |
$1,529.27 |
$1,529.27 |
$602.40
|
|
Contrast x-ray of elbow
|
$890.40 |
$890.40 |
$890.40 |
$637.14
|
|
Contrast x-ray of hip
|
$1,643.53 |
$1,643.53 |
$1,643.53 |
$768.00
|
|
Contrast x-ray of knee joint
|
$1,334.86 |
$1,334.86 |
$1,334.86 |
$683.20
|
|
Contrast x-ray of wrist
|
$813.98 |
$813.98 |
$813.98 |
$623.50
|
|
Control nosebleed pack+caut 30905
|
$601.77 |
$601.77 |
$601.77 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,337.09 |
$1,337.09 |
$1,337.09 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$1,223.56 |
$1,223.56 |
$1,223.56 |
$385.45
|
|
Coombs direct
|
$191.44 |
$191.44 |
$191.44 |
$73.26
|
|
Coombs indirect titer reference
|
$394.01 |
$394.01 |
$394.01 |
$146.00
|
|
Core ndl bx lng/med perq
|
$2,927.94 |
$2,927.94 |
$2,927.94 |
$2,963.00
|