|
Cltx hum epcndylr fx wo mnpj
|
$819.06 |
$819.06 |
$819.06 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,213.74 |
$1,213.74 |
$1,213.74 |
$1,815.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$769.56 |
$769.56 |
$769.56 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$1,172.82 |
$1,172.82 |
$1,172.82 |
$2,437.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$2,178.00 |
$2,178.00 |
$2,178.00 |
$6,776.64
|
|
Cltx post ankle fx
|
$719.40 |
$719.40 |
$719.40 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$1,893.86
|
|
Cltx strnclav dislc w/mnpj
|
$883.74 |
$883.74 |
$883.74 |
$619.30
|
|
Cmbn ant pst colprhy
|
$1,750.98 |
$1,750.98 |
$1,750.98 |
$4,928.00
|
|
Cmptr ophth dx img ant segmt
|
$50.16 |
$50.16 |
$50.16 |
$115.95
|
|
Cmptr ophth img optic nerve
|
$51.48 |
$51.48 |
$51.48 |
$119.00
|
|
Cmv pcr-sendout
|
$43.24 |
$43.24 |
$43.24 |
$177.50
|
|
Co2 monitor per day
|
$625.02 |
$625.02 |
$625.02 |
$450.60
|
|
Cocaine 4 % nasal solution
|
$1,606.45 |
$1,606.45 |
$1,606.45 |
$629.41
|
|
Cold agglutinin titer
|
$58.74 |
$58.74 |
$58.74 |
$50.00
|
|
Colectomy/end colost/close dis seg 44143
|
$3,620.76 |
$3,620.76 |
$3,620.76 |
$2,880.80
|
|
Colectomy/ ileostomy without prctect 44150
|
$4,090.02 |
$4,090.02 |
$4,090.02 |
$3,530.40
|
|
Colectomy/ ileostomy w/prctect 44155
|
$4,562.58 |
$4,562.58 |
$4,562.58 |
$4,562.58
|
|
Colectomy partial w/anastomosis 44140
|
$2,954.82 |
$2,954.82 |
$2,954.82 |
$2,510.73
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$4,232.58 |
$4,232.58 |
$4,232.58 |
$3,652.20
|
|
Colectomy prtl w/coloproctostomy 44145
|
$3,626.70 |
$3,626.70 |
$3,626.70 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$4,613.40 |
$4,613.40 |
$4,613.40 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$2,737.68 |
$2,737.68 |
$2,737.68 |
$2,343.60
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$3,979.80 |
$3,979.80 |
$3,979.80 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$3,868.26 |
$3,868.26 |
$3,868.26 |
$3,176.40
|
|
Collagenase, clost hist inj
|
$159.72 |
$159.72 |
$159.72 |
$12,906.28
|
|
Collagen dressing <=16 sq in
|
$48.18 |
$48.18 |
$48.18 |
$42.50
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$104.28 |
$104.28 |
$104.28 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$161.04 |
$161.04 |
$161.04 |
$70.00
|
|
Collection blood specimen from completely implantable venous access device
|
$125.40 |
$125.40 |
$125.40 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$143.88 |
$143.88 |
$143.88 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$32.34 |
$32.34 |
$32.34 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$411.18 |
$411.18 |
$411.18 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$554.40 |
$554.40 |
$554.40 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$503.58 |
$503.58 |
$503.58 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$440.22 |
$440.22 |
$440.22 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$673.86 |
$673.86 |
$673.86 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$499.62 |
$499.62 |
$499.62 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$446.82 |
$446.82 |
$446.82 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$347.16 |
$347.16 |
$347.16 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$598.62 |
$598.62 |
$598.62 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$471.24 |
$471.24 |
$471.24 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$519.42 |
$519.42 |
$519.42 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$1,533.18 |
$1,533.18 |
$1,533.18 |
$2,030.25
|
|
Colonoscopy w/decompression
|
$514.80 |
$514.80 |
$514.80 |
$2,184.00
|
|
Colonoscopy w/dilation
|
$409.20 |
$409.20 |
$409.20 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$572.88 |
$572.88 |
$572.88 |
$1,645.43
|
|
Colonoscopy w/endoscopic fnb
|
$674.52 |
$674.52 |
$674.52 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$641.52 |
$641.52 |
$641.52 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$529.98 |
$529.98 |
$529.98 |
$1,395.28
|
|
Colonoscopy w/injection
|
$382.14 |
$382.14 |
$382.14 |
$2,449.20
|
|
Colonoscopy with ablation
|
$537.90 |
$537.90 |
$537.90 |
$3,405.12
|
|
Colonoscopy (with biopsy)
|
$446.82 |
$446.82 |
$446.82 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$957.66 |
$957.66 |
$957.66 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$564.30 |
$564.30 |
$564.30 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$611.16 |
$611.16 |
$611.16 |
$2,495.25
|
|
Colonoscopy w/resection
|
$736.56 |
$736.56 |
$736.56 |
$3,029.60
|
|
Colonoscopy w/stent plcmt
|
$580.14 |
$580.14 |
$580.14 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$510.18 |
$510.18 |
$510.18 |
$2,704.00
|
|
Colostomy skin level cecostomy 44320
|
$2,657.82 |
$2,657.82 |
$2,657.82 |
$2,269.80
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$2,170.08 |
$2,170.08 |
$2,170.08 |
$1,746.00
|
|
Colpocleisis (le forte type) 57120
|
$1,206.48 |
$1,206.48 |
$1,206.48 |
$5,419.00
|
|
Colpopexy abdominal approach 57280
|
$2,170.08 |
$2,170.08 |
$2,170.08 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$1,565.52 |
$1,565.52 |
$1,565.52 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$1,575.42 |
$1,575.42 |
$1,575.42 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$764.94 |
$764.94 |
$764.94 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$408.54 |
$408.54 |
$408.54 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$801.24 |
$801.24 |
$801.24 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$291.72 |
$291.72 |
$291.72 |
$312.90
|
|
Colposcopy vulva 56820
|
$289.74 |
$289.74 |
$289.74 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$385.44 |
$385.44 |
$385.44 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$371.58 |
$371.58 |
$371.58 |
$502.80
|
|
Colpotomy drng of abscess 57010
|
$1,041.48 |
$1,041.48 |
$1,041.48 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$459.36 |
$459.36 |
$459.36 |
$3,905.53
|
|
Compatibility test each unit antiglobulin technique
|
$412.50 |
$412.50 |
$412.50 |
$170.05
|
|
Compatibility test each unit electronic
|
$412.50 |
$412.50 |
$412.50 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$217.14 |
$217.14 |
$217.14 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$809.16 |
$809.16 |
$809.16 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$851.40 |
$851.40 |
$851.40 |
$1,111.03
|
|
Complement antigen each component c3
|
$6.94 |
$6.94 |
$6.94 |
$108.55
|
|
Complete removal of vulva
|
$1,527.24 |
$1,527.24 |
$1,527.24 |
$3,786.00
|
|
Complex cystometrogram 51726
|
$661.98 |
$661.98 |
$661.98 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$828.30 |
$828.30 |
$828.30 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$925.32 |
$925.32 |
$925.32 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$33.00 |
$33.00 |
$33.00 |
$346.71
|
|
Compl oph exam general anes
|
$229.68 |
$229.68 |
$229.68 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$983.40 |
$983.40 |
$983.40 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,151.04 |
$1,151.04 |
$1,151.04 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$425.04 |
$425.04 |
$425.04 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$904.86 |
$904.86 |
$904.86 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,094.94 |
$1,094.94 |
$1,094.94 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$386.76 |
$386.76 |
$386.76 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$291.06 |
$291.06 |
$291.06 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$795.96 |
$795.96 |
$795.96 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$267.96 |
$267.96 |
$267.96 |
$537.00
|
|
Composite byp grft 2 veins
|
$725.34 |
$725.34 |
$725.34 |
$619.20
|
|
Composite byp grft 3/> segmt
|
$843.48 |
$843.48 |
$843.48 |
$574.98
|
|
Composite byp grft pros&vein
|
$164.34 |
$164.34 |
$164.34 |
$205.60
|
|
Composite graft/pri close/don area 15760
|
$1,612.38 |
$1,612.38 |
$1,612.38 |
$2,765.76
|
|
Comprehensive hearing test
|
$60.72 |
$60.72 |
$60.72 |
$255.00
|
