|
Clsd tx trimall ankle fx without manip 27816
|
$86.24 |
$86.24 |
$86.24 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$110.60 |
$110.60 |
$110.60 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$70.00 |
$70.00 |
$70.00 |
$452.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$74.13 |
$74.13 |
$74.13 |
$674.68
|
|
Clsd tx wrist carpal fx without manip 25630
|
$79.80 |
$79.80 |
$79.80 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$80.85 |
$80.85 |
$80.85 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$85.68 |
$85.68 |
$85.68 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$76.65 |
$76.65 |
$76.65 |
$474.50
|
|
Cls tx of heel fracture w/manip 28405
|
$103.04 |
$103.04 |
$103.04 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$114.31 |
$114.31 |
$114.31 |
$1,893.86
|
|
Cltx hum epcndylr fx wo mnpj
|
$86.87 |
$86.87 |
$86.87 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$128.73 |
$128.73 |
$128.73 |
$1,815.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$81.62 |
$81.62 |
$81.62 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$124.39 |
$124.39 |
$124.39 |
$2,437.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$231.00 |
$231.00 |
$231.00 |
$6,776.64
|
|
Cltx post ankle fx
|
$76.30 |
$76.30 |
$76.30 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$113.75 |
$113.75 |
$113.75 |
$1,893.86
|
|
Cltx strnclav dislc w/mnpj
|
$93.73 |
$93.73 |
$93.73 |
$619.30
|
|
Cmbn ant pst colprhy
|
$185.71 |
$185.71 |
$185.71 |
$4,928.00
|
|
Cmptr ophth dx img ant segmt
|
$5.32 |
$5.32 |
$5.32 |
$115.95
|
|
Cmptr ophth img optic nerve
|
$5.46 |
$5.46 |
$5.46 |
$119.00
|
|
#cmvcul-virus inoculation shell
|
$1.70 |
$1.70 |
$1.70 |
$100.80
|
|
Cmv pcr-sendout
|
$4.59 |
$4.59 |
$4.59 |
$177.50
|
|
Co2 monitor per day
|
$46.62 |
$46.62 |
$46.62 |
$450.60
|
|
Coagulation time activated teg
|
$65.66 |
$65.66 |
$65.66 |
$53.72
|
|
Cold agglutinin screen (arc)
|
$3.85 |
$3.85 |
$3.85 |
$45.00
|
|
Cold agglutinin titer
|
$0.56 |
$0.56 |
$0.56 |
$50.00
|
|
Colectomy/end colost/close dis seg 44143
|
$384.02 |
$384.02 |
$384.02 |
$2,880.80
|
|
Colectomy/ ileostomy without prctect 44150
|
$433.79 |
$433.79 |
$433.79 |
$3,530.40
|
|
Colectomy/ ileostomy w/prctect 44155
|
$483.91 |
$483.91 |
$483.91 |
$4,562.58
|
|
Colectomy partial w/anastomosis 44140
|
$313.39 |
$313.39 |
$313.39 |
$2,510.73
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$448.91 |
$448.91 |
$448.91 |
$3,652.20
|
|
Colectomy prtl w/coloproctostomy 44145
|
$384.65 |
$384.65 |
$384.65 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$489.30 |
$489.30 |
$489.30 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$290.36 |
$290.36 |
$290.36 |
$2,343.60
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$422.10 |
$422.10 |
$422.10 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$410.27 |
$410.27 |
$410.27 |
$3,176.40
|
|
Collagenase, clost hist inj
|
$16.94 |
$16.94 |
$16.94 |
$12,906.28
|
|
Collagen dressing <=16 sq in
|
$5.11 |
$5.11 |
$5.11 |
$42.50
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$11.06 |
$11.06 |
$11.06 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$18.13 |
$18.13 |
$18.13 |
$70.00
|
|
Collection blood specimen from completely implantable venous access device
|
$37.45 |
$37.45 |
$37.45 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$41.65 |
$41.65 |
$41.65 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$6.37 |
$6.37 |
$6.37 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$105.28 |
$105.28 |
$105.28 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$58.80 |
$58.80 |
$58.80 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$136.08 |
$136.08 |
$136.08 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$46.69 |
$46.69 |
$46.69 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$71.47 |
$71.47 |
$71.47 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$52.99 |
$52.99 |
$52.99 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$47.39 |
$47.39 |
$47.39 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$36.82 |
$36.82 |
$36.82 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$63.49 |
$63.49 |
$63.49 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$49.98 |
$49.98 |
$49.98 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$55.09 |
$55.09 |
$55.09 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$162.61 |
$162.61 |
$162.61 |
$2,030.25
|
|
Colonoscopy w/decompression
|
$54.60 |
$54.60 |
$54.60 |
$2,184.00
|
|
Colonoscopy w/dilation
|
$43.40 |
$43.40 |
$43.40 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$60.76 |
$60.76 |
$60.76 |
$1,645.43
|
|
Colonoscopy w/endoscopic fnb
|
$71.54 |
$71.54 |
$71.54 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$68.04 |
$68.04 |
$68.04 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$56.21 |
$56.21 |
$56.21 |
$1,395.28
|
|
Colonoscopy w/injection
|
$40.53 |
$40.53 |
$40.53 |
$2,449.20
|
|
Colonoscopy with ablation
|
$57.05 |
$57.05 |
$57.05 |
$3,405.12
|
|
Colonoscopy (with biopsy)
|
$136.08 |
$136.08 |
$136.08 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$101.57 |
$101.57 |
$101.57 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$136.08 |
$136.08 |
$136.08 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$64.82 |
$64.82 |
$64.82 |
$2,495.25
|
|
Colonoscopy w/resection
|
$78.12 |
$78.12 |
$78.12 |
$3,029.60
|
|
Colonoscopy w/stent plcmt
|
$61.53 |
$61.53 |
$61.53 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$54.11 |
$54.11 |
$54.11 |
$2,704.00
|
|
Colostomy skin level cecostomy 44320
|
$281.89 |
$281.89 |
$281.89 |
$2,269.80
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$230.16 |
$230.16 |
$230.16 |
$1,746.00
|
|
Colpocleisis (le forte type) 57120
|
$127.96 |
$127.96 |
$127.96 |
$5,419.00
|
|
Colpopexy abdominal approach 57280
|
$230.16 |
$230.16 |
$230.16 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$166.04 |
$166.04 |
$166.04 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$167.09 |
$167.09 |
$167.09 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$81.13 |
$81.13 |
$81.13 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$43.33 |
$43.33 |
$43.33 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$84.98 |
$84.98 |
$84.98 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$30.94 |
$30.94 |
$30.94 |
$312.90
|
|
Colposcopy vulva 56820
|
$30.73 |
$30.73 |
$30.73 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$40.88 |
$40.88 |
$40.88 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$39.41 |
$39.41 |
$39.41 |
$502.80
|
|
Colpotomy drng of abscess 57010
|
$110.46 |
$110.46 |
$110.46 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$48.72 |
$48.72 |
$48.72 |
$3,905.53
|
|
Compatibility test each unit antiglobulin technique
|
$55.23 |
$55.23 |
$55.23 |
$170.05
|
|
Compatibility test each unit electronic
|
$31.43 |
$31.43 |
$31.43 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$17.01 |
$17.01 |
$17.01 |
$169.52
|
|
Compatibility test incubate
|
$57.89 |
$57.89 |
$57.89 |
$155.40
|
|
Comp cystometrogram/void presssure 51728
|
$85.82 |
$85.82 |
$85.82 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$90.30 |
$90.30 |
$90.30 |
$1,111.03
|
|
Complement antigen each component c3
|
$8.89 |
$8.89 |
$8.89 |
$108.55
|
|
Complement fixation each
|
$0.70 |
$0.70 |
$0.70 |
$29.12
|
|
Complete removal of vulva
|
$161.98 |
$161.98 |
$161.98 |
$3,786.00
|
|
Complex cystometrogram 51726
|
$70.21 |
$70.21 |
$70.21 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$87.85 |
$87.85 |
$87.85 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$98.14 |
$98.14 |
$98.14 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$3.50 |
$3.50 |
$3.50 |
$346.71
|
|
Compl oph exam general anes
|
$24.36 |
$24.36 |
$24.36 |
$2,161.60
|