|
Colonoscopy/w endoscopic stent 45389
|
$184.68 |
$184.68 |
$184.68 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$152.57 |
$152.57 |
$152.57 |
$1,395.28
|
|
Colonoscopy w/injection
|
$110.01 |
$110.01 |
$110.01 |
$2,449.20
|
|
Colonoscopy with ablation
|
$154.85 |
$154.85 |
$154.85 |
$3,405.12
|
|
Colonoscopy (with biopsy)
|
$128.63 |
$128.63 |
$128.63 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$110.01 |
$110.01 |
$110.01 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$162.45 |
$162.45 |
$162.45 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$175.94 |
$175.94 |
$175.94 |
$2,495.25
|
|
Colonoscopy w/resection
|
$212.04 |
$212.04 |
$212.04 |
$3,029.60
|
|
Colonoscopy w/stent plcmt
|
$167.01 |
$167.01 |
$167.01 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$146.87 |
$146.87 |
$146.87 |
$2,704.00
|
|
Colostomy skin level cecostomy 44320
|
$765.13 |
$765.13 |
$765.13 |
$2,269.80
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$624.72 |
$624.72 |
$624.72 |
$1,746.00
|
|
Colpocleisis (le forte type) 57120
|
$347.32 |
$347.32 |
$347.32 |
$5,419.00
|
|
Colpopexy abdominal approach 57280
|
$624.72 |
$624.72 |
$624.72 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$450.68 |
$450.68 |
$450.68 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$453.53 |
$453.53 |
$453.53 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$220.21 |
$220.21 |
$220.21 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$78.09 |
$78.09 |
$78.09 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$116.85 |
$116.85 |
$116.85 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$59.09 |
$59.09 |
$59.09 |
$312.90
|
|
Colposcopy vulva 56820
|
$54.15 |
$54.15 |
$54.15 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$72.77 |
$72.77 |
$72.77 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$69.54 |
$69.54 |
$69.54 |
$502.80
|
|
Colpotomy drng of abscess 57010
|
$299.82 |
$299.82 |
$299.82 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$132.24 |
$132.24 |
$132.24 |
$3,905.53
|
|
Compatibility test each unit antiglobulin technique
|
$92.53 |
$92.53 |
$92.53 |
$170.05
|
|
Compatibility test each unit immediate spin technique
|
$92.53 |
$92.53 |
$92.53 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$66.31 |
$66.31 |
$66.31 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$80.18 |
$80.18 |
$80.18 |
$1,111.03
|
|
Complement antigen each component c3
|
$24.13 |
$24.13 |
$24.13 |
$108.55
|
|
Complement fixation each
|
$10.07 |
$10.07 |
$10.07 |
$29.12
|
|
Complete removal of vulva
|
$439.66 |
$439.66 |
$439.66 |
$3,786.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$152.95 |
$152.95 |
$152.95 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$163.02 |
$163.02 |
$163.02 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$5.32 |
$5.32 |
$5.32 |
$346.71
|
|
Compl oph exam general anes
|
$66.12 |
$66.12 |
$66.12 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$182.59 |
$182.59 |
$182.59 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$219.45 |
$219.45 |
$219.45 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$87.97 |
$87.97 |
$87.97 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$159.41 |
$159.41 |
$159.41 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$198.55 |
$198.55 |
$198.55 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$80.75 |
$80.75 |
$80.75 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$52.82 |
$52.82 |
$52.82 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$132.43 |
$132.43 |
$132.43 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$45.98 |
$45.98 |
$45.98 |
$537.00
|
|
Composite byp grft 2 veins
|
$208.81 |
$208.81 |
$208.81 |
$619.20
|
|
Composite byp grft 3/> segmt
|
$242.82 |
$242.82 |
$242.82 |
$574.98
|
|
Composite byp grft pros&vein
|
$47.31 |
$47.31 |
$47.31 |
$205.60
|
|
Composite graft/pri close/don area 15760
|
$464.17 |
$464.17 |
$464.17 |
$2,765.76
|
|
Compre oph exam est pt 1/>
|
$35.34 |
$35.34 |
$35.34 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$43.89 |
$43.89 |
$43.89 |
$186.00
|
|
Computed tomographic angiography head and neck with contrast
|
$945.44 |
$945.44 |
$945.44 |
$2,237.25
|
|
Concentration infection agents any type
|
$35.15 |
$35.15 |
$35.15 |
$49.95
|
|
Condylomata destruction 56420
|
$190.57 |
$190.57 |
$190.57 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$168.53 |
$168.53 |
$168.53 |
$4,840.07
|
|
Conization of cervix
|
$196.46 |
$196.46 |
$196.46 |
$3,762.53
|
|
Conjugated estrogens 25 mg solution for injection
|
$339.08 |
$339.08 |
$339.08 |
$871.08
|
|
Connect omega .5mm
|
$830.30 |
$830.30 |
$830.30 |
$1,260.00
|
|
Consultation pathology during surgery
|
$25.84 |
$25.84 |
$25.84 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$5.84 |
$5.84 |
$5.84 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$3.90 |
$3.90 |
$3.90 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$6.78 |
$6.78 |
$6.78 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$110.39 |
$110.39 |
$110.39 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$64.03 |
$64.03 |
$64.03 |
$171.65
|
|
Consult comp w/report rfrd material
|
$28.33 |
$28.33 |
$28.33 |
$365.60
|
|
Contact lens fitting for tx
|
$15.01 |
$15.01 |
$15.01 |
$92.96
|
|
Contact lens fitting ou
|
$6.84 |
$6.84 |
$6.84 |
$40.00
|
|
Cont gluc mntr analysis i&r 95251
|
$16.15 |
$16.15 |
$16.15 |
$65.70
|
|
Contour of face bone lesion
|
$418.95 |
$418.95 |
$418.95 |
$3,786.00
|
|
Contrast exam abdominl aorta 75625-26
|
$2,061.88 |
$2,061.88 |
$2,061.88 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$2,497.17 |
$2,497.17 |
$2,497.17 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$3,073.06 |
$3,073.06 |
$3,073.06 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$244.34 |
$244.34 |
$244.34 |
$350.22
|
|
Contrast x-ray of ankle
|
$30.40 |
$30.40 |
$30.40 |
$612.30
|
|
Contrast x-ray of elbow
|
$542.45 |
$542.45 |
$542.45 |
$649.80
|
|
Contrast x-ray of hip
|
$542.45 |
$542.45 |
$542.45 |
$771.12
|
|
Contrast x-ray of knee joint
|
$542.45 |
$542.45 |
$542.45 |
$769.88
|
|
Contrast x-ray of wrist
|
$542.45 |
$542.45 |
$542.45 |
$637.00
|
|
Controller infinity pt dbs
|
$2,223.00 |
$2,223.00 |
$2,223.00 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$67.45 |
$67.45 |
$67.45 |
$392.60
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$335.54 |
$335.54 |
$335.54 |
$3,786.00
|
|
Control of nosebleed ant comp 30903
|
$73.34 |
$73.34 |
$73.34 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$53.77 |
$53.77 |
$53.77 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$107.16 |
$107.16 |
$107.16 |
$634.80
|
|
Control throat bleeding
|
$280.06 |
$280.06 |
$280.06 |
$972.84
|
|
Control throat bleeding
|
$344.47 |
$344.47 |
$344.47 |
$3,984.00
|
|
Conversion ext bil drg cath
|
$123.50 |
$123.50 |
$123.50 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$1,471.55 |
$1,471.55 |
$1,471.55 |
$2,777.60
|
|
Conv gtube to jtube
|
$122.93 |
$122.93 |
$122.93 |
$2,099.70
|
|
Coombs direct
|
$21.14 |
$21.14 |
$21.14 |
$75.00
|
|
Coombs indirect titer reference
|
$37.19 |
$37.19 |
$37.19 |
$146.40
|
|
Core ndl bx lng/med perq
|
$1,664.40 |
$1,664.40 |
$1,664.40 |
$2,678.00
|
|
Cor hlx vlgs double osteot
|
$399.38 |
$399.38 |
$399.38 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$346.37 |
$346.37 |
$346.37 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$339.72 |
$339.72 |
$339.72 |
$4,627.00
|
|
Corneal smear
|
$67.07 |
$67.07 |
$67.07 |
$472.21
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$6,604.40 |
$6,604.40 |
$6,604.40 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$5,282.57 |
$5,282.57 |
$5,282.57 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$6,315.79 |
$6,315.79 |
$6,315.79 |
$11,228.50
|
