|
Colpopexy abdominal approach 57280
|
$558.96 |
$558.96 |
$558.96 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$403.24 |
$403.24 |
$403.24 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$405.79 |
$405.79 |
$405.79 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$197.03 |
$197.03 |
$197.03 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$182.92 |
$182.92 |
$182.92 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$715.70 |
$715.70 |
$715.70 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$75.14 |
$75.14 |
$75.14 |
$312.90
|
|
Colposcopy vulva 56820
|
$74.63 |
$74.63 |
$74.63 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$99.28 |
$99.28 |
$99.28 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$115.77 |
$115.77 |
$115.77 |
$502.80
|
|
Colpotomy drng of abscess 57010
|
$268.26 |
$268.26 |
$268.26 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$118.32 |
$118.32 |
$118.32 |
$3,905.53
|
|
Compatibility test each unit antiglobulin technique
|
$204.68 |
$204.68 |
$204.68 |
$170.05
|
|
Compatibility test each unit electronic
|
$65.11 |
$65.11 |
$65.11 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$204.68 |
$204.68 |
$204.68 |
$169.52
|
|
Compatibility test incubate
|
$3.40 |
$3.40 |
$3.40 |
$155.40
|
|
Comp cystometrogram/void presssure 51728
|
$208.42 |
$208.42 |
$208.42 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$219.30 |
$219.30 |
$219.30 |
$1,111.03
|
|
Complement antigen each component c3
|
$21.59 |
$21.59 |
$21.59 |
$108.55
|
|
Complete removal of vulva
|
$393.38 |
$393.38 |
$393.38 |
$3,786.00
|
|
Complex cystometrogram 51726
|
$170.51 |
$170.51 |
$170.51 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$213.35 |
$213.35 |
$213.35 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$238.34 |
$238.34 |
$238.34 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$73.61 |
$73.61 |
$73.61 |
$346.71
|
|
Compl oph exam general anes
|
$59.16 |
$59.16 |
$59.16 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$253.30 |
$253.30 |
$253.30 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$296.48 |
$296.48 |
$296.48 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$123.59 |
$123.59 |
$123.59 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$233.07 |
$233.07 |
$233.07 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$334.90 |
$334.90 |
$334.90 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$213.69 |
$213.69 |
$213.69 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$74.97 |
$74.97 |
$74.97 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$205.02 |
$205.02 |
$205.02 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$131.07 |
$131.07 |
$131.07 |
$537.00
|
|
Composite byp grft 2 veins
|
$186.83 |
$186.83 |
$186.83 |
$619.20
|
|
Composite byp grft 3/> segmt
|
$217.26 |
$217.26 |
$217.26 |
$574.98
|
|
Composite byp grft pros&vein
|
$42.33 |
$42.33 |
$42.33 |
$205.60
|
|
Composite graft/pri close/don area 15760
|
$415.31 |
$415.31 |
$415.31 |
$2,765.76
|
|
Comprehensive hearing test
|
$15.64 |
$15.64 |
$15.64 |
$255.00
|
|
Compre oph exam est pt 1/>
|
$54.40 |
$54.40 |
$54.40 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$64.09 |
$64.09 |
$64.09 |
$186.00
|
|
Computed tomographic angiography head and neck with contrast
|
$1,161.61 |
$1,161.61 |
$1,161.61 |
$2,237.25
|
|
Concentration infection agents any type
|
$31.45 |
$31.45 |
$31.45 |
$49.95
|
|
Condylomata destruction 56420
|
$111.69 |
$111.69 |
$111.69 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$1,236.75 |
$1,236.75 |
$1,236.75 |
$4,840.07
|
|
Conization of cervix
|
$175.78 |
$175.78 |
$175.78 |
$3,762.53
|
|
Conjugated estrogens 25 mg solution for injection
|
$118.32 |
$118.32 |
$118.32 |
$871.08
|
|
Consultation pathology during surgery
|
$23.12 |
$23.12 |
$23.12 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$9.35 |
$9.35 |
$9.35 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$7.14 |
$7.14 |
$7.14 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$39.95 |
$39.95 |
$39.95 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$9.35 |
$9.35 |
$9.35 |
$224.80
|
|
Consultation with family
|
$23.80 |
$23.80 |
$23.80 |
$135.79
|
|
Contact layer >16<= 48 sq in
|
$4.42 |
$4.42 |
$4.42 |
$36.17
|
|
Contact lens fitting for tx
|
$15.47 |
$15.47 |
$15.47 |
$92.96
|
|
Contact lens fitting ou
|
$17.00 |
$17.00 |
$17.00 |
$40.00
|
|
Cont gluc mntr analysis i&r 95251
|
$14.45 |
$14.45 |
$14.45 |
$65.70
|
|
Contour of face bone lesion
|
$696.49 |
$696.49 |
$696.49 |
$3,786.00
|
|
Contrast baths charges
|
$27.88 |
$27.88 |
$27.88 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$1,528.64 |
$1,528.64 |
$1,528.64 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$757.86 |
$757.86 |
$757.86 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$1,287.58 |
$1,287.58 |
$1,287.58 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$147.22 |
$147.22 |
$147.22 |
$350.22
|
|
Contrast x-ray of ankle
|
$202.13 |
$202.13 |
$202.13 |
$612.30
|
|
Contrast x-ray of elbow
|
$289.34 |
$289.34 |
$289.34 |
$649.80
|
|
Contrast x-ray of hip
|
$448.80 |
$448.80 |
$448.80 |
$771.12
|
|
Contrast x-ray of knee joint
|
$287.64 |
$287.64 |
$287.64 |
$769.88
|
|
Contrast x-ray of wrist
|
$278.29 |
$278.29 |
$278.29 |
$637.00
|
|
Controller infinity pt dbs
|
$1,460.34 |
$1,460.34 |
$1,460.34 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$211.31 |
$211.31 |
$211.31 |
$392.60
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$300.22 |
$300.22 |
$300.22 |
$3,786.00
|
|
Control of nosebleed ant comp 30903
|
$146.71 |
$146.71 |
$146.71 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$136.17 |
$136.17 |
$136.17 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$95.88 |
$95.88 |
$95.88 |
$634.80
|
|
Control throat bleeding
|
$250.58 |
$250.58 |
$250.58 |
$972.84
|
|
Control throat bleeding
|
$308.21 |
$308.21 |
$308.21 |
$3,984.00
|
|
Conversion ext bil drg cath
|
$110.50 |
$110.50 |
$110.50 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$1,327.53 |
$1,327.53 |
$1,327.53 |
$2,777.60
|
|
Conv gtube to jtube
|
$109.99 |
$109.99 |
$109.99 |
$2,099.70
|
|
Coombs direct
|
$69.19 |
$69.19 |
$69.19 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$1.70 |
$1.70 |
$1.70 |
$102.90
|
|
Coombs indirect titer reference
|
$90.27 |
$90.27 |
$90.27 |
$146.40
|
|
Copper intrauterine device
|
$346.12 |
$346.12 |
$346.12 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$986.85 |
$986.85 |
$986.85 |
$2,678.00
|
|
Cor hlx vlgs double osteot
|
$357.34 |
$357.34 |
$357.34 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$309.91 |
$309.91 |
$309.91 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$303.96 |
$303.96 |
$303.96 |
$4,627.00
|
|
Corneal smear
|
$60.01 |
$60.01 |
$60.01 |
$472.21
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$5,264.05 |
$5,264.05 |
$5,264.05 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$4,930.00 |
$4,930.00 |
$4,930.00 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$5,654.54 |
$5,654.54 |
$5,654.54 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$2,853.28 |
$2,853.28 |
$2,853.28 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,190.90 |
$3,190.90 |
$3,190.90 |
$7,914.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$293.76 |
$293.76 |
$293.76 |
$3,839.54
|
|
Correct finger deformity
|
$435.20 |
$435.20 |
$435.20 |
$3,981.06
|
|
Correct inverted nipple(s)
|
$366.18 |
$366.18 |
$366.18 |
$4,243.90
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$358.70 |
$358.70 |
$358.70 |
$3,839.54
|
|
Correction trichiasis epilation forcep 67820
|
$32.30 |
$32.30 |
$32.30 |
$176.00
|
|
Correct malrotation of bowel 44055
|
$842.01 |
$842.01 |
$842.01 |
$2,764.20
|
|
Correct metacarpal flaw
|
$1,654.78 |
$1,654.78 |
$1,654.78 |
$3,839.54
|
