|
Colonoscopy w/band ligation
|
$157.40 |
$157.40 |
$157.40 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$464.60 |
$464.60 |
$464.60 |
$2,030.25
|
|
Colonoscopy w/decompression
|
$156.00 |
$156.00 |
$156.00 |
$2,184.00
|
|
Colonoscopy w/dilation
|
$124.00 |
$124.00 |
$124.00 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$173.60 |
$173.60 |
$173.60 |
$1,645.43
|
|
Colonoscopy w/endoscopic fnb
|
$204.40 |
$204.40 |
$204.40 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$194.40 |
$194.40 |
$194.40 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$160.60 |
$160.60 |
$160.60 |
$1,395.28
|
|
Colonoscopy w/injection
|
$115.80 |
$115.80 |
$115.80 |
$2,449.20
|
|
Colonoscopy with ablation
|
$163.00 |
$163.00 |
$163.00 |
$3,405.12
|
|
Colonoscopy (with biopsy)
|
$135.40 |
$135.40 |
$135.40 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$290.20 |
$290.20 |
$290.20 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$171.00 |
$171.00 |
$171.00 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$185.20 |
$185.20 |
$185.20 |
$2,495.25
|
|
Colonoscopy w/resection
|
$223.20 |
$223.20 |
$223.20 |
$3,029.60
|
|
Colonoscopy w/stent plcmt
|
$175.80 |
$175.80 |
$175.80 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$154.60 |
$154.60 |
$154.60 |
$2,704.00
|
|
Colostomy skin level cecostomy 44320
|
$805.40 |
$805.40 |
$805.40 |
$2,269.80
|
|
Colostomy with biopsies
|
$704.80 |
$704.80 |
$704.80 |
$2,461.60
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$657.60 |
$657.60 |
$657.60 |
$1,746.00
|
|
Colpocleisis (le forte type) 57120
|
$365.60 |
$365.60 |
$365.60 |
$5,419.00
|
|
Colpopexy abdominal approach 57280
|
$657.60 |
$657.60 |
$657.60 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$474.40 |
$474.40 |
$474.40 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$477.40 |
$477.40 |
$477.40 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$231.80 |
$231.80 |
$231.80 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$123.80 |
$123.80 |
$123.80 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$242.80 |
$242.80 |
$242.80 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$91.80 |
$91.80 |
$91.80 |
$312.90
|
|
Colposcopy vulva 56820
|
$87.80 |
$87.80 |
$87.80 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$116.80 |
$116.80 |
$116.80 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$112.60 |
$112.60 |
$112.60 |
$502.80
|
|
Colpotomy drng of abscess 57010
|
$315.60 |
$315.60 |
$315.60 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$139.20 |
$139.20 |
$139.20 |
$3,905.53
|
|
Compatibility test each unit antiglobulin technique
|
$320.20 |
$320.20 |
$320.20 |
$170.05
|
|
Compatibility test each unit immediate spin technique
|
$320.20 |
$320.20 |
$320.20 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$245.20 |
$245.20 |
$245.20 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$258.00 |
$258.00 |
$258.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$50.09 |
$50.09 |
$50.09 |
$108.55
|
|
Complete removal of vulva
|
$462.80 |
$462.80 |
$462.80 |
$3,786.00
|
|
Complex cystometrogram 51726
|
$200.60 |
$200.60 |
$200.60 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$251.00 |
$251.00 |
$251.00 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$280.40 |
$280.40 |
$280.40 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$86.60 |
$86.60 |
$86.60 |
$346.71
|
|
Compl oph exam general anes
|
$69.60 |
$69.60 |
$69.60 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$298.00 |
$298.00 |
$298.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$348.80 |
$348.80 |
$348.80 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$128.80 |
$128.80 |
$128.80 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$975.60 |
$975.60 |
$975.60 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$331.80 |
$331.80 |
$331.80 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$117.20 |
$117.20 |
$117.20 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$88.20 |
$88.20 |
$88.20 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$241.20 |
$241.20 |
$241.20 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$128.40 |
$128.40 |
$128.40 |
$537.00
|
|
Composite byp grft 2 veins
|
$219.80 |
$219.80 |
$219.80 |
$619.20
|
|
Composite byp grft 3/> segmt
|
$255.60 |
$255.60 |
$255.60 |
$574.98
|
|
Composite byp grft pros&vein
|
$49.80 |
$49.80 |
$49.80 |
$205.60
|
|
Composite graft/pri close/don area 15760
|
$488.60 |
$488.60 |
$488.60 |
$2,765.76
|
|
Comprehensive hearing test
|
$18.40 |
$18.40 |
$18.40 |
$255.00
|
|
Compre oph exam est pt 1/>
|
$64.00 |
$64.00 |
$64.00 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$75.40 |
$75.40 |
$75.40 |
$186.00
|
|
Computed tomographic angiography head and neck with contrast
|
$1,179.20 |
$1,179.20 |
$1,179.20 |
$2,237.25
|
|
Concentration infection agents any type
|
$23.40 |
$23.40 |
$23.40 |
$49.95
|
|
Condylomata destruction 56420
|
$131.40 |
$131.40 |
$131.40 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$211.20 |
$211.20 |
$211.20 |
$4,840.07
|
|
Conization of cervix
|
$206.80 |
$206.80 |
$206.80 |
$3,762.53
|
|
Conjugated estrogens 25 mg solution for injection
|
$492.96 |
$492.96 |
$492.96 |
$871.08
|
|
Consultation pathology during surgery
|
$29.40 |
$29.40 |
$29.40 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$521.60 |
$521.60 |
$521.60 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$23.20 |
$23.20 |
$23.20 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$119.20 |
$119.20 |
$119.20 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$24.00 |
$24.00 |
$24.00 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$29.40 |
$29.40 |
$29.40 |
$171.65
|
|
Consultation with family
|
$28.00 |
$28.00 |
$28.00 |
$135.79
|
|
Contact layer >16<= 48 sq in
|
$5.20 |
$5.20 |
$5.20 |
$36.17
|
|
Contact lens fitting for tx
|
$18.20 |
$18.20 |
$18.20 |
$92.96
|
|
Contact lens fitting ou
|
$20.00 |
$20.00 |
$20.00 |
$40.00
|
|
Cont gluc mntr analysis i&r 95251
|
$17.00 |
$17.00 |
$17.00 |
$65.70
|
|
Contour of face bone lesion
|
$441.00 |
$441.00 |
$441.00 |
$3,786.00
|
|
Contrast baths charges
|
$23.20 |
$23.20 |
$23.20 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$2,519.20 |
$2,519.20 |
$2,519.20 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$17.60 |
$17.60 |
$17.60 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$40.80 |
$40.80 |
$40.80 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$172.00 |
$172.00 |
$172.00 |
$350.22
|
|
Contrast x-ray of ankle
|
$32.00 |
$32.00 |
$32.00 |
$612.30
|
|
Contrast x-ray of elbow
|
$20.20 |
$20.20 |
$20.20 |
$649.80
|
|
Contrast x-ray of hip
|
$552.00 |
$552.00 |
$552.00 |
$771.12
|
|
Contrast x-ray of knee joint
|
$572.80 |
$572.80 |
$572.80 |
$769.88
|
|
Contrast x-ray of wrist
|
$317.20 |
$317.20 |
$317.20 |
$637.00
|
|
Control nosebleed pack+caut 30905
|
$248.60 |
$248.60 |
$248.60 |
$392.60
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$353.20 |
$353.20 |
$353.20 |
$3,786.00
|
|
Control of nosebleed ant comp 30903
|
$172.60 |
$172.60 |
$172.60 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$111.40 |
$111.40 |
$111.40 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$112.80 |
$112.80 |
$112.80 |
$634.80
|
|
Control throat bleeding
|
$294.80 |
$294.80 |
$294.80 |
$972.84
|
|
Control throat bleeding
|
$362.60 |
$362.60 |
$362.60 |
$3,984.00
|
|
Conversion ext bil drg cath
|
$3,872.60 |
$3,872.60 |
$3,872.60 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$1,706.20 |
$1,706.20 |
$1,706.20 |
$2,777.60
|
|
Conv gtube to jtube
|
$129.40 |
$129.40 |
$129.40 |
$2,099.70
|
|
Coombs direct
|
$13.60 |
$13.60 |
$13.60 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$3.70 |
$3.70 |
$3.70 |
$102.90
|
