|
Collagenase, clost hist inj
|
$12,906.28 |
$12,906.28 |
$12,906.28 |
$12,906.28
|
|
Collagen imp urinary 2.5 ml
|
$2,469.60 |
$2,469.60 |
$2,469.60 |
$1,949.63
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$39.20 |
$39.20 |
$39.20 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$70.00 |
$70.00 |
$70.00 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$168.00 |
$168.00 |
$168.00 |
$213.89
|
|
Collar cerv patriot adlt
|
$154.00 |
$154.00 |
$154.00 |
$154.00
|
|
Collar extrication adult univ
|
$728.00 |
$728.00 |
$728.00 |
$764.15
|
|
Collection blood specimen from completely implantable venous access device
|
$459.20 |
$459.20 |
$459.20 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$616.00 |
$616.00 |
$616.00 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$39.76 |
$39.76 |
$39.76 |
$21.00
|
|
Coll-e-derm 1 sq cm
|
$16.80 |
$16.80 |
$16.80 |
$171.12
|
|
Colon motility 6 hr study
|
$1,069.60 |
$1,069.60 |
$1,069.60 |
$501.82
|
|
Colonoscopy (diagnostic)
|
$3,679.20 |
$3,679.20 |
$3,679.20 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$5,202.40 |
$5,202.40 |
$5,202.40 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,113.60 |
$3,113.60 |
$3,113.60 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$5,202.40 |
$5,202.40 |
$5,202.40 |
$2,288.00
|
|
Colonoscopy for foreign body
|
$4,732.00 |
$4,732.00 |
$4,732.00 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$5,202.40 |
$5,202.40 |
$5,202.40 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$5,202.40 |
$5,202.40 |
$5,202.40 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$5,202.40 |
$5,202.40 |
$5,202.40 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$2,917.60 |
$2,917.60 |
$2,917.60 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$4,284.00 |
$4,284.00 |
$4,284.00 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$3,365.60 |
$3,365.60 |
$3,365.60 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$5,202.40 |
$5,202.40 |
$5,202.40 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$3,365.60 |
$3,365.60 |
$3,365.60 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$3,606.40 |
$3,606.40 |
$3,606.40 |
$2,030.25
|
|
Colonoscopy w/decompression
|
$3,477.60 |
$3,477.60 |
$3,477.60 |
$2,184.00
|
|
Colonoscopy w/dilation
|
$4,732.00 |
$4,732.00 |
$4,732.00 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$2,906.40 |
$2,906.40 |
$2,906.40 |
$1,645.43
|
|
Colonoscopy w/endoscopic fnb
|
$5,202.40 |
$5,202.40 |
$5,202.40 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$4,334.40 |
$4,334.40 |
$4,334.40 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$5,202.40 |
$5,202.40 |
$5,202.40 |
$1,395.28
|
|
Colonoscopy w/injection
|
$5,202.40 |
$5,202.40 |
$5,202.40 |
$2,449.20
|
|
Colonoscopy with ablation
|
$7,296.80 |
$7,296.80 |
$7,296.80 |
$3,405.12
|
|
Colonoscopy (with biopsy)
|
$3,550.40 |
$3,550.40 |
$3,550.40 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$4,620.00 |
$4,620.00 |
$4,620.00 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$3,466.40 |
$3,466.40 |
$3,466.40 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$4,222.40 |
$4,222.40 |
$4,222.40 |
$2,495.25
|
|
Colonoscopy w/resection
|
$3,029.60 |
$3,029.60 |
$3,029.60 |
$3,029.60
|
|
Colonoscopy w/stent plcmt
|
$7,072.80 |
$7,072.80 |
$7,072.80 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$4,222.40 |
$4,222.40 |
$4,222.40 |
$2,704.00
|
|
Colpocentesis 57020
|
$3,914.40 |
$3,914.40 |
$3,914.40 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$20,512.80 |
$20,512.80 |
$20,512.80 |
$5,419.00
|
|
Colpopexy extraperitoneal
|
$8,237.60 |
$8,237.60 |
$8,237.60 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$10,970.40 |
$10,970.40 |
$10,970.40 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$9,223.20 |
$9,223.20 |
$9,223.20 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$8,976.80 |
$8,976.80 |
$8,976.80 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$851.20 |
$851.20 |
$851.20 |
$312.90
|
|
Colposcopy vulva 56820
|
$548.80 |
$548.80 |
$548.80 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$1,394.40 |
$1,394.40 |
$1,394.40 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$502.80
|
|
Colpotomy drng of abscess 57010
|
$9,794.40 |
$9,794.40 |
$9,794.40 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$9,055.20 |
$9,055.20 |
$9,055.20 |
$3,905.53
|
|
Combination bilateral ho
|
$2,130.80 |
$2,130.80 |
$2,130.80 |
$4,575.46
|
|
Combo ankle/foot prosthesis
|
$512.40 |
$512.40 |
$512.40 |
$512.40
|
|
Compatibility test each unit antiglobulin technique
|
$392.00 |
$392.00 |
$392.00 |
$170.05
|
|
Compatibility test each unit electronic
|
$347.20 |
$347.20 |
$347.20 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$403.20 |
$403.20 |
$403.20 |
$169.52
|
|
Compatibility test incubate
|
$347.20 |
$347.20 |
$347.20 |
$155.40
|
|
Comp cystometrogram/void presssure 51728
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$60.48 |
$60.48 |
$60.48 |
$108.55
|
|
Complement fixation each
|
$29.12 |
$29.12 |
$29.12 |
$29.12
|
|
Complete removal of vulva
|
$8,573.60 |
$8,573.60 |
$8,573.60 |
$3,786.00
|
|
Complex cystometrogram 51726
|
$1,248.80 |
$1,248.80 |
$1,248.80 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$2,116.80 |
$2,116.80 |
$2,116.80 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$3,018.40 |
$3,018.40 |
$3,018.40 |
$1,191.78
|
|
Complex simulation w/pet-ct
|
$4,261.60 |
$4,261.60 |
$4,261.60 |
$2,625.15
|
|
Complex uroflowmetry (electronic) 51741
|
$352.80 |
$352.80 |
$352.80 |
$346.71
|
|
Compl oph exam general anes
|
$2,161.60 |
$2,161.60 |
$2,161.60 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$1,013.60 |
$1,013.60 |
$1,013.60 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$487.20 |
$487.20 |
$487.20 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$772.80 |
$772.80 |
$772.80 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$2,122.40 |
$2,122.40 |
$2,122.40 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,797.60 |
$1,797.60 |
$1,797.60 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$817.60 |
$817.60 |
$817.60 |
$1,350.27
|
|
Composite graft/pri close/don area 15760
|
$5,504.80 |
$5,504.80 |
$5,504.80 |
$2,765.76
|
|
Comprehensive hearing test
|
$548.80 |
$548.80 |
$548.80 |
$255.00
|
|
Compre oph exam est pt 1/>
|
$207.20 |
$207.20 |
$207.20 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$245.28 |
$245.28 |
$245.28 |
$186.00
|
|
Computed tomographic angiography head and neck with contrast
|
$4,551.12 |
$4,551.12 |
$4,551.12 |
$2,237.25
|
|
Concentration infection agents any type
|
$62.72 |
$62.72 |
$62.72 |
$49.95
|
|
Conditioning play audiometry 92582
|
$352.80 |
$352.80 |
$352.80 |
$189.15
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$3,322.20 |
$3,322.20 |
$3,322.20 |
$3,322.20
|
|
Condylomata destruction 56420
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$469.00
|
|
Conivaptan hcl
|
$1,625.08 |
$1,625.08 |
$1,625.08 |
$1,625.08
|
|
Conization/cerv/loop electrode exc 57522
|
$9,626.40 |
$9,626.40 |
$9,626.40 |
$4,840.07
|
|
Conization of cervix
|
$9,794.40 |
$9,794.40 |
$9,794.40 |
$3,762.53
|
|
Conjugated estrogens 25 mg solution for injection
|
$661.29 |
$661.29 |
$661.29 |
$871.08
|
|
Connect omega .5mm
|
$15,078.00 |
$15,078.00 |
$15,078.00 |
$1,260.00
|
|
Connector tis 2x10mm
|
$4,272.24 |
$4,272.24 |
$4,272.24 |
$4,091.00
|
|
Constj trachesophgl fstl
|
$7,336.00 |
$7,336.00 |
$7,336.00 |
$3,837.72
|
|
Construction of vagina
|
$7,145.60 |
$7,145.60 |
$7,145.60 |
$5,741.00
|
|
Construct thumb replacement
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$5,110.00
|
|
Construct vagina with graft
|
$11,093.60 |
$11,093.60 |
$11,093.60 |
$5,741.00
|
