|
Clsd tx toe dislocation without anes28660
|
$99.60 |
$99.60 |
$99.60 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$369.60 |
$369.60 |
$369.60 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$474.00 |
$474.00 |
$474.00 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$300.00 |
$300.00 |
$300.00 |
$452.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$317.70 |
$317.70 |
$317.70 |
$674.68
|
|
Clsd tx wrist carpal fx without manip 25630
|
$342.00 |
$342.00 |
$342.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$346.50 |
$346.50 |
$346.50 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$367.20 |
$367.20 |
$367.20 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$328.50 |
$328.50 |
$328.50 |
$474.50
|
|
Cls tx of heel fracture w/manip 28405
|
$441.60 |
$441.60 |
$441.60 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$489.90 |
$489.90 |
$489.90 |
$1,893.86
|
|
Cltx hum epcndylr fx wo mnpj
|
$372.30 |
$372.30 |
$372.30 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$551.70 |
$551.70 |
$551.70 |
$1,815.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$349.80 |
$349.80 |
$349.80 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$533.10 |
$533.10 |
$533.10 |
$2,437.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$990.00 |
$990.00 |
$990.00 |
$6,776.64
|
|
Cltx post ankle fx
|
$327.00 |
$327.00 |
$327.00 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$487.50 |
$487.50 |
$487.50 |
$1,893.86
|
|
Cltx strnclav dislc w/mnpj
|
$401.70 |
$401.70 |
$401.70 |
$619.30
|
|
Cmbn ant pst colprhy
|
$795.90 |
$795.90 |
$795.90 |
$4,928.00
|
|
Cmptr ophth dx img ant segmt
|
$22.80 |
$22.80 |
$22.80 |
$115.95
|
|
Cmptr ophth img optic nerve
|
$23.40 |
$23.40 |
$23.40 |
$119.00
|
|
#cmvcul-virus inoculation shell
|
$5.87 |
$5.87 |
$5.87 |
$100.80
|
|
Cmv pcr-sendout
|
$168.60 |
$168.60 |
$168.60 |
$177.50
|
|
Co2 monitor per day
|
$255.90 |
$255.90 |
$255.90 |
$450.60
|
|
Cold agglutinin screen (arc)
|
$17.70 |
$17.70 |
$17.70 |
$45.00
|
|
Cold agglutinin titer
|
$2.15 |
$2.15 |
$2.15 |
$50.00
|
|
Colectomy/end colost/close dis seg 44143
|
$1,645.80 |
$1,645.80 |
$1,645.80 |
$2,880.80
|
|
Colectomy/ ileostomy without prctect 44150
|
$1,859.10 |
$1,859.10 |
$1,859.10 |
$3,530.40
|
|
Colectomy/ ileostomy w/prctect 44155
|
$2,073.90 |
$2,073.90 |
$2,073.90 |
$4,562.58
|
|
Colectomy partial w/anastomosis 44140
|
$1,343.10 |
$1,343.10 |
$1,343.10 |
$2,510.73
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$1,923.90 |
$1,923.90 |
$1,923.90 |
$3,652.20
|
|
Colectomy prtl w/coloproctostomy 44145
|
$1,648.50 |
$1,648.50 |
$1,648.50 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$2,097.00 |
$2,097.00 |
$2,097.00 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$1,244.40 |
$1,244.40 |
$1,244.40 |
$2,343.60
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$1,758.30 |
$1,758.30 |
$1,758.30 |
$3,176.40
|
|
Collagenase, clost hist inj
|
$72.60 |
$72.60 |
$72.60 |
$12,906.28
|
|
Collagen dressing <=16 sq in
|
$21.90 |
$21.90 |
$21.90 |
$42.50
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$69.00 |
$69.00 |
$69.00 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$77.70 |
$77.70 |
$77.70 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$165.00 |
$165.00 |
$165.00 |
$213.89
|
|
Collection blood specimen from completely implantable venous access device
|
$142.20 |
$142.20 |
$142.20 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$138.60 |
$138.60 |
$138.60 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$18.90 |
$18.90 |
$18.90 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$186.90 |
$186.90 |
$186.90 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$252.00 |
$252.00 |
$252.00 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$228.90 |
$228.90 |
$228.90 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$200.10 |
$200.10 |
$200.10 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$306.30 |
$306.30 |
$306.30 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$227.10 |
$227.10 |
$227.10 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$203.10 |
$203.10 |
$203.10 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$157.80 |
$157.80 |
$157.80 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$272.10 |
$272.10 |
$272.10 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$214.20 |
$214.20 |
$214.20 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$236.10 |
$236.10 |
$236.10 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$696.90 |
$696.90 |
$696.90 |
$2,030.25
|
|
Colonoscopy w/decompression
|
$234.00 |
$234.00 |
$234.00 |
$2,184.00
|
|
Colonoscopy w/dilation
|
$186.00 |
$186.00 |
$186.00 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$260.40 |
$260.40 |
$260.40 |
$1,645.43
|
|
Colonoscopy w/endoscopic fnb
|
$306.60 |
$306.60 |
$306.60 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$291.60 |
$291.60 |
$291.60 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$240.90 |
$240.90 |
$240.90 |
$1,395.28
|
|
Colonoscopy w/injection
|
$173.70 |
$173.70 |
$173.70 |
$2,449.20
|
|
Colonoscopy with ablation
|
$244.50 |
$244.50 |
$244.50 |
$3,405.12
|
|
Colonoscopy (with biopsy)
|
$203.10 |
$203.10 |
$203.10 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$435.30 |
$435.30 |
$435.30 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$256.50 |
$256.50 |
$256.50 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$277.80 |
$277.80 |
$277.80 |
$2,495.25
|
|
Colonoscopy w/resection
|
$334.80 |
$334.80 |
$334.80 |
$3,029.60
|
|
Colonoscopy w/stent plcmt
|
$263.70 |
$263.70 |
$263.70 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$231.90 |
$231.90 |
$231.90 |
$2,704.00
|
|
Colostomy skin level cecostomy 44320
|
$1,208.10 |
$1,208.10 |
$1,208.10 |
$2,269.80
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$986.40 |
$986.40 |
$986.40 |
$1,746.00
|
|
Colpocleisis (le forte type) 57120
|
$548.40 |
$548.40 |
$548.40 |
$5,419.00
|
|
Colpopexy abdominal approach 57280
|
$986.40 |
$986.40 |
$986.40 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$711.60 |
$711.60 |
$711.60 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$716.10 |
$716.10 |
$716.10 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$347.70 |
$347.70 |
$347.70 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$185.70 |
$185.70 |
$185.70 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$364.20 |
$364.20 |
$364.20 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$132.60 |
$132.60 |
$132.60 |
$312.90
|
|
Colposcopy vulva 56820
|
$131.70 |
$131.70 |
$131.70 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$175.20 |
$175.20 |
$175.20 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$168.90 |
$168.90 |
$168.90 |
$502.80
|
|
Colpotomy drng of abscess 57010
|
$473.40 |
$473.40 |
$473.40 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$208.80 |
$208.80 |
$208.80 |
$3,905.53
|
|
Compatibility test each unit antiglobulin technique
|
$204.30 |
$204.30 |
$204.30 |
$170.05
|
|
Compatibility test each unit immediate spin technique
|
$246.90 |
$246.90 |
$246.90 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$367.80 |
$367.80 |
$367.80 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$387.00 |
$387.00 |
$387.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$3.15 |
$3.15 |
$3.15 |
$108.55
|
|
Complete removal of vulva
|
$694.20 |
$694.20 |
$694.20 |
$3,786.00
|
|
Complex cystometrogram 51726
|
$300.90 |
$300.90 |
$300.90 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$376.50 |
$376.50 |
$376.50 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$420.60 |
$420.60 |
$420.60 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$15.00 |
$15.00 |
$15.00 |
$346.71
|
|
Compl oph exam general anes
|
$104.40 |
$104.40 |
$104.40 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$447.00 |
$447.00 |
$447.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$523.20 |
$523.20 |
$523.20 |
$1,194.25
|
