|
Colonoscopy w/band ligation
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$839.80 |
$839.80 |
$839.80 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,288.00
|
|
Colonoscopy w/endoscopic fnb
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$2,004.81
|
|
Colonoscopy/w endoscopic stent 45389
|
$1,362.40 |
$1,362.40 |
$1,362.40 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$1,645.43
|
|
Colonoscopy w/injection
|
$785.20 |
$785.20 |
$785.20 |
$2,449.20
|
|
Colonoscopy with ablation
|
$1,128.40 |
$1,128.40 |
$1,128.40 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,288.00
|
|
Colonoscopy w/resection
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$3,035.44
|
|
Colostomy skin level cecostomy 44320
|
$5,176.60 |
$5,176.60 |
$5,176.60 |
$2,269.80
|
|
Colostomy with biopsies
|
$3,463.20 |
$3,463.20 |
$3,463.20 |
$2,461.60
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$4,292.60 |
$4,292.60 |
$4,292.60 |
$1,746.00
|
|
Colpocentesis 57020
|
$390.00 |
$390.00 |
$390.00 |
$4,232.80
|
|
Colpopexy abdominal approach 57280
|
$4,347.20 |
$4,347.20 |
$4,347.20 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$3,023.80 |
$3,023.80 |
$3,023.80 |
$6,570.00
|
|
Colpopexy intraperitoneal
|
$3,031.60 |
$3,031.60 |
$3,031.60 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$3,253.90 |
$3,253.90 |
$3,253.90 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$751.40 |
$751.40 |
$751.40 |
$314.00
|
|
Colposcopy vulva 56820
|
$751.40 |
$751.40 |
$751.40 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$1,136.85 |
$1,136.85 |
$1,136.85 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$1,136.85 |
$1,136.85 |
$1,136.85 |
$485.50
|
|
Colpotomy drng of abscess 57010
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$182.65 |
$182.65 |
$182.65 |
$173.50
|
|
Compatibility test each unit electronic
|
$209.95 |
$209.95 |
$973.00 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$302.25 |
$302.25 |
$1,052.00 |
$169.52
|
|
Compatibility test incubate
|
$251.55 |
$251.55 |
$444.00 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$2,494.70 |
$2,494.70 |
$4,925.00 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$2,494.70 |
$2,494.70 |
$4,925.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$364.65 |
$364.65 |
$364.65 |
$110.00
|
|
Complement fixation each
|
$63.05 |
$63.05 |
$63.05 |
$29.12
|
|
Completion pneumonectomy 32488
|
$11,177.40 |
$11,177.40 |
$11,177.40 |
$5,828.00
|
|
Complex cystometrogram 51726
|
$488.80 |
$488.80 |
$3,858.00 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$632.00 |
$632.00 |
$1,163.50 |
$344.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$618.80 |
$618.80 |
$618.80 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$974.35 |
$974.35 |
$974.35 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$941.85 |
$941.85 |
$941.85 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$590.20 |
$590.20 |
$590.20 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$322.40 |
$322.40 |
$322.40 |
$537.00
|
|
Composite byp grft 2 veins
|
$1,869.40 |
$1,869.40 |
$1,869.40 |
$619.20
|
|
Composite byp grft pros&vein
|
$416.00 |
$416.00 |
$416.00 |
$205.60
|
|
Composite graft/pri close/don area 15760
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,816.50
|
|
Comprehensive hearing test
|
$508.95 |
$508.95 |
$508.95 |
$261.46
|
|
Compre oph exam est pt 1/>
|
$481.65 |
$481.65 |
$481.65 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$481.65 |
$481.65 |
$481.65 |
$188.51
|
|
Compression stocking bk18-30
|
$41.67 |
$41.67 |
$41.67 |
$62.88
|
|
Computed tomographic angiography head and neck with contrast
|
$2,713.10 |
$2,713.10 |
$2,713.10 |
$2,247.00
|
|
Concentration infection agents any type
|
$48.10 |
$48.10 |
$48.10 |
$51.32
|
|
Conditioning play audiometry 92582
|
$508.95 |
$508.95 |
$508.95 |
$189.15
|
|
Condylomata destruction 56420
|
$751.40 |
$751.40 |
$751.40 |
$467.35
|
|
Conivaptan hcl
|
$21.72 |
$21.72 |
$21.72 |
$1,625.08
|
|
Conization/cerv/loop electrode exc 57522
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$4,840.07
|
|
Conization of cervix
|
$1,068.60 |
$1,068.60 |
$1,068.60 |
$3,820.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$905.72 |
$905.72 |
$2,415.00 |
$860.00
|
|
Constj trachesophgl fstl
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$3,837.72
|
|
Construct bowel bladder
|
$6,258.20 |
$6,258.20 |
$6,258.20 |
$6,627.20
|
|
Construct bowel bladder
|
$7,976.80 |
$7,976.80 |
$7,976.80 |
$2,126.21
|
|
Consultation pathology during surgery
|
$306.80 |
$306.80 |
$370.00 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$506.35 |
$506.35 |
$506.35 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$5.00 |
$5.00 |
$165.10 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$154.00 |
$154.00 |
$332.80 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$92.00 |
$92.00 |
$511.55 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$254.80 |
$254.80 |
$254.80 |
$176.28
|
|
Consult comp w/report rfrd material
|
$187.85 |
$187.85 |
$187.85 |
$374.40
|
|
Contact layer >16<= 48 sq in
|
$3.90 |
$3.90 |
$3.90 |
$36.17
|
|
Contact lens fitting for tx
|
$174.20 |
$174.20 |
$174.20 |
$92.96
|
|
Contact lens fitting ou
|
$133.25 |
$133.25 |
$133.25 |
$40.00
|
|
Cont gluc mntr analysis i&r 95251
|
$182.00 |
$182.00 |
$182.00 |
$80.00
|
|
Cont intraop neuro monitor
|
$171.60 |
$171.60 |
$171.60 |
$73.60
|
|
Contrast baths charges
|
$102.70 |
$102.70 |
$102.70 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$30,305.60 |
$30,305.60 |
$30,305.60 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$91.65 |
$91.65 |
$1,389.00 |
$341.00
|
|
Contrast x-ray of ankle
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$684.00
|
|
Contrast x-ray of brain
|
$309.40 |
$309.40 |
$309.40 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$708.00
|
|
Contrast x-ray of hip
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$796.38
|
|
Contrast x-ray of knee joint
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$790.50
|
|
Contrast x-ray of wrist
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$5,309.20 |
$5,309.20 |
$5,309.20 |
$12,355.20
|
|
Controller infinity pt dbs
|
$819.00 |
$819.00 |
$819.00 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$563.55 |
$563.55 |
$563.55 |
$383.52
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$867.75 |
$867.75 |
$867.75 |
$644.80
|
|
Control of nosebleed ant comp 30903
|
$481.65 |
$481.65 |
$481.65 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$481.65 |
$481.65 |
$481.65 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$620.00
|
|
Control throat bleeding
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$3,967.00
|
