|
Colonoscopy w/endoscope Ultrasound
|
$1,206.40 |
$1,206.40 |
$1,206.40 |
$2,288.00
|
|
Colonoscopy/w endoscopic stent 45389
|
$1,362.40 |
$1,362.40 |
$1,362.40 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$1,223.95 |
$1,223.95 |
$1,223.95 |
$1,645.43
|
|
Colonoscopy w/injection
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,449.20
|
|
Colonoscopy (with biopsy)
|
$1,017.90 |
$1,017.90 |
$1,017.90 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$863.85 |
$863.85 |
$863.85 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$1,307.15 |
$1,307.15 |
$1,307.15 |
$2,288.00
|
|
Colonoscopy w/resection
|
$1,570.40 |
$1,570.40 |
$1,570.40 |
$3,035.44
|
|
Colostomy skin level cecostomy 44320
|
$5,176.60 |
$5,176.60 |
$5,176.60 |
$2,269.80
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$4,292.60 |
$4,292.60 |
$4,292.60 |
$1,746.00
|
|
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
|
$1,149.20 |
$1,149.20 |
$1,149.20 |
$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 w/biopsy of cervix 57455
|
$1,136.85 |
$1,136.85 |
$1,136.85 |
$485.50
|
|
Compatibility test each unit antiglobulin technique
|
$182.65 |
$182.65 |
$182.65 |
$173.50
|
|
Compatibility test each unit electronic
|
$122.20 |
$122.20 |
$122.20 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$128.05 |
$128.05 |
$128.05 |
$169.52
|
|
Compatibility test incubate
|
$120.90 |
$120.90 |
$120.90 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$1,111.03
|
|
Complement antigen each component c3
|
$221.65 |
$221.65 |
$221.65 |
$110.00
|
|
Complete removal of vulva
|
$2,768.35 |
$2,768.35 |
$2,768.35 |
$3,786.00
|
|
Complex cystometrogram 51726
|
$909.35 |
$909.35 |
$909.35 |
$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
|
$1,163.50 |
$1,163.50 |
$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 graft/pri close/don area 15760
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,816.50
|
|
Comprehensive hearing test
|
$171.60 |
$171.60 |
$171.60 |
$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
|
|
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
|
|
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 |
$905.72 |
$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
|
|
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
|
$165.10 |
$165.10 |
$165.10 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$332.80 |
$332.80 |
$332.80 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$511.55 |
$511.55 |
$511.55 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$455.65 |
$455.65 |
$455.65 |
$176.28
|
|
Contact lens fitting ou
|
$35.75 |
$35.75 |
$35.75 |
$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
|
|
Contour of face bone lesion
|
$2,181.40 |
$2,181.40 |
$2,181.40 |
$3,837.72
|
|
Contrast exam abdominl aorta 75625-26
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$127.40 |
$127.40 |
$127.40 |
$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 |
$91.65 |
$341.00
|
|
Contrast x-ray of ankle
|
$140.40 |
$140.40 |
$140.40 |
$684.00
|
|
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
|
$140.40 |
$140.40 |
$140.40 |
$667.50
|
|
Control nosebleed pack+caut 30905
|
$563.55 |
$563.55 |
$563.55 |
$383.52
|
|
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
|
|
Conversion ext bil drg cath
|
$13,190.45 |
$13,190.45 |
$13,190.45 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$2,777.60
|
|
Conv gtube to jtube
|
$881.40 |
$881.40 |
$881.40 |
$2,099.70
|
|
Coombs direct
|
$112.45 |
$112.45 |
$112.45 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$94.90 |
$94.90 |
$94.90 |
$107.25
|
|
Coombs indirect titer reference
|
$122.85 |
$122.85 |
$122.85 |
$156.71
|
|
Copper cu 64 dotatate diag
|
$5,005.00 |
$5,005.00 |
$5,005.00 |
$2,820.66
|
|
Copper intrauterine device
|
$1,775.80 |
$1,775.80 |
$1,775.80 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$2,904.48
|
|
Corf related serv 15 mins ea
|
$80.60 |
$80.60 |
$80.60 |
$42.40
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$7,988.40
|
|
Correct inverted nipple(s)
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$4,243.90
|
|
Correction eyelid w/implant
|
$8,719.75 |
$8,719.75 |
$8,719.75 |
$3,452.80
|
|
Correction trichiasis epilation forcep 67820
|
$481.65 |
$481.65 |
$481.65 |
$176.00
|
|
Correct malrotation of bowel 44055
|
$6,663.80 |
$6,663.80 |
$6,663.80 |
$2,764.20
|
|
Correct rectal prolapse
|
$3,861.00 |
$3,861.00 |
$3,861.00 |
$3,861.00
|
|
Cortisol acth stimulation test - sendout
|
$170.30 |
$170.30 |
$170.30 |
$146.25
|
|
Cortisol total am
|
$105.30 |
$105.30 |
$105.30 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$249.41 |
$249.41 |
$249.41 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$230.10 |
$230.10 |
$230.10 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$130.00 |
$130.00 |
$130.00 |
$54.60
|