|
Clsd tx wrist scaphoid fx without manip 25622
|
$896.35 |
$896.35 |
$896.35 |
$535.60
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$1,619.80 |
$1,619.80 |
$1,619.80 |
$490.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$896.35 |
$896.35 |
$896.35 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$896.35 |
$896.35 |
$896.35 |
$487.15
|
|
Cls tx of heel fracture w/manip 28405
|
$1,232.40 |
$1,232.40 |
$1,232.40 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$896.35 |
$896.35 |
$896.35 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$896.35 |
$896.35 |
$896.35 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,384.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$1,469.00 |
$1,469.00 |
$1,469.00 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$3,986.00
|
|
Cltx palatal/max fx wire fix
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$4,377.24
|
|
Cltx post ankle fx
|
$896.35 |
$896.35 |
$896.35 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,021.04
|
|
Cltx thigh fx
|
$12,126.40 |
$12,126.40 |
$12,126.40 |
$3,986.00
|
|
Cltx tmprmand dislc comp
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$3,740.85
|
|
Cmbn ant pst colprhy
|
$3,789.50 |
$3,789.50 |
$3,789.50 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$3,364.40 |
$3,364.40 |
$3,364.40 |
$627.89
|
|
C motor evoked uppr limbs
|
$6,093.75 |
$6,093.75 |
$6,093.75 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$5,703.75 |
$5,703.75 |
$5,703.75 |
$1,333.36
|
|
Cmptr ophth dx img ant segmt
|
$83.20 |
$83.20 |
$83.20 |
$83.20
|
|
Cmptr ophth img optic nerve
|
$88.40 |
$88.40 |
$88.40 |
$98.00
|
|
#cmvcul-virus inoculation shell
|
$97.50 |
$97.50 |
$97.50 |
$89.76
|
|
Cmv pcr-sendout
|
$612.30 |
$612.30 |
$612.30 |
$175.70
|
|
Cnbp gene detc abnor allele
|
$336.05 |
$336.05 |
$336.05 |
$313.60
|
|
Co2 monitor per day
|
$1,220.70 |
$1,220.70 |
$1,220.70 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$6.90 |
$6.90 |
$6.90 |
$11,888.50
|
|
Coagulation time activated teg
|
$70.85 |
$70.85 |
$70.85 |
$52.47
|
|
Cocaine 4 % nasal solution
|
$125.97 |
$125.97 |
$125.97 |
$630.04
|
|
Coccidioidomycosis skin test
|
$36.40 |
$36.40 |
$36.40 |
$24.38
|
|
Codeine 15 mg/ml inj 2 ml
|
$9.75 |
$9.75 |
$9.75 |
$54.65
|
|
Cold agglutinin titer
|
$8.45 |
$8.45 |
$8.45 |
$52.00
|
|
Colectomy/end colost/close dis seg 44143
|
$7,225.40 |
$7,225.40 |
$7,225.40 |
$2,880.80
|
|
Colectomy/ ileostomy without prctect 44150
|
$7,846.80 |
$7,846.80 |
$7,846.80 |
$3,530.40
|
|
Colectomy/ ileostomy w/prctect 44155
|
$8,949.20 |
$8,949.20 |
$8,949.20 |
$4,562.58
|
|
Colectomy partial w/anastomosis 44140
|
$5,873.40 |
$5,873.40 |
$5,873.40 |
$2,510.73
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$8,759.40 |
$8,759.40 |
$8,759.40 |
$3,652.20
|
|
Colectomy prtl w/coloproctostomy 44145
|
$7,430.80 |
$7,430.80 |
$7,430.80 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$9,178.00 |
$9,178.00 |
$9,178.00 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$5,431.40 |
$5,431.40 |
$5,431.40 |
$2,136.00
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$7,776.60 |
$7,776.60 |
$7,776.60 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$7,776.60 |
$7,776.60 |
$7,776.60 |
$3,176.40
|
|
Colectomy w/ileoanal anast
|
$9,282.00 |
$9,282.00 |
$9,282.00 |
$5,367.20
|
|
Colectomy w/neo-rectum pouch
|
$9,542.00 |
$9,542.00 |
$9,542.00 |
$5,500.80
|
|
Colistimethate sodium inj
|
$65.52 |
$65.52 |
$65.52 |
$82.71
|
|
Collagenase, clost hist inj
|
$17,281.45 |
$17,281.45 |
$17,281.45 |
$12,906.28
|
|
Collagen dressing <=16 sq in
|
$37.70 |
$37.70 |
$37.70 |
$42.50
|
|
Collagen imp urinary 2.5 ml
|
$1,118.65 |
$1,118.65 |
$1,118.65 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$535.60 |
$535.60 |
$535.60 |
$303.73
|
|
Collar extrication adult univ
|
$351.65 |
$351.65 |
$351.65 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$601.90 |
$601.90 |
$601.90 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$601.90 |
$601.90 |
$601.90 |
$155.40
|
|
Colon motility 6 hr study
|
$637.00 |
$637.00 |
$637.00 |
$477.92
|
|
Colonoscopy (diagnostic)
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,288.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,147.00
|
|
Colonoscopy for foreign body
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,288.00
|
|
Colonoscopy w/endoscopic fnb
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,004.81
|
|
Colonoscopy/w endoscopic stent 45389
|
$22,248.85 |
$22,248.85 |
$22,248.85 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$1,645.43
|
|
Colonoscopy w/injection
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,449.20
|
|
Colonoscopy with ablation
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$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/ndl aspir/bx
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,704.00
|
|
Colonoscopy w/resection
|
$10,249.85 |
$10,249.85 |
$10,249.85 |
$3,035.44
|
|
Colonoscopy w/stent plcmt
|
$22,248.85 |
$22,248.85 |
$22,248.85 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,636.40
|
|
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
|
|
Colpocleisis (le forte type) 57120
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$5,813.46
|
|
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
|