|
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
|
|
Colpotomy w/exploration 57000
|
$785.20 |
$785.20 |
$785.20 |
$4,075.20
|
|
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
|
$251.55 |
$251.55 |
$251.55 |
$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
|
$364.65 |
$364.65 |
$364.65 |
$110.00
|
|
Complement fixation each
|
$63.05 |
$63.05 |
$63.05 |
$29.12
|
|
Complete removal of vulva
|
$2,768.35 |
$2,768.35 |
$2,768.35 |
$3,786.00
|
|
Completion pneumonectomy 32488
|
$11,177.40 |
$11,177.40 |
$11,177.40 |
$5,828.00
|
|
Complex cystometrogram 51726
|
$1,398.15 |
$1,398.15 |
$1,398.15 |
$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
|
$1,207.70 |
$1,207.70 |
$1,207.70 |
$344.68
|
|
Compl oph exam general anes
|
$650.00 |
$650.00 |
$650.00 |
$2,161.60
|
|
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
|
$1,529.45 |
$1,529.45 |
$1,529.45 |
$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 3/> segmt
|
$2,207.40 |
$2,207.40 |
$2,207.40 |
$574.98
|
|
Composite byp grft pros&vein
|
$416.00 |
$416.00 |
$416.00 |
$205.60
|
|
Composite drsg >16<=48 sq in
|
$8.45 |
$8.45 |
$8.45 |
$42.60
|
|
Composite drsg <= 16 sq in
|
$3.90 |
$3.90 |
$3.90 |
$6.62
|
|
Composite graft/pri close/don area 15760
|
$2,563.60 |
$2,563.60 |
$2,563.60 |
$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
|
|
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
|
|
Conform band s w >=5"/yd
|
$1.30 |
$1.30 |
$1.30 |
$1.84
|
|
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 bladder opening
|
$3,268.20 |
$3,268.20 |
$3,268.20 |
$933.53
|
|
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
|
|
Construction of absent anus
|
$7,969.00 |
$7,969.00 |
$7,969.00 |
$4,828.80
|
|
Construction of vagina
|
$2,246.40 |
$2,246.40 |
$2,246.40 |
$5,468.70
|
|
Construct thumb replacement
|
$5,636.80 |
$5,636.80 |
$5,636.80 |
$5,110.00
|
|
Construct vagina with graft
|
$3,642.60 |
$3,642.60 |
$3,642.60 |
$5,813.46
|
|
Consultation pathology during surgery
|
$187.85 |
$187.85 |
$187.85 |
$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
|
$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
|
|
Consult comp w/report rfrd material
|
$796.90 |
$796.90 |
$796.90 |
$374.40
|
|
Contact layer >16<= 48 sq in
|
$13.00 |
$13.00 |
$13.00 |
$36.17
|
|
Contact lens fitting ou
|
$304.20 |
$304.20 |
$304.20 |
$40.00
|
|
Cont gluc mntr analysis i&r 95251
|
$182.00 |
$182.00 |
$182.00 |
$80.00
|
|
Contour of face bone lesion
|
$2,181.40 |
$2,181.40 |
$2,181.40 |
$3,837.72
|
|
Contrast baths charges
|
$102.70 |
$102.70 |
$102.70 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$18,020.60 |
$18,020.60 |
$18,020.60 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$17,773.60 |
$17,773.60 |
$17,773.60 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$30,631.90 |
$30,631.90 |
$30,631.90 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$1,089.40 |
$1,089.40 |
$1,089.40 |
$341.00
|
|
Contrast x-ray of ankle
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$684.00
|
|
Contrast x-ray of brain
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$708.00
|
|
Contrast x-ray of hip
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$796.38
|
|
Contrast x-ray of knee joint
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$790.50
|
|
Contrast x-ray of wrist
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$9,657.05 |
$9,657.05 |
$9,657.05 |
$12,355.20
|
|
Controller infinity pt dbs
|
$1,536.60 |
$1,536.60 |
$1,536.60 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$563.55 |
$563.55 |
$563.55 |
$383.52
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$1,973.40 |
$1,973.40 |
$1,973.40 |
$3,786.00
|
|
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
|
$1,500.20 |
$1,500.20 |
$1,500.20 |
$972.84
|
|
Control throat bleeding
|
$2,116.40 |
$2,116.40 |
$2,116.40 |
$3,967.00
|
|
Contrst x-ray uppr gi tract
|
$702.00 |
$702.00 |
$702.00 |
$762.93
|
|
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
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$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
|
|
Cor hlx vlgs double osteot
|
$2,415.40 |
$2,415.40 |
$2,415.40 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$2,145.00 |
$2,145.00 |
$2,145.00 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$5,855.00
|
|
Corneal hysteresis deter
|
$26.00 |
$26.00 |
$26.00 |
$74.41
|
|
Corneal smear
|
$382.20 |
$382.20 |
$382.20 |
$472.21
|
