|
Colonoscopy w/control bleed
|
$3,427.54 |
$4,886.00 |
$4,886.00 |
|
|
Colonoscopy w/endoscope Ultrasound
|
$4,653.00 |
$4,653.00 |
$4,653.00 |
|
|
Colonoscopy w/endoscopic fnb
|
$5,939.00 |
$5,939.00 |
$5,939.00 |
|
|
Colonoscopy/w endoscopic stent 45389
|
$5,656.00 |
$5,656.00 |
$5,656.00 |
|
|
Colonoscopy w/fb removal
|
$4,798.00 |
$4,798.00 |
$4,798.00 |
|
|
Colonoscopy w/injection
|
$4,015.00 |
$4,015.00 |
$4,015.00 |
|
|
Colonoscopy (with biopsy)
|
$3,992.00 |
$3,992.00 |
$7,011.39 |
|
|
Colonoscopy with biopsy
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
|
|
Colonoscopy (with polyp removal)
|
$4,432.00 |
$4,432.00 |
$4,432.00 |
|
|
Colonoscopy w/ndl aspir/bx
|
$4,015.00 |
$4,015.00 |
$4,015.00 |
|
|
Colonoscopy w/resection
|
$6,236.00 |
$6,236.00 |
$6,236.00 |
|
|
Colonoscopy w/stent plcmt
|
$6,360.00 |
$6,360.00 |
$6,360.00 |
|
|
Colpocleisis (le forte type) 57120
|
$8,159.00 |
$8,159.00 |
$8,159.00 |
|
|
Colpopexy extraperitoneal
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$7,396.00 |
$7,396.00 |
$11,441.00 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$829.14 |
$829.14 |
$829.14 |
|
|
Colposcopy/cervix/ conization 57461
|
$5,544.00 |
$5,544.00 |
$5,544.00 |
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$329.94 |
$329.94 |
$4,894.00 |
|
|
Colposcopy vulva 56820
|
$99.84 |
$99.84 |
$99.84 |
|
|
Colposcopy w/biopsy of cervix 57455
|
$390.00 |
$390.00 |
$390.00 |
|
|
Compatibility test each unit antiglobulin technique
|
$119.00 |
$490.00 |
$1,963.89 |
|
|
Compatibility test each unit electronic
|
$94.72 |
$191.49 |
$1,963.89 |
|
|
Compatibility test each unit immediate spin technique
|
$100.94 |
$217.23 |
$539.71 |
|
|
Compatibility test incubate
|
$171.60 |
$171.60 |
$573.00 |
|
|
Comp cystometrogram/void presssure 51728
|
$1,399.32 |
$1,399.32 |
$1,399.32 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$271.73 |
$1,399.32 |
$1,399.32 |
|
|
Complement antigen each component c3
|
$51.51 |
$157.17 |
$1,216.56 |
|
|
Complement fixation each
|
$99.06 |
$99.06 |
$99.06 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$639.36 |
$1,727.70 |
$5,507.00 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$591.41 |
$2,221.44 |
$6,653.00 |
|
|
Complex uroflowmetry (electronic) 51741
|
$97.68 |
$346.71 |
$346.71 |
|
|
Compl oph exam general anes
|
$5,989.00 |
$5,989.00 |
$5,989.00 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$2,221.44 |
$2,334.00 |
$7,412.36 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,221.44 |
$2,334.00 |
$7,412.36 |
|
|
Complx repair enel addl 5cm/< 13153
|
$601.00 |
$1,727.70 |
$6,318.00 |
|
|
Complx repair fccmnaxghf 13131
|
$1,499.00 |
$1,727.70 |
$5,810.00 |
|
|
Complx repair fccmnaxghf 13132
|
$1,930.50 |
$2,334.00 |
$7,412.36 |
|
|
Complx repair fccmnaxghf 13133
|
$732.00 |
$1,930.50 |
$4,862.00 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$732.00 |
$1,727.70 |
$4,862.00 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$591.41 |
$2,221.44 |
$5,810.00 |
|
|
Complx repair trunk addl 5cm/< 13102
|
$376.35 |
$376.35 |
$4,862.00 |
|
|
Composite byp grft pros&vein
|
$1,267.50 |
$1,267.50 |
$2,843.68 |
|
|
Composite graft/pri close/don area 15760
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
|
|
Comprehensive hearing test
|
$394.29 |
$394.29 |
$913.00 |
|
|
Compre oph exam est pt 1/>
|
$113.10 |
$113.10 |
$113.10 |
|
|
Compre oph exam new pt 1/>
|
$146.64 |
$146.64 |
$146.64 |
|
|
Concentration infection agents any type
|
$12.73 |
$80.34 |
$358.03 |
|
|
Conditioning play audiometry 92582
|
$189.15 |
$189.15 |
$461.00 |
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$2,356.90 |
$4,073.30 |
$4,073.30 |
|
|
Condylomata destruction 56420
|
$190.92 |
$799.50 |
$2,462.83 |
|
|
Conivaptan hcl
|
$2,228.40 |
$2,228.40 |
$2,228.40 |
|
|
Conization/cerv/loop electrode exc 57522
|
$1,053.00 |
$1,053.00 |
$5,507.00 |
|
|
Conization of cervix
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$435.84 |
$1,592.23 |
$1,592.23 |
|
|
Connect omega .5mm
|
$1,193.50 |
$40,292.75 |
$40,292.75 |
|
|
Connector tis 2x10mm
|
$3,630.83 |
$3,630.83 |
$3,630.83 |
|
|
Consultation pathology during surgery
|
$145.00 |
$296.40 |
$493.50 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$409.48 |
$447.33 |
$9,136.14 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$66.31 |
$144.00 |
$159.12 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$137.94 |
$223.86 |
$1,511.18 |
|
|
Consultation/report referred material w/preparation of slides
|
$38.19 |
$120.90 |
$1,710.34 |
|
|
Consultation/report referred slides prepared elsewhere
|
$125.37 |
$125.37 |
$1,618.13 |
|
|
Consult comp w/report rfrd material
|
$931.71 |
$931.71 |
$1,516.73 |
|
|
Contact lens fitting for tx
|
$224.25 |
$224.25 |
$224.25 |
|
|
Cont gluc mntr analysis i&r 95251
|
$122.00 |
$122.00 |
$122.00 |
|
|
Contour cranial bone lesion
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
|
|
Contour of face bone lesion
|
$5,753.00 |
$5,753.00 |
$5,753.00 |
|
|
Contrast baths charges
|
$76.00 |
$91.00 |
$91.00 |
|
|
Contrast exam abdominl aorta 75625-26
|
$1,764.76 |
$2,496.00 |
$10,857.00 |
|
|
Contrast exam thoracic aorta
|
$2,142.66 |
$2,142.66 |
$10,421.00 |
|
|
Contrast exam thoracic aorta 75605-26
|
$2,782.40 |
$2,944.11 |
$18,732.00 |
|
|
Contrast x-ray gallbladder
|
$350.22 |
$350.22 |
$350.22 |
|
|
Contrast x-ray of ankle
|
$263.25 |
$263.25 |
$4,181.81 |
|
|
Contrast x-ray of brain
|
$735.93 |
$735.93 |
$735.93 |
|
|
Contrast x-ray of brain
|
$390.78 |
$390.78 |
$390.78 |
|
|
Contrast x-ray of elbow
|
$359.97 |
$1,349.00 |
$3,092.23 |
|
|
Contrast x-ray of hip
|
$578.76 |
$1,349.00 |
$2,731.98 |
|
|
Contrast x-ray of knee joint
|
$276.90 |
$276.90 |
$2,608.40 |
|
|
Contrast x-ray of wrist
|
$242.97 |
$842.00 |
$1,915.00 |
|
|
Controler lvad heartmate 3 includes ebb
|
$9,147.60 |
$10,823.87 |
$10,823.87 |
|
|
Controller infinity pt dbs
|
$1,655.21 |
$55,451.69 |
$55,451.69 |
|
|
Control nosebleed pack+caut 30905
|
$128.17 |
$1,249.95 |
$4,377.00 |
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$877.00 |
$1,870.44 |
$1,870.44 |
|
|
Control of nosebleed ant comp 30903
|
$564.00 |
$1,117.74 |
$4,377.00 |
|
|
Control of nosebleedantersmpl 30901
|
$509.00 |
$1,117.74 |
$4,377.00 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$579.93 |
$579.93 |
$1,835.00 |
|
|
Conversion ext bil drg cath
|
$2,664.89 |
$3,304.86 |
$6,310.00 |
|
|
Convert nephrostomy catheter
|
$752.73 |
$6,119.49 |
$6,119.49 |
|
|
Conv gtube to jtube
|
$1,496.04 |
$1,496.04 |
$3,153.00 |
|
|
Coombs direct
|
$7.40 |
$196.26 |
$283.00 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$149.76 |
$149.76 |
$573.00 |
|
|
Coombs indirect titer reference
|
$35.52 |
$278.46 |
$573.00 |
|
|
Copper cu 64 dotatate diag
|
$2,959.71 |
$6,213.64 |
$6,213.64 |
|
|
Copper intrauterine device
|
$1,754.50 |
$1,754.50 |
$1,754.50 |
|
|
Core ndl bx lng/med perq
|
$1,665.89 |
$3,535.35 |
$5,591.42 |
|
|
Cor hlx vlgs double osteot
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
|
|
Cor hlx vlgs dstl mtar osteo
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Cor hlx vlgs prx phlx osteot
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Corneal smear
|
$6,982.00 |
$6,982.00 |
$6,982.00 |
|
|
Corneal transplant
|
$10,476.00 |
$10,476.00 |
$10,476.00 |
|
