|
Collection blood specimen using established central/peripheral catheter venous nos
|
$85.76 |
$85.76 |
$180.75 |
|
|
Collection of venous blood by venipuncture
|
$6.72 |
$6.72 |
$13.50 |
|
|
Colonoscopy (diagnostic)
|
$144.96 |
$144.96 |
$1,482.00 |
|
|
Colonoscopy flex with decompression 45393
|
$195.52 |
$195.52 |
$195.52 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$144.00 |
$144.00 |
$3,802.50 |
|
|
Colonoscopy stoma w/snare 44394
|
$174.72 |
$174.72 |
$174.72 |
|
|
Colonoscopy submucous njx
|
$157.12 |
$157.12 |
$1,743.00 |
|
|
Colonoscopy thru stoma spx
|
$2,452.50 |
$2,452.50 |
$2,452.50 |
|
|
Colonoscopy w/ablation
|
$211.20 |
$211.20 |
$3,235.50 |
|
|
Colonoscopy w/balloon dilat
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
|
|
Colonoscopy w/control bleed
|
$202.56 |
$202.56 |
$3,235.50 |
|
|
Colonoscopy w/endoscopic fnb
|
$2,967.75 |
$2,967.75 |
$2,967.75 |
|
|
Colonoscopy w/injection
|
$133.76 |
$133.76 |
$133.76 |
|
|
Colonoscopy (with biopsy)
|
$157.44 |
$157.44 |
$2,466.00 |
|
|
Colonoscopy with biopsy
|
$3,235.50 |
$3,235.50 |
$3,235.50 |
|
|
Colonoscopy (with polyp removal)
|
$199.04 |
$199.04 |
$1,944.75 |
|
|
Colonoscopy w/resection
|
$260.16 |
$260.16 |
$260.16 |
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$759.04 |
$759.04 |
$759.04 |
|
|
Colpopexy extraperitoneal
|
$556.16 |
$556.16 |
$556.16 |
|
|
Colpopexy intraperitoneal
|
$559.36 |
$559.36 |
$559.36 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$275.20 |
$275.20 |
$275.20 |
|
|
Colposcopy/cervix/ conization 57461
|
$142.40 |
$142.40 |
$142.40 |
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$72.64 |
$72.64 |
$72.64 |
|
|
Colposcopy vulva 56820
|
$66.24 |
$66.24 |
$66.24 |
|
|
Colposcopy w/biopsy of cervix 57455
|
$85.12 |
$85.12 |
$85.12 |
|
|
Compatibility test each unit antiglobulin technique
|
$42.56 |
$42.56 |
$113.25 |
|
|
Compatibility test each unit electronic
|
$117.76 |
$117.76 |
$265.50 |
|
|
Compatibility test each unit immediate spin technique
|
$90.56 |
$90.56 |
$113.25 |
|
|
Compatibility test incubate
|
$175.50 |
$175.50 |
$175.50 |
|
|
Comp cystometrogram/void presssure 51728
|
$1,617.75 |
$1,617.75 |
$1,617.75 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,719.00 |
$1,719.00 |
$1,719.00 |
|
|
Complement antigen each component c3
|
$74.24 |
$74.24 |
$98.25 |
|
|
Complement fixation each
|
$9.28 |
$9.28 |
$63.00 |
|
|
Complex cystometrogram 51726
|
$847.50 |
$847.50 |
$847.50 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
|
|
Complex uroflowmetry (electronic) 51741
|
$506.25 |
$506.25 |
$506.25 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,621.50 |
$1,621.50 |
$1,621.50 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
|
|
Complx repair enel addl 5cm/< 13153
|
$444.00 |
$444.00 |
$444.00 |
|
|
Complx repair fccmnaxghf 13131
|
$991.50 |
$991.50 |
$991.50 |
|
|
Complx repair fccmnaxghf 13132
|
$1,389.00 |
$1,389.00 |
$1,389.00 |
|
|
Complx repair fccmnaxghf 13133
|
$454.50 |
$454.50 |
$454.50 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$45.44 |
$45.44 |
$342.75 |
|
|
Comprehensive hearing test
|
$69.12 |
$69.12 |
$104.25 |
|
|
Computed tomographic angiography head and neck with contrast
|
$930.88 |
$930.88 |
$1,062.00 |
|
|
Concentration infection agents any type
|
$10.24 |
$10.24 |
$54.75 |
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$1.50 |
$1.50 |
$1.50 |
|
|
Condylomata destruction 56420
|
$114.56 |
$114.56 |
$529.50 |
|
|
Conform band s w>=3" <5"/yd
|
$0.75 |
$0.75 |
$0.75 |
|
|
Congo red blood test
|
$16.50 |
$16.50 |
$16.50 |
|
|
Conivaptan hcl
|
$2,176.44 |
$2,176.44 |
$2,176.44 |
|
|
Conization/cerv/loop electrode exc 57522
|
$209.28 |
$209.28 |
$209.28 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$405.23 |
$405.23 |
$885.66 |
|
|
Connect omega .5mm
|
$439.04 |
$439.04 |
$748.80 |
|
|
Connector tis 2x10mm
|
$5.25 |
$5.25 |
$1,528.96 |
|
|
Consultation pathology during surgery
|
$32.32 |
$32.32 |
$195.75 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$440.96 |
$440.96 |
$522.75 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$51.84 |
$51.84 |
$217.50 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$135.68 |
$135.68 |
$235.50 |
|
|
Consultation/report referred material w/preparation of slides
|
$49.28 |
$49.28 |
$927.00 |
|
|
Consultation/report referred slides prepared elsewhere
|
$94.40 |
$94.40 |
$333.00 |
|
|
Consult comp w/report rfrd material
|
$86.72 |
$86.72 |
$583.50 |
|
|
Cont gluc mntr analysis i&r 95251
|
$27.52 |
$27.52 |
$27.52 |
|
|
Contour of face bone lesion
|
$398.08 |
$398.08 |
$398.08 |
|
|
Contrast baths charges
|
$23.68 |
$23.68 |
$23.68 |
|
|
Contrast exam abdominl aorta 75625-26
|
$1,520.96 |
$1,520.96 |
$8,301.00 |
|
|
Contrast exam thoracic aorta
|
$1,356.80 |
$1,356.80 |
$8,295.00 |
|
|
Contrast exam thoracic aorta 75605-26
|
$5,126.40 |
$5,126.40 |
$14,313.00 |
|
|
Contrast x-ray gallbladder
|
$190.08 |
$190.08 |
$504.00 |
|
|
Contrast x-ray of ankle
|
$264.96 |
$264.96 |
$1,024.50 |
|
|
Contrast x-ray of brain
|
$407.04 |
$407.04 |
$1,024.50 |
|
|
Contrast x-ray of brain
|
$2,064.75 |
$2,064.75 |
$2,064.75 |
|
|
Contrast x-ray of elbow
|
$1,024.50 |
$1,024.50 |
$1,024.50 |
|
|
Contrast x-ray of hip
|
$636.16 |
$636.16 |
$1,026.00 |
|
|
Contrast x-ray of knee joint
|
$373.44 |
$373.44 |
$1,024.50 |
|
|
Contrast x-ray of wrist
|
$318.40 |
$318.40 |
$1,024.50 |
|
|
Controler lvad heartmate 3 includes ebb
|
$4.50 |
$4.50 |
$4.50 |
|
|
Controller infinity pt dbs
|
$135.00 |
$135.00 |
$1,920.00 |
|
|
Control nosebleed pack+caut 30905
|
$378.00 |
$378.00 |
$378.00 |
|
|
Control of nosebleed ant comp 30903
|
$151.04 |
$151.04 |
$576.00 |
|
|
Control of nosebleedantersmpl 30901
|
$104.64 |
$104.64 |
$174.75 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$199.04 |
$199.04 |
$1,654.50 |
|
|
Conversion ext bil drg cath
|
$3,551.25 |
$3,551.25 |
$3,551.25 |
|
|
Convert nephrostomy catheter
|
$1,904.00 |
$1,904.00 |
$2,371.50 |
|
|
Conv gtube to jtube
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
|
|
Coombs direct
|
$69.00 |
$69.00 |
$609.60 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$155.25 |
$155.25 |
$155.25 |
|
|
Coombs indirect titer reference
|
$159.00 |
$159.00 |
$160.00 |
|
|
Copper cu 64 dotatate diag
|
$9,042.75 |
$9,042.75 |
$9,042.75 |
|
|
Copper intrauterine device
|
$874.24 |
$874.24 |
$2,667.45 |
|
|
Core ndl bx lng/med perq
|
$921.92 |
$921.92 |
$3,382.50 |
|
|
Corneal hysteresis deter
|
$40.50 |
$40.50 |
$40.50 |
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$540.00 |
$540.00 |
$540.00 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$4,808.32 |
$4,808.32 |
$9,525.00 |
|
|
Coronary angio/lv gram/lt heart
|
$4,452.16 |
$4,452.16 |
$7,725.00 |
|
|
Coronary angio/lv gram/rt< heart
|
$5,342.40 |
$5,342.40 |
$10,425.00 |
|
|
Coronary art/grft angio s&i
|
$4,630.08 |
$4,630.08 |
$6,150.00 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,273.92 |
$4,273.92 |
$7,050.00 |
|
|
Coroners autopsy (necropsy)
|
$204.75 |
$204.75 |
$204.75 |
|
|
Cortisol acth stimulation test - sendout
|
$198.75 |
$198.75 |
$198.75 |
|
