|
Colonoscopy (with polyp removal)
|
$12,858.85 |
$12,858.85 |
$12,858.85 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$5,565.70 |
$5,565.70 |
$5,565.70 |
$2,704.00
|
|
Colonoscopy w/resection
|
$18,085.26 |
$18,085.26 |
$18,085.26 |
$3,035.44
|
|
Colonoscopy w/ultrasound
|
$1,449.00 |
$1,449.00 |
$1,449.00 |
$2,636.40
|
|
Colpocleisis (le forte type) 57120
|
$38,208.74 |
$38,208.74 |
$38,208.74 |
$5,813.46
|
|
Colpopexy abdominal approach 57280
|
$119,971.23 |
$119,971.23 |
$119,971.23 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$37,796.80 |
$37,796.80 |
$37,796.80 |
$6,570.00
|
|
Colpopexy intraperitoneal
|
$41,054.58 |
$41,054.58 |
$41,054.58 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,105.00 |
$3,105.00 |
$64,530.94 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$407.50 |
$407.50 |
$22,005.98 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,504.90 |
$3,504.90 |
$3,504.90 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$327.60 |
$327.60 |
$327.60 |
$314.00
|
|
Colposcopy vulva 56820
|
$252.50 |
$252.50 |
$676.90 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$412.50 |
$412.50 |
$23,512.15 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$412.50 |
$412.50 |
$13,627.47 |
$485.50
|
|
Compatibility test each unit antiglobulin technique
|
$83.16 |
$206.50 |
$222.50 |
$173.50
|
|
Compatibility test each unit electronic
|
$83.16 |
$95.00 |
$125.30 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$83.16 |
$125.30 |
$137.50 |
$169.52
|
|
Compatibility test incubate
|
$83.16 |
$122.50 |
$125.30 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$755.00 |
$755.00 |
$755.00 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$785.00 |
$785.00 |
$785.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$33.99 |
$155.00 |
$697.20 |
$110.00
|
|
Complex cystometrogram 51726
|
$560.00 |
$560.00 |
$560.00 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$820.00 |
$820.00 |
$2,576.00 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$820.00 |
$820.00 |
$36,239.97 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$312.50 |
$312.50 |
$312.50 |
$344.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$820.00 |
$820.00 |
$11,538.11 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$945.00 |
$945.00 |
$17,761.16 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$335.30 |
$335.30 |
$465.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$820.00 |
$820.00 |
$21,567.92 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$945.00 |
$945.00 |
$22,543.45 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$410.00 |
$410.00 |
$22,543.45 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$410.00 |
$410.00 |
$34,202.46 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$51,358.14 |
$51,358.14 |
$51,358.14 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$410.00 |
$410.00 |
$32,268.95 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,259.30 |
$1,259.30 |
$1,259.30 |
$1,350.27
|
|
Composite graft/pri close/don area 15760
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$2,816.50
|
|
Comprehensive hearing test
|
$183.15 |
$255.00 |
$256.90 |
$261.46
|
|
Compression stocking bk18-30
|
$99.40 |
$99.40 |
$99.40 |
$62.88
|
|
Computed tomographic angiography head and neck with contrast
|
$7,464.10 |
$7,464.10 |
$7,464.10 |
$2,247.00
|
|
Concentration infection agents any type
|
$14.52 |
$37.50 |
$130.90 |
$51.32
|
|
Conditioning play audiometry 92582
|
$173.25 |
$173.25 |
$222.50 |
$189.15
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$4,182.63 |
$4,182.63 |
$4,182.63 |
$3,352.21
|
|
Condylomata destruction 56420
|
$472.50 |
$472.50 |
$11,303.67 |
$467.35
|
|
Conization/cerv/loop electrode exc 57522
|
$15,761.82 |
$15,761.82 |
$15,761.82 |
$4,840.07
|
|
Conization of cervix
|
$3,820.00 |
$3,820.00 |
$18,998.36 |
$3,820.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,932.35 |
$1,932.35 |
$1,932.35 |
$860.00
|
|
Connect omega .5mm
|
$637.19 |
$637.19 |
$2,851.90 |
$1,260.00
|
|
Connector tis 2x10mm
|
$13,825.27 |
$13,825.27 |
$13,825.27 |
$4,024.34
|
|
Constj trachesophgl fstl
|
$10,813.42 |
$10,813.42 |
$10,813.42 |
$3,837.72
|
|
Construct vagina with graft
|
$81,876.72 |
$81,876.72 |
$81,876.72 |
$5,813.46
|
|
Consultation pathology during surgery
|
$36.30 |
$36.30 |
$36.30 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$262.50 |
$262.50 |
$25,086.58 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$58.08 |
$187.50 |
$43,191.87 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$158.40 |
$200.00 |
$85,829.69 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$156.09 |
$370.00 |
$11,242.17 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$141.90 |
$141.90 |
$456.40 |
$176.28
|
|
Consult comp w/report rfrd material
|
$71.61 |
$71.61 |
$16,682.88 |
$374.40
|
|
Contrast baths charges
|
$15.84 |
$15.84 |
$15.84 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$1,573.44 |
$3,490.00 |
$4,842.60 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$1,681.35 |
$1,681.35 |
$3,616.90 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$2,455.53 |
$3,160.00 |
$6,809.60 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$166.32 |
$417.50 |
$417.50 |
$341.00
|
|
Contrast x-ray of ankle
|
$375.54 |
$885.00 |
$1,136.80 |
$684.00
|
|
Contrast x-ray of brain
|
$383.79 |
$383.79 |
$900.00 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$750.00 |
$765.80 |
$817.41 |
$708.00
|
|
Contrast x-ray of hip
|
$508.53 |
$1,100.00 |
$1,407.70 |
$796.38
|
|
Contrast x-ray of knee joint
|
$719.40 |
$885.00 |
$2,560.60 |
$790.50
|
|
Contrast x-ray of wrist
|
$528.33 |
$885.00 |
$1,440.60 |
$667.50
|
|
Controller infinity pt dbs
|
$4,216.39 |
$4,216.39 |
$71,654.27 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$150.00 |
$300.00 |
$767.90 |
$383.52
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$392.50 |
$392.50 |
$392.50 |
$644.80
|
|
Control of nosebleed ant comp 30903
|
$300.00 |
$300.00 |
$732.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$300.00 |
$300.00 |
$12,088.01 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$322.50 |
$322.50 |
$13,443.48 |
$620.00
|
|
Control throat bleeding
|
$55,544.50 |
$55,544.50 |
$55,544.50 |
$3,967.00
|
|
Conversion ext bil drg cath
|
$2,820.00 |
$3,930.00 |
$22,646.25 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$915.00 |
$1,605.00 |
$7,326.31 |
$2,777.60
|
|
Conv gtube to jtube
|
$10,152.60 |
$10,152.60 |
$10,152.60 |
$2,099.70
|
|
Coombs direct
|
$24.75 |
$77.50 |
$121.10 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$112.70 |
$112.70 |
$112.70 |
$107.25
|
|
Coombs indirect titer reference
|
$83.16 |
$153.30 |
$170.00 |
$156.71
|
|
Copper cu 64 dotatate diag
|
$1,270.00 |
$1,270.00 |
$3,836.00 |
$2,820.66
|
|
Copper intrauterine device
|
$4,825.62 |
$4,825.62 |
$4,825.62 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,080.00 |
$2,120.00 |
$18,069.15 |
$2,904.48
|
|
Cornea 1/2moon str split thick
|
$19,415.76 |
$19,415.76 |
$19,415.76 |
$7,193.20
|
|
Corneal transplant
|
$57,343.33 |
$57,343.33 |
$57,343.33 |
$6,105.79
|
|
Corneal transplant
|
$48,273.71 |
$48,273.71 |
$48,273.71 |
$5,912.40
|
|
Corneal transplant
|
$140,909.48 |
$140,909.48 |
$140,909.48 |
$6,220.80
|
|
Corneal transplant
|
$41,925.46 |
$41,925.46 |
$41,925.46 |
$5,741.00
|
|
Corneal trnspl endothelial
|
$55,121.22 |
$55,121.22 |
$55,121.22 |
$5,667.08
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$7,793.28 |
$9,552.00 |
$27,314.19 |
$7,849.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$4,770.00 |
$9,380.00 |
$18,816.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$4,525.00 |
$8,105.00 |
$24,326.40 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$4,685.00 |
$5,387.20 |
$8,250.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$3,172.40 |
$3,970.00 |
$7,410.00 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,770.00 |
$6,755.00 |
$14,802.20 |
$7,988.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$530.00 |
$530.00 |
$530.00 |
$484.37
|
|
Correction eyelid w/implant
|
$14,384.48 |
$14,384.48 |
$14,384.48 |
$3,452.80
|
|
Correction of astigmatism
|
$41,590.78 |
$41,590.78 |
$41,590.78 |
$2,240.00
|
