|
Cmv pcr-sendout
|
$660.10 |
$660.10 |
$660.10 |
$177.50
|
|
Cnbp gene detc abnor allele
|
$434.00 |
$434.00 |
$434.00 |
$313.60
|
|
Co2 monitor per day
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$71,664.25 |
$71,664.25 |
$71,664.25 |
$12,560.76
|
|
Coagulation time activated teg
|
$119.70 |
$119.70 |
$119.70 |
$53.55
|
|
Cold agglutinin screen (arc)
|
$155.40 |
$155.40 |
$155.40 |
$45.00
|
|
Cold agglutinin titer
|
$110.60 |
$110.60 |
$110.60 |
$51.60
|
|
Colistimethate sodium inj
|
$465.85 |
$465.85 |
$465.85 |
$71.09
|
|
Collagen imp urinary 2.5 ml
|
$4,037.94 |
$4,037.94 |
$4,037.94 |
$1,949.63
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$289.30 |
$289.30 |
$289.30 |
$62.40
|
|
Collar cerv ascend 172 reg
|
$1,236.20 |
$1,236.20 |
$1,236.20 |
$213.89
|
|
Collar extrication adult univ
|
$833.00 |
$833.00 |
$833.00 |
$800.32
|
|
Collection blood specimen from completely implantable venous access device
|
$2,267.30 |
$2,267.30 |
$2,267.30 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$16,100.00 |
$16,100.00 |
$16,100.00 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$935.90 |
$935.90 |
$935.90 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$5,304.60 |
$5,304.60 |
$5,304.60 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$2,961.70 |
$2,961.70 |
$2,961.70 |
$1,679.48
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$21,927.26 |
$21,927.26 |
$21,927.26 |
$2,004.81
|
|
Colonoscopy for bleeding 44391
|
$24,568.77 |
$24,568.77 |
$24,568.77 |
$2,083.12
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$20,834.48 |
$20,834.48 |
$20,834.48 |
$1,517.60
|
|
Colonoscopy stoma w/snare 44394
|
$15,232.48 |
$15,232.48 |
$15,232.48 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$21,670.20 |
$21,670.20 |
$21,670.20 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$5,627.77 |
$5,627.77 |
$5,627.77 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$14,853.30 |
$14,853.30 |
$14,853.30 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$15,621.38 |
$15,621.38 |
$15,621.38 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$8,793.78 |
$8,793.78 |
$8,793.78 |
$2,030.00
|
|
Colonoscopy w/control bleed
|
$20,120.83 |
$20,120.83 |
$20,120.83 |
$2,030.25
|
|
Colonoscopy w/decompression
|
$1,572.20 |
$1,572.20 |
$1,572.20 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$1,415.40 |
$1,415.40 |
$1,415.40 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$6,971.22 |
$6,971.22 |
$6,971.22 |
$1,645.43
|
|
Colonoscopy w/endoscopic fnb
|
$12,919.40 |
$12,919.40 |
$12,919.40 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$4,575.90 |
$4,575.90 |
$4,575.90 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$12,606.05 |
$12,606.05 |
$12,606.05 |
$1,395.28
|
|
Colonoscopy w/injection
|
$1,962.10 |
$1,962.10 |
$1,962.10 |
$2,448.60
|
|
Colonoscopy with ablation
|
$4,067.00 |
$4,067.00 |
$4,067.00 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$12,839.87 |
$12,839.87 |
$12,839.87 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$15,232.48 |
$15,232.48 |
$15,232.48 |
$1,395.28
|
|
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 |
$2,495.25
|
|
Colonoscopy w/resection
|
$22,192.23 |
$22,192.23 |
$22,192.23 |
$3,029.60
|
|
Colonoscopy w/ultrasound
|
$1,449.00 |
$1,449.00 |
$1,449.00 |
$2,636.40
|
|
Colpocleisis (le forte type) 57120
|
$34,519.84 |
$34,519.84 |
$34,519.84 |
$5,463.96
|
|
Colpopexy extraperitoneal
|
$37,796.80 |
$37,796.80 |
$37,796.80 |
$5,741.00
|
|
Colpopexy intraperitoneal
|
$47,773.91 |
$47,773.91 |
$47,773.91 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$69,144.68 |
$69,144.68 |
$69,144.68 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$22,005.98 |
$22,005.98 |
$22,005.98 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,504.90 |
$3,504.90 |
$3,504.90 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$18,504.41 |
$18,504.41 |
$18,504.41 |
$314.00
|
|
Colposcopy vulva 56820
|
$676.90 |
$676.90 |
$676.90 |
$333.20
|
|
Compatibility test each unit antiglobulin technique
|
$231.70 |
$231.70 |
$231.70 |
$172.00
|
|
Compatibility test each unit electronic
|
$179.20 |
$179.20 |
$179.20 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$218.40 |
$218.40 |
$218.40 |
$167.17
|
|
Compatibility test incubate
|
$221.20 |
$221.20 |
$221.20 |
$149.60
|
|
Complement antigen each component c3
|
$423.50 |
$423.50 |
$423.50 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$2,576.00 |
$2,576.00 |
$2,576.00 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$28,643.40 |
$28,643.40 |
$28,643.40 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,575.70 |
$1,575.70 |
$1,575.70 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$17,761.16 |
$17,761.16 |
$17,761.16 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$26,157.30 |
$26,157.30 |
$26,157.30 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,559.60 |
$1,559.60 |
$1,559.60 |
$789.60
|
|
Complx repair fccmnaxghf 13132
|
$13,244.02 |
$13,244.02 |
$13,244.02 |
$1,066.92
|
|
Complx repair fccmnaxghf 13133
|
$1,933.40 |
$1,933.40 |
$1,933.40 |
$493.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$37,782.95 |
$37,782.95 |
$37,782.95 |
$494.34
|
|
Complx repair trunk addl 5cm/< 13102
|
$32,268.95 |
$32,268.95 |
$32,268.95 |
$502.00
|
|
Comprehensive hearing test
|
$256.90 |
$256.90 |
$256.90 |
$260.40
|
|
Computed tomographic angiography head and neck with contrast
|
$7,464.10 |
$7,464.10 |
$7,464.10 |
$2,237.25
|
|
Concentration infection agents any type
|
$216.30 |
$216.30 |
$216.30 |
$51.32
|
|
Condylomata destruction 56420
|
$906.50 |
$906.50 |
$906.50 |
$463.98
|
|
Conization/cerv/loop electrode exc 57522
|
$15,761.82 |
$15,761.82 |
$15,761.82 |
$4,752.00
|
|
Conization of cervix
|
$15,603.06 |
$15,603.06 |
$15,603.06 |
$3,762.53
|
|
Conjugated estrogens 25 mg solution for injection
|
$3,252.90 |
$3,252.90 |
$3,252.90 |
$839.07
|
|
Connect omega .5mm
|
$6,495.33 |
$6,495.33 |
$6,495.33 |
$1,260.00
|
|
Connector tis 2x10mm
|
$15,442.74 |
$15,442.74 |
$15,442.74 |
$4,055.00
|
|
Consultation pathology during surgery
|
$137.20 |
$137.20 |
$137.20 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$14,525.15 |
$14,525.15 |
$14,525.15 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$43,191.87 |
$43,191.87 |
$43,191.87 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$48,665.33 |
$48,665.33 |
$48,665.33 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$24,959.26 |
$24,959.26 |
$24,959.26 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$33,160.40 |
$33,160.40 |
$33,160.40 |
$176.15
|
|
Consult comp w/report rfrd material
|
$16,663.16 |
$16,663.16 |
$16,663.16 |
$375.00
|
|
Contrast exam abdominl aorta 75625-26
|
$4,842.60 |
$4,842.60 |
$4,842.60 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$3,616.90 |
$3,616.90 |
$3,616.90 |
$3,570.00
|
|
Contrast exam thoracic aorta 75605-26
|
$6,809.60 |
$6,809.60 |
$6,809.60 |
$3,663.60
|
|
Contrast x-ray of ankle
|
$1,136.80 |
$1,136.80 |
$1,136.80 |
$676.80
|
|
Contrast x-ray of elbow
|
$765.80 |
$765.80 |
$765.80 |
$686.95
|
|
Contrast x-ray of hip
|
$1,407.70 |
$1,407.70 |
$1,407.70 |
$781.13
|
|
Contrast x-ray of knee joint
|
$2,560.60 |
$2,560.60 |
$2,560.60 |
$777.00
|
|
Contrast x-ray of wrist
|
$1,440.60 |
$1,440.60 |
$1,440.60 |
$655.00
|
|
Controller infinity pt dbs
|
$14,790.61 |
$14,790.61 |
$14,790.61 |
$5,123.14
|
|
Control nosebleed pack+caut 30905
|
$737.10 |
$737.10 |
$737.10 |
$383.52
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$14,443.34 |
$14,443.34 |
$14,443.34 |
$3,786.00
|
|
Control of nosebleed ant comp 30903
|
$732.20 |
$732.20 |
$732.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$12,470.96 |
$12,470.96 |
$12,470.96 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$13,443.48 |
$13,443.48 |
$13,443.48 |
$618.80
|
|
Conversion ext bil drg cath
|
$22,646.25 |
$22,646.25 |
$22,646.25 |
$4,099.56
|
|
Convert nephrostomy catheter
|
$14,342.53 |
$14,342.53 |
$14,342.53 |
$2,777.60
|
|
Conv gtube to jtube
|
$10,152.60 |
$10,152.60 |
$10,152.60 |
$2,073.18
|
|
Coombs direct
|
$121.10 |
$121.10 |
$121.10 |
$76.44
|
|
Coombs indirect qualitative each reagent red cell reference
|
$125.30 |
$125.30 |
$125.30 |
$102.90
|
|
Coombs indirect titer reference
|
$161.00 |
$161.00 |
$161.00 |
$155.40
|
