|
Clsd tx iphal jnt disl w/manip req anes
|
$1,141.70 |
$1,141.70 |
$1,141.70 |
$883.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$566.30 |
$566.30 |
$566.30 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,228.50 |
$1,228.50 |
$1,228.50 |
$613.14
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$829.50 |
$829.50 |
$829.50 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$829.50 |
$829.50 |
$829.50 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,790.50 |
$3,790.50 |
$3,790.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$3,503.50 |
$3,503.50 |
$3,503.50 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$704.90 |
$704.90 |
$704.90 |
$577.20
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$5,644.80 |
$5,644.80 |
$5,644.80 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$609.00 |
$609.00 |
$609.00 |
$414.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,509.20 |
$1,509.20 |
$1,509.20 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,503.20 |
$2,503.20 |
$2,503.20 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,084.20 |
$3,084.20 |
$3,084.20 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$621.60 |
$621.60 |
$621.60 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$424.20 |
$424.20 |
$424.20 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,609.60 |
$2,609.60 |
$2,609.60 |
$1,565.74
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$760.90 |
$760.90 |
$760.90 |
$487.15
|
|
Cltx carpl scphd fx w/mnpj
|
$829.50 |
$829.50 |
$829.50 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,967.30 |
$2,967.30 |
$2,967.30 |
$1,851.78
|
|
Cltx lunate dislc w/mnpj
|
$3,542.00 |
$3,542.00 |
$3,542.00 |
$2,384.00
|
|
Cltx post ankle fx
|
$525.00 |
$525.00 |
$525.00 |
$483.60
|
|
Cltx thigh fx w/mnpj
|
$2,366.70 |
$2,366.70 |
$2,366.70 |
$3,276.70
|
|
Cmbn ant pst colprhy
|
$50,240.54 |
$50,240.54 |
$50,240.54 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$1,364.30 |
$1,364.30 |
$1,364.30 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,332.10 |
$1,332.10 |
$1,332.10 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$3,391.50 |
$3,391.50 |
$3,391.50 |
$1,308.00
|
|
#cms hgb-sulfhemoglobin
|
$18.20 |
$18.20 |
$18.20 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$179.90 |
$179.90 |
$179.90 |
$87.75
|
|
Cmv pcr-sendout
|
$368.90 |
$368.90 |
$368.90 |
$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
|
$54,093.72 |
$54,093.72 |
$54,093.72 |
$12,560.76
|
|
Coagulation time activated teg
|
$119.70 |
$119.70 |
$119.70 |
$53.55
|
|
Coch imp ext proc/contr rplc
|
$11,868.77 |
$11,868.77 |
$11,868.77 |
$17,034.00
|
|
Coch implant microphone repl
|
$1,186.88 |
$1,186.88 |
$1,186.88 |
$890.83
|
|
Cold agglutinin screen (arc)
|
$156.10 |
$156.10 |
$156.10 |
$45.00
|
|
Cold agglutinin titer
|
$59.50 |
$59.50 |
$59.50 |
$51.60
|
|
Colistimethate sodium inj
|
$124.25 |
$124.25 |
$124.25 |
$71.09
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$154.00 |
$154.00 |
$154.00 |
$62.40
|
|
Collar cerv adlt perfit ace extric
|
$27.04 |
$27.04 |
$27.04 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$642.60 |
$642.60 |
$642.60 |
$213.89
|
|
Collar cerv patriot adlt
|
$14.78 |
$14.78 |
$14.78 |
$134.66
|
|
Collection blood specimen from completely implantable venous access device
|
$2,983.40 |
$2,983.40 |
$2,983.40 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$2,102.62 |
$2,102.62 |
$2,102.62 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$1,262.10 |
$1,262.10 |
$1,262.10 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$4,675.65 |
$4,675.65 |
$4,675.65 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$2,503.20 |
$2,503.20 |
$2,503.20 |
$1,679.48
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,148.30 |
$2,148.30 |
$2,148.30 |
$2,004.81
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$10,649.03 |
$10,649.03 |
$10,649.03 |
$1,517.60
|
|
Colonoscopy stoma w/snare 44394
|
$9,486.94 |
$9,486.94 |
$9,486.94 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$15,061.30 |
$15,061.30 |
$15,061.30 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$4,884.58 |
$4,884.58 |
$4,884.58 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$16,613.78 |
$16,613.78 |
$16,613.78 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$11,008.62 |
$11,008.62 |
$11,008.62 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$6,014.38 |
$6,014.38 |
$6,014.38 |
$2,030.00
|
|
Colonoscopy w/control bleed
|
$18,345.54 |
$18,345.54 |
$18,345.54 |
$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
|
$8,694.15 |
$8,694.15 |
$8,694.15 |
$1,645.43
|
|
Colonoscopy w/endoscopic fnb
|
$2,580.20 |
$2,580.20 |
$2,580.20 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$5,058.20 |
$5,058.20 |
$5,058.20 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$3,787.00 |
$3,787.00 |
$3,787.00 |
$1,395.28
|
|
Colonoscopy w/injection
|
$8,970.23 |
$8,970.23 |
$8,970.23 |
$2,448.60
|
|
Colonoscopy with ablation
|
$4,067.00 |
$4,067.00 |
$4,067.00 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$11,484.74 |
$11,484.74 |
$11,484.74 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$10,649.03 |
$10,649.03 |
$10,649.03 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$11,424.44 |
$11,424.44 |
$11,424.44 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$5,565.70 |
$5,565.70 |
$5,565.70 |
$2,495.25
|
|
Colonoscopy w/resection
|
$15,717.18 |
$15,717.18 |
$15,717.18 |
$3,029.60
|
|
Colonoscopy w/ultrasound
|
$1,449.00 |
$1,449.00 |
$1,449.00 |
$2,636.40
|
|
Colpocleisis (le forte type) 57120
|
$30,184.23 |
$30,184.23 |
$30,184.23 |
$5,463.96
|
|
Colpopexy extraperitoneal
|
$35,193.17 |
$35,193.17 |
$35,193.17 |
$5,741.00
|
|
Colpopexy intraperitoneal
|
$59,495.11 |
$59,495.11 |
$59,495.11 |
$7,212.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,504.90 |
$3,504.90 |
$3,504.90 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$327.60 |
$327.60 |
$327.60 |
$314.00
|
|
Colposcopy vulva 56820
|
$676.90 |
$676.90 |
$676.90 |
$333.20
|
|
Compatibility test each unit antiglobulin technique
|
$239.40 |
$239.40 |
$239.40 |
$172.00
|
|
Compatibility test each unit electronic
|
$125.30 |
$125.30 |
$125.30 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$151.90 |
$151.90 |
$151.90 |
$167.17
|
|
Compatibility test incubate
|
$125.30 |
$125.30 |
$125.30 |
$149.60
|
|
Complement antigen each component c3
|
$423.50 |
$423.50 |
$423.50 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$17,578.36 |
$17,578.36 |
$17,578.36 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$27,898.31 |
$27,898.31 |
$27,898.31 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$18,308.14 |
$18,308.14 |
$18,308.14 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,886.50 |
$1,886.50 |
$1,886.50 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$1,286.60 |
$1,286.60 |
$1,286.60 |
$490.50
|
|
Complx repair fccmnaxghf 13132
|
$16,952.91 |
$16,952.91 |
$16,952.91 |
$1,066.92
|
|
Complx repair fccmnaxghf 13133
|
$16,952.91 |
$16,952.91 |
$16,952.91 |
$493.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$27,143.12 |
$27,143.12 |
$27,143.12 |
$494.34
|
|
Complx repair trunk addl 5cm/< 13102
|
$27,898.31 |
$27,898.31 |
$27,898.31 |
$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
|
$94.50 |
$94.50 |
$94.50 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$4,308.09 |
$4,308.09 |
$4,308.09 |
$3,352.21
|
|
Condylomata destruction 56420
|
$564.90 |
$564.90 |
$564.90 |
$463.98
|
|
Conization/cerv/loop electrode exc 57522
|
$14,849.77 |
$14,849.77 |
$14,849.77 |
$4,752.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,650.60 |
$1,650.60 |
$1,650.60 |
$839.07
|
|
Connect omega .5mm
|
$1,393.18 |
$1,393.18 |
$1,393.18 |
$1,260.00
|
|
Connector tis 2x10mm
|
$7,791.31 |
$7,791.31 |
$7,791.31 |
$4,055.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$20,302.10 |
$20,302.10 |
$20,302.10 |
$407.20
|
