|
Cocaine hcl nasal (numbrino)
|
$2.16 |
$2.16 |
$2.16 |
|
|
Coch imp ext proc/contr rplc
|
$11,868.77 |
$33,111.00 |
$44,148.00 |
|
|
Coch implant microphone repl
|
$1,186.88 |
$1,186.88 |
$1,186.88 |
|
|
Cochlear implt f/up exam <7
|
$217.50 |
$369.60 |
$705.00 |
|
|
Cochlear implt f/up exam 7/>
|
$290.00 |
$345.60 |
$705.00 |
|
|
Cocm by rhc/fqhc 60 min mo
|
$304.00 |
$304.00 |
$304.00 |
|
|
Codeine 15 mg/ml inj 2 ml
|
$15.49 |
$15.49 |
$15.49 |
|
|
Cold agglutinin screen (arc)
|
$32.50 |
$81.90 |
$156.10 |
|
|
Cold agglutinin titer
|
$7.00 |
$67.20 |
$248.80 |
|
|
Colectomy/end colost/close dis seg 44143
|
$2,557.80 |
$2,557.80 |
$4,085.60 |
|
|
Colectomy/ ileostomy without prctect 44150
|
$3,530.40 |
$3,530.40 |
$4,586.40 |
|
|
Colectomy/ ileostomy w/prctect 44155
|
$3,951.60 |
$3,951.60 |
$5,118.40 |
|
|
Colectomy partial w/anastomosis 44140
|
$2,073.60 |
$2,073.60 |
$3,296.80 |
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$3,652.20 |
$3,652.20 |
$4,771.20 |
|
|
Colectomy prtl w/coloproctostomy 44145
|
$3,142.80 |
$3,142.80 |
$98,563.28 |
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$3,233.40 |
$3,233.40 |
$5,203.20 |
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$2,343.60 |
$2,343.60 |
$3,053.60 |
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$3,433.80 |
$3,433.80 |
$4,476.80 |
|
|
Colectomy/w colostomy or ileostomy 44144
|
$3,335.40 |
$3,335.40 |
$4,344.00 |
|
|
Colectomy w/ileoanal anast
|
$5,367.20 |
$5,367.20 |
$5,367.20 |
|
|
Colectomy w/neo-rectum pouch
|
$5,500.80 |
$5,500.80 |
$5,500.80 |
|
|
Colistimethate sodium inj
|
$49.46 |
$112.52 |
$465.85 |
|
|
Collagenase, clost hist inj
|
$73.60 |
$73.60 |
$73.60 |
|
|
Collagen based wound filler
|
$46.08 |
$46.08 |
$46.08 |
|
|
Collagen dressing <=16 sq in
|
$17.28 |
$55.44 |
$59.20 |
|
|
Collagen drsg>16<=48 sq in
|
$20.88 |
$61.20 |
$116.64 |
|
|
Collagen imp urinary 2.5 ml
|
$4,037.94 |
$4,037.94 |
$4,037.94 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$125.00 |
$383.04 |
$862.40 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$11.52 |
$307.80 |
$700.56 |
|
|
Collar cerv adlt perfit ace extric
|
$27.04 |
$85.20 |
$192.80 |
|
|
Collar cerv ascend 172 reg
|
$45.22 |
$85.20 |
$1,236.20 |
|
|
Collar cerv patriot adlt
|
$14.78 |
$49.80 |
$323.20 |
|
|
Collar extrication adult univ
|
$833.00 |
$833.00 |
$1,244.88 |
|
|
Collection blood specimen from completely implantable venous access device
|
$62.50 |
$205.00 |
$16,147.25 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$62.50 |
$192.50 |
$16,100.00 |
|
|
Collj & interpj data ea 30 d
|
$128.80 |
$128.80 |
$128.80 |
|
|
Colon motility 6 hr study
|
$308.00 |
$308.00 |
$308.00 |
|
|
Colonoscopy (diagnostic)
|
$516.00 |
$4,111.88 |
$5,304.60 |
|
|
Colonoscopy flex with decompression 45393
|
$543.00 |
$2,503.20 |
$3,474.80 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$907.20 |
$6,436.93 |
$29,474.06 |
|
|
Colonoscopy for bleeding 44391
|
$1,027.80 |
$2,580.90 |
$24,568.77 |
|
|
Colonoscopy for foreign body
|
$971.20 |
$971.20 |
$971.20 |
|
|
Colonoscopy & polypectomy 44392
|
$874.20 |
$908.80 |
$6,458.43 |
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$461.40 |
$3,497.20 |
$23,884.75 |
|
|
Colonoscopy stoma w/snare 44394
|
$996.60 |
$3,809.27 |
$15,730.57 |
|
|
Colonoscopy submucous njx
|
$697.20 |
$14,893.86 |
$21,670.20 |
|
|
Colonoscopy thru stoma spx
|
$683.40 |
$4,862.03 |
$12,206.73 |
|
|
Colonoscopy w/ablation
|
$1,099.20 |
$14,334.35 |
$18,199.15 |
|
|
Colonoscopy w/balloon dilat
|
$1,216.20 |
$11,008.62 |
$20,123.08 |
|
|
Colonoscopy w/band ligation
|
$1,401.60 |
$6,726.18 |
$11,947.67 |
|
|
Colonoscopy w/control bleed
|
$1,471.80 |
$16,324.49 |
$20,120.83 |
|
|
Colonoscopy w/decompression
|
$628.80 |
$1,572.20 |
$1,572.20 |
|
|
Colonoscopy w/dilation
|
$1,368.80 |
$1,415.40 |
$8,326.14 |
|
|
Colonoscopy w/endoscope Ultrasound
|
$554.40 |
$6,267.60 |
$17,087.10 |
|
|
Colonoscopy w/endoscopic fnb
|
$769.60 |
$12,919.40 |
$25,543.29 |
|
|
Colonoscopy/w endoscopic stent 45389
|
$620.40 |
$4,575.90 |
$5,860.40 |
|
|
Colonoscopy w/fb removal
|
$721.20 |
$3,787.00 |
$12,606.05 |
|
|
Colonoscopy w/injection
|
$980.00 |
$8,970.23 |
$25,955.73 |
|
|
Colonoscopy with ablation
|
$4,067.00 |
$4,067.00 |
$18,386.13 |
|
|
Colonoscopy (with biopsy)
|
$337.80 |
$11,484.74 |
$12,839.87 |
|
|
Colonoscopy with biopsy
|
$777.00 |
$10,649.03 |
$17,399.96 |
|
|
Colonoscopy (with polyp removal)
|
$377.40 |
$8,121.99 |
$12,858.85 |
|
|
Colonoscopy w/ndl aspir/bx
|
$697.60 |
$5,565.70 |
$5,565.70 |
|
|
Colonoscopy w/resection
|
$709.20 |
$15,717.18 |
$22,192.23 |
|
|
Colonoscopy w/stent plcmt
|
$662.40 |
$662.40 |
$662.40 |
|
|
Colonoscopy w/ultrasound
|
$628.80 |
$1,449.00 |
$1,449.00 |
|
|
Colostomy skin level cecostomy 44320
|
$2,269.80 |
$2,269.80 |
$2,953.60 |
|
|
Colostomy with biopsies
|
$2,461.60 |
$2,461.60 |
$2,461.60 |
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$1,833.60 |
$1,833.60 |
$2,417.60 |
|
|
Colpocentesis 57020
|
$181.80 |
$181.80 |
$272.00 |
|
|
Colpocleisis (le forte type) 57120
|
$994.80 |
$30,184.23 |
$44,621.29 |
|
|
Colpopexy abdominal approach 57280
|
$1,863.60 |
$1,863.60 |
$119,971.23 |
|
|
Colpopexy extraperitoneal
|
$1,294.20 |
$33,050.37 |
$41,123.94 |
|
|
Colpopexy intraperitoneal
|
$1,344.00 |
$41,054.58 |
$95,087.40 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$579.60 |
$4,012.00 |
$89,225.01 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$302.40 |
$418.40 |
$22,968.43 |
|
|
Colposcopy/cervix/ conization 57461
|
$625.20 |
$3,504.90 |
$26,952.09 |
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$145.80 |
$296.80 |
$18,504.41 |
|
|
Colposcopy vulva 56820
|
$214.20 |
$676.90 |
$676.90 |
|
|
Colposcopy vulva w/biopsy 56821
|
$284.40 |
$393.60 |
$23,512.15 |
|
|
Colposcopy w/biopsy of cervix 57455
|
$246.00 |
$331.10 |
$24,576.82 |
|
|
Colpotomy drng of abscess 57010
|
$844.80 |
$844.80 |
$1,115.20 |
|
|
Colpotomy w/exploration 57000
|
$360.00 |
$360.00 |
$490.40 |
|
|
Comm hlth intg svs sdoh 60mn
|
$151.20 |
$151.20 |
$151.20 |
|
|
Compatibility test each unit antiglobulin technique
|
$62.50 |
$205.80 |
$611.80 |
|
|
Compatibility test each unit electronic
|
$68.40 |
$125.30 |
$531.60 |
|
|
Compatibility test each unit immediate spin technique
|
$58.20 |
$140.00 |
$364.70 |
|
|
Compatibility test incubate
|
$83.16 |
$125.30 |
$409.50 |
|
|
Comp cystometrogram/void presssure 51728
|
$599.40 |
$862.40 |
$2,703.60 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$652.80 |
$920.00 |
$1,537.80 |
|
|
Complement antigen each component c3
|
$33.99 |
$155.00 |
$697.20 |
|
|
Complement fixation each
|
$20.80 |
$20.80 |
$36.72 |
|
|
Complete removal of vulva
|
$1,602.40 |
$1,602.40 |
$26,307.61 |
|
|
Completion pneumonectomy 32488
|
$4,606.80 |
$4,606.80 |
$5,828.00 |
|
|
Complex cystometrogram 51726
|
$556.80 |
$560.00 |
$1,537.80 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$300.00 |
$774.00 |
$17,578.36 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$377.40 |
$977.40 |
$36,239.97 |
|
|
Complex uroflowmetry (electronic) 51741
|
$160.80 |
$479.40 |
$924.80 |
|
|
Compl oph exam general anes
|
$303.20 |
$3,371.40 |
$3,892.20 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$300.00 |
$820.00 |
$18,308.14 |
|
