|
Colpocentesis 57020
|
$173.40 |
$173.40 |
$181.80 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$947.40 |
$947.40 |
$994.80 |
$5,813.46
|
|
Colpopexy abdominal approach 57280
|
$1,774.80 |
$1,774.80 |
$1,863.60 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$1,232.40 |
$1,232.40 |
$1,294.20 |
$6,570.00
|
|
Colpopexy intraperitoneal
|
$1,279.80 |
$1,279.80 |
$1,344.00 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$552.00 |
$552.00 |
$579.60 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$288.00 |
$288.00 |
$302.40 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$595.20 |
$595.20 |
$625.20 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$200.40 |
$200.40 |
$210.60 |
$314.00
|
|
Colposcopy vulva 56820
|
$204.00 |
$204.00 |
$214.20 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$270.60 |
$270.60 |
$284.40 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$264.00 |
$264.00 |
$277.20 |
$485.50
|
|
Colpotomy drng of abscess 57010
|
$804.60 |
$804.60 |
$844.80 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$342.60 |
$342.60 |
$360.00 |
$4,075.20
|
|
Compatibility test each unit antiglobulin technique
|
$93.60 |
$93.60 |
$104.40 |
$173.50
|
|
Compatibility test each unit electronic
|
$76.80 |
$76.80 |
$85.80 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$69.00 |
$69.00 |
$77.40 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$570.60 |
$570.60 |
$599.40 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$621.60 |
$621.60 |
$652.80 |
$1,111.03
|
|
Complement antigen each component c3
|
$163.80 |
$163.80 |
$182.40 |
$110.00
|
|
Complement fixation each
|
$112.20 |
$112.20 |
$124.80 |
$29.12
|
|
Completion pneumonectomy 32488
|
$4,387.20 |
$4,387.20 |
$4,606.80 |
$5,828.00
|
|
Complex cystometrogram 51726
|
$530.40 |
$530.40 |
$556.80 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$589.80 |
$589.80 |
$619.20 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$809.40 |
$809.40 |
$977.40 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$153.00 |
$153.00 |
$160.80 |
$344.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$737.40 |
$737.40 |
$774.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,020.00 |
$1,020.00 |
$1,071.00 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$337.80 |
$337.80 |
$354.60 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$651.00 |
$651.00 |
$683.40 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,054.80 |
$1,054.80 |
$1,107.60 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$305.40 |
$305.40 |
$320.40 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$336.60 |
$336.60 |
$406.80 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$647.40 |
$647.40 |
$782.40 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$244.20 |
$244.20 |
$295.20 |
$537.00
|
|
Composite drsg >16<=48 sq in
|
$3.00 |
$3.00 |
$3.00 |
$42.60
|
|
Composite drsg <= 16 sq in
|
$22.20 |
$22.20 |
$23.40 |
$6.62
|
|
Composite graft/pri close/don area 15760
|
$1,561.20 |
$1,561.20 |
$1,639.20 |
$2,816.50
|
|
Comprehensive hearing test
|
$79.80 |
$79.80 |
$89.40 |
$261.46
|
|
Compression stocking bk18-30
|
$61.20 |
$61.20 |
$64.20 |
$62.88
|
|
Concentration infection agents any type
|
$145.20 |
$145.20 |
$153.00 |
$51.32
|
|
Conditioning play audiometry 92582
|
$114.00 |
$114.00 |
$120.00 |
$189.15
|
|
Condylomata destruction 56420
|
$225.60 |
$225.60 |
$267.00 |
$467.35
|
|
Conform band n/s w>=3"<5"/yd
|
$84.60 |
$84.60 |
$88.80 |
$1.04
|
|
Conivaptan hcl
|
$1,674.10 |
$1,674.10 |
$1,674.10 |
$1,625.08
|
|
Conization/cerv/loop electrode exc 57522
|
$486.60 |
$486.60 |
$511.20 |
$4,840.07
|
|
Conization of cervix
|
$564.00 |
$564.00 |
$592.20 |
$3,820.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$645.32 |
$645.32 |
$679.96 |
$860.00
|
|
Connect omega .5mm
|
$1,024.20 |
$1,024.20 |
$1,024.20 |
$1,260.00
|
|
Consultation pathology during surgery
|
$36.00 |
$36.00 |
$40.80 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$666.60 |
$666.60 |
$742.20 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$44.40 |
$44.40 |
$49.20 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$66.00 |
$66.00 |
$73.80 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$334.80 |
$334.80 |
$372.60 |
$224.83
|
|
Consultation with family
|
$115.20 |
$115.20 |
$121.20 |
$135.79
|
|
Consult comp w/report rfrd material
|
$357.60 |
$357.60 |
$398.40 |
$374.40
|
|
Cont gluc mntr analysis i&r 95251
|
$81.60 |
$81.60 |
$85.80 |
$80.00
|
|
Contour of face bone lesion
|
$1,176.60 |
$1,176.60 |
$1,235.40 |
$3,837.72
|
|
Contrast baths charges
|
$56.40 |
$56.40 |
$63.00 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$3,202.80 |
$3,202.80 |
$3,498.00 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$45.00 |
$45.00 |
$47.40 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$3,461.40 |
$3,461.40 |
$3,780.00 |
$3,745.00
|
|
Contrast x-ray of ankle
|
$342.00 |
$342.00 |
$373.80 |
$684.00
|
|
Contrast x-ray of brain
|
$407.40 |
$407.40 |
$445.20 |
$735.93
|
|
Contrast x-ray of elbow
|
$390.00 |
$390.00 |
$426.00 |
$708.00
|
|
Contrast x-ray of hip
|
$377.40 |
$377.40 |
$412.20 |
$796.38
|
|
Contrast x-ray of knee joint
|
$404.40 |
$404.40 |
$442.20 |
$790.50
|
|
Contrast x-ray of wrist
|
$369.60 |
$369.60 |
$412.20 |
$667.50
|
|
Controller infinity pt dbs
|
$1,856.40 |
$1,856.40 |
$2,677.80 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$462.60 |
$462.60 |
$486.00 |
$383.52
|
|
Control nose/throat bleeding comp req hospital 42971
|
$864.00 |
$864.00 |
$907.20 |
$1,120.80
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$966.00 |
$966.00 |
$1,014.60 |
$3,786.00
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$753.00 |
$753.00 |
$790.80 |
$644.80
|
|
Control of nosebleed ant comp 30903
|
$372.60 |
$372.60 |
$391.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$203.40 |
$203.40 |
$246.00 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$318.00 |
$318.00 |
$334.20 |
$620.00
|
|
Control throat bleeding
|
$792.60 |
$792.60 |
$832.20 |
$972.84
|
|
Control throat bleeding
|
$978.00 |
$978.00 |
$1,027.20 |
$3,967.00
|
|
Convert nephrostomy catheter
|
$2,561.40 |
$2,561.40 |
$2,958.60 |
$2,777.60
|
|
Conv gtube to jtube
|
$291.00 |
$291.00 |
$291.00 |
$2,099.70
|
|
Coombs direct
|
$68.40 |
$68.40 |
$76.80 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$39.00 |
$39.00 |
$49.20 |
$107.25
|
|
Coombs indirect titer reference
|
$143.40 |
$143.40 |
$159.60 |
$156.71
|
|
Copper intrauterine device
|
$1,441.85 |
$1,441.85 |
$1,441.85 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,532.00 |
$2,532.00 |
$2,925.00 |
$2,904.48
|
|
Cor hlx vlgs double osteot
|
$1,640.40 |
$1,640.40 |
$1,722.60 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$1,309.80 |
$1,309.80 |
$1,375.20 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$1,306.20 |
$1,306.20 |
$1,371.60 |
$5,855.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$7,972.80 |
$7,972.80 |
$10,046.40 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$7,567.80 |
$7,567.80 |
$9,535.80 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$8,826.60 |
$8,826.60 |
$11,121.60 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$7,407.00 |
$7,407.00 |
$9,333.00 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,757.20 |
$6,757.20 |
$8,514.00 |
$7,988.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$465.60 |
$465.60 |
$489.00 |
$484.37
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$1,439.40 |
$1,439.40 |
$1,511.40 |
$3,839.54
|
|
Correct cock-up 5th toe/plast clos 28286
|
$826.20 |
$826.20 |
$867.60 |
$2,912.00
|
|
Correct inverted nipple(s)
|
$1,036.20 |
$1,036.20 |
$1,036.20 |
$4,243.90
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$1,444.20 |
$1,444.20 |
$1,516.20 |
$3,842.58
|
|
Correction of everted punctum 68705
|
$503.40 |
$503.40 |
$528.60 |
$878.80
|
|
Correction trichiasis epilation forcep 67820
|
$143.40 |
$143.40 |
$150.60 |
$176.00
|
