|
Colectomy/ ileostomy without prctect 44150
|
$4,586.40 |
$4,586.40 |
$6,635.00 |
$3,530.40
|
|
Colectomy/ ileostomy w/prctect 44155
|
$5,118.40 |
$5,118.40 |
$5,118.40 |
$4,562.58
|
|
Colectomy partial w/anastomosis 44140
|
$3,296.80 |
$3,296.80 |
$4,792.00 |
$2,510.73
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$3,652.20
|
|
Colectomy prtl w/coloproctostomy 44145
|
$4,078.40 |
$4,078.40 |
$5,911.00 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$5,203.20 |
$5,203.20 |
$7,513.00 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$3,053.60 |
$3,053.60 |
$4,440.00 |
$2,136.00
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$4,476.80 |
$4,476.80 |
$6,472.00 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$4,344.00 |
$4,344.00 |
$4,344.00 |
$3,176.40
|
|
Colectomy w/ileoanal anast
|
$5,367.20 |
$5,367.20 |
$5,367.20 |
$5,367.20
|
|
Colectomy w/neo-rectum pouch
|
$5,500.80 |
$5,500.80 |
$5,500.80 |
$5,500.80
|
|
Colistimethate sodium inj
|
$46.70 |
$46.70 |
$92.40 |
$82.71
|
|
Collagenase, clost hist inj
|
$73.60 |
$73.60 |
$73.60 |
$12,906.28
|
|
Collagen based wound filler
|
$1,428.43 |
$1,428.43 |
$1,428.43 |
$1,794.78
|
|
Collagen dressing <=16 sq in
|
$92.68 |
$92.68 |
$92.68 |
$42.50
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$348.10 |
$348.10 |
$37,977.00 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$44.47 |
$44.47 |
$80.00 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$50.43 |
$50.43 |
$192.80 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$428.39 |
$428.39 |
$1,198.73 |
$224.11
|
|
Collar cerv patriot adlt
|
$3.18 |
$3.18 |
$323.20 |
$134.66
|
|
Collar extrication adult univ
|
$41.92 |
$41.92 |
$2,726.08 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$117.00 |
$117.00 |
$134.48 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$134.48 |
$134.48 |
$486.20 |
$155.40
|
|
Collj & interpj data ea 30 d
|
$128.80 |
$128.80 |
$128.80 |
$172.35
|
|
Colon motility 6 hr study
|
$308.00 |
$308.00 |
$308.00 |
$477.92
|
|
Colonoscopy (diagnostic)
|
$813.60 |
$813.60 |
$10,327.55 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$1,679.48 |
$1,679.48 |
$1,679.48 |
$2,288.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,164.00 |
$1,164.00 |
$20,618.05 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$1,658.40 |
$1,658.40 |
$1,658.40 |
$2,147.00
|
|
Colonoscopy for foreign body
|
$971.20 |
$971.20 |
$971.20 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$908.80 |
$908.80 |
$908.80 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$769.60 |
$769.60 |
$769.60 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$1,044.80 |
$1,044.80 |
$13,215.35 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$1,039.20 |
$1,039.20 |
$29,877.65 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$746.40 |
$746.40 |
$12,965.70 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$7,082.40 |
$7,082.40 |
$15,710.00 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$1,497.60 |
$1,497.60 |
$19,108.76 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$1,916.00 |
$1,916.00 |
$14,109.35 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$1,724.80 |
$1,724.80 |
$26,869.35 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$628.80 |
$628.80 |
$628.80 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$667.00 |
$667.00 |
$1,368.80 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$652.00 |
$652.00 |
$652.00 |
$2,288.00
|
|
Colonoscopy w/endoscopic fnb
|
$769.60 |
$769.60 |
$769.60 |
$2,004.81
|
|
Colonoscopy/w endoscopic stent 45389
|
$732.80 |
$732.80 |
$732.80 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$1,645.43
|
|
Colonoscopy w/injection
|
$625.00 |
$625.00 |
$980.00 |
$2,449.20
|
|
Colonoscopy with ablation
|
$6,856.00 |
$6,856.00 |
$6,856.00 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$1,047.20 |
$1,047.20 |
$16,521.95 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$984.00 |
$984.00 |
$18,079.14 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$1,096.80 |
$1,096.80 |
$15,935.60 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$697.60 |
$697.60 |
$697.60 |
$2,704.00
|
|
Colonoscopy w/resection
|
$842.40 |
$842.40 |
$842.40 |
$3,035.44
|
|
Colonoscopy w/stent plcmt
|
$662.40 |
$662.40 |
$662.40 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$628.80 |
$628.80 |
$628.80 |
$2,636.40
|
|
Colostomy skin level cecostomy 44320
|
$2,953.60 |
$2,953.60 |
$4,298.00 |
$2,269.80
|
|
Colostomy with biopsies
|
$2,461.60 |
$2,461.60 |
$2,461.60 |
$2,461.60
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$2,417.60 |
$2,417.60 |
$2,417.60 |
$1,746.00
|
|
Colpocentesis 57020
|
$272.00 |
$272.00 |
$272.00 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$1,304.00 |
$1,304.00 |
$46,007.54 |
$5,813.46
|
|
Colpopexy abdominal approach 57280
|
$2,411.20 |
$2,411.20 |
$2,411.20 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$6,570.00
|
|
Colpopexy intraperitoneal
|
$1,748.00 |
$1,748.00 |
$1,748.00 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,603.07 |
$3,603.07 |
$3,603.07 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$418.40 |
$418.40 |
$418.40 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$845.60 |
$845.60 |
$845.60 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$296.80 |
$296.80 |
$296.80 |
$314.00
|
|
Colposcopy vulva 56820
|
$295.20 |
$295.20 |
$295.20 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$393.60 |
$393.60 |
$393.60 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$382.40 |
$382.40 |
$1,464.45 |
$485.50
|
|
Colpotomy drng of abscess 57010
|
$1,115.20 |
$1,115.20 |
$1,115.20 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$490.40 |
$490.40 |
$36,582.95 |
$4,075.20
|
|
Comm hlth intg svs sdoh 60mn
|
$151.20 |
$151.20 |
$151.20 |
$109.46
|
|
Compatibility test each unit antiglobulin technique
|
$156.24 |
$156.24 |
$12,438.45 |
$173.50
|
|
Compatibility test each unit electronic
|
$156.24 |
$156.24 |
$3,941.00 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$156.24 |
$156.24 |
$6,084.35 |
$169.52
|
|
Compatibility test incubate
|
$156.24 |
$156.24 |
$12,438.45 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$862.40 |
$862.40 |
$862.40 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$920.00 |
$920.00 |
$920.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$48.57 |
$48.57 |
$205.40 |
$110.00
|
|
Complement fixation each
|
$20.80 |
$20.80 |
$20.80 |
$29.12
|
|
Complete removal of vulva
|
$1,602.40 |
$1,602.40 |
$1,602.40 |
$3,786.00
|
|
Completion pneumonectomy 32488
|
$5,828.00 |
$5,828.00 |
$5,828.00 |
$5,828.00
|
|
Complex cystometrogram 51726
|
$1,783.53 |
$1,783.53 |
$1,783.53 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$876.00 |
$876.00 |
$876.00 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$985.60 |
$985.60 |
$20,630.19 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$891.77 |
$891.77 |
$891.77 |
$344.68
|
|
Compl oph exam general anes
|
$303.20 |
$303.20 |
$303.20 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,049.60 |
$1,049.60 |
$1,049.60 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,107.00 |
$1,107.00 |
$1,330.61 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$470.40 |
$470.40 |
$470.40 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$960.80 |
$960.80 |
$3,191.50 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,177.60 |
$1,177.60 |
$15,419.35 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$412.00 |
$412.00 |
$831.44 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$271.00 |
$271.00 |
$353.56 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$839.20 |
$839.20 |
$839.20 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$398.78 |
$398.78 |
$20,630.19 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,752.13 |
$1,752.13 |
$1,752.13 |
$1,350.27
|
|
Composite byp grft 2 veins
|
$863.20 |
$863.20 |
$863.20 |
$619.20
|
|
Composite byp grft 3/> segmt
|
$996.80 |
$996.80 |
$996.80 |
$574.98
|
|
Composite byp grft pros&vein
|
$205.60 |
$205.60 |
$205.60 |
$205.60
|
