|
Composite graft/pri close/don area 15760
|
$2,085.60 |
$2,085.60 |
$2,085.60 |
$2,816.50
|
|
Comprehensive hearing test
|
$160.26 |
$160.26 |
$160.26 |
$261.46
|
|
Compre oph exam est pt 1/>
|
$260.80 |
$260.80 |
$260.80 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$312.00 |
$312.00 |
$312.00 |
$188.51
|
|
Computed tomographic angiography head and neck with contrast
|
$694.85 |
$694.85 |
$694.85 |
$2,247.00
|
|
Concentration infection agents any type
|
$38.58 |
$38.58 |
$52.00 |
$51.32
|
|
Conditioning play audiometry 92582
|
$158.40 |
$158.40 |
$158.40 |
$189.15
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$3,352.21 |
$3,352.21 |
$3,352.21 |
$3,352.21
|
|
Condylomata destruction 56420
|
$347.75 |
$347.75 |
$382.40 |
$467.35
|
|
Conform band n/s w>=3"<5"/yd
|
$0.80 |
$0.80 |
$0.80 |
$1.04
|
|
Congo red blood test
|
$10.40 |
$10.40 |
$10.40 |
$5.45
|
|
Conization/cerv/loop electrode exc 57522
|
$709.60 |
$709.60 |
$17,782.28 |
$4,840.07
|
|
Conization of cervix
|
$825.60 |
$825.60 |
$825.60 |
$3,820.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$658.88 |
$658.88 |
$1,780.10 |
$860.00
|
|
Connect omega .5mm
|
$20,722.49 |
$20,722.49 |
$20,722.49 |
$1,260.00
|
|
Connector tis 2x10mm
|
$6,756.42 |
$6,756.42 |
$6,756.42 |
$4,024.34
|
|
Constj trachesophgl fstl
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$3,837.72
|
|
Construct bowel bladder
|
$6,627.20 |
$6,627.20 |
$6,627.20 |
$6,627.20
|
|
Construction of absent anus
|
$4,828.80 |
$4,828.80 |
$4,828.80 |
$4,828.80
|
|
Construction of absent anus
|
$5,272.80 |
$5,272.80 |
$5,272.80 |
$5,272.80
|
|
Construction of vagina
|
$1,352.00 |
$1,352.00 |
$1,352.00 |
$5,468.70
|
|
Construct thumb replacement
|
$8,076.80 |
$8,076.80 |
$8,076.80 |
$5,110.00
|
|
Construct vagina with graft
|
$2,063.20 |
$2,063.20 |
$2,063.20 |
$5,813.46
|
|
Consultation pathology during surgery
|
$95.55 |
$95.55 |
$100.00 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$193.60 |
$193.60 |
$40,605.52 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$101.60 |
$101.60 |
$183.30 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$198.40 |
$198.40 |
$216.45 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$253.50 |
$253.50 |
$280.00 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$178.40 |
$178.40 |
$195.00 |
$176.28
|
|
Consultation with family
|
$195.20 |
$195.20 |
$195.20 |
$135.79
|
|
Consult comp w/report rfrd material
|
$365.60 |
$365.60 |
$387.00 |
$374.40
|
|
Contact lens fitg aphakia 1
|
$216.80 |
$216.80 |
$216.80 |
$472.21
|
|
Contact lens fitg aphakia ou
|
$252.00 |
$252.00 |
$252.00 |
$170.00
|
|
Contact lens fitting for tx
|
$158.40 |
$158.40 |
$158.40 |
$92.96
|
|
Cont gluc mntr analysis i&r 95251
|
$80.00 |
$80.00 |
$106.00 |
$80.00
|
|
Cont intraop neuro monitor
|
$73.60 |
$73.60 |
$73.60 |
$73.60
|
|
Contour cranial bone lesion
|
$1,836.80 |
$1,836.80 |
$1,836.80 |
$6,839.00
|
|
Contour of face bone lesion
|
$1,888.80 |
$1,888.80 |
$18,134.10 |
$3,837.72
|
|
Contrast baths charges
|
$85.15 |
$85.15 |
$94.75 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$4,020.25 |
$4,020.25 |
$4,688.16 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$3,771.61 |
$3,771.61 |
$3,771.61 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$2,002.00 |
$2,002.00 |
$4,250.72 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$340.43 |
$340.43 |
$340.43 |
$341.00
|
|
Contrast x-ray of ankle
|
$240.80 |
$240.80 |
$240.80 |
$684.00
|
|
Contrast x-ray of brain
|
$163.20 |
$163.20 |
$163.20 |
$735.93
|
|
Contrast x-ray of brain
|
$614.78 |
$614.78 |
$614.78 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$854.13 |
$854.13 |
$854.13 |
$708.00
|
|
Contrast x-ray of hip
|
$983.28 |
$983.28 |
$983.28 |
$796.38
|
|
Contrast x-ray of knee joint
|
$914.80 |
$914.80 |
$1,122.55 |
$790.50
|
|
Contrast x-ray of wrist
|
$830.24 |
$830.24 |
$830.24 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$9,782.99 |
$9,782.99 |
$9,782.99 |
$12,355.20
|
|
Controller infinity pt dbs
|
$4,425.86 |
$4,425.86 |
$27,497.09 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$378.00 |
$378.00 |
$824.00 |
$383.52
|
|
Control nose/throat bleeding comp req hospital 42971
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$1,120.80
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$1,256.80 |
$1,256.80 |
$1,256.80 |
$3,786.00
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$644.80
|
|
Control of nosebleed ant comp 30903
|
$318.59 |
$318.59 |
$1,110.40 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$700.80 |
$700.80 |
$16,611.67 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$409.76 |
$409.76 |
$409.76 |
$620.00
|
|
Control throat bleeding
|
$1,031.20 |
$1,031.20 |
$1,550.00 |
$972.84
|
|
Control throat bleeding
|
$1,273.60 |
$1,273.60 |
$18,299.74 |
$3,967.00
|
|
Conversion ext bil drg cath
|
$5,660.85 |
$5,660.85 |
$7,015.31 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$2,817.10 |
$2,817.10 |
$4,489.80 |
$2,777.60
|
|
Conv gtube to jtube
|
$484.00 |
$484.00 |
$484.00 |
$2,099.70
|
|
Coombs direct
|
$57.14 |
$57.14 |
$85.15 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$34.45 |
$34.45 |
$57.14 |
$107.25
|
|
Coombs indirect titer reference
|
$57.14 |
$57.14 |
$136.50 |
$156.71
|
|
Copper intrauterine device
|
$1,318.40 |
$1,318.40 |
$1,318.40 |
$1,953.00
|
|
Cor artery disease mrna
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$1,155.00
|
|
Core ndl bx lng/med perq
|
$3,037.76 |
$3,037.76 |
$7,087.13 |
$2,904.48
|
|
Corf related serv 15 mins ea
|
$42.40 |
$42.40 |
$42.40 |
$42.40
|
|
Corf skilled nursing service
|
$17.60 |
$17.60 |
$17.60 |
$17.60
|
|
Cor hlx vlgs double osteot
|
$5,036.80 |
$5,036.80 |
$5,036.80 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$4,539.20 |
$4,539.20 |
$31,191.35 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$4,203.20 |
$4,203.20 |
$4,203.20 |
$5,855.00
|
|
Cornea 1/2moon str split thick
|
$794.53 |
$794.53 |
$794.53 |
$7,193.20
|
|
Corneal hysteresis deter
|
$30.40 |
$30.40 |
$30.40 |
$74.41
|
|
Corneal smear
|
$576.00 |
$576.00 |
$576.00 |
$472.21
|
|
Corneal transplant
|
$5,588.80 |
$5,588.80 |
$5,588.80 |
$6,105.79
|
|
Corneal transplant
|
$6,182.40 |
$6,182.40 |
$6,182.40 |
$5,912.40
|
|
Corneal transplant
|
$6,220.80 |
$6,220.80 |
$6,220.80 |
$6,220.80
|
|
Corneal transplant
|
$6,192.00 |
$6,192.00 |
$6,192.00 |
$5,741.00
|
|
Corneal trnspl endothelial
|
$5,883.20 |
$5,883.20 |
$5,883.20 |
$5,667.08
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$5,705.60 |
$5,705.60 |
$5,705.60 |
$7,849.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$14,672.29 |
$14,672.29 |
$55,435.18 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$14,262.43 |
$14,262.43 |
$37,908.97 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$13,583.27 |
$13,583.27 |
$17,048.20 |
$11,228.50
|
|
Coronary artery graft
|
$3,572.80 |
$3,572.80 |
$3,572.80 |
$3,572.80
|
|
Coronary art/grft angio s&i
|
$11,422.80 |
$11,422.80 |
$29,093.43 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,339.09 |
$9,339.09 |
$23,969.55 |
$7,988.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$219.20 |
$219.20 |
$219.20 |
$484.37
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$3,627.20 |
$3,627.20 |
$3,627.20 |
$3,839.54
|
|
Correct cock-up 5th toe/plast clos 28286
|
$2,244.80 |
$2,244.80 |
$2,244.80 |
$2,912.00
|
|
Correct finger deformity
|
$1,707.20 |
$1,707.20 |
$1,707.20 |
$4,192.86
|
|
Correct inverted nipple(s)
|
$3,723.20 |
$3,723.20 |
$3,723.20 |
$4,243.90
|
|
Correction claw finger other
|
$2,067.20 |
$2,067.20 |
$2,067.20 |
$3,839.54
|
|
Correction eyelid w/implant
|
$4,435.20 |
$4,435.20 |
$4,435.20 |
$3,452.80
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$3,842.58
|
|
Correction of astigmatism
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$2,240.00
|
|
Correction of astigmatism
|
$2,790.40 |
$2,790.40 |
$2,790.40 |
$2,790.40
|
