|
Colonoscopy w/decompression
|
$628.80 |
$628.80 |
$628.80 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$1,368.80 |
$1,368.80 |
$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
|
$980.00 |
$980.00 |
$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 |
$5,294.44 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$984.00 |
$984.00 |
$984.00 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$1,096.80 |
$1,096.80 |
$4,950.04 |
$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 |
$2,953.60 |
$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 |
$1,304.00 |
$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 |
$20,547.99 |
$6,570.00
|
|
Colpopexy intraperitoneal
|
$1,748.00 |
$1,748.00 |
$1,748.00 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$789.60 |
$789.60 |
$789.60 |
$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 |
$382.40 |
$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 |
$490.40 |
$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 |
$350.35 |
$173.50
|
|
Compatibility test each unit electronic
|
$156.24 |
$156.24 |
$156.24 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$156.24 |
$156.24 |
$2,617.52 |
$169.52
|
|
Compatibility test incubate
|
$25.35 |
$25.35 |
$156.24 |
$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 |
$357.50 |
$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
|
$710.40 |
$710.40 |
$710.40 |
$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 |
$985.60 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$64.80 |
$64.80 |
$64.80 |
$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
|
$1,244.80 |
$1,244.80 |
$1,244.80 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$523.78 |
$523.78 |
$523.78 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$960.80 |
$960.80 |
$960.80 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,359.21 |
$1,359.21 |
$1,359.21 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$795.14 |
$795.14 |
$795.14 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$323.20 |
$323.20 |
$20,229.20 |
$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
|
$295.20 |
$295.20 |
$295.20 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,750.12 |
$1,750.12 |
$1,750.12 |
$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
|
|
Composite graft/pri close/don area 15760
|
$2,085.60 |
$2,085.60 |
$2,085.60 |
$2,816.50
|
|
Comprehensive hearing test
|
$87.20 |
$87.20 |
$87.20 |
$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
|
$1,914.25 |
$1,914.25 |
$1,914.25 |
$2,247.00
|
|
Concentration infection agents any type
|
$38.58 |
$38.58 |
$66.30 |
$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
|
$382.40 |
$382.40 |
$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 |
$709.60 |
$4,840.07
|
|
Conization of cervix
|
$825.60 |
$825.60 |
$16,076.72 |
$3,820.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$408.00 |
$408.00 |
$1,780.10 |
$860.00
|
|
Connect omega .5mm
|
$573.90 |
$573.90 |
$22,574.95 |
$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
|
$100.00 |
$100.00 |
$103.00 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$193.60 |
$193.60 |
$252.20 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$101.60 |
$101.60 |
$120.90 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$198.40 |
$198.40 |
$203.45 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$280.00 |
$280.00 |
$293.80 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$178.40 |
$178.40 |
$416.65 |
$176.28
|
|
Consultation with family
|
$195.20 |
$195.20 |
$195.20 |
$135.79
|
|
Consult comp w/report rfrd material
|
$365.60 |
$365.60 |
$479.00 |
$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 |
$80.00 |
$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 |
$1,888.80 |
$3,837.72
|
|
Contrast baths charges
|
$26.40 |
$26.40 |
$26.40 |
$75.60
|
