|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$344.21 |
$344.21 |
$344.21 |
$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 |
$156.24 |
$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 |
$156.24 |
$169.52
|
|
Compatibility test incubate
|
$156.24 |
$156.24 |
$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 |
$48.57 |
$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
|
$470.40 |
$470.40 |
$470.40 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$960.80 |
$960.80 |
$960.80 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,177.60 |
$1,177.60 |
$1,177.60 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$432.00 |
$432.00 |
$432.00 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$387.26 |
$387.26 |
$387.26 |
$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
|
$387.26 |
$387.26 |
$387.26 |
$537.00
|
|
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
|
|
Concentration infection agents any type
|
$38.58 |
$38.58 |
$38.58 |
$51.32
|
|
Conditioning play audiometry 92582
|
$158.40 |
$158.40 |
$158.40 |
$189.15
|
|
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 |
$825.60 |
$3,820.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$408.00 |
$408.00 |
$408.00 |
$860.00
|
|
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 |
$100.00 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$193.60 |
$193.60 |
$193.60 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$101.60 |
$101.60 |
$101.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$198.40 |
$198.40 |
$198.40 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$280.00 |
$280.00 |
$280.00 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$178.40 |
$178.40 |
$178.40 |
$176.28
|
|
Consultation with family
|
$195.20 |
$195.20 |
$195.20 |
$135.79
|
|
Consult comp w/report rfrd material
|
$365.60 |
$365.60 |
$365.60 |
$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
|
$114.70 |
$114.70 |
$114.70 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$3,520.18 |
$3,520.18 |
$3,520.18 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$2,795.98 |
$2,795.98 |
$2,795.98 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$2,795.98 |
$2,795.98 |
$2,795.98 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$153.60 |
$153.60 |
$153.60 |
$341.00
|
|
Contrast x-ray of ankle
|
$461.88 |
$461.88 |
$461.88 |
$684.00
|
|
Contrast x-ray of brain
|
$163.20 |
$163.20 |
$163.20 |
$735.93
|
|
Contrast x-ray of brain
|
$329.60 |
$329.60 |
$329.60 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$418.88 |
$418.88 |
$418.88 |
$708.00
|
|
Contrast x-ray of hip
|
$644.48 |
$644.48 |
$644.48 |
$796.38
|
|
Contrast x-ray of knee joint
|
$644.48 |
$644.48 |
$644.48 |
$790.50
|
|
Contrast x-ray of wrist
|
$312.04 |
$312.04 |
$312.04 |
$667.50
|
|
Control nosebleed pack+caut 30905
|
$824.00 |
$824.00 |
$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
|
$1,110.40 |
$1,110.40 |
$1,110.40 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$700.80 |
$700.80 |
$700.80 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$649.42 |
$649.42 |
$649.42 |
$620.00
|
|
Control throat bleeding
|
$1,031.20 |
$1,031.20 |
$1,031.20 |
$972.84
|
|
Control throat bleeding
|
$1,273.60 |
$1,273.60 |
$1,273.60 |
$3,967.00
|
|
Conversion ext bil drg cath
|
$6,195.62 |
$6,195.62 |
$6,195.62 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$4,480.00 |
$4,480.00 |
$4,480.00 |
$2,777.60
|
|
Conv gtube to jtube
|
$484.00 |
$484.00 |
$484.00 |
$2,099.70
|
|
Coombs direct
|
$57.14 |
$57.14 |
$57.14 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$57.14 |
$57.14 |
$57.14 |
$107.25
|
|
Coombs indirect titer reference
|
$57.14 |
$57.14 |
$57.14 |
$156.71
|
|
Copper intrauterine device
|
$1,280.00 |
$1,280.00 |
$1,280.00 |
$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
|
$2,824.99 |
$2,824.99 |
$2,824.99 |
$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
|
