|
Collagen dsg wound filler
|
$12.16 |
$12.16 |
$12.16 |
$12.16
|
|
Collagen gel/paste wound fil
|
$4.49 |
$4.49 |
$4.49 |
$9.65
|
|
Collagen imp urinary 2.5 ml
|
$739.80 |
$739.80 |
$739.80 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$119.66 |
$119.66 |
$119.66 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$44.86 |
$44.86 |
$44.86 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$101.51 |
$101.51 |
$101.51 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$240.19 |
$240.19 |
$240.19 |
$224.11
|
|
Collar cerv patriot adlt
|
$181.53 |
$181.53 |
$181.53 |
$134.66
|
|
Collar extrication adult univ
|
$1,046.72 |
$1,046.72 |
$1,046.72 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$182.95 |
$182.95 |
$182.95 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$182.95 |
$182.95 |
$182.95 |
$155.40
|
|
Coll-e-derm 1 sq cm
|
$171.12 |
$171.12 |
$171.12 |
$1.00
|
|
Collj & interpj data ea 30 d
|
$67.26 |
$67.26 |
$67.26 |
$172.35
|
|
Colon motility 6 hr study
|
$296.91 |
$296.91 |
$296.91 |
$477.92
|
|
Colonoscopy (diagnostic)
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,288.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,147.00
|
|
Colonoscopy for foreign body
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,288.00
|
|
Colonoscopy w/endoscopic fnb
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,004.81
|
|
Colonoscopy/w endoscopic stent 45389
|
$8,347.72 |
$8,347.72 |
$8,347.72 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$1,645.43
|
|
Colonoscopy w/injection
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,449.20
|
|
Colonoscopy with ablation
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,704.00
|
|
Colonoscopy w/resection
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
$3,035.44
|
|
Colonoscopy w/stent plcmt
|
$8,347.72 |
$8,347.72 |
$8,347.72 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,636.40
|
|
Colostomy skin level cecostomy 44320
|
$1,674.95 |
$1,674.95 |
$1,674.95 |
$2,269.80
|
|
Colostomy with biopsies
|
$1,446.21 |
$1,446.21 |
$1,446.21 |
$2,461.60
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$1,381.12 |
$1,381.12 |
$1,381.12 |
$1,746.00
|
|
Colpocentesis 57020
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,813.46
|
|
Colpopexy abdominal approach 57280
|
$1,256.60 |
$1,256.60 |
$1,256.60 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$10,196.50 |
$10,196.50 |
$10,196.50 |
$6,570.00
|
|
Colpopexy intraperitoneal
|
$10,196.50 |
$10,196.50 |
$10,196.50 |
$7,212.40
|
|
Colpopexy, min/inv, ex-perit
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,841.60
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$1,266.48 |
$1,266.48 |
$1,266.48 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$277.99 |
$277.99 |
$277.99 |
$314.00
|
|
Colposcopy vulva 56820
|
$277.99 |
$277.99 |
$277.99 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$419.01 |
$419.01 |
$419.01 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$419.01 |
$419.01 |
$419.01 |
$485.50
|
|
Colpotomy drng of abscess 57010
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$4,075.20
|
|
Combination bilateral ho
|
$3,279.58 |
$3,279.58 |
$3,279.58 |
$4,015.50
|
|
Combo ankle/foot prosthesis
|
$787.79 |
$787.79 |
$787.79 |
$512.40
|
|
Comm hlth intg svs sdoh 60mn
|
$139.68 |
$139.68 |
$139.68 |
$109.46
|
|
Compatibility test each unit antiglobulin technique
|
$234.27 |
$234.27 |
$234.27 |
$173.50
|
|
Compatibility test each unit electronic
|
$234.27 |
$234.27 |
$234.27 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$234.27 |
$234.27 |
$234.27 |
$169.52
|
|
Compatibility test incubate
|
$234.27 |
$234.27 |
$234.27 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$958.81 |
$958.81 |
$958.81 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$958.81 |
$958.81 |
$958.81 |
$1,111.03
|
|
Complement antigen each component c3
|
$16.56 |
$16.56 |
$16.56 |
$110.00
|
|
Complement fixation each
|
$13.81 |
$13.81 |
$13.81 |
$29.12
|
|
Complete removal of vulva
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,786.00
|
|
Completion pneumonectomy 32488
|
$3,400.84 |
$3,400.84 |
$3,400.84 |
$5,828.00
|
|
Complex cystometrogram 51726
|
$343.55 |
$343.55 |
$343.55 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$558.97 |
$558.97 |
$558.97 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
$1,191.78
|
|
Complex simulation w/pet-ct
|
$2,625.15 |
$2,625.15 |
$2,625.15 |
$2,625.15
|
|
Complex uroflowmetry (electronic) 51741
|
$296.91 |
$296.91 |
$296.91 |
$344.68
|
|
Compl oph exam general anes
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,161.60
|
|
Compl rpr tof w/pulm atresia
|
$2,910.86 |
$2,910.86 |
$2,910.86 |
$2,910.86
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$166.94 |
$166.94 |
$166.94 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$558.97 |
$558.97 |
$558.97 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$558.97 |
$558.97 |
$558.97 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$148.53 |
$148.53 |
$148.53 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$99.53 |
$99.53 |
$99.53 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$88.22 |
$88.22 |
$88.22 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,173.84 |
$1,173.84 |
$1,173.84 |
$1,350.27
|
|
Composite byp grft 2 veins
|
$490.36 |
$490.36 |
$490.36 |
$619.20
|
|
Composite byp grft 3/> segmt
|
$574.98 |
$574.98 |
$574.98 |
$574.98
|
|
Composite byp grft pros&vein
|
$111.45 |
$111.45 |
$111.45 |
$205.60
|
|
Composite drsg >16<=48 sq in
|
$12.23 |
$12.23 |
$12.23 |
$42.60
|
|
Composite drsg <= 16 sq in
|
$6.62 |
$6.62 |
$6.62 |
$6.62
|
|
Composite graft/pri close/don area 15760
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,816.50
|
|
Comprehensive hearing test
|
$176.93 |
$176.93 |
$176.93 |
$261.46
|
|
Compre oph exam est pt 1/>
|
$183.07 |
$183.07 |
$183.07 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$183.07 |
$183.07 |
$183.07 |
$188.51
|