|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,116.25 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy for bleeding 44391
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy for foreign body
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
|
|
Colonoscopy & polypectomy 44392
|
$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 |
|
|
Colonoscopy stoma w/snare 44394
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy submucous njx
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy thru stoma spx
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
|
|
Colonoscopy w/ablation
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy w/balloon dilat
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy w/band ligation
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy w/control bleed
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy w/decompression
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
|
|
Colonoscopy w/dilation
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy w/endoscope Ultrasound
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy w/endoscopic fnb
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy/w endoscopic stent 45389
|
$8,347.72 |
$8,347.72 |
$8,347.72 |
|
|
Colonoscopy w/fb removal
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy w/injection
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy with ablation
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy (with biopsy)
|
$1,137.06 |
$1,137.06 |
$1,645.43 |
|
|
Colonoscopy with biopsy
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy (with polyp removal)
|
$1,137.06 |
$1,137.06 |
$1,645.43 |
|
|
Colonoscopy w/ndl aspir/bx
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colonoscopy w/resection
|
$3,816.64 |
$3,816.64 |
$3,816.64 |
|
|
Colonoscopy w/stent plcmt
|
$8,347.72 |
$8,347.72 |
$8,347.72 |
|
|
Colonoscopy w/ultrasound
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
|
Colostomy skin level cecostomy 44320
|
$1,674.95 |
$1,674.95 |
$1,674.95 |
|
|
Colostomy with biopsies
|
$1,446.21 |
$1,446.21 |
$1,446.21 |
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$1,381.12 |
$1,381.12 |
$1,381.12 |
|
|
Colpocentesis 57020
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Colpocleisis (le forte type) 57120
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Colpopexy abdominal approach 57280
|
$1,256.60 |
$1,256.60 |
$1,256.60 |
|
|
Colpopexy extraperitoneal
|
$10,196.50 |
$10,196.50 |
$10,196.50 |
|
|
Colpopexy intraperitoneal
|
$10,196.50 |
$10,196.50 |
$10,196.50 |
|
|
Colpopexy, min/inv, ex-perit
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$677.00 |
$1,266.48 |
$2,689.00 |
|
|
Colposcopy/cervix/ conization 57461
|
$3,000.00 |
$3,000.00 |
$4,451.18 |
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$201.00 |
$277.99 |
$574.00 |
|
|
Colposcopy vulva 56820
|
$109.00 |
$236.00 |
$1,498.00 |
|
|
Colposcopy vulva w/biopsy 56821
|
$338.00 |
$419.01 |
$1,498.00 |
|
|
Colposcopy w/biopsy of cervix 57455
|
$355.00 |
$419.01 |
$936.00 |
|
|
Colpotomy drng of abscess 57010
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Colpotomy w/exploration 57000
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Combination bilateral ho
|
$1,252.02 |
$3,279.58 |
$3,279.58 |
|
|
Combo ankle/foot prosthesis
|
$787.79 |
$787.79 |
$787.79 |
|
|
Comm hlth intg svs sdoh 60mn
|
$139.68 |
$139.68 |
$139.68 |
|
|
Compatibility test each unit antiglobulin technique
|
$29.61 |
$191.00 |
$234.27 |
|
|
Compatibility test each unit electronic
|
$12.32 |
$212.00 |
$505.60 |
|
|
Compatibility test each unit immediate spin technique
|
$19.74 |
$191.00 |
$234.27 |
|
|
Compatibility test incubate
|
$11.76 |
$188.80 |
$234.27 |
|
|
Comp cystometrogram/void presssure 51728
|
$360.00 |
$958.81 |
$2,303.00 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$958.81 |
$1,685.00 |
$2,303.00 |
|
|
Complement antigen each component c3
|
$16.56 |
$92.00 |
$528.00 |
|
|
Complement fixation each
|
$13.81 |
$13.81 |
$201.60 |
|
|
Complete removal of vulva
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Completion pneumonectomy 32488
|
$3,400.84 |
$3,400.84 |
$3,400.84 |
|
|
Complex cystometrogram 51726
|
$279.00 |
$1,053.00 |
$1,753.00 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$558.97 |
$792.00 |
$2,056.00 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$967.00 |
$1,118.00 |
$2,827.20 |
|
|
Complex simulation w/pet-ct
|
$2,625.15 |
$2,625.15 |
$2,625.15 |
|
|
Complex uroflowmetry (electronic) 51741
|
$10.00 |
$403.00 |
$572.00 |
|
|
Compl oph exam general anes
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
|
|
Compl rpr tof w/pulm atresia
|
$2,910.86 |
$2,910.86 |
$2,910.86 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$859.00 |
$1,016.25 |
$2,056.00 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,016.25 |
$1,124.00 |
$2,056.00 |
|
|
Complx repair enel addl 5cm/< 13153
|
$166.94 |
$335.00 |
$1,332.00 |
|
|
Complx repair fccmnaxghf 13131
|
$558.97 |
$663.00 |
$1,657.60 |
|
|
Complx repair fccmnaxghf 13132
|
$558.97 |
$1,006.00 |
$2,056.00 |
|
|
Complx repair fccmnaxghf 13133
|
$148.53 |
$338.00 |
$1,093.60 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$99.53 |
$549.00 |
$937.00 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$960.00 |
$1,000.00 |
$2,631.20 |
|
|
Complx repair trunk addl 5cm/< 13102
|
$88.22 |
$477.00 |
$2,671.20 |
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$482.16 |
$1,173.84 |
$1,173.84 |
|
|
Composite byp grft 2 veins
|
$490.36 |
$490.36 |
$490.36 |
|
|
Composite byp grft 3/> segmt
|
$574.98 |
$574.98 |
$574.98 |
|
|
Composite byp grft pros&vein
|
$111.45 |
$111.45 |
$111.45 |
|
|
Composite drsg >16<=48 sq in
|
$12.23 |
$12.23 |
$12.23 |
|
|
Composite drsg <= 16 sq in
|
$6.62 |
$6.62 |
$6.62 |
|
|
Composite graft/pri close/don area 15760
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Comprehensive hearing test
|
$148.96 |
$435.00 |
$466.00 |
|
|
Compre oph exam est pt 1/>
|
$183.07 |
$183.07 |
$183.07 |
|
|
Compre oph exam new pt 1/>
|
$183.07 |
$183.07 |
$183.07 |
|
|
Compression stocking bk18-30
|
$53.92 |
$53.92 |
$53.92 |
|
|
Comp rpr tof wo pulm atresia
|
$2,761.68 |
$2,761.68 |
$2,761.68 |
|
|
Computed tomographic angiography head and neck with contrast
|
$511.75 |
$511.75 |
$2,550.40 |
|
|
Concentration infection agents any type
|
$5.46 |
$16.00 |
$97.60 |
|
|
Conditioning play audiometry 92582
|
$86.24 |
$466.00 |
$552.00 |
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$1,425.20 |
$1,425.20 |
$1,425.20 |
|
|
Condylomata destruction 56420
|
$277.99 |
$449.00 |
$723.00 |
|
|
Conform band n/s w>=3"<5"/yd
|
$0.55 |
$0.55 |
$3.78 |
|
|
Conform band s w>=3" <5"/yd
|
$0.76 |
$0.76 |
$2.35 |
|
|
Conform band s w >=5"/yd
|
$1.34 |
$1.34 |
$1.34 |
|
|
Congo red blood test
|
$6.83 |
$6.83 |
$6.83 |
|
|
Conivaptan hcl
|
$15.69 |
$15.69 |
$15.69 |
|
|
Conization/cerv/loop electrode exc 57522
|
$4,451.18 |
$10,332.00 |
$10,332.00 |
|
|
Conization of cervix
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$77.78 |
$540.63 |
$572.91 |
|
|
Connect omega .5mm
|
$577.36 |
$577.47 |
$597.24 |
|
