|
Colonoscopy with biopsy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,472.75
|
|
Colonoscopy w/ndl aspir/bx
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,395.28
|
|
Colonoscopy w/resection
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,254.25
|
|
Colonoscopy w/stent plcmt
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,445.35
|
|
Colonoscopy w/ultrasound
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,495.25
|
|
Colpocentesis 57020
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,350.00
|
|
Colpocleisis (le forte type) 57120
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,394.95
|
|
Colpopexy extraperitoneal
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,339.00
|
|
Colpopexy intraperitoneal
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,110.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,519.29
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$314.00
|
|
Colposcopy vulva 56820
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$534.30
|
|
Colpotomy drng of abscess 57010
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,309.79
|
|
Colpotomy w/exploration 57000
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,519.29
|
|
Compatibility test each unit antiglobulin technique
|
$54.24 |
$54.24 |
$54.24 |
$165.00
|
|
Compatibility test each unit electronic
|
$53.11 |
$53.11 |
$53.11 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$58.75 |
$58.75 |
$58.75 |
$159.95
|
|
Compatibility test incubate
|
$9.57 |
$9.57 |
$9.57 |
$143.64
|
|
Comp cystometrogram/void presssure 51728
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,099.00
|
|
Complement antigen each component c3
|
$13.20 |
$13.20 |
$13.20 |
$113.13
|
|
Complement fixation each
|
$11.01 |
$11.01 |
$11.01 |
$25.70
|
|
Complete removal of vulva
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,762.53
|
|
Complex cystometrogram 51726
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$710.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$913.68
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$353.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,212.00
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,193.40
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$459.86 |
$459.86 |
$459.86 |
$1,000.10
|
|
Composite graft/pri close/don area 15760
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,364.45
|
|
Concentration infection agents any type
|
$7.35 |
$7.35 |
$7.35 |
$50.70
|
|
Condylomata destruction 56420
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$503.67
|
|
Conization/cerv/loop electrode exc 57522
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,198.50
|
|
Conization of cervix
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,577.50
|
|
Connect omega .5mm
|
$252.34 |
$252.34 |
$252.34 |
$747.50
|
|
Connector tis 2x10mm
|
$1,489.68 |
$1,489.68 |
$1,489.68 |
$2,988.26
|
|
Constj trachesophgl fstl
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,786.00
|
|
Construction of vagina
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,339.00
|
|
Construct thumb replacement
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Construct vagina with graft
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,339.00
|
|
Consultation pathology during surgery
|
$39.41 |
$39.41 |
$39.41 |
$112.45
|
|
Consultation pathology during surgery frozen section each additional block
|
$35.85 |
$35.85 |
$35.85 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$61.00 |
$61.00 |
$61.00 |
$210.80
|
|
Contour cranial bone lesion
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,110.00
|
|
Contour of face bone lesion
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,672.09
|
|
Contrast exam abdominl aorta 75625-26
|
$1,256.46 |
$1,256.46 |
$1,256.46 |
$3,389.09
|
|
Contrast exam thoracic aorta
|
$1,072.70 |
$1,072.70 |
$1,072.70 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$2,044.61 |
$2,044.61 |
$2,044.61 |
$3,780.00
|
|
Contrast x-ray gallbladder
|
$105.11 |
$105.11 |
$105.11 |
$276.65
|
|
Controler lvad heartmate 3 includes ebb
|
$3,651.96 |
$3,651.96 |
$3,651.96 |
$11,723.40
|
|
Control nosebleed pack+caut 30905
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$460.17
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,589.62
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$522.01
|
|
Control of nosebleed ant comp 30903
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$602.63
|
|
Control throat bleeding
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,837.72
|
|
Conversion ext bil drg cath
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,927.00
|
|
Conv gtube to jtube
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,133.54
|
|
Coombs direct
|
$5.93 |
$5.93 |
$5.93 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$6.29 |
$6.29 |
$6.29 |
$100.29
|
|
Coombs indirect titer reference
|
$5.70 |
$5.70 |
$5.70 |
$143.40
|
|
Cor artery disease mrna
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,050.00
|
|
Core ndl bx lng/med perq
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,963.00
|
|
Cor hlx vlgs double osteot
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,110.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,499.12
|
|
Cor hlx vlgs prx phlx osteot
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Corneal smear
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$472.21
|
|
Corneal transplant
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Corneal transplant
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Corneal transplant
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,105.79
|
|
Corneal transplant
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Corneal trnspl endothelial
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,667.08
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$4,328.73 |
$4,328.73 |
$4,328.73 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$4,109.50 |
$4,109.50 |
$4,109.50 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$4,780.53 |
$4,780.53 |
$4,780.53 |
$11,240.08
|
|
Coronary art/grft angio s&i
|
$4,018.28 |
$4,018.28 |
$4,018.28 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,661.46 |
$3,661.46 |
$3,661.46 |
$7,697.25
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Correct cock-up 5th toe/plast clos 28286
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,591.33
|
|
Correct finger deformity
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Correct inverted nipple(s)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,243.90
|
|
Correction claw finger other
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,594.44
|
|
Correction eyelid w/implant
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,269.14
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Correction of astigmatism
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,642.43
|
|
Correction of astigmatism
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,760.73
|
|
Correction of everted punctum 68705
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$612.26
|
|
Correction trichiasis epilation forcep 67820
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$152.54
|
|
Correction trichiasis inccision lid margin 67830
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,318.40
|
