|
Cltx post ankle fx w/mnpj
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$2,021.04
|
|
Cltx strnclav dislc w/mnpj
|
$265.51 |
$265.51 |
$265.51 |
$619.30
|
|
Cltx thigh fx
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$3,986.00
|
|
Cltx tmprmand dislc comp
|
$1,639.57 |
$1,639.57 |
$1,639.57 |
$3,740.85
|
|
Cmbn ant pst colprhy
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$587.30 |
$587.30 |
$587.30 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,126.11 |
$1,126.11 |
$1,126.11 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$1,126.11 |
$1,126.11 |
$1,126.11 |
$1,333.36
|
|
Cmptr ophth dx img ant segmt
|
$65.75 |
$65.75 |
$65.75 |
$83.20
|
|
Cmptr ophth img optic nerve
|
$65.75 |
$65.75 |
$65.75 |
$98.00
|
|
#cms hgb-carboxyhemoglobin
|
$14.07 |
$14.07 |
$14.07 |
$61.60
|
|
#cms hgb-sulfhemoglobin
|
$8.80 |
$8.80 |
$8.80 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$19.56 |
$19.56 |
$19.56 |
$89.76
|
|
Cmv pcr-sendout
|
$35.09 |
$35.09 |
$35.09 |
$175.70
|
|
Cnbp gene detc abnor allele
|
$137.00 |
$137.00 |
$137.00 |
$313.60
|
|
Co2 monitor per day
|
$344.68 |
$344.68 |
$344.68 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$2.65 |
$2.65 |
$2.65 |
$11,888.50
|
|
Coagulation time activated teg
|
$4.28 |
$4.28 |
$4.28 |
$52.47
|
|
Coagulation time lee & white
|
$4.69 |
$4.69 |
$4.69 |
$11.20
|
|
Coagulation time otr method
|
$4.49 |
$4.49 |
$4.49 |
$20.00
|
|
Cochlear implt f/up exam <7
|
$173.18 |
$173.18 |
$173.18 |
$423.87
|
|
Cochlear implt f/up exam 7/>
|
$173.18 |
$173.18 |
$173.18 |
$386.64
|
|
Cold agglutinin screen (arc)
|
$8.07 |
$8.07 |
$8.07 |
$48.10
|
|
Cold agglutinin titer
|
$8.06 |
$8.06 |
$8.06 |
$52.00
|
|
Collagenase, clost hist inj
|
$73.16 |
$73.16 |
$73.16 |
$12,906.28
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$97.46 |
$97.46 |
$97.46 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$142.67 |
$142.67 |
$142.67 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$142.67 |
$142.67 |
$142.67 |
$155.40
|
|
Colon motility 6 hr study
|
$344.68 |
$344.68 |
$344.68 |
$477.92
|
|
Colonoscopy (diagnostic)
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,288.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,147.00
|
|
Colonoscopy for foreign body
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,288.00
|
|
Colonoscopy w/endoscopic fnb
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,004.81
|
|
Colonoscopy/w endoscopic stent 45389
|
$6,588.93 |
$6,588.93 |
$6,588.93 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,645.43
|
|
Colonoscopy w/injection
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,449.20
|
|
Colonoscopy with ablation
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,704.00
|
|
Colonoscopy w/resection
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$3,035.44
|
|
Colonoscopy w/stent plcmt
|
$6,588.93 |
$6,588.93 |
$6,588.93 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,636.40
|
|
Colpocentesis 57020
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$5,813.46
|
|
Colpopexy extraperitoneal
|
$8,185.02 |
$8,185.02 |
$8,185.02 |
$6,570.00
|
|
Colpopexy intraperitoneal
|
$8,185.02 |
$8,185.02 |
$8,185.02 |
$7,212.40
|
|
Colpopexy, min/inv, ex-perit
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$5,841.60
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$963.79 |
$963.79 |
$963.79 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$222.67 |
$222.67 |
$222.67 |
$314.00
|
|
Colposcopy vulva 56820
|
$222.67 |
$222.67 |
$222.67 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$336.70 |
$336.70 |
$336.70 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$336.70 |
$336.70 |
$336.70 |
$485.50
|
|
Colpotomy drng of abscess 57010
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$4,075.20
|
|
Comm hlth intg svs sdoh 60mn
|
$102.38 |
$102.38 |
$102.38 |
$109.46
|
|
Compatibility test each unit antiglobulin technique
|
$189.67 |
$189.67 |
$189.67 |
$173.50
|
|
Compatibility test each unit electronic
|
$189.67 |
$189.67 |
$189.67 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$189.67 |
$189.67 |
$189.67 |
$169.52
|
|
Compatibility test incubate
|
$189.67 |
$189.67 |
$189.67 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$738.80 |
$738.80 |
$738.80 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$738.80 |
$738.80 |
$738.80 |
$1,111.03
|
|
Complement antigen each component c3
|
$12.00 |
$12.00 |
$12.00 |
$110.00
|
|
Complement fixation each
|
$10.01 |
$10.01 |
$10.01 |
$29.12
|
|
Complete removal of vulva
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$3,786.00
|
|
Complex cystometrogram 51726
|
$269.20 |
$269.20 |
$269.20 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$677.54 |
$677.54 |
$677.54 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$677.54 |
$677.54 |
$677.54 |
$1,191.78
|
|
Complex simulation w/pet-ct
|
$2,158.93 |
$2,158.93 |
$2,158.93 |
$2,625.15
|
|
Complex uroflowmetry (electronic) 51741
|
$344.68 |
$344.68 |
$344.68 |
$344.68
|
|
Compl oph exam general anes
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$677.54 |
$677.54 |
$677.54 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$677.54 |
$677.54 |
$677.54 |
$1,212.00
|
|
Complx repair fccmnaxghf 13131
|
$442.22 |
$442.22 |
$442.22 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$677.54 |
$677.54 |
$677.54 |
$1,107.60
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$677.54 |
$677.54 |
$677.54 |
$1,012.00
|
|
Composite graft/pri close/don area 15760
|
$2,024.70 |
$2,024.70 |
$2,024.70 |
$2,816.50
|
|
Comprehensive hearing test
|
$173.18 |
$173.18 |
$173.18 |
$261.46
|
|
Compre oph exam est pt 1/>
|
$142.64 |
$142.64 |
$142.64 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$142.64 |
$142.64 |
$142.64 |
$188.51
|
|
Concentration infection agents any type
|
$6.68 |
$6.68 |
$6.68 |
$51.32
|
|
Conditioning play audiometry 92582
|
$173.18 |
$173.18 |
$173.18 |
$189.15
|
