|
Colonoscopy w/ndl aspir/bx
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,422.40
|
|
Colonoscopy w/resection
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,254.25
|
|
Colonoscopy w/stent plcmt
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,379.25
|
|
Colonoscopy w/ultrasound
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,495.25
|
|
Colpocentesis 57020
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,344.50
|
|
Colpocleisis (le forte type) 57120
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,881.00
|
|
Colpopexy extraperitoneal
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,627.00
|
|
Colpopexy intraperitoneal
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,755.92
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,792.60
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$963.79
|
|
Colposcopy/cervix/ conization 57461
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,474.84
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$314.00
|
|
Colposcopy vulva 56820
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$573.30
|
|
Colpotomy drng of abscess 57010
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,309.79
|
|
Colpotomy w/exploration 57000
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,474.84
|
|
Compatibility test each unit antiglobulin technique
|
$63.23 |
$63.23 |
$63.23 |
$158.95
|
|
Compatibility test each unit electronic
|
$61.92 |
$61.92 |
$61.92 |
$163.80
|
|
Compatibility test each unit immediate spin technique
|
$68.48 |
$68.48 |
$68.48 |
$158.27
|
|
Comp cystometrogram/void presssure 51728
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$13.20 |
$13.20 |
$13.20 |
$113.30
|
|
Complement fixation each
|
$11.01 |
$11.01 |
$11.01 |
$34.24
|
|
Complete removal of vulva
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,744.41
|
|
Complex cystometrogram 51726
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$710.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$952.60
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,427.20
|
|
Complex uroflowmetry (electronic) 51741
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,247.95
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,279.20
|
|
Complx repair fccmnaxghf 13131
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,212.00
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,193.40
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$382.90 |
$382.90 |
$382.90 |
$1,000.10
|
|
Composite graft/pri close/don area 15760
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,364.45
|
|
Comprehensive hearing test
|
$149.87 |
$149.87 |
$149.87 |
$222.00
|
|
Concentration infection agents any type
|
$7.35 |
$7.35 |
$7.35 |
$51.32
|
|
Conditioning play audiometry 92582
|
$179.41 |
$179.41 |
$179.41 |
$180.64
|
|
Condylomata destruction 56420
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$509.81
|
|
Conization/cerv/loop electrode exc 57522
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,198.50
|
|
Conization of cervix
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,577.50
|
|
Connect omega .5mm
|
$210.10 |
$210.10 |
$210.10 |
$747.50
|
|
Connector tis 2x10mm
|
$1,240.36 |
$1,240.36 |
$1,240.36 |
$2,988.26
|
|
Constj trachesophgl fstl
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,589.62
|
|
Construction of vagina
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,627.00
|
|
Construct thumb replacement
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,499.12
|
|
Construct vagina with graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,627.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$231.70 |
$231.70 |
$231.70 |
$381.15
|
|
Consultation pathology during surgery frozen section each additional block
|
$41.79 |
$41.79 |
$41.79 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$71.11 |
$71.11 |
$71.11 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$54.26 |
$54.26 |
$54.26 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$136.31 |
$136.31 |
$136.31 |
$176.15
|
|
Consult comp w/report rfrd material
|
$207.64 |
$207.64 |
$207.64 |
$359.87
|
|
Contour cranial bone lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,078.92
|
|
Contour of face bone lesion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,672.09
|
|
Contrast exam abdominl aorta 75625-26
|
$1,464.64 |
$1,464.64 |
$1,464.64 |
$3,389.09
|
|
Contrast exam thoracic aorta
|
$1,250.44 |
$1,250.44 |
$1,250.44 |
$3,570.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,383.38 |
$2,383.38 |
$2,383.38 |
$3,728.24
|
|
Controler lvad heartmate 3 includes ebb
|
$3,040.75 |
$3,040.75 |
$3,040.75 |
$11,723.40
|
|
Control nosebleed pack+caut 30905
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$460.17
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,544.29
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$790.80
|
|
Control of nosebleed ant comp 30903
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$632.80
|
|
Control throat bleeding
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,786.00
|
|
Conversion ext bil drg cath
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,156.03
|
|
Convert nephrostomy catheter
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,986.00
|
|
Conv gtube to jtube
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,099.70
|
|
Coombs direct
|
$5.93 |
$5.93 |
$5.93 |
$72.45
|
|
Coombs indirect qualitative each reagent red cell reference
|
$6.29 |
$6.29 |
$6.29 |
$94.80
|
|
Coombs indirect titer reference
|
$5.70 |
$5.70 |
$5.70 |
$140.01
|
|
Cor artery disease mrna
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,155.00
|
|
Core ndl bx lng/med perq
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,033.57
|
|
Cor hlx vlgs double osteot
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,036.80
|
|
Cor hlx vlgs dstl mtar osteo
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,499.12
|
|
Cor hlx vlgs prx phlx osteot
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,881.00
|
|
Corneal smear
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$469.93
|
|
Corneal transplant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,716.03
|
|
Corneal transplant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,683.61
|
|
Corneal transplant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,220.80
|
|
Corneal transplant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,683.61
|
|
Corneal trnspl endothelial
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,667.08
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$5,045.96 |
$5,045.96 |
$5,045.96 |
$10,742.55
|
|
Coronary angio/lv gram/lt heart
|
$4,790.40 |
$4,790.40 |
$4,790.40 |
$10,364.90
|
|
Coronary angio/lv gram/rt< heart
|
$5,572.61 |
$5,572.61 |
$5,572.61 |
$11,288.38
|
|
Coronary art/grft angio s&i
|
$4,684.07 |
$4,684.07 |
$4,684.07 |
$8,006.25
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,268.13 |
$4,268.13 |
$4,268.13 |
$7,764.90
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Correct cock-up 5th toe/plast clos 28286
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,183.94
|
|
Correct finger deformity
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,743.15
|
|
Correct inverted nipple(s)
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,242.15
|
|
Correction claw finger other
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,591.33
|
|
Correction eyelid w/implant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,987.22
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,821.05
|
|
Correction of astigmatism
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,642.43
|
|
Correction of astigmatism
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,790.40
|
|
Correction of everted punctum 68705
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$769.70
|
|
Correction trichiasis epilation forcep 67820
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$176.00
|
