|
Clsd tx wrist scaphoid fx without manip 25622
|
$265.51 |
$265.51 |
$265.51 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$265.51 |
$265.51 |
$265.51 |
$744.22
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$265.51 |
$265.51 |
$265.51 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$265.51 |
$265.51 |
$265.51 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$265.51 |
$265.51 |
$265.51 |
$896.35
|
|
Cltx carpl scphd fx w/mnpj
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$2,316.80
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$2,211.05
|
|
Cltx hum epcndylr fx wo mnpj
|
$265.51 |
$265.51 |
$265.51 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$1,858.00
|
|
Cltx humrl cndylr fx wo mnpj
|
$265.51 |
$265.51 |
$265.51 |
$579.20
|
|
Cltx lunate dislc w/mnpj
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$2,691.75
|
|
Cltx mndblr fx ntrdntl fixj
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$5,835.75
|
|
Cltx mndblr fx w/mnpj
|
$1,639.57 |
$1,639.57 |
$1,639.57 |
$1,864.80
|
|
Cltx mndblr/max alv ridge fx
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,676.40
|
|
Cltx palatal/max fx wire fix
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,794.25
|
|
Cltx post ankle fx
|
$265.51 |
$265.51 |
$265.51 |
$521.30
|
|
Cltx post ankle fx w/mnpj
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$2,211.05
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$2,211.05
|
|
Cltx strnclav dislc w/mnpj
|
$265.51 |
$265.51 |
$265.51 |
$759.61
|
|
Cltx thigh fx
|
$3,591.33 |
$3,591.33 |
$3,591.33 |
$2,345.99
|
|
Cltx tmprmand dislc comp
|
$1,639.57 |
$1,639.57 |
$1,639.57 |
$3,445.34
|
|
Cmbn ant pst colprhy
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$5,194.98
|
|
C motor evoked lwr limbs
|
$587.30 |
$587.30 |
$587.30 |
$619.82
|
|
C motor evoked uppr limbs
|
$1,126.11 |
$1,126.11 |
$1,126.11 |
$749.40
|
|
C motor evoked upr&lwr limbs
|
$1,126.11 |
$1,126.11 |
$1,126.11 |
$1,209.08
|
|
Cmptr ophth dx img ant segmt
|
$65.75 |
$65.75 |
$65.75 |
$81.12
|
|
Cmptr ophth img optic nerve
|
$65.75 |
$65.75 |
$65.75 |
$119.00
|
|
#cms hgb-carboxyhemoglobin
|
$14.07 |
$14.07 |
$14.07 |
$64.28
|
|
#cms hgb-sulfhemoglobin
|
$8.80 |
$8.80 |
$8.80 |
$75.58
|
|
#cmvcul-virus inoculation shell
|
$19.56 |
$19.56 |
$19.56 |
$109.80
|
|
Cmv pcr-sendout
|
$35.09 |
$35.09 |
$35.09 |
$177.50
|
|
Co2 monitor per day
|
$344.68 |
$344.68 |
$344.68 |
$400.00
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$2.65 |
$2.65 |
$2.65 |
$3.78
|
|
Coagulation time activated teg
|
$4.28 |
$4.28 |
$4.28 |
$37.05
|
|
Coagulation time otr method
|
$4.49 |
$4.49 |
$4.49 |
$11.20
|
|
Cochlear implt f/up exam <7
|
$173.18 |
$173.18 |
$173.18 |
$369.60
|
|
Cochlear implt f/up exam 7/>
|
$173.18 |
$173.18 |
$173.18 |
$345.60
|
|
Cold agglutinin screen (arc)
|
$8.07 |
$8.07 |
$8.07 |
$48.57
|
|
Cold agglutinin titer
|
$8.06 |
$8.06 |
$8.06 |
$48.57
|
|
Collagenase, clost hist inj
|
$73.16 |
$73.16 |
$73.16 |
$26,281.91
|
|
Collection blood specimen from completely implantable venous access device
|
$142.67 |
$142.67 |
$142.67 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$142.67 |
$142.67 |
$142.67 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$9.09 |
$9.09 |
$9.09 |
$20.30
|
|
Colon motility 6 hr study
|
$344.68 |
$344.68 |
$344.68 |
$362.98
|
|
Colonoscopy (diagnostic)
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,500.00
|
|
Colonoscopy flex with decompression 45393
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,364.66
|
|
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 |
$1,846.40
|
|
Colonoscopy for bleeding 44391
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,645.43
|
|
Colonoscopy for foreign body
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,056.92
|
|
Colonoscopy & polypectomy 44392
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,305.08
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,350.83
|
|
Colonoscopy stoma w/snare 44394
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,368.00
|
|
Colonoscopy submucous njx
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,261.31
|
|
Colonoscopy w/ablation
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,497.60
|
|
Colonoscopy w/band ligation
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,019.60
|
|
Colonoscopy w/decompression
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,073.68
|
|
Colonoscopy w/dilation
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,439.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,364.66
|
|
Colonoscopy w/endoscopic fnb
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,430.00
|
|
Colonoscopy/w endoscopic stent 45389
|
$6,588.93 |
$6,588.93 |
$6,588.93 |
$4,379.25
|
|
Colonoscopy w/fb removal
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,306.21
|
|
Colonoscopy w/injection
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,422.40
|
|
Colonoscopy with ablation
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,740.00
|
|
Colonoscopy (with biopsy)
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,074.50
|
|
Colonoscopy with biopsy
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,368.00
|
|
Colonoscopy (with polyp removal)
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,074.50
|
|
Colonoscopy w/ndl aspir/bx
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,364.66
|
|
Colonoscopy w/resection
|
$3,035.44 |
$3,035.44 |
$3,035.44 |
$3,214.09
|
|
Colonoscopy w/stent plcmt
|
$6,588.93 |
$6,588.93 |
$6,588.93 |
$4,379.25
|
|
Colonoscopy w/ultrasound
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,388.56
|
|
Colpocentesis 57020
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$3,562.33
|
|
Colpocleisis (le forte type) 57120
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$4,279.19
|
|
Colpopexy extraperitoneal
|
$8,185.02 |
$8,185.02 |
$8,185.02 |
$4,423.50
|
|
Colpopexy intraperitoneal
|
$8,185.02 |
$8,185.02 |
$8,185.02 |
$4,755.92
|
|
Colpopexy, min/inv, ex-perit
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$5,463.96
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$3,615.39
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$963.79 |
$963.79 |
$963.79 |
$929.66
|
|
Colposcopy/cervix/ conization 57461
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$3,474.84
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$222.67 |
$222.67 |
$222.67 |
$329.94
|
|
Colposcopy vulva 56820
|
$222.67 |
$222.67 |
$222.67 |
$295.20
|
|
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 |
$515.50
|
|
Colpotomy drng of abscess 57010
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$3,309.79
|
|
Colpotomy w/exploration 57000
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$2,788.64
|
|
Compatibility test each unit antiglobulin technique
|
$189.67 |
$189.67 |
$189.67 |
$156.60
|
|
Compatibility test each unit electronic
|
$189.67 |
$189.67 |
$189.67 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$189.67 |
$189.67 |
$189.67 |
$156.24
|
|
Compatibility test incubate
|
$189.67 |
$189.67 |
$189.67 |
$140.00
|
|
Comp cystometrogram/void presssure 51728
|
$738.80 |
$738.80 |
$738.80 |
$933.75
|
|
Comp cystometrogram/void/uret pres 51729
|
$738.80 |
$738.80 |
$738.80 |
$978.47
|
|
Complement antigen each component c3
|
$12.00 |
$12.00 |
$12.00 |
$110.00
|
|
Complement fixation each
|
$10.01 |
$10.01 |
$10.01 |
$62.50
|
|
Complete removal of vulva
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$3,519.29
|
|
Complex cystometrogram 51726
|
$269.20 |
$269.20 |
$269.20 |
$710.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$677.54 |
$677.54 |
$677.54 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$677.54 |
$677.54 |
$677.54 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$344.68 |
$344.68 |
$344.68 |
$353.50
|
