|
#cms hgb-sulfhemoglobin
|
$9.68 |
$9.68 |
$9.68 |
$53.30
|
|
#cmvcul-virus inoculation shell
|
$21.52 |
$21.52 |
$21.52 |
$102.57
|
|
Cmv pcr-sendout
|
$38.60 |
$38.60 |
$38.60 |
$172.25
|
|
Co2 monitor per day
|
$172.55 |
$172.55 |
$172.55 |
$388.85
|
|
Coagulation time activated teg
|
$4.71 |
$4.71 |
$4.71 |
$51.48
|
|
Coagulation time otr method
|
$4.94 |
$4.94 |
$4.94 |
$6.20
|
|
Cochlear implt f/up exam <7
|
$203.70 |
$203.70 |
$203.70 |
$369.60
|
|
Cochlear implt f/up exam 7/>
|
$237.61 |
$237.61 |
$237.61 |
$345.60
|
|
Cold agglutinin screen (arc)
|
$8.88 |
$8.88 |
$8.88 |
$47.45
|
|
Cold agglutinin titer
|
$8.87 |
$8.87 |
$8.87 |
$49.40
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$14.40 |
$14.40 |
$14.40 |
$46.88
|
|
Collar cerv ascend 172 reg
|
$27.96 |
$27.96 |
$27.96 |
$174.01
|
|
Collar cerv patriot adlt
|
$23.88 |
$23.88 |
$23.88 |
$57.20
|
|
Collection blood specimen from completely implantable venous access device
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$164.05
|
|
Collection of venous blood by venipuncture
|
$9.71 |
$9.71 |
$9.71 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,620.84
|
|
Colonoscopy flex with decompression 45393
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,645.43
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,476.20
|
|
Colonoscopy for bleeding 44391
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,658.40
|
|
Colonoscopy for foreign body
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,278.72
|
|
Colonoscopy & polypectomy 44392
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,395.28
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,395.28
|
|
Colonoscopy stoma w/snare 44394
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,353.00
|
|
Colonoscopy thru stoma spx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,372.20
|
|
Colonoscopy w/ablation
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,805.40
|
|
Colonoscopy w/balloon dilat
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,631.37
|
|
Colonoscopy w/band ligation
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,946.25
|
|
Colonoscopy w/control bleed
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,262.00
|
|
Colonoscopy w/decompression
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,278.72
|
|
Colonoscopy w/dilation
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,448.60
|
|
Colonoscopy w/endoscope Ultrasound
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,457.60
|
|
Colonoscopy w/endoscopic fnb
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,430.00
|
|
Colonoscopy/w endoscopic stent 45389
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,379.25
|
|
Colonoscopy w/fb removal
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,645.43
|
|
Colonoscopy w/injection
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,353.00
|
|
Colonoscopy with ablation
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,495.25
|
|
Colonoscopy (with biopsy)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,538.00
|
|
Colonoscopy with biopsy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,472.75
|
|
Colonoscopy w/ndl aspir/bx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,395.28
|
|
Colonoscopy w/resection
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,254.25
|
|
Colonoscopy w/stent plcmt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,445.35
|
|
Colonoscopy w/ultrasound
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,495.25
|
|
Colpocentesis 57020
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,344.50
|
|
Colpocleisis (le forte type) 57120
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,394.95
|
|
Colpopexy extraperitoneal
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Colpopexy intraperitoneal
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,881.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$964.62
|
|
Colposcopy/cervix/ conization 57461
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,519.29
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$314.00
|
|
Colposcopy vulva 56820
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$544.70
|
|
Colpotomy drng of abscess 57010
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,309.79
|
|
Colpotomy w/exploration 57000
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,519.29
|
|
Compatibility test each unit antiglobulin technique
|
$63.56 |
$63.56 |
$63.56 |
$165.00
|
|
Compatibility test each unit electronic
|
$87.02 |
$87.02 |
$87.02 |
$163.80
|
|
Compatibility test each unit immediate spin technique
|
$64.20 |
$64.20 |
$64.20 |
$159.20
|
|
Compatibility test incubate
|
$46.07 |
$46.07 |
$46.07 |
$140.00
|
|
Comp cystometrogram/void presssure 51728
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$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 |
$27.98
|
|
Complete removal of vulva
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,762.53
|
|
Complex cystometrogram 51726
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$710.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$913.68
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$353.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$927.55
|
|
Complx repair fccmnaxghf 13132
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,212.00
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,193.40
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$522.58 |
$522.58 |
$522.58 |
$1,000.10
|
|
Composite graft/pri close/don area 15760
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,364.45
|
|
Comprehensive hearing test
|
$146.11 |
$146.11 |
$146.11 |
$220.23
|
|
Concentration infection agents any type
|
$7.35 |
$7.35 |
$7.35 |
$50.70
|
|
Conditioning play audiometry 92582
|
$174.90 |
$174.90 |
$174.90 |
$185.15
|
|
Condylomata destruction 56420
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$503.67
|
|
Conization/cerv/loop electrode exc 57522
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,198.50
|
|
Conization of cervix
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,577.50
|
|
Connect omega .5mm
|
$286.75 |
$286.75 |
$286.75 |
$747.50
|
|
Connector tis 2x10mm
|
$1,692.85 |
$1,692.85 |
$1,692.85 |
$2,988.26
|
|
Constj trachesophgl fstl
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,592.74
|
|
Construction of vagina
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,110.00
|
|
Construct thumb replacement
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Construct vagina with graft
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,110.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$225.88 |
$225.88 |
$225.88 |
$382.89
|
|
Consultation pathology during surgery frozen section each additional block
|
$42.66 |
$42.66 |
$42.66 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$49.27 |
$49.27 |
$49.27 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$39.67 |
$39.67 |
$39.67 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$38.82 |
$38.82 |
$38.82 |
$176.15
|
|
Consult comp w/report rfrd material
|
$61.64 |
$61.64 |
$61.64 |
$345.71
|
|
Contour cranial bone lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,110.00
|
|
Contour of face bone lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,672.09
|
|
Contrast exam abdominl aorta 75625-26
|
$1,427.83 |
$1,427.83 |
$1,427.83 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$2,352.69 |
$2,352.69 |
$2,352.69 |
$3,778.20
|
