|
Colonoscopy submucous njx
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,605.85
|
|
Colonoscopy thru stoma spx
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,653.18
|
|
Colonoscopy w/ablation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,448.00
|
|
Colonoscopy w/control bleed
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,352.75
|
|
Colonoscopy w/decompression
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,448.60
|
|
Colonoscopy w/dilation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,805.40
|
|
Colonoscopy w/endoscopic fnb
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,364.75
|
|
Colonoscopy w/fb removal
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,764.60
|
|
Colonoscopy w/injection
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,448.60
|
|
Colonoscopy with ablation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,495.25
|
|
Colonoscopy (with biopsy)
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,538.00
|
|
Colonoscopy with biopsy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,629.60
|
|
Colonoscopy (with polyp removal)
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,472.75
|
|
Colonoscopy w/ndl aspir/bx
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,439.25
|
|
Colonoscopy w/resection
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,254.25
|
|
Colonoscopy w/stent plcmt
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,379.25
|
|
Colonoscopy w/ultrasound
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,495.25
|
|
Colpocentesis 57020
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,344.50
|
|
Colpocleisis (le forte type) 57120
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,881.00
|
|
Colpopexy extraperitoneal
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,627.00
|
|
Colpopexy intraperitoneal
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,755.92
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,792.60
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$951.61
|
|
Colposcopy/cervix/ conization 57461
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,474.84
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$321.10
|
|
Colposcopy vulva 56820
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$573.30
|
|
Colpotomy drng of abscess 57010
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,309.79
|
|
Colpotomy w/exploration 57000
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,474.84
|
|
Compatibility test each unit antiglobulin technique
|
$62.07 |
$62.07 |
$62.07 |
$158.51
|
|
Compatibility test each unit electronic
|
$84.98 |
$84.98 |
$84.98 |
$163.80
|
|
Compatibility test each unit immediate spin technique
|
$64.78 |
$64.78 |
$64.78 |
$158.27
|
|
Compatibility test incubate
|
$44.99 |
$44.99 |
$44.99 |
$133.70
|
|
Comp cystometrogram/void presssure 51728
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$969.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$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 |
$39.22
|
|
Complete removal of vulva
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,615.39
|
|
Complex cystometrogram 51726
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$710.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$952.60
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,445.50
|
|
Complex uroflowmetry (electronic) 51741
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,247.95
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,279.20
|
|
Complx repair fccmnaxghf 13131
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,212.00
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,193.40
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$364.52 |
$364.52 |
$364.52 |
$1,000.10
|
|
Composite graft/pri close/don area 15760
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,478.19
|
|
Comprehensive hearing test
|
$142.68 |
$142.68 |
$142.68 |
$222.00
|
|
Concentration infection agents any type
|
$7.35 |
$7.35 |
$7.35 |
$51.32
|
|
Conditioning play audiometry 92582
|
$170.80 |
$170.80 |
$170.80 |
$180.64
|
|
Condylomata destruction 56420
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$509.81
|
|
Conization/cerv/loop electrode exc 57522
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,198.50
|
|
Conization of cervix
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,577.50
|
|
Connect omega .5mm
|
$200.02 |
$200.02 |
$200.02 |
$747.50
|
|
Connector tis 2x10mm
|
$1,180.83 |
$1,180.83 |
$1,180.83 |
$2,988.26
|
|
Constj trachesophgl fstl
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,589.62
|
|
Construction of vagina
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,350.00
|
|
Construct thumb replacement
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,499.12
|
|
Construct vagina with graft
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,350.00
|
|
Consultation pathology during surgery
|
$27.07 |
$27.07 |
$27.07 |
$119.71
|
|
Consultation pathology during surgery cytological exam initial site
|
$220.58 |
$220.58 |
$220.58 |
$381.15
|
|
Consultation pathology during surgery frozen section each additional block
|
$41.66 |
$41.66 |
$41.66 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$48.11 |
$48.11 |
$48.11 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$38.74 |
$38.74 |
$38.74 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$37.91 |
$37.91 |
$37.91 |
$176.15
|
|
Consult comp w/report rfrd material
|
$60.19 |
$60.19 |
$60.19 |
$359.87
|
|
Contour cranial bone lesion
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,078.92
|
|
Contour of face bone lesion
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,672.09
|
|
Contrast exam abdominl aorta 75625-26
|
$1,394.36 |
$1,394.36 |
$1,394.36 |
$3,389.09
|
|
Contrast exam thoracic aorta
|
$1,377.07 |
$1,377.07 |
$1,377.07 |
$3,570.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,297.54 |
$2,297.54 |
$2,297.54 |
$3,728.24
|
|
Controler lvad heartmate 3 includes ebb
|
$2,894.83 |
$2,894.83 |
$2,894.83 |
$11,723.40
|
|
Control nosebleed pack+caut 30905
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$460.17
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,309.02
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$790.80
|
|
Control of nosebleed ant comp 30903
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$632.80
|
|
Control throat bleeding
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,723.23
|
|
Conversion ext bil drg cath
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,143.00
|
|
Convert nephrostomy catheter
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,986.00
|
|
Conv gtube to jtube
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$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 |
$137.27
|
|
Cor artery disease mrna
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,155.00
|
|
Core ndl bx lng/med perq
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,033.57
|
|
Cor hlx vlgs double osteot
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,036.80
|
|
Cor hlx vlgs dstl mtar osteo
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,499.12
|
|
Cor hlx vlgs prx phlx osteot
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,627.00
|
|
Corneal smear
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$460.76
|
|
Corneal transplant
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,711.08
|
|
Corneal transplant
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,683.61
|
