|
Clsd tx wrist ulnar styloid fx 25650
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Cls tx of heel fracture w/manip 28405
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Cltx carpl scphd fx w/mnpj
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Cltx hum epcndylr fx wo mnpj
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Cltx lunate dislc w/mnpj
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Cltx mndblr fx ntrdntl fixj
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Cltx mndblr fx w/mnpj
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Cltx mndblr/max alv ridge fx
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Cltx palatal/max fx wire fix
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Cltx post ankle fx
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Cltx post ankle fx w/mnpj
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Cltx strnclav dislc w/mnpj
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Cltx thigh fx
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Cltx tmprmand dislc comp
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Cmbn ant pst colprhy
|
$3,786.00 |
$5,463.96 |
$6,839.00 |
|
|
C motor evoked lwr limbs
|
$579.88 |
$587.30 |
$624.87 |
|
|
C motor evoked uppr limbs
|
$1,111.89 |
$1,126.11 |
$1,198.14 |
|
|
C motor evoked upr&lwr limbs
|
$1,111.89 |
$1,126.11 |
$1,198.14 |
|
|
Cmptr ophth dx img ant segmt
|
$64.92 |
$65.75 |
$69.95 |
|
|
Cmptr ophth img optic nerve
|
$39.89 |
$65.75 |
$69.95 |
|
|
#cms hgb-carboxyhemoglobin
|
$14.07 |
$15.48 |
$15.48 |
|
|
#cms hgb-sulfhemoglobin
|
$8.80 |
$9.68 |
$9.68 |
|
|
#cmvcul-virus inoculation shell
|
$19.56 |
$21.52 |
$21.52 |
|
|
Cmv pcr-sendout
|
$35.09 |
$38.60 |
$38.60 |
|
|
Cnbp gene detc abnor allele
|
$137.00 |
$150.70 |
$150.70 |
|
|
Co2 monitor per day
|
$168.51 |
$344.68 |
$366.72 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$2.52 |
$2.65 |
$2.65 |
|
|
Coagulation time activated teg
|
$4.28 |
$4.71 |
$4.71 |
|
|
Coagulation time lee & white
|
$4.69 |
$5.16 |
$5.16 |
|
|
Coagulation time otr method
|
$4.49 |
$4.94 |
$4.94 |
|
|
Cochlear implt f/up exam <7
|
$107.31 |
$173.18 |
$203.70 |
|
|
Cochlear implt f/up exam 7/>
|
$170.99 |
$173.33 |
$237.61 |
|
|
Cold agglutinin screen (arc)
|
$8.07 |
$8.88 |
$59.50 |
|
|
Cold agglutinin titer
|
$8.06 |
$8.87 |
$8.87 |
|
|
Collagenase, clost hist inj
|
$71.16 |
$73.16 |
$73.16 |
|
|
Collagen imp urinary 2.5 ml
|
$354.73 |
$416.21 |
$586.55 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$96.23 |
$97.46 |
$209.00 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$8.71 |
$10.22 |
$14.40 |
|
|
Collar cerv ascend 172 reg
|
$16.91 |
$19.84 |
$27.96 |
|
|
Collar cerv patriot adlt
|
$14.44 |
$16.95 |
$23.88 |
|
|
Collection blood specimen from completely implantable venous access device
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Colon motility 6 hr study
|
$340.32 |
$344.68 |
$366.72 |
|
|
Colonoscopy (diagnostic)
|
$996.39 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy flex with decompression 45393
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy for bleeding 44391
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy for foreign body
|
$996.39 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy & polypectomy 44392
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy stoma w/snare 44394
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy submucous njx
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy thru stoma spx
|
$996.39 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy w/ablation
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy w/balloon dilat
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy w/band ligation
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy w/control bleed
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy w/decompression
|
$996.39 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy w/dilation
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy w/endoscope Ultrasound
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy w/endoscopic fnb
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy/w endoscopic stent 45389
|
$3,786.00 |
$6,311.00 |
$7,010.39 |
|
|
Colonoscopy w/fb removal
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy w/injection
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy with ablation
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy (with biopsy)
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy with biopsy
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy (with polyp removal)
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy w/ndl aspir/bx
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy w/resection
|
$2,997.10 |
$3,986.00 |
$6,839.00 |
|
|
Colonoscopy w/stent plcmt
|
$3,786.00 |
$6,311.00 |
$7,010.39 |
|
|
Colonoscopy w/ultrasound
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Colpocentesis 57020
|
$3,786.00 |
$5,463.96 |
$6,839.00 |
|
|
Colpocleisis (le forte type) 57120
|
$3,786.00 |
$5,463.96 |
$6,839.00 |
|
|
Colpopexy extraperitoneal
|
$3,786.00 |
$6,311.00 |
$8,708.57 |
|
|
Colpopexy intraperitoneal
|
$3,786.00 |
$6,311.00 |
$8,708.57 |
|
|
Colpopexy, min/inv, ex-perit
|
$5,394.95 |
$5,463.96 |
$5,813.46 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$951.61 |
$3,986.00 |
$6,839.00 |
|
|
Colposcopy/cervix/ conization 57461
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$219.85 |
$3,986.00 |
$6,839.00 |
|
|
Colposcopy vulva 56820
|
$219.85 |
$3,986.00 |
$6,839.00 |
|
|
Colposcopy vulva w/biopsy 56821
|
$332.44 |
$3,986.00 |
$6,839.00 |
|
|
Colposcopy w/biopsy of cervix 57455
|
$332.44 |
$3,986.00 |
$6,839.00 |
|
|
Colpotomy drng of abscess 57010
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Colpotomy w/exploration 57000
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Comm hlth intg svs sdoh 60mn
|
$101.09 |
$102.38 |
$108.93 |
|
|
Compatibility test each unit antiglobulin technique
|
$33.92 |
$63.56 |
$201.80 |
|
|
Compatibility test each unit electronic
|
$46.56 |
$86.45 |
$201.80 |
|
|
Compatibility test each unit immediate spin technique
|
$40.11 |
$68.48 |
$201.80 |
|
|
Compatibility test incubate
|
$9.57 |
$187.28 |
$201.80 |
|
|
Comp cystometrogram/void presssure 51728
|
$729.46 |
$3,986.00 |
$6,839.00 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$729.46 |
$3,986.00 |
$6,839.00 |
|
|
Complement antigen each component c3
|
$12.00 |
$13.20 |
$58.00 |
|
|
Complement fixation each
|
$10.01 |
$11.01 |
$11.01 |
|