|
Complete removal of vulva
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Complex cystometrogram 51726
|
$265.80 |
$3,986.00 |
$6,839.00 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Complex simulation w/pet-ct
|
$2,131.66 |
$2,158.93 |
$2,297.03 |
|
|
Complex uroflowmetry (electronic) 51741
|
$340.32 |
$3,986.00 |
$6,839.00 |
|
|
Compl oph exam general anes
|
$2,549.65 |
$2,582.26 |
$2,747.43 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Complx repair fccmnaxghf 13131
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Complx repair fccmnaxghf 13132
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$316.05 |
$370.82 |
$522.58 |
|
|
Composite graft/pri close/don area 15760
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Comprehensive hearing test
|
$102.29 |
$170.99 |
$307.00 |
|
|
Compre oph exam est pt 1/>
|
$71.89 |
$142.64 |
$151.77 |
|
|
Compre oph exam new pt 1/>
|
$87.06 |
$142.64 |
$151.77 |
|
|
Concentration infection agents any type
|
$6.68 |
$7.35 |
$7.35 |
|
|
Conditioning play audiometry 92582
|
$72.60 |
$173.33 |
$290.50 |
|
|
Condylomata destruction 56420
|
$219.85 |
$3,986.00 |
$6,839.00 |
|
|
Congo red blood test
|
$4.95 |
$5.45 |
$5.45 |
|
|
Conization/cerv/loop electrode exc 57522
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Conization of cervix
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$382.79 |
$390.74 |
$390.74 |
|
|
Connect omega .5mm
|
$173.42 |
$203.48 |
$286.75 |
|
|
Connector tis 2x10mm
|
$1,023.80 |
$1,201.24 |
$1,692.85 |
|
|
Constj trachesophgl fstl
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Construction of vagina
|
$3,786.00 |
$5,463.96 |
$6,839.00 |
|
|
Construct thumb replacement
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Construct vagina with graft
|
$3,786.00 |
$5,463.96 |
$6,839.00 |
|
|
Consultation pathology during surgery
|
$24.58 |
$64.92 |
$69.95 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$139.70 |
$231.70 |
$962.03 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$15.73 |
$39.61 |
$45.40 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$42.95 |
$77.37 |
$201.80 |
|
|
Consultation/report referred material w/preparation of slides
|
$25.41 |
$54.26 |
$62.92 |
|
|
Consultation/report referred slides prepared elsewhere
|
$18.83 |
$43.44 |
$148.08 |
|
|
Consultation with family
|
$71.13 |
$78.75 |
$115.50 |
|
|
Consult comp w/report rfrd material
|
$53.92 |
$189.67 |
$225.57 |
|
|
Contact lens fitg aphakia 1
|
$436.10 |
$441.68 |
$469.93 |
|
|
Contact lens fitg aphakia ou
|
$140.87 |
$142.67 |
$151.80 |
|
|
Contour cranial bone lesion
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Contour of face bone lesion
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Contrast baths charges
|
$17.37 |
$17.37 |
$45.50 |
|
|
Contrast exam abdominl aorta 75625-26
|
$783.54 |
$1,464.64 |
$3,706.68 |
|
|
Contrast exam thoracic aorta
|
$1,072.70 |
$1,983.43 |
$3,706.68 |
|
|
Contrast exam thoracic aorta 75605-26
|
$1,350.75 |
$2,383.38 |
$6,366.08 |
|
|
Contrast x-ray gallbladder
|
$105.11 |
$197.04 |
$209.65 |
|
|
Contrast x-ray of ankle
|
$390.30 |
$395.29 |
$420.58 |
|
|
Contrast x-ray of brain
|
$390.30 |
$395.29 |
$420.58 |
|
|
Contrast x-ray of brain
|
$863.44 |
$874.49 |
$930.42 |
|
|
Contrast x-ray of elbow
|
$390.30 |
$395.29 |
$420.58 |
|
|
Contrast x-ray of hip
|
$390.30 |
$395.29 |
$420.58 |
|
|
Contrast x-ray of knee joint
|
$390.30 |
$395.29 |
$420.58 |
|
|
Contrast x-ray of wrist
|
$390.30 |
$395.29 |
$420.58 |
|
|
Controler lvad heartmate 3 includes ebb
|
$2,509.87 |
$2,944.86 |
$4,150.04 |
|
|
Control nosebleed pack+caut 30905
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$253.79 |
$3,986.00 |
$6,839.00 |
|
|
Control of nosebleed ant comp 30903
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Control of nosebleedantersmpl 30901
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$556.55 |
$3,986.00 |
$6,839.00 |
|
|
Control throat bleeding
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Conversion ext bil drg cath
|
$3,786.00 |
$4,156.03 |
$6,839.00 |
|
|
Convert nephrostomy catheter
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Conv gtube to jtube
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Coombs direct
|
$5.93 |
$5.93 |
$69.95 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$6.29 |
$6.29 |
$201.80 |
|
|
Coombs indirect titer reference
|
$5.70 |
$5.70 |
$201.80 |
|
|
Copper cu 64 dotatate diag
|
$595.10 |
$595.10 |
$595.10 |
|
|
Cor artery disease mrna
|
$1,050.00 |
$1,155.00 |
$1,155.00 |
|
|
Core ndl bx lng/med perq
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Cor hlx vlgs double osteot
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Cor hlx vlgs dstl mtar osteo
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Cor hlx vlgs prx phlx osteot
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Corneal hysteresis deter
|
$64.92 |
$65.75 |
$69.95 |
|
|
Corneal smear
|
$436.10 |
$3,986.00 |
$6,839.00 |
|
|
Corneal transplant
|
$3,786.00 |
$5,711.08 |
$6,839.00 |
|
|
Corneal transplant
|
$3,786.00 |
$4,627.00 |
$6,839.00 |
|
|
Corneal transplant
|
$3,786.00 |
$5,711.08 |
$6,839.00 |
|
|
Corneal transplant
|
$3,786.00 |
$4,627.00 |
$6,839.00 |
|
|
Corneal trnspl endothelial
|
$3,786.00 |
$4,627.00 |
$6,839.00 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$2,909.85 |
$3,787.84 |
$6,656.87 |
|
|
Coronary angio/lv gram/lt heart
|
$2,762.53 |
$3,619.13 |
$6,319.86 |
|
|
Coronary angio/lv gram/rt< heart
|
$3,213.64 |
$3,787.84 |
$7,351.81 |
|
|
Coronary art/grft angio s&i
|
$2,701.26 |
$3,563.20 |
$6,179.72 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,461.32 |
$3,563.20 |
$5,630.90 |
|
|
Coronary thrombolysis/iv infusion 92977
|
$163.31 |
$362.50 |
$390.62 |
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Correct cock-up 5th toe/plast clos 28286
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Correct finger deformity
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Correct inverted nipple(s)
|
$3,786.00 |
$4,509.59 |
$6,839.00 |
|
|
Correction claw finger other
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Correction eyelid w/implant
|
$2,549.65 |
$3,986.00 |
$6,839.00 |
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Correction of astigmatism
|
$1,058.50 |
$3,986.00 |
$6,839.00 |
|
|
Correction of astigmatism
|
$2,549.65 |
$3,986.00 |
$6,839.00 |
|
|
Correction of everted punctum 68705
|
$326.69 |
$3,986.00 |
$6,839.00 |
|
|
Correction trichiasis epilation forcep 67820
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Correction trichiasis inccision lid margin 67830
|
$1,058.50 |
$3,986.00 |
$6,839.00 |
|
|
Correct metacarpal flaw
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|