|
Cltx post ankle fx w/mnpj
|
$3,638.80 |
$3,638.80 |
$3,638.80 |
$1,939.00
|
|
Cltx tmprmand dislc comp
|
$3,762.02 |
$3,762.02 |
$3,762.02 |
$3,740.85
|
|
Cmptr ophth dx img ant segmt
|
$192.19 |
$192.19 |
$192.19 |
$83.20
|
|
Cmptr ophth img optic nerve
|
$192.19 |
$192.19 |
$192.19 |
$98.00
|
|
#cms hgb-sulfhemoglobin
|
$73.16 |
$73.16 |
$73.16 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$70.78 |
$70.78 |
$70.78 |
$89.76
|
|
Cmv pcr-sendout
|
$127.02 |
$127.02 |
$127.02 |
$175.70
|
|
Cnbp gene detc abnor allele
|
$303.73 |
$303.73 |
$303.73 |
$313.60
|
|
Coagulation time activated teg
|
$15.42 |
$15.42 |
$15.42 |
$52.47
|
|
Cold agglutinin screen (arc)
|
$24.24 |
$24.24 |
$24.24 |
$48.10
|
|
Cold agglutinin titer
|
$29.17 |
$29.17 |
$29.17 |
$52.00
|
|
Collagenase, clost hist inj
|
$173.35 |
$173.35 |
$173.35 |
$12,906.28
|
|
Collagen imp urinary 2.5 ml
|
$834.57 |
$834.57 |
$834.57 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$201.75 |
$201.75 |
$201.75 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$47.60 |
$47.60 |
$47.60 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$114.85 |
$114.85 |
$114.85 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$262.55 |
$262.55 |
$262.55 |
$224.11
|
|
Collar cerv patriot adlt
|
$221.85 |
$221.85 |
$221.85 |
$134.66
|
|
Collar extrication adult univ
|
$938.39 |
$938.39 |
$938.39 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$335.52 |
$335.52 |
$335.52 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$335.52 |
$335.52 |
$335.52 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$2,393.41 |
$2,393.41 |
$2,393.41 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$3,186.98 |
$3,186.98 |
$3,186.98 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$3,186.98 |
$3,186.98 |
$3,186.98 |
$1,681.30
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$7,627.40 |
$7,627.40 |
$7,627.40 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$2,023.38 |
$2,023.38 |
$2,023.38 |
$1,030.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$558.63 |
$558.63 |
$558.63 |
$314.00
|
|
Colposcopy vulva 56820
|
$558.63 |
$558.63 |
$558.63 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$757.63 |
$757.63 |
$757.63 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$958.48 |
$958.48 |
$958.48 |
$485.50
|
|
Compatibility test each unit antiglobulin technique
|
$318.32 |
$318.32 |
$318.32 |
$173.50
|
|
Compatibility test each unit electronic
|
$318.32 |
$318.32 |
$318.32 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$318.32 |
$318.32 |
$318.32 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$1,966.48 |
$1,966.48 |
$1,966.48 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,966.48 |
$1,966.48 |
$1,966.48 |
$1,111.03
|
|
Complement antigen each component c3
|
$43.41 |
$43.41 |
$43.41 |
$110.00
|
|
Complex cystometrogram 51726
|
$1,966.48 |
$1,966.48 |
$1,966.48 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,651.23 |
$1,651.23 |
$1,651.23 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,651.23 |
$1,651.23 |
$1,651.23 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$482.35 |
$482.35 |
$482.35 |
$344.68
|
|
Compl oph exam general anes
|
$5,865.26 |
$5,865.26 |
$5,865.26 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,651.23 |
$1,651.23 |
$1,651.23 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,651.23 |
$1,651.23 |
$1,651.23 |
$1,212.00
|
|
Complx repair fccmnaxghf 13131
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,651.23 |
$1,651.23 |
$1,651.23 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$675.53 |
$675.53 |
$675.53 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$285.80 |
$285.80 |
$285.80 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,651.23 |
$1,651.23 |
$1,651.23 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$991.40 |
$991.40 |
$991.40 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,693.03 |
$1,693.03 |
$1,693.03 |
$1,350.27
|
|
Comprehensive hearing test
|
$356.57 |
$356.57 |
$356.57 |
$261.46
|
|
Compre oph exam est pt 1/>
|
$391.06 |
$391.06 |
$391.06 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$391.06 |
$391.06 |
$391.06 |
$188.51
|
|
Computed tomographic angiography head and neck with contrast
|
$554.00 |
$554.00 |
$554.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$24.15 |
$24.15 |
$24.15 |
$51.32
|
|
Condylomata destruction 56420
|
$558.63 |
$558.63 |
$558.63 |
$467.35
|
|
Conization/cerv/loop electrode exc 57522
|
$7,627.40 |
$7,627.40 |
$7,627.40 |
$4,840.07
|
|
Connect omega .5mm
|
$640.58 |
$640.58 |
$640.58 |
$1,260.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$177.40 |
$177.40 |
$177.40 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$152.93 |
$152.93 |
$152.93 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$318.32 |
$318.32 |
$318.32 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$130.14 |
$130.14 |
$130.14 |
$224.83
|
|
Contour of face bone lesion
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$3,837.72
|
|
Contrast baths charges
|
$46.14 |
$46.14 |
$46.14 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$5,491.15 |
$5,491.15 |
$5,491.15 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$5,491.15 |
$5,491.15 |
$5,491.15 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$9,536.59 |
$9,536.59 |
$9,536.59 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$336.54 |
$336.54 |
$336.54 |
$341.00
|
|
Contrast x-ray of ankle
|
$732.28 |
$732.28 |
$732.28 |
$684.00
|
|
Contrast x-ray of brain
|
$2,086.62 |
$2,086.62 |
$2,086.62 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$732.28 |
$732.28 |
$732.28 |
$708.00
|
|
Contrast x-ray of hip
|
$732.28 |
$732.28 |
$732.28 |
$796.38
|
|
Contrast x-ray of knee joint
|
$732.28 |
$732.28 |
$732.28 |
$790.50
|
|
Contrast x-ray of wrist
|
$732.28 |
$732.28 |
$732.28 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$10,725.00 |
$10,725.00 |
$10,725.00 |
$12,355.20
|
|
Control nosebleed pack+caut 30905
|
$335.52 |
$335.52 |
$335.52 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$335.52 |
$335.52 |
$335.52 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$335.52 |
$335.52 |
$335.52 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,550.78 |
$1,550.78 |
$1,550.78 |
$620.00
|
|
Conversion ext bil drg cath
|
$8,417.52 |
$8,417.52 |
$8,417.52 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$5,191.40 |
$5,191.40 |
$5,191.40 |
$2,777.60
|
|
Coombs direct
|
$92.99 |
$92.99 |
$92.99 |
$76.80
|
|
Coombs indirect titer reference
|
$318.32 |
$318.32 |
$318.32 |
$156.71
|
|
Copper intrauterine device
|
$2,406.14 |
$2,406.14 |
$2,406.14 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$3,740.87 |
$3,740.87 |
$3,740.87 |
$2,904.48
|
|
Corneal smear
|
$574.95 |
$574.95 |
$574.95 |
$472.21
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$8,273.02 |
$8,273.02 |
$8,273.02 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$8,273.02 |
$8,273.02 |
$8,273.02 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$8,273.02 |
$8,273.02 |
$8,273.02 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$8,273.02 |
$8,273.02 |
$8,273.02 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$8,273.02 |
$8,273.02 |
$8,273.02 |
$7,988.40
|
|
Correction trichiasis epilation forcep 67820
|
$335.52 |
$335.52 |
$335.52 |
$176.00
|
|
Corrj halux rigdus without implt
|
$8,441.76 |
$8,441.76 |
$8,441.76 |
$3,986.00
|
|
Cortisol total am
|
$58.99 |
$58.99 |
$58.99 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$35.44 |
$35.44 |
$35.44 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$109.25 |
$109.25 |
$109.25 |
$54.60
|
|
Counseling visit to discuss need for ldct g0296
|
$258.65 |
$258.65 |
$258.65 |
$102.38
|
|
Coveredge 32 lead kit 40cm 48
|
$1,608.33 |
$1,608.33 |
$1,608.33 |
$4,180.79
|
|
Cover eye w/membrane
|
$1,878.02 |
$1,878.02 |
$1,878.02 |
$2,827.97
|
|
Cover wrist
|
$734.81 |
$734.81 |
$734.81 |
$225.00
|
