|
Cltx craniofacial separation
|
$424.60 |
$424.60 |
$424.60 |
$8,139.99
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$222.64 |
$222.64 |
$222.64 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$188.76 |
$188.76 |
$188.76 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$561.60 |
$561.60 |
$561.60 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$2,384.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$554.40 |
$554.40 |
$554.40 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$388.96 |
$388.96 |
$388.96 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$360.14 |
$360.14 |
$360.14 |
$3,936.60
|
|
Cltx palatal/max fx wire fix
|
$335.72 |
$335.72 |
$335.72 |
$4,350.00
|
|
Cltx post ankle fx
|
$186.34 |
$186.34 |
$186.34 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$284.02 |
$284.02 |
$284.02 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$242.00 |
$242.00 |
$242.00 |
$2,021.04
|
|
Cltx strnclav dislc w/mnpj
|
$561.60 |
$561.60 |
$561.60 |
$619.30
|
|
Cltx thigh fx
|
$276.54 |
$276.54 |
$276.54 |
$3,958.50
|
|
Cltx thigh fx w/mnpj
|
$342.10 |
$342.10 |
$342.10 |
$3,190.44
|
|
Cltx tmprmand dislc comp
|
$464.20 |
$464.20 |
$464.20 |
$3,732.96
|
|
Cmbn ant pst colprhy
|
$481.14 |
$481.14 |
$481.14 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$47.30 |
$47.30 |
$47.30 |
$627.89
|
|
C motor evoked uppr limbs
|
$47.74 |
$47.74 |
$47.74 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$71.72 |
$71.72 |
$71.72 |
$1,376.50
|
|
Cmp rpr tof wo plm atrs ptch
|
$1,184.70 |
$1,184.70 |
$1,184.70 |
$2,765.23
|
|
Cmptr ophth dx img ant segmt
|
$9.46 |
$9.46 |
$9.46 |
$81.12
|
|
Cmptr ophth img optic nerve
|
$10.12 |
$10.12 |
$10.12 |
$98.00
|
|
#cms hgb-carboxyhemoglobin
|
$9.24 |
$9.24 |
$9.24 |
$61.60
|
|
#cms hgb-sulfhemoglobin
|
$5.72 |
$5.72 |
$5.72 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$102.96 |
$102.96 |
$102.96 |
$90.00
|
|
Cmv pcr-sendout
|
$184.86 |
$184.86 |
$184.86 |
$177.10
|
|
Cnbp gene detc abnor allele
|
$90.64 |
$90.64 |
$90.64 |
$313.60
|
|
Co2 monitor per day
|
$5.72 |
$5.72 |
$5.72 |
$459.20
|
|
Coagulation time activated teg
|
$22.62 |
$22.62 |
$22.62 |
$52.47
|
|
Coagulation time lee & white
|
$3.08 |
$3.08 |
$3.08 |
$11.20
|
|
Coagulation time otr method
|
$3.08 |
$3.08 |
$3.08 |
$11.20
|
|
Cochlear implt f/up exam <7
|
$75.02 |
$75.02 |
$75.02 |
$423.87
|
|
Cochlear implt f/up exam 7/>
|
$73.04 |
$73.04 |
$73.04 |
$349.00
|
|
Cold agglutinin screen (arc)
|
$5.28 |
$5.28 |
$5.28 |
$47.45
|
|
Cold agglutinin titer
|
$42.90 |
$42.90 |
$42.90 |
$52.00
|
|
Colectomy/end colost/close dis seg 44143
|
$1,015.52 |
$1,015.52 |
$1,015.52 |
$2,557.80
|
|
Colectomy/ ileostomy without prctect 44150
|
$1,138.06 |
$1,138.06 |
$1,138.06 |
$3,530.40
|
|
Colectomy/ ileostomy w/prctect 44155
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$3,951.60
|
|
Colectomy partial w/anastomosis 44140
|
$828.30 |
$828.30 |
$828.30 |
$2,401.20
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$1,191.52 |
$1,191.52 |
$1,191.52 |
$3,435.89
|
|
Colectomy prtl w/coloproctostomy 44145
|
$1,014.64 |
$1,014.64 |
$1,014.64 |
$2,993.40
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$1,288.32 |
$1,288.32 |
$1,288.32 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$766.48 |
$766.48 |
$766.48 |
$1,891.68
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$1,112.76 |
$1,112.76 |
$1,112.76 |
$3,231.32
|
|
Colectomy/w colostomy or ileostomy 44144
|
$1,085.04 |
$1,085.04 |
$1,085.04 |
$2,679.36
|
|
Colectomy w/ileoanal anast
|
$1,344.20 |
$1,344.20 |
$1,344.20 |
$5,367.20
|
|
Colectomy w/neo-rectum pouch
|
$1,377.42 |
$1,377.42 |
$1,377.42 |
$5,500.80
|
|
Collagen dressing <=16 sq in
|
$5.06 |
$5.06 |
$5.06 |
$42.50
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$283.14 |
$283.14 |
$283.14 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$678.60 |
$678.60 |
$678.60 |
$162.00
|
|
Collj & interpj data ea 30 d
|
$33.00 |
$33.00 |
$33.00 |
$162.00
|
|
Colon motility 6 hr study
|
$82.94 |
$82.94 |
$82.94 |
$477.92
|
|
Colonoscopy (diagnostic)
|
$112.64 |
$112.64 |
$112.64 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$152.90 |
$152.90 |
$152.90 |
$2,020.80
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$139.26 |
$139.26 |
$139.26 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$139.92 |
$139.92 |
$139.92 |
$2,147.00
|
|
Colonoscopy for foreign body
|
$128.26 |
$128.26 |
$128.26 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$122.10 |
$122.10 |
$122.10 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$184.36 |
$184.36 |
$184.36 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$137.28 |
$137.28 |
$137.28 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$122.54 |
$122.54 |
$122.54 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$95.48 |
$95.48 |
$95.48 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$164.56 |
$164.56 |
$164.56 |
$2,975.70
|
|
Colonoscopy w/balloon dilat
|
$129.36 |
$129.36 |
$129.36 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$143.44 |
$143.44 |
$143.44 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$157.52 |
$157.52 |
$157.52 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$141.02 |
$141.02 |
$141.02 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$111.76 |
$111.76 |
$111.76 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$156.64 |
$156.64 |
$156.64 |
$2,138.50
|
|
Colonoscopy w/endoscopic fnb
|
$184.58 |
$184.58 |
$184.58 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$175.78 |
$175.78 |
$175.78 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$144.98 |
$144.98 |
$144.98 |
$1,395.28
|
|
Colonoscopy w/injection
|
$104.94 |
$104.94 |
$104.94 |
$2,449.20
|
|
Colonoscopy with ablation
|
$147.18 |
$147.18 |
$147.18 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$122.54 |
$122.54 |
$122.54 |
$2,132.40
|
|
Colonoscopy with biopsy
|
$104.94 |
$104.94 |
$104.94 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$154.66 |
$154.66 |
$154.66 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$167.42 |
$167.42 |
$167.42 |
$2,495.25
|
|
Colonoscopy w/resection
|
$201.74 |
$201.74 |
$201.74 |
$3,029.60
|
|
Colonoscopy w/stent plcmt
|
$158.62 |
$158.62 |
$158.62 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$139.70 |
$139.70 |
$139.70 |
$2,495.25
|
|
Colostomy skin level cecostomy 44320
|
$740.74 |
$740.74 |
$740.74 |
$2,161.80
|
|
Colostomy with biopsies
|
$616.44 |
$616.44 |
$616.44 |
$2,461.60
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$608.08 |
$608.08 |
$608.08 |
$1,731.60
|
|
Colpocentesis 57020
|
$48.84 |
$48.84 |
$48.84 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$327.58 |
$327.58 |
$327.58 |
$5,468.70
|
|
Colpopexy abdominal approach 57280
|
$596.42 |
$596.42 |
$596.42 |
$1,587.20
|
|
Colpopexy extraperitoneal
|
$428.56 |
$428.56 |
$428.56 |
$6,001.67
|
|
Colpopexy intraperitoneal
|
$431.86 |
$431.86 |
$431.86 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$7,440.42 |
$7,440.42 |
$7,440.42 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$75.46 |
$75.46 |
$75.46 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$113.30 |
$113.30 |
$113.30 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$56.10 |
$56.10 |
$56.10 |
$314.00
|
|
Colposcopy vulva 56820
|
$51.92 |
$51.92 |
$51.92 |
$311.50
|
|
Colposcopy vulva w/biopsy 56821
|
$70.18 |
$70.18 |
$70.18 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$67.32 |
$67.32 |
$67.32 |
$470.25
|
|
Colpotomy drng of abscess 57010
|
$282.26 |
$282.26 |
$282.26 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$124.52 |
$124.52 |
$124.52 |
$4,096.68
|