|
Compatibility test each unit antiglobulin technique
|
$902.46 |
$902.46 |
$902.46 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$902.46 |
$902.46 |
$902.46 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$63.36 |
$63.36 |
$63.36 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$77.00 |
$77.00 |
$77.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$63.18 |
$63.18 |
$63.18 |
$110.00
|
|
Complement fixation each
|
$6.60 |
$6.60 |
$6.60 |
$29.12
|
|
Complete removal of vulva
|
$412.28 |
$412.28 |
$412.28 |
$3,762.53
|
|
Completion pneumonectomy 32488
|
$1,454.86 |
$1,454.86 |
$1,454.86 |
$5,828.00
|
|
Complex cystometrogram 51726
|
$51.70 |
$51.70 |
$51.70 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$141.24 |
$141.24 |
$141.24 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$150.92 |
$150.92 |
$150.92 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$5.06 |
$5.06 |
$5.06 |
$344.68
|
|
Compl oph exam general anes
|
$86.02 |
$86.02 |
$86.02 |
$2,161.60
|
|
Compl rpr tof w/pulm atresia
|
$1,248.06 |
$1,248.06 |
$1,248.06 |
$2,910.86
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,432.86 |
$1,432.86 |
$1,432.86 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,790.88 |
$1,790.88 |
$1,790.88 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$1,432.86 |
$1,432.86 |
$1,432.86 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$935.22 |
$935.22 |
$935.22 |
$809.46
|
|
Complx repair fccmnaxghf 13132
|
$1,432.86 |
$1,432.86 |
$1,432.86 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,074.06 |
$1,074.06 |
$1,074.06 |
$524.04
|
|
Complx repair sal addl 5 cm/> 13122
|
$50.38 |
$50.38 |
$50.38 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$123.42 |
$123.42 |
$123.42 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$44.00 |
$44.00 |
$44.00 |
$537.00
|
|
Composite byp grft 2 veins
|
$212.52 |
$212.52 |
$212.52 |
$490.36
|
|
Composite byp grft 3/> segmt
|
$247.94 |
$247.94 |
$247.94 |
$574.98
|
|
Composite byp grft pros&vein
|
$47.96 |
$47.96 |
$47.96 |
$205.60
|
|
Composite graft/pri close/don area 15760
|
$430.76 |
$430.76 |
$430.76 |
$2,816.50
|
|
Comprehensive hearing test
|
$19.58 |
$19.58 |
$19.58 |
$261.46
|
|
Compre oph exam est pt 1/>
|
$45.98 |
$45.98 |
$45.98 |
$183.07
|
|
Compre oph exam new pt 1/>
|
$56.98 |
$56.98 |
$56.98 |
$186.00
|
|
Comp rpr tof wo pulm atresia
|
$1,186.24 |
$1,186.24 |
$1,186.24 |
$2,761.68
|
|
Concentration infection agents any type
|
$35.10 |
$35.10 |
$35.10 |
$51.32
|
|
Condylomata destruction 56420
|
$471.12 |
$471.12 |
$471.12 |
$468.30
|
|
Conization/cerv/loop electrode exc 57522
|
$157.74 |
$157.74 |
$157.74 |
$4,840.07
|
|
Conization of cervix
|
$183.26 |
$183.26 |
$183.26 |
$3,786.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$290.20 |
$290.20 |
$290.20 |
$860.00
|
|
Constj trachesophgl fstl
|
$327.58 |
$327.58 |
$327.58 |
$3,837.72
|
|
Construct bladder opening
|
$441.32 |
$441.32 |
$441.32 |
$933.53
|
|
Construct bowel bladder
|
$808.72 |
$808.72 |
$808.72 |
$6,258.20
|
|
Construct bowel bladder
|
$1,012.66 |
$1,012.66 |
$1,012.66 |
$2,126.21
|
|
Construction of absent anus
|
$1,231.34 |
$1,231.34 |
$1,231.34 |
$4,828.80
|
|
Construction of absent anus
|
$1,416.14 |
$1,416.14 |
$1,416.14 |
$3,269.11
|
|
Construction of absent anus
|
$1,343.10 |
$1,343.10 |
$1,343.10 |
$5,272.80
|
|
Construction of vagina
|
$339.46 |
$339.46 |
$339.46 |
$5,468.70
|
|
Construct thumb replacement
|
$1,013.54 |
$1,013.54 |
$1,013.54 |
$4,881.00
|
|
Construct vagina with graft
|
$511.06 |
$511.06 |
$511.06 |
$5,468.70
|
|
Consultation pathology during surgery
|
$21.34 |
$21.34 |
$21.34 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$36.96 |
$36.96 |
$36.96 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$18.48 |
$18.48 |
$18.48 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$37.18 |
$37.18 |
$37.18 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$53.46 |
$53.46 |
$53.46 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$50.60 |
$50.60 |
$50.60 |
$176.15
|
|
Consultation with family
|
$46.86 |
$46.86 |
$46.86 |
$135.79
|
|
Consult comp w/report rfrd material
|
$82.50 |
$82.50 |
$82.50 |
$374.40
|
|
Contact lens fitg aphakia 1
|
$31.02 |
$31.02 |
$31.02 |
$471.50
|
|
Contact lens fitg aphakia ou
|
$37.40 |
$37.40 |
$37.40 |
$153.50
|
|
Contact lens fitting for tx
|
$19.58 |
$19.58 |
$19.58 |
$92.96
|
|
Contact lens fitting ou
|
$36.96 |
$36.96 |
$36.96 |
$40.00
|
|
Cont gluc mntr analysis i&r 95251
|
$21.34 |
$21.34 |
$21.34 |
$80.00
|
|
Contour cranial bone lesion
|
$459.14 |
$459.14 |
$459.14 |
$6,553.49
|
|
Contour of face bone lesion
|
$388.74 |
$388.74 |
$388.74 |
$3,837.72
|
|
Contrast baths charges
|
$60.06 |
$60.06 |
$60.06 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$10,126.74 |
$10,126.74 |
$10,126.74 |
$3,483.84
|
|
Contrast exam thoracic aorta
|
$14.30 |
$14.30 |
$14.30 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$17,392.44 |
$17,392.44 |
$17,392.44 |
$3,778.20
|
|
Contrast x-ray gallbladder
|
$9.46 |
$9.46 |
$9.46 |
$341.35
|
|
Contrast x-ray of ankle
|
$16.72 |
$16.72 |
$16.72 |
$684.00
|
|
Contrast x-ray of brain
|
$36.08 |
$36.08 |
$36.08 |
$735.93
|
|
Contrast x-ray of brain
|
$34.76 |
$34.76 |
$34.76 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$1,148.94 |
$1,148.94 |
$1,148.94 |
$708.00
|
|
Contrast x-ray of hip
|
$1,148.94 |
$1,148.94 |
$1,148.94 |
$798.00
|
|
Contrast x-ray of knee joint
|
$1,148.94 |
$1,148.94 |
$1,148.94 |
$790.50
|
|
Contrast x-ray of wrist
|
$1,148.94 |
$1,148.94 |
$1,148.94 |
$668.00
|
|
Control nosebleed pack+caut 30905
|
$301.86 |
$301.86 |
$301.86 |
$383.20
|
|
Control nose/throat bleeding comp req hospital 42971
|
$280.50 |
$280.50 |
$280.50 |
$907.20
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$313.72 |
$313.72 |
$313.72 |
$3,592.74
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$254.54 |
$254.54 |
$254.54 |
$644.80
|
|
Control of nosebleed ant comp 30903
|
$377.52 |
$377.52 |
$377.52 |
$397.98
|
|
Control of nosebleedantersmpl 30901
|
$301.86 |
$301.86 |
$301.86 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$100.10 |
$100.10 |
$100.10 |
$621.45
|
|
Control throat bleeding
|
$259.38 |
$259.38 |
$259.38 |
$883.74
|
|
Control throat bleeding
|
$320.10 |
$320.10 |
$320.10 |
$3,953.40
|
|
Conversion ext bil drg cath
|
$118.80 |
$118.80 |
$118.80 |
$4,127.50
|
|
Convert nephrostomy catheter
|
$4,793.88 |
$4,793.88 |
$4,793.88 |
$2,777.60
|
|
Conv gtube to jtube
|
$3,883.62 |
$3,883.62 |
$3,883.62 |
$2,099.70
|
|
Coombs direct
|
$312.78 |
$312.78 |
$312.78 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$3.96 |
$3.96 |
$3.96 |
$108.00
|
|
Coombs indirect titer reference
|
$3.52 |
$3.52 |
$3.52 |
$156.71
|
|
Core ndl bx lng/med perq
|
$3,791.58 |
$3,791.58 |
$3,791.58 |
$2,911.80
|
|
Cor hlx vlgs double osteot
|
$371.58 |
$371.58 |
$371.58 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$321.64 |
$321.64 |
$321.64 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$315.92 |
$315.92 |
$315.92 |
$5,419.00
|
|
Corneal hysteresis deter
|
$3.30 |
$3.30 |
$3.30 |
$74.41
|
|
Corneal smear
|
$61.60 |
$61.60 |
$61.60 |
$472.21
|
|
Corneal transplant
|
$687.50 |
$687.50 |
$687.50 |
$6,105.79
|
|
Corneal transplant
|
$754.38 |
$754.38 |
$754.38 |
$5,912.40
|
|
Corneal transplant
|
$759.22 |
$759.22 |
$759.22 |
$6,220.80
|
|
Corneal transplant
|
$756.58 |
$756.58 |
$756.58 |
$5,683.61
|
|
Corneal trnspl endothelial
|
$715.44 |
$715.44 |
$715.44 |
$5,667.08
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$200.86 |
$200.86 |
$200.86 |
$10,695.40
|
