|
Cltx tmprmand dislc comp
|
$1,752.89 |
$1,752.89 |
$3,762.02 |
|
|
Cmbn ant pst colprhy
|
$5,841.60 |
$5,841.60 |
$5,841.60 |
|
|
C motor evoked lwr limbs
|
$627.89 |
$627.89 |
$1,415.00 |
|
|
C motor evoked uppr limbs
|
$1,203.94 |
$1,203.94 |
$1,337.00 |
|
|
C motor evoked upr&lwr limbs
|
$1,087.00 |
$1,203.94 |
$2,000.00 |
|
|
Cmptr ophth dx img ant segmt
|
$70.29 |
$70.29 |
$192.19 |
|
|
Cmptr ophth img optic nerve
|
$43.43 |
$70.29 |
$349.00 |
|
|
#cms hgb-carboxyhemoglobin
|
$14.07 |
$14.07 |
$14.07 |
|
|
#cms hgb-sulfhemoglobin
|
$8.80 |
$8.80 |
$90.05 |
|
|
#cmvcul-virus inoculation shell
|
$19.56 |
$19.56 |
$111.60 |
|
|
Cmv pcr-sendout
|
$35.09 |
$35.09 |
$468.21 |
|
|
Cnbp gene detc abnor allele
|
$137.00 |
$137.00 |
$373.82 |
|
|
Co2 monitor per day
|
$368.50 |
$368.50 |
$381.24 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$2.52 |
$2.52 |
$7.86 |
|
|
Coagulation time activated teg
|
$4.28 |
$4.28 |
$165.70 |
|
|
Coagulation time lee & white
|
$4.69 |
$4.69 |
$4.69 |
|
|
Coagulation time otr method
|
$4.49 |
$4.49 |
$4.49 |
|
|
Cocaine 4 % nasal solution
|
$285.06 |
$285.06 |
$285.06 |
|
|
Cochlear implt f/up exam <7
|
$185.15 |
$185.15 |
$819.00 |
|
|
Cochlear implt f/up exam 7/>
|
$185.15 |
$185.15 |
$731.00 |
|
|
Cogenex amnio memb per sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Cold agglutinin screen (arc)
|
$8.07 |
$8.07 |
$213.00 |
|
|
Cold agglutinin titer
|
$8.06 |
$8.06 |
$89.00 |
|
|
Colistimethate sodium inj
|
$45.61 |
$45.61 |
$45.61 |
|
|
Collagenase, clost hist inj
|
$71.16 |
$71.16 |
$23,944.24 |
|
|
Collagen imp urinary 2.5 ml
|
$834.57 |
$834.57 |
$1,800.00 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$104.19 |
$104.19 |
$1,147.00 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$47.60 |
$47.60 |
$58.58 |
|
|
Collar cerv adlt perfit ace extric
|
$114.85 |
$114.85 |
$141.35 |
|
|
Collar cerv ascend 172 reg
|
$262.55 |
$262.55 |
$323.14 |
|
|
Collar cerv patriot adlt
|
$221.85 |
$221.85 |
$273.05 |
|
|
Collar extrication adult univ
|
$938.39 |
$938.39 |
$1,154.94 |
|
|
Collection blood specimen from completely implantable venous access device
|
$39.60 |
$152.54 |
$360.21 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$39.60 |
$152.54 |
$369.00 |
|
|
Coll-e-derm 1 sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Collj & interpj data ea 30 d
|
$244.00 |
$244.00 |
$244.00 |
|
|
Colon motility 6 hr study
|
$368.50 |
$368.50 |
$368.50 |
|
|
Colonoscopy (diagnostic)
|
$1,078.88 |
$1,078.88 |
$4,436.44 |
|
|
Colonoscopy flex with decompression 45393
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,004.40 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy for bleeding 44391
|
$1,004.40 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy for foreign body
|
$1,004.40 |
$1,078.88 |
$1,078.88 |
|
|
Colonoscopy & polypectomy 44392
|
$1,004.40 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy stoma w/snare 44394
|
$1,004.40 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy submucous njx
|
$1,004.40 |
$1,395.28 |
$4,873.05 |
|
|
Colonoscopy thru stoma spx
|
$1,004.40 |
$1,078.88 |
$1,078.88 |
|
|
Colonoscopy w/ablation
|
$1,395.28 |
$1,395.28 |
$3,186.98 |
|
|
Colonoscopy w/balloon dilat
|
$1,004.40 |
$1,395.28 |
$3,186.98 |
|
|
Colonoscopy w/band ligation
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy w/control bleed
|
$1,004.40 |
$1,395.28 |
$4,622.13 |
|
|
Colonoscopy w/decompression
|
$748.80 |
$1,078.88 |
$1,078.88 |
|
|
Colonoscopy w/dilation
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy w/endoscope Ultrasound
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy w/endoscopic fnb
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy/w endoscopic stent 45389
|
$7,044.32 |
$7,044.32 |
$7,044.32 |
|
|
Colonoscopy w/fb removal
|
$1,004.40 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy w/injection
|
$748.80 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy with ablation
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy (with biopsy)
|
$1,004.40 |
$1,395.28 |
$4,586.76 |
|
|
Colonoscopy with biopsy
|
$1,004.40 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy (with polyp removal)
|
$1,004.40 |
$1,395.28 |
$4,768.64 |
|
|
Colonoscopy w/ndl aspir/bx
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
|
|
Colonoscopy w/resection
|
$3,245.23 |
$3,245.23 |
$5,389.47 |
|
|
Colonoscopy w/stent plcmt
|
$7,044.32 |
$7,044.32 |
$7,044.32 |
|
|
Colonoscopy w/ultrasound
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
|
|
Colpocentesis 57020
|
$5,841.60 |
$5,841.60 |
$5,841.60 |
|
|
Colpocleisis (le forte type) 57120
|
$5,841.60 |
$5,841.60 |
$5,841.60 |
|
|
Colpopexy extraperitoneal
|
$8,750.72 |
$8,750.72 |
$8,750.72 |
|
|
Colpopexy intraperitoneal
|
$8,750.72 |
$8,750.72 |
$8,750.72 |
|
|
Colpopexy, min/inv, ex-perit
|
$5,841.60 |
$5,841.60 |
$5,841.60 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,762.53 |
$3,762.53 |
$9,967.00 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$253.58 |
$1,030.40 |
$3,096.00 |
|
|
Colposcopy/cervix/ conization 57461
|
$3,762.53 |
$3,762.53 |
$8,188.62 |
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$131.13 |
$238.06 |
$1,134.00 |
|
|
Colposcopy vulva 56820
|
$238.06 |
$238.06 |
$599.71 |
|
|
Colposcopy vulva w/biopsy 56821
|
$201.17 |
$359.97 |
$1,602.00 |
|
|
Colposcopy w/biopsy of cervix 57455
|
$359.97 |
$359.97 |
$1,985.00 |
|
|
Colpotomy drng of abscess 57010
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
|
|
Colpotomy w/exploration 57000
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
|
|
Comm hlth intg svs sdoh 60mn
|
$109.46 |
$109.46 |
$109.46 |
|
|
Compatibility test each unit antiglobulin technique
|
$56.40 |
$202.78 |
$391.78 |
|
|
Compatibility test each unit electronic
|
$25.00 |
$202.78 |
$599.07 |
|
|
Compatibility test each unit immediate spin technique
|
$56.40 |
$202.78 |
$599.07 |
|
|
Compatibility test incubate
|
$62.00 |
$202.78 |
$202.78 |
|
|
Comp cystometrogram/void presssure 51728
|
$789.86 |
$789.86 |
$2,184.00 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$789.86 |
$789.86 |
$2,192.00 |
|
|
Complement antigen each component c3
|
$12.00 |
$12.00 |
$271.00 |
|
|
Complement fixation each
|
$10.01 |
$10.01 |
$108.00 |
|
|
Complete removal of vulva
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
|
|
Complex cystometrogram 51726
|
$287.81 |
$287.81 |
$2,957.00 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$724.37 |
$724.37 |
$1,772.72 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$281.40 |
$755.08 |
$3,934.00 |
|
|
Complex simulation w/pet-ct
|
$2,308.14 |
$2,308.14 |
$2,308.14 |
|
|
Complex uroflowmetry (electronic) 51741
|
$366.43 |
$368.50 |
$1,299.00 |
|
|
Compl oph exam general anes
|
$2,760.73 |
$2,760.73 |
$5,865.26 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$281.40 |
$755.08 |
$6,548.00 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$281.40 |
$755.08 |
$5,643.00 |
|
|
Complx repair enel addl 5cm/< 13153
|
$365.00 |
$365.00 |
$1,533.00 |
|
|
Complx repair fccmnaxghf 13131
|
$217.80 |
$472.79 |
$5,219.00 |
|