|
Complx repair fccmnaxghf 13132
|
$217.80 |
$724.37 |
$2,735.00 |
|
|
Complx repair fccmnaxghf 13133
|
$217.80 |
$577.13 |
$847.00 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$84.18 |
$285.80 |
$8,592.00 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$724.37 |
$750.00 |
$1,668.00 |
|
|
Complx repair trunk addl 5cm/< 13102
|
$281.40 |
$658.00 |
$991.40 |
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,693.03 |
$1,693.03 |
$2,083.73 |
|
|
Composite drsg >16<=48 sq in
|
$3.00 |
$3.00 |
$3.00 |
|
|
Composite drsg <= 16 sq in
|
$3.60 |
$3.60 |
$3.60 |
|
|
Composite graft/pri close/don area 15760
|
$2,164.64 |
$2,164.64 |
$6,119.00 |
|
|
Comprehensive hearing test
|
$122.40 |
$185.15 |
$356.57 |
|
|
Compre oph exam est pt 1/>
|
$152.50 |
$152.50 |
$676.00 |
|
|
Compre oph exam new pt 1/>
|
$152.50 |
$152.50 |
$715.00 |
|
|
Computed tomographic angiography head and neck with contrast
|
$356.43 |
$554.00 |
$681.84 |
|
|
Concentration infection agents any type
|
$6.68 |
$6.68 |
$79.00 |
|
|
Conditioning play audiometry 92582
|
$122.40 |
$185.15 |
$185.15 |
|
|
Condylomata destruction 56420
|
$90.60 |
$238.06 |
$1,727.00 |
|
|
Congo red blood test
|
$4.95 |
$4.95 |
$4.95 |
|
|
Conivaptan hcl
|
$29.17 |
$29.17 |
$29.17 |
|
|
Conization/cerv/loop electrode exc 57522
|
$3,762.53 |
$3,762.53 |
$8,188.62 |
|
|
Conization of cervix
|
$3,762.53 |
$3,762.53 |
$8,188.62 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$382.79 |
$382.79 |
$1,204.46 |
|
|
Connect omega .5mm
|
$640.58 |
$640.58 |
$788.41 |
|
|
Constj trachesophgl fstl
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
|
|
Construction of vagina
|
$5,841.60 |
$5,841.60 |
$5,841.60 |
|
|
Construct thumb replacement
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Construct vagina with graft
|
$5,841.60 |
$5,841.60 |
$5,841.60 |
|
|
Consultation pathology during surgery
|
$70.29 |
$70.29 |
$709.00 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$83.40 |
$966.69 |
$2,142.95 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$24.00 |
$159.46 |
$240.00 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$66.00 |
$202.78 |
$1,391.00 |
|
|
Consultation/report referred material w/preparation of slides
|
$63.23 |
$63.23 |
$660.15 |
|
|
Consultation/report referred slides prepared elsewhere
|
$46.45 |
$46.45 |
$485.00 |
|
|
Consult comp w/report rfrd material
|
$202.78 |
$202.78 |
$202.78 |
|
|
Contact lens fitg aphakia 1
|
$472.21 |
$472.21 |
$472.21 |
|
|
Contact lens fitg aphakia ou
|
$152.54 |
$152.54 |
$152.54 |
|
|
Contour cranial bone lesion
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
|
|
Contour of face bone lesion
|
$3,837.72 |
$3,837.72 |
$7,267.74 |
|
|
Contrast baths charges
|
$15.31 |
$15.84 |
$215.00 |
|
|
Contrast exam abdominl aorta 75625-26
|
$3,724.63 |
$3,724.63 |
$16,279.00 |
|
|
Contrast exam thoracic aorta
|
$3,724.63 |
$3,724.63 |
$5,491.15 |
|
|
Contrast exam thoracic aorta 75605-26
|
$4,310.40 |
$6,396.89 |
$11,025.51 |
|
|
Contrast x-ray gallbladder
|
$210.66 |
$210.66 |
$907.00 |
|
|
Contrast x-ray of ankle
|
$422.61 |
$422.61 |
$2,154.00 |
|
|
Contrast x-ray of brain
|
$422.61 |
$422.61 |
$1,634.00 |
|
|
Contrast x-ray of brain
|
$934.93 |
$934.93 |
$3,908.00 |
|
|
Contrast x-ray of elbow
|
$422.61 |
$422.61 |
$3,515.00 |
|
|
Contrast x-ray of hip
|
$422.61 |
$422.61 |
$2,295.00 |
|
|
Contrast x-ray of knee joint
|
$422.61 |
$422.61 |
$2,154.00 |
|
|
Contrast x-ray of wrist
|
$422.61 |
$422.61 |
$2,154.00 |
|
|
Controler lvad heartmate 3 includes ebb
|
$10,725.00 |
$10,725.00 |
$10,725.00 |
|
|
Controller infinity pt dbs
|
$4,978.80 |
$4,978.80 |
$4,978.80 |
|
|
Control nosebleed pack+caut 30905
|
$70.80 |
$152.54 |
$4,380.00 |
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$274.80 |
$274.80 |
$274.80 |
|
|
Control of nosebleed ant comp 30903
|
$70.80 |
$152.54 |
$747.00 |
|
|
Control of nosebleedantersmpl 30901
|
$70.80 |
$152.54 |
$2,328.00 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$70.80 |
$602.63 |
$1,649.80 |
|
|
Control throat bleeding
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
|
|
Conversion ext bil drg cath
|
$4,176.15 |
$4,176.15 |
$9,036.87 |
|
|
Convert nephrostomy catheter
|
$2,424.12 |
$2,424.12 |
$5,573.38 |
|
|
Conv gtube to jtube
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Coombs direct
|
$13.20 |
$70.29 |
$114.45 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$107.00 |
$202.78 |
$202.78 |
|
|
Coombs indirect titer reference
|
$12.60 |
$202.78 |
$393.43 |
|
|
Copper cu 64 dotatate diag
|
$595.10 |
$595.10 |
$595.10 |
|
|
Copper intrauterine device
|
$425.34 |
$2,406.14 |
$2,961.40 |
|
|
Cor artery disease mrna
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
|
|
Core ndl bx lng/med perq
|
$1,917.33 |
$1,917.33 |
$7,165.35 |
|
|
Cor hlx vlgs double osteot
|
$6,754.91 |
$8,453.60 |
$8,453.60 |
|
|
Cor hlx vlgs dstl mtar osteo
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Cor hlx vlgs prx phlx osteot
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
|
|
Corneal hysteresis deter
|
$70.29 |
$70.29 |
$70.29 |
|
|
Corneal smear
|
$456.00 |
$472.21 |
$574.95 |
|
|
Corneal transplant
|
$6,105.79 |
$6,105.79 |
$6,105.79 |
|
|
Corneal transplant
|
$4,760.49 |
$4,760.49 |
$4,760.49 |
|
|
Corneal transplant
|
$6,105.79 |
$6,105.79 |
$6,105.79 |
|
|
Corneal transplant
|
$4,760.49 |
$4,760.49 |
$4,760.49 |
|
|
Corneal trnspl endothelial
|
$4,760.49 |
$4,760.49 |
$4,760.49 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$3,806.17 |
$3,806.17 |
$26,433.71 |
|
|
Coronary angio/lv gram/lt heart
|
$3,806.17 |
$3,806.17 |
$23,322.43 |
|
|
Coronary angio/lv gram/rt< heart
|
$3,806.17 |
$3,806.17 |
$25,288.88 |
|
|
Coronary art/grft angio s&i
|
$3,806.17 |
$3,806.17 |
$8,881.74 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,806.17 |
$3,806.17 |
$8,881.74 |
|
|
Coronary thrombolysis/iv infusion 92977
|
$392.51 |
$392.51 |
$392.51 |
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Correct cock-up 5th toe/plast clos 28286
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Correct finger deformity
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Correct inverted nipple(s)
|
$4,531.42 |
$4,531.42 |
$4,531.42 |
|
|
Correction claw finger other
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Correction eyelid w/implant
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Correction of astigmatism
|
$1,146.13 |
$1,146.13 |
$1,146.13 |
|
|
Correction of astigmatism
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
|
|
Correction of everted punctum 68705
|
$353.74 |
$353.74 |
$353.74 |
|
|
Correction trichiasis epilation forcep 67820
|
$96.04 |
$152.54 |
$483.00 |
|
|
Correction trichiasis inccision lid margin 67830
|
$1,146.13 |
$1,146.13 |
$1,146.13 |
|
|
Correct metacarpal flaw
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Correct rectal prolapse
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
|
|
Correct skin color 6.0 cm/<
|
$724.37 |
$724.37 |
$755.08 |
|
|
Corrj halux rigdus w/implt
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
|
