|
Colonoscopy w/dilation
|
$839.80 |
$839.80 |
$839.80 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$1,206.40 |
$1,206.40 |
$1,206.40 |
$2,288.00
|
|
Colonoscopy w/endoscopic fnb
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$2,004.81
|
|
Colonoscopy/w endoscopic stent 45389
|
$1,362.40 |
$1,362.40 |
$1,362.40 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$1,223.95 |
$1,223.95 |
$1,223.95 |
$1,645.43
|
|
Colonoscopy w/injection
|
$785.20 |
$785.20 |
$785.20 |
$2,449.20
|
|
Colonoscopy (with biopsy)
|
$1,017.90 |
$1,017.90 |
$1,017.90 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$863.85 |
$863.85 |
$863.85 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$1,307.15 |
$1,307.15 |
$1,307.15 |
$2,288.00
|
|
Colonoscopy w/resection
|
$1,570.40 |
$1,570.40 |
$1,570.40 |
$3,035.44
|
|
Colostomy skin level cecostomy 44320
|
$5,176.60 |
$5,176.60 |
$5,176.60 |
$2,269.80
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$4,292.60 |
$4,292.60 |
$4,292.60 |
$1,746.00
|
|
Colpocentesis 57020
|
$14,760.20 |
$14,760.20 |
$14,760.20 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$5,813.46
|
|
Colpopexy abdominal approach 57280
|
$4,347.20 |
$4,347.20 |
$4,347.20 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$3,023.80 |
$3,023.80 |
$3,023.80 |
$6,570.00
|
|
Colpopexy intraperitoneal
|
$3,031.60 |
$3,031.60 |
$3,031.60 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$2,603.25 |
$2,603.25 |
$2,603.25 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$601.25 |
$601.25 |
$601.25 |
$314.00
|
|
Colposcopy vulva 56820
|
$601.25 |
$601.25 |
$601.25 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$909.35 |
$909.35 |
$909.35 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$909.35 |
$909.35 |
$909.35 |
$485.50
|
|
Colpotomy drng of abscess 57010
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$785.20 |
$785.20 |
$785.20 |
$4,075.20
|
|
Compatibility test each unit antiglobulin technique
|
$768.30 |
$768.30 |
$768.30 |
$173.50
|
|
Compatibility test each unit electronic
|
$768.30 |
$768.30 |
$768.30 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$768.30 |
$768.30 |
$768.30 |
$169.52
|
|
Compatibility test incubate
|
$768.30 |
$768.30 |
$768.30 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$1,111.03
|
|
Complement antigen each component c3
|
$53.95 |
$53.95 |
$53.95 |
$110.00
|
|
Complete removal of vulva
|
$2,768.35 |
$2,768.35 |
$2,768.35 |
$3,786.00
|
|
Complex cystometrogram 51726
|
$1,216.15 |
$1,216.15 |
$1,216.15 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$975.00 |
$975.00 |
$975.00 |
$344.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,388.40 |
$1,388.40 |
$1,388.40 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$618.80 |
$618.80 |
$618.80 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$969.80 |
$969.80 |
$969.80 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,366.95 |
$1,366.95 |
$1,366.95 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$753.35 |
$753.35 |
$753.35 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$471.90 |
$471.90 |
$471.90 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$322.40 |
$322.40 |
$322.40 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,302.95 |
$2,302.95 |
$2,302.95 |
$1,350.27
|
|
Composite byp grft 2 veins
|
$1,869.40 |
$1,869.40 |
$1,869.40 |
$619.20
|
|
Composite byp grft pros&vein
|
$416.00 |
$416.00 |
$416.00 |
$205.60
|
|
Comprehensive hearing test
|
$406.90 |
$406.90 |
$406.90 |
$261.46
|
|
Compre oph exam est pt 1/>
|
$385.45 |
$385.45 |
$385.45 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$385.45 |
$385.45 |
$385.45 |
$188.51
|
|
Computed tomographic angiography head and neck with contrast
|
$2,313.35 |
$2,313.35 |
$2,313.35 |
$2,247.00
|
|
Concentration infection agents any type
|
$29.90 |
$29.90 |
$29.90 |
$51.32
|
|
Conditioning play audiometry 92582
|
$406.90 |
$406.90 |
$406.90 |
$189.15
|
|
Condylomata destruction 56420
|
$601.25 |
$601.25 |
$601.25 |
$467.35
|
|
Conivaptan hcl
|
$21.72 |
$21.72 |
$21.72 |
$1,625.08
|
|
Conization/cerv/loop electrode exc 57522
|
$954.20 |
$954.20 |
$954.20 |
$4,840.07
|
|
Conization of cervix
|
$1,068.60 |
$1,068.60 |
$1,068.60 |
$3,820.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$905.72 |
$905.72 |
$905.72 |
$860.00
|
|
Construct bowel bladder
|
$6,258.20 |
$6,258.20 |
$6,258.20 |
$6,627.20
|
|
Consultation pathology during surgery cytological exam initial site
|
$3,664.05 |
$3,664.05 |
$3,664.05 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$169.00 |
$169.00 |
$169.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$768.30 |
$768.30 |
$768.30 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$239.85 |
$239.85 |
$239.85 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$466.05 |
$466.05 |
$466.05 |
$176.28
|
|
Consultation with family
|
$39.00 |
$39.00 |
$39.00 |
$135.79
|
|
Contact lens fitg aphakia 1
|
$280.80 |
$280.80 |
$280.80 |
$472.21
|
|
Contact lens fitting ou
|
$304.20 |
$304.20 |
$304.20 |
$40.00
|
|
Cont gluc mntr analysis i&r 95251
|
$182.00 |
$182.00 |
$182.00 |
$80.00
|
|
Contour of face bone lesion
|
$2,181.40 |
$2,181.40 |
$2,181.40 |
$3,837.72
|
|
Contrast baths charges
|
$81.90 |
$81.90 |
$81.90 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$14,491.10 |
$14,491.10 |
$14,491.10 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$14,244.10 |
$14,244.10 |
$14,244.10 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$24,570.65 |
$24,570.65 |
$24,570.65 |
$3,745.00
|
|
Contrast x-ray of brain
|
$3,543.15 |
$3,543.15 |
$3,543.15 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$708.00
|
|
Contrast x-ray of hip
|
$1,742.00 |
$1,742.00 |
$1,742.00 |
$796.38
|
|
Contrast x-ray of knee joint
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$790.50
|
|
Contrast x-ray of wrist
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$667.50
|
|
Controller infinity pt dbs
|
$4,507.75 |
$4,507.75 |
$4,507.75 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$563.55 |
$563.55 |
$563.55 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$440.70 |
$440.70 |
$440.70 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$385.45 |
$385.45 |
$385.45 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$620.00
|
|
Control throat bleeding
|
$1,500.20 |
$1,500.20 |
$1,500.20 |
$972.84
|
|
Control throat bleeding
|
$2,116.40 |
$2,116.40 |
$2,116.40 |
$3,967.00
|
|
Conversion ext bil drg cath
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$2,777.60
|
|
Conv gtube to jtube
|
$881.40 |
$881.40 |
$881.40 |
$2,099.70
|
|
Coombs direct
|
$24.05 |
$24.05 |
$24.05 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$25.35 |
$25.35 |
$25.35 |
$107.25
|
|
Coombs indirect titer reference
|
$23.40 |
$23.40 |
$23.40 |
$156.71
|
|
Copper cu 64 dotatate diag
|
$5,005.00 |
$5,005.00 |
$5,005.00 |
$2,820.66
|
|
Copper intrauterine device
|
$1,775.80 |
$1,775.80 |
$1,775.80 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,904.48
|
|
Cor hlx vlgs double osteot
|
$2,415.40 |
$2,415.40 |
$2,415.40 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$2,145.00 |
$2,145.00 |
$2,145.00 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$5,855.00
|
