|
Colonoscopy w/injection
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,449.20
|
|
Colonoscopy with ablation
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,704.00
|
|
Colonoscopy w/resection
|
$8,199.75 |
$8,199.75 |
$8,199.75 |
$3,035.44
|
|
Colonoscopy w/stent plcmt
|
$17,798.95 |
$17,798.95 |
$17,798.95 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,636.40
|
|
Colostomy skin level cecostomy 44320
|
$5,176.60 |
$5,176.60 |
$5,176.60 |
$2,269.80
|
|
Colostomy with biopsies
|
$3,463.20 |
$3,463.20 |
$3,463.20 |
$2,461.60
|
|
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
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$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 |
$2,598.70 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,995.50 |
$1,995.50 |
$2,713.10 |
$1,111.03
|
|
Complement antigen each component c3
|
$53.95 |
$53.95 |
$53.95 |
$110.00
|
|
Complement fixation each
|
$44.85 |
$44.85 |
$44.85 |
$29.12
|
|
Complete removal of vulva
|
$2,768.35 |
$2,768.35 |
$2,768.35 |
$3,786.00
|
|
Completion pneumonectomy 32488
|
$11,177.40 |
$11,177.40 |
$11,177.40 |
$5,828.00
|
|
Complex cystometrogram 51726
|
$727.35 |
$727.35 |
$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
|
$930.80 |
$930.80 |
$975.00 |
$344.68
|
|
Compl oph exam general anes
|
$6,975.80 |
$6,975.80 |
$6,975.80 |
$2,161.60
|
|
Compl rpr tof w/pulm atresia
|
$9,768.20 |
$9,768.20 |
$9,768.20 |
$2,910.86
|
|
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
|
$1,193.40 |
$1,193.40 |
$1,388.40 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$391.95 |
$391.95 |
$618.80 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$779.35 |
$779.35 |
$969.80 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,193.40 |
$1,193.40 |
$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
|
$679.25 |
$679.25 |
$679.25 |
$1,350.27
|
|
Composite byp grft 2 veins
|
$1,869.40 |
$1,869.40 |
$1,869.40 |
$619.20
|
|
Composite byp grft 3/> segmt
|
$2,207.40 |
$2,207.40 |
$2,207.40 |
$574.98
|
|
Composite byp grft pros&vein
|
$416.00 |
$416.00 |
$416.00 |
$205.60
|
|
Composite drsg <= 16 sq in
|
$0.78 |
$0.78 |
$0.78 |
$6.62
|
|
Composite graft/pri close/don area 15760
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,816.50
|
|
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 |
$473.20 |
$188.51
|
|
Compression stocking bk18-30
|
$41.67 |
$41.67 |
$41.67 |
$62.88
|
|
Comp rpr tof wo pulm atresia
|
$9,399.00 |
$9,399.00 |
$9,399.00 |
$2,761.68
|
|
Computed tomographic angiography head and neck with contrast
|
$1,598.35 |
$1,598.35 |
$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
|
|
Conform band n/s w>=3"<5"/yd
|
$5.20 |
$5.20 |
$5.20 |
$1.04
|
|
Conform band s w>=3" <5"/yd
|
$0.98 |
$0.98 |
$0.98 |
$1.04
|
|
Conivaptan hcl
|
$21.72 |
$21.72 |
$21.72 |
$1,625.08
|
|
Conization/cerv/loop electrode exc 57522
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$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
|
|
Connector tis 2x10mm
|
$1,228.06 |
$1,228.06 |
$1,228.06 |
$4,024.34
|
|
Constj trachesophgl fstl
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,837.72
|
|
Construct bladder opening
|
$3,268.20 |
$3,268.20 |
$3,268.20 |
$933.53
|
|
Construct bowel bladder
|
$6,258.20 |
$6,258.20 |
$6,258.20 |
$6,627.20
|
|
Construct bowel bladder
|
$7,976.80 |
$7,976.80 |
$7,976.80 |
$2,126.21
|
|
Construction of absent anus
|
$7,969.00 |
$7,969.00 |
$7,969.00 |
$4,828.80
|
|
Construction of absent anus
|
$9,396.40 |
$9,396.40 |
$9,396.40 |
$3,269.11
|
|
Construction of absent anus
|
$8,814.00 |
$8,814.00 |
$8,814.00 |
$5,272.80
|
|
Construction of vagina
|
$2,246.40 |
$2,246.40 |
$2,246.40 |
$5,468.70
|
|
Construct thumb replacement
|
$5,636.80 |
$5,636.80 |
$5,636.80 |
$5,110.00
|
|
Construct vagina with graft
|
$3,642.60 |
$3,642.60 |
$3,642.60 |
$5,813.46
|
|
Consultation pathology during surgery
|
$266.50 |
$266.50 |
$266.50 |
$100.89
|
|
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
|
$118.95 |
$118.95 |
$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 |
$523.25 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$176.15 |
$176.15 |
$466.05 |
$176.28
|
|
Consultation with family
|
$384.80 |
$384.80 |
$384.80 |
$135.79
|
|
Consult comp w/report rfrd material
|
$815.10 |
$815.10 |
$815.10 |
$374.40
|
|
Contact layer >16<= 48 sq in
|
$11.70 |
$11.70 |
$11.70 |
$36.17
|
|
Contact lens fitg aphakia 1
|
$280.80 |
$280.80 |
$280.80 |
$472.21
|
|
Contact lens fitg aphakia ou
|
$413.40 |
$413.40 |
$413.40 |
$170.00
|
|
Contact lens fitting for tx
|
$174.20 |
$174.20 |
$174.20 |
$92.96
|
|
Contact lens fitting ou
|
$410.15 |
$410.15 |
$410.15 |
$40.00
|
|
Contact lens gas permeable
|
$455.00 |
$455.00 |
$455.00 |
$1,192.80
|
|
Cont gluc mntr analysis i&r 95251
|
$182.00 |
$182.00 |
$182.00 |
$80.00
|
|
Cont intraop neuro monitor
|
$171.60 |
$171.60 |
$171.60 |
$73.60
|
|
Contour cranial bone lesion
|
$2,672.80 |
$2,672.80 |
$2,672.80 |
$6,839.00
|
