|
Cltx post ankle fx
|
$376.11 |
$376.11 |
$431.42 |
|
|
Cltx post ankle fx w/mnpj
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
|
|
Cltx strnclav dislc w/mnpj
|
$759.61 |
$759.61 |
$759.61 |
|
|
Cltx thigh fx
|
$2,345.99 |
$2,345.99 |
$2,345.99 |
|
|
Cmbn ant pst colprhy
|
$10,105.74 |
$10,105.74 |
$12,337.31 |
|
|
C motor evoked lwr limbs
|
$127.28 |
$127.28 |
$1,614.60 |
|
|
C motor evoked uppr limbs
|
$347.80 |
$347.80 |
$1,444.95 |
|
|
C motor evoked upr&lwr limbs
|
$200.36 |
$200.36 |
$637.00 |
|
|
#cmvcul-virus inoculation shell
|
$122.85 |
$132.28 |
$210.60 |
|
|
Cmv pcr-sendout
|
$61.75 |
$164.84 |
$460.20 |
|
|
Co2 monitor per day
|
$300.30 |
$473.20 |
$590.85 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$746.08 |
$746.08 |
$9,606.67 |
|
|
Coagulation time activated teg
|
$18.78 |
$18.78 |
$116.00 |
|
|
Cocaine 4 % nasal solution
|
$836.06 |
$836.06 |
$836.06 |
|
|
Cold agglutinin screen (arc)
|
$31.08 |
$44.85 |
$60.00 |
|
|
Cold agglutinin titer
|
$40.89 |
$53.30 |
$82.00 |
|
|
Colistimethate sodium inj
|
$33.30 |
$33.30 |
$122.45 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$27.95 |
$32.26 |
$78.00 |
|
|
Collar cerv ascend 172 reg
|
$24.70 |
$135.99 |
$352.95 |
|
|
Collar cerv patriot adlt
|
$57.20 |
$57.20 |
$57.20 |
|
|
Collar extrication adult univ
|
$934.70 |
$934.70 |
$1,081.29 |
|
|
Collection blood specimen from completely implantable venous access device
|
$46.99 |
$102.70 |
$1,069.90 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$77.05 |
$116.35 |
$594.75 |
|
|
Collection of venous blood by venipuncture
|
$8.97 |
$12.35 |
$311.00 |
|
|
Colonoscopy (diagnostic)
|
$2,107.20 |
$2,107.20 |
$2,651.34 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,646.35 |
$2,646.35 |
$3,859.39 |
|
|
Colonoscopy stoma w/snare 44394
|
$2,169.18 |
$2,169.18 |
$3,288.97 |
|
|
Colonoscopy submucous njx
|
$3,771.27 |
$3,771.27 |
$4,493.11 |
|
|
Colonoscopy thru stoma spx
|
$2,086.70 |
$2,086.70 |
$2,873.02 |
|
|
Colonoscopy w/ablation
|
$3,998.57 |
$3,998.57 |
$3,998.57 |
|
|
Colonoscopy w/balloon dilat
|
$3,947.52 |
$3,947.52 |
$3,947.52 |
|
|
Colonoscopy w/band ligation
|
$1,733.55 |
$1,733.55 |
$3,069.97 |
|
|
Colonoscopy w/control bleed
|
$3,261.97 |
$3,261.97 |
$3,261.97 |
|
|
Colonoscopy w/dilation
|
$3,021.77 |
$3,021.77 |
$3,021.77 |
|
|
Colonoscopy/w endoscopic stent 45389
|
$12,719.58 |
$12,719.58 |
$12,719.58 |
|
|
Colonoscopy w/fb removal
|
$1,154.22 |
$1,154.22 |
$4,616.72 |
|
|
Colonoscopy with ablation
|
$2,529.99 |
$2,529.99 |
$2,529.99 |
|
|
Colonoscopy (with biopsy)
|
$3,327.84 |
$3,327.84 |
$3,331.67 |
|
|
Colonoscopy with biopsy
|
$3,188.27 |
$3,188.27 |
$3,188.27 |
|
|
Colonoscopy (with polyp removal)
|
$2,751.58 |
$2,751.58 |
$3,350.12 |
|
|
Colonoscopy w/resection
|
$5,603.67 |
$5,603.67 |
$5,603.67 |
|
|
Colpocleisis (le forte type) 57120
|
$7,505.89 |
$7,505.89 |
$12,263.15 |
|
|
Colpopexy extraperitoneal
|
$14,605.22 |
$14,605.22 |
$14,605.22 |
|
|
Colpopexy intraperitoneal
|
$13,144.44 |
$13,144.44 |
$13,144.44 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,825.12 |
$1,825.12 |
$1,825.12 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$7,488.91 |
$7,488.91 |
$7,488.91 |
|
|
Colposcopy vulva w/biopsy 56821
|
$9,078.32 |
$9,078.32 |
$9,078.32 |
|
|
Compatibility test each unit antiglobulin technique
|
$49.86 |
$61.75 |
$256.00 |
|
|
Compatibility test each unit electronic
|
$61.75 |
$158.55 |
$179.40 |
|
|
Compatibility test each unit immediate spin technique
|
$44.85 |
$83.16 |
$197.00 |
|
|
Compatibility test incubate
|
$44.85 |
$110.50 |
$221.00 |
|
|
Comp cystometrogram/void presssure 51728
|
$629.85 |
$969.00 |
$2,403.70 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$792.35 |
$792.35 |
$1,284.40 |
|
|
Complement antigen each component c3
|
$80.00 |
$83.85 |
$153.00 |
|
|
Complex cystometrogram 51726
|
$1,049.75 |
$1,049.75 |
$3,141.45 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$314.32 |
$314.32 |
$3,151.80 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$250.03 |
$317.00 |
$13,445.39 |
|
|
Complex uroflowmetry (electronic) 51741
|
$232.05 |
$384.00 |
$1,732.90 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$503.02 |
$503.02 |
$4,869.62 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$289.99 |
$395.16 |
$4,464.11 |
|
|
Complx repair enel addl 5cm/< 13153
|
$356.68 |
$356.68 |
$356.68 |
|
|
Complx repair fccmnaxghf 13131
|
$200.45 |
$308.86 |
$1,105.00 |
|
|
Complx repair fccmnaxghf 13132
|
$262.52 |
$381.93 |
$8,163.06 |
|
|
Complx repair fccmnaxghf 13133
|
$238.10 |
$238.10 |
$14,207.35 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$103.32 |
$107.58 |
$13,130.56 |
|
|
Complx repair trunk addl 5cm/< 13102
|
$222.65 |
$222.65 |
$13,899.13 |
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$155.35 |
$155.35 |
$163.15 |
|
|
Composite graft/pri close/don area 15760
|
$2,156.55 |
$2,156.55 |
$2,156.55 |
|
|
Computed tomographic angiography head and neck with contrast
|
$2,027.35 |
$2,252.90 |
$3,682.90 |
|
|
Concentration infection agents any type
|
$40.95 |
$50.70 |
$69.00 |
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$2,423.65 |
$2,423.65 |
$2,423.65 |
|
|
Condylomata destruction 56420
|
$79.46 |
$113.04 |
$407.55 |
|
|
Conization/cerv/loop electrode exc 57522
|
$5,691.04 |
$5,691.04 |
$6,436.66 |
|
|
Conization of cervix
|
$6,000.40 |
$6,000.40 |
$6,000.40 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$315.17 |
$315.17 |
$1,693.20 |
|
|
Connect omega .5mm
|
$747.50 |
$847.52 |
$847.52 |
|
|
Connector tis 2x10mm
|
$2,904.59 |
$2,904.59 |
$3,238.95 |
|
|
Consultation pathology during surgery
|
$86.45 |
$119.60 |
$19,950.10 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$77.00 |
$138.66 |
$9,638.87 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$38.39 |
$38.39 |
$23,893.17 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$86.49 |
$86.49 |
$23,893.17 |
|
|
Consultation/report referred material w/preparation of slides
|
$82.33 |
$82.33 |
$6,648.36 |
|
|
Consultation/report referred slides prepared elsewhere
|
$154.05 |
$214.50 |
$6,369.90 |
|
|
Consult comp w/report rfrd material
|
$179.40 |
$182.65 |
$7,811.36 |
|
|
Contrast baths charges
|
$56.55 |
$56.55 |
$61.10 |
|
|
Contrast exam abdominl aorta 75625-26
|
$1,568.06 |
$1,973.40 |
$4,551.00 |
|
|
Contrast exam thoracic aorta 75605-26
|
$2,701.56 |
$2,701.56 |
$4,841.20 |
|
|
Contrast x-ray gallbladder
|
$316.55 |
$487.00 |
$872.95 |
|
|
Contrast x-ray of ankle
|
$412.10 |
$517.26 |
$517.26 |
|
|
Contrast x-ray of elbow
|
$517.26 |
$517.26 |
$1,045.85 |
|
|
Contrast x-ray of hip
|
$497.28 |
$497.28 |
$1,472.00 |
|
|
Contrast x-ray of knee joint
|
$497.28 |
$497.28 |
$1,894.10 |
|
|
Contrast x-ray of wrist
|
$497.28 |
$497.28 |
$861.90 |
|
|
Controller infinity pt dbs
|
$2,535.00 |
$2,535.00 |
$28,356.25 |
|
|
Control nosebleed pack+caut 30905
|
$160.49 |
$209.05 |
$592.15 |
|
|
Control of nosebleed ant comp 30903
|
$213.86 |
$251.79 |
$503.00 |
|
|
Control of nosebleedantersmpl 30901
|
$213.86 |
$225.55 |
$3,626.54 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$339.95 |
$487.48 |
$487.48 |
|
|
Conversion ext bil drg cath
|
$2,915.42 |
$2,915.42 |
$2,915.42 |
|
