|
Colectomy/w colostomy or ileostomy 44144
|
$1,134.36 |
$1,134.36 |
$1,134.36 |
$2,679.36
|
|
Colectomy w/ileoanal anast
|
$1,405.30 |
$1,405.30 |
$1,405.30 |
$5,367.20
|
|
Colectomy w/neo-rectum pouch
|
$1,440.03 |
$1,440.03 |
$1,440.03 |
$5,500.80
|
|
Colistimethate sodium inj
|
$45.06 |
$45.06 |
$45.06 |
$77.00
|
|
Collagen dressing <=16 sq in
|
$5.29 |
$5.29 |
$5.29 |
$42.50
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$354.20 |
$354.20 |
$354.20 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$848.54 |
$848.54 |
$848.54 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$848.54 |
$848.54 |
$848.54 |
$155.40
|
|
Collj & interpj data ea 30 d
|
$34.50 |
$34.50 |
$34.50 |
$162.00
|
|
Colon motility 6 hr study
|
$86.71 |
$86.71 |
$86.71 |
$477.92
|
|
Colonoscopy (diagnostic)
|
$117.76 |
$117.76 |
$117.76 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$159.85 |
$159.85 |
$159.85 |
$2,020.80
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$145.59 |
$145.59 |
$145.59 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$146.28 |
$146.28 |
$146.28 |
$2,147.00
|
|
Colonoscopy for foreign body
|
$134.09 |
$134.09 |
$134.09 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$127.65 |
$127.65 |
$127.65 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$192.74 |
$192.74 |
$192.74 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$143.52 |
$143.52 |
$143.52 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$128.11 |
$128.11 |
$128.11 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$99.82 |
$99.82 |
$99.82 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$172.04 |
$172.04 |
$172.04 |
$2,975.70
|
|
Colonoscopy w/balloon dilat
|
$135.24 |
$135.24 |
$135.24 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$149.96 |
$149.96 |
$149.96 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$164.68 |
$164.68 |
$164.68 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$147.43 |
$147.43 |
$147.43 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$116.84 |
$116.84 |
$116.84 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$163.76 |
$163.76 |
$163.76 |
$2,138.50
|
|
Colonoscopy w/endoscopic fnb
|
$192.97 |
$192.97 |
$192.97 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$183.77 |
$183.77 |
$183.77 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$151.57 |
$151.57 |
$151.57 |
$1,395.28
|
|
Colonoscopy w/injection
|
$109.71 |
$109.71 |
$109.71 |
$2,449.20
|
|
Colonoscopy with ablation
|
$153.87 |
$153.87 |
$153.87 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$128.11 |
$128.11 |
$128.11 |
$2,132.40
|
|
Colonoscopy with biopsy
|
$109.71 |
$109.71 |
$109.71 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$161.69 |
$161.69 |
$161.69 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$175.03 |
$175.03 |
$175.03 |
$2,495.25
|
|
Colonoscopy w/resection
|
$210.91 |
$210.91 |
$210.91 |
$3,029.60
|
|
Colonoscopy w/stent plcmt
|
$165.83 |
$165.83 |
$165.83 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$146.05 |
$146.05 |
$146.05 |
$2,495.25
|
|
Colostomy skin level cecostomy 44320
|
$774.41 |
$774.41 |
$774.41 |
$2,161.80
|
|
Colostomy with biopsies
|
$644.46 |
$644.46 |
$644.46 |
$2,461.60
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$635.72 |
$635.72 |
$635.72 |
$1,731.60
|
|
Colpocentesis 57020
|
$51.06 |
$51.06 |
$51.06 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$342.47 |
$342.47 |
$342.47 |
$5,468.70
|
|
Colpopexy abdominal approach 57280
|
$623.53 |
$623.53 |
$623.53 |
$1,587.20
|
|
Colpopexy extraperitoneal
|
$448.04 |
$448.04 |
$448.04 |
$6,001.67
|
|
Colpopexy intraperitoneal
|
$451.49 |
$451.49 |
$451.49 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$213.67 |
$213.67 |
$213.67 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$78.89 |
$78.89 |
$78.89 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$118.45 |
$118.45 |
$118.45 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$58.65 |
$58.65 |
$58.65 |
$314.00
|
|
Colposcopy vulva 56820
|
$54.28 |
$54.28 |
$54.28 |
$311.50
|
|
Colposcopy vulva w/biopsy 56821
|
$73.37 |
$73.37 |
$73.37 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$70.38 |
$70.38 |
$70.38 |
$470.25
|
|
Colpotomy drng of abscess 57010
|
$295.09 |
$295.09 |
$295.09 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$130.18 |
$130.18 |
$130.18 |
$4,096.68
|
|
Compatibility test each unit antiglobulin technique
|
$1,128.05 |
$1,128.05 |
$1,128.05 |
$173.50
|
|
Compatibility test each unit electronic
|
$1,128.05 |
$1,128.05 |
$1,128.05 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$1,128.05 |
$1,128.05 |
$1,128.05 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$66.24 |
$66.24 |
$66.24 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$80.50 |
$80.50 |
$80.50 |
$1,111.03
|
|
Complement antigen each component c3
|
$79.31 |
$79.31 |
$79.31 |
$110.00
|
|
Complement fixation each
|
$66.22 |
$66.22 |
$66.22 |
$29.12
|
|
Complete removal of vulva
|
$431.02 |
$431.02 |
$431.02 |
$3,762.53
|
|
Completion pneumonectomy 32488
|
$1,520.99 |
$1,520.99 |
$1,520.99 |
$5,828.00
|
|
Complex cystometrogram 51726
|
$54.05 |
$54.05 |
$54.05 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,791.79 |
$1,791.79 |
$1,791.79 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,791.79 |
$1,791.79 |
$1,791.79 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$5.29 |
$5.29 |
$5.29 |
$344.68
|
|
Compl oph exam general anes
|
$89.93 |
$89.93 |
$89.93 |
$2,161.60
|
|
Compl rpr tof w/pulm atresia
|
$1,304.79 |
$1,304.79 |
$1,304.79 |
$2,910.86
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,791.79 |
$1,791.79 |
$1,791.79 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,239.16 |
$2,239.16 |
$2,239.16 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$88.09 |
$88.09 |
$88.09 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,168.86 |
$1,168.86 |
$1,168.86 |
$809.46
|
|
Complx repair fccmnaxghf 13132
|
$1,791.79 |
$1,791.79 |
$1,791.79 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,342.88 |
$1,342.88 |
$1,342.88 |
$524.04
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,342.88 |
$1,342.88 |
$1,342.88 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,791.79 |
$1,791.79 |
$1,791.79 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$46.00 |
$46.00 |
$46.00 |
$537.00
|
|
Composite byp grft 2 veins
|
$222.18 |
$222.18 |
$222.18 |
$490.36
|
|
Composite byp grft 3/> segmt
|
$259.21 |
$259.21 |
$259.21 |
$574.98
|
|
Composite byp grft pros&vein
|
$50.14 |
$50.14 |
$50.14 |
$205.60
|
|
Composite graft/pri close/don area 15760
|
$450.34 |
$450.34 |
$450.34 |
$2,816.50
|
|
Comprehensive hearing test
|
$20.47 |
$20.47 |
$20.47 |
$261.46
|
|
Compre oph exam est pt 1/>
|
$48.07 |
$48.07 |
$48.07 |
$183.07
|
|
Compre oph exam new pt 1/>
|
$59.57 |
$59.57 |
$59.57 |
$186.00
|
|
Comp rpr tof wo pulm atresia
|
$1,240.16 |
$1,240.16 |
$1,240.16 |
$2,761.68
|
|
Concentration infection agents any type
|
$43.89 |
$43.89 |
$43.89 |
$51.32
|
|
Condylomata destruction 56420
|
$589.05 |
$589.05 |
$589.05 |
$468.30
|
|
Conization/cerv/loop electrode exc 57522
|
$164.91 |
$164.91 |
$164.91 |
$4,840.07
|
|
Conization of cervix
|
$191.59 |
$191.59 |
$191.59 |
$3,786.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$303.39 |
$303.39 |
$303.39 |
$860.00
|
|
Constj trachesophgl fstl
|
$342.47 |
$342.47 |
$342.47 |
$3,837.72
|
|
Construct bladder opening
|
$461.38 |
$461.38 |
$461.38 |
$933.53
|
|
Construct bowel bladder
|
$845.48 |
$845.48 |
$845.48 |
$6,258.20
|
|
Construct bowel bladder
|
$1,058.69 |
$1,058.69 |
$1,058.69 |
$2,126.21
|
|
Construction of absent anus
|
$1,287.31 |
$1,287.31 |
$1,287.31 |
$4,828.80
|
|
Construction of absent anus
|
$1,480.51 |
$1,480.51 |
$1,480.51 |
$3,269.11
|
|
Construction of absent anus
|
$1,404.15 |
$1,404.15 |
$1,404.15 |
$5,272.80
|