|
C motor evoked lwr limbs
|
$336.60 |
$366.60 |
$457.80 |
$627.89
|
|
C motor evoked uppr limbs
|
$355.80 |
$357.00 |
$424.20 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$330.00 |
$477.00 |
$2,479.80 |
$1,333.36
|
|
#cms hgb-sulfhemoglobin
|
$38.40 |
$38.40 |
$38.40 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$51.00 |
$292.80 |
$903.60 |
$89.76
|
|
Cmv pcr-sendout
|
$245.40 |
$728.40 |
$1,109.40 |
$175.70
|
|
Cnbp gene detc abnor allele
|
$5,398.20 |
$5,398.20 |
$5,398.20 |
$313.60
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$7.40 |
$8.70 |
$34,168.20 |
$11,888.50
|
|
Coagulation time activated teg
|
$38.40 |
$40.80 |
$142.20 |
$52.47
|
|
Coagulation time otr method
|
$32.40 |
$40.80 |
$2,658.60 |
$20.00
|
|
Codeine 15 mg/ml inj 2 ml
|
$55.80 |
$55.80 |
$58.80 |
$54.65
|
|
Coil axium 3d 14mmx40cm qc
|
$336.60 |
$336.60 |
$336.60 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$65.40 |
$70.80 |
$71.40 |
$48.10
|
|
Cold agglutinin titer
|
$37.20 |
$61.20 |
$622.20 |
$52.00
|
|
Colectomy partial w/anastomosis 44140
|
$17,928.60 |
$17,928.60 |
$17,928.60 |
$2,510.73
|
|
Colistimethate sodium inj
|
$206.40 |
$1,284.60 |
$1,284.60 |
$82.71
|
|
Collagen based wound filler
|
$31.80 |
$31.80 |
$31.80 |
$1,794.78
|
|
Collagen dressing <=16 sq in
|
$16.80 |
$16.80 |
$21.00 |
$42.50
|
|
Collagen gel/paste wound fil
|
$1,191.60 |
$3,600.60 |
$4,801.20 |
$9.65
|
|
Collagen imp urinary 2.5 ml
|
$2,272.20 |
$2,272.20 |
$2,409.00 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$405.00 |
$469.80 |
$686.40 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$70.80 |
$76.80 |
$83.40 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$334.20 |
$388.20 |
$2,075.40 |
$224.11
|
|
Collar cerv patriot adlt
|
$213.00 |
$235.80 |
$321.00 |
$134.66
|
|
Collection blood specimen from completely implantable venous access device
|
$71.40 |
$125.40 |
$243.00 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$88.20 |
$125.40 |
$243.00 |
$155.40
|
|
Collj & interpj data ea 30 d
|
$253.80 |
$302.40 |
$382.20 |
$172.35
|
|
Colonoscopy (diagnostic)
|
$1,500.00 |
$1,500.00 |
$1,685.40 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,320.80 |
$3,228.00 |
$4,085.40 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$1,722.00 |
$2,505.60 |
$4,047.00 |
$2,147.00
|
|
Colonoscopy for foreign body
|
$1,507.20 |
$1,507.20 |
$3,232.80 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$1,486.80 |
$2,370.60 |
$4,108.80 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$1,286.40 |
$1,286.40 |
$1,363.80 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$2,449.80 |
$2,873.40 |
$4,047.00 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$3,471.00 |
$3,903.60 |
$4,659.00 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$1,372.20 |
$2,079.00 |
$4,047.00 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$2,028.60 |
$2,501.40 |
$10,513.80 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$1,876.80 |
$2,890.20 |
$4,659.00 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$1,366.80 |
$2,448.60 |
$3,264.00 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$2,240.40 |
$3,228.00 |
$8,934.60 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$2,448.60 |
$2,595.60 |
$3,436.80 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$2,310.00 |
$2,448.60 |
$3,263.40 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$2,457.60 |
$3,750.60 |
$4,123.20 |
$2,288.00
|
|
Colonoscopy w/endoscopic fnb
|
$2,842.20 |
$10,632.60 |
$30,601.80 |
$2,004.81
|
|
Colonoscopy/w endoscopic stent 45389
|
$2,310.60 |
$2,448.60 |
$3,436.80 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$2,346.60 |
$5,238.60 |
$8,934.60 |
$1,645.43
|
|
Colonoscopy w/injection
|
$2,310.60 |
$2,449.20 |
$3,264.60 |
$2,449.20
|
|
Colonoscopy with ablation
|
$1,333.20 |
$2,327.40 |
$3,759.00 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$2,214.00 |
$4,330.80 |
$4,867.80 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$1,372.20 |
$2,274.00 |
$3,235.80 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$3,349.80 |
$4,436.40 |
$5,583.00 |
$2,288.00
|
|
Colonoscopy w/resection
|
$2,448.60 |
$2,449.20 |
$3,264.60 |
$3,035.44
|
|
Colonoscopy w/stent plcmt
|
$2,617.80 |
$2,617.80 |
$2,617.80 |
$5,824.00
|
|
Colpocleisis (le forte type) 57120
|
$2,804.40 |
$2,804.40 |
$2,804.40 |
$5,813.46
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,967.00 |
$2,967.00 |
$3,077.40 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$908.40 |
$908.40 |
$2,244.60 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,595.20 |
$3,595.20 |
$3,595.20 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$499.20 |
$499.20 |
$766.20 |
$314.00
|
|
Colposcopy vulva 56820
|
$628.80 |
$628.80 |
$1,336.20 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$855.60 |
$855.60 |
$1,626.60 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$837.60 |
$837.60 |
$1,590.60 |
$485.50
|
|
Colpotomy w/exploration 57000
|
$3,114.00 |
$3,114.00 |
$3,114.00 |
$4,075.20
|
|
Compatibility test each unit antiglobulin technique
|
$154.80 |
$240.00 |
$474.00 |
$173.50
|
|
Compatibility test each unit electronic
|
$119.40 |
$181.20 |
$728.40 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$81.00 |
$159.00 |
$244.80 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$3,372.00 |
$3,372.00 |
$3,818.40 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,541.40 |
$1,541.40 |
$3,412.80 |
$1,111.03
|
|
Complement antigen each component c3
|
$80.40 |
$175.80 |
$846.60 |
$110.00
|
|
Complement fixation each
|
$70.80 |
$84.00 |
$106.20 |
$29.12
|
|
Complex cystometrogram 51726
|
$5,500.80 |
$5,500.80 |
$5,500.80 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,919.40 |
$3,448.20 |
$4,321.80 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$2,253.00 |
$3,955.80 |
$6,231.60 |
$1,191.78
|
|
Complex simulation w/pet-ct
|
$5,011.20 |
$5,011.20 |
$5,011.20 |
$2,625.15
|
|
Complex uroflowmetry (electronic) 51741
|
$1,501.20 |
$1,501.20 |
$2,136.60 |
$344.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,966.80 |
$4,557.60 |
$5,469.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,097.00 |
$3,469.80 |
$5,469.00 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$1,434.60 |
$1,606.80 |
$2,219.40 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,829.40 |
$2,332.80 |
$4,765.20 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$2,097.00 |
$3,077.40 |
$5,469.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$605.40 |
$679.20 |
$1,629.60 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$378.00 |
$595.80 |
$1,247.40 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$3,769.20 |
$4,115.40 |
$5,677.80 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$619.20 |
$806.40 |
$976.80 |
$537.00
|
|
Composite drsg >16<=48 sq in
|
$3.60 |
$4.80 |
$43.20 |
$42.60
|
|
Composite drsg <= 16 sq in
|
$3.60 |
$3.60 |
$4.80 |
$6.62
|
|
Composite graft/pri close/don area 15760
|
$3,734.40 |
$3,734.40 |
$4,080.00 |
$2,816.50
|
|
Comprehensive hearing test
|
$222.00 |
$222.00 |
$282.00 |
$261.46
|
|
Concentration infection agents any type
|
$42.00 |
$71.40 |
$1,537.20 |
$51.32
|
|
Condylomata destruction 56420
|
$1,237.20 |
$1,845.00 |
$3,560.40 |
$467.35
|
|
Conivaptan hcl
|
$4,051.20 |
$4,051.20 |
$4,051.20 |
$1,625.08
|
|
Conization/cerv/loop electrode exc 57522
|
$8,883.00 |
$8,883.00 |
$8,883.00 |
$4,840.07
|
|
Conjugated estrogens 25 mg solution for injection
|
$860.00 |
$1,431.00 |
$1,431.00 |
$860.00
|
|
Connect omega .5mm
|
$1,543.80 |
$1,882.20 |
$37,255.80 |
$1,260.00
|
|
Connector tis 2x10mm
|
$5,560.80 |
$5,574.60 |
$9,382.20 |
$4,024.34
|
|
Consultation pathology during surgery
|
$94.80 |
$144.60 |
$231.60 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$79.80 |
$144.60 |
$426.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$72.60 |
$213.60 |
$336.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$141.00 |
$322.20 |
$652.20 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$116.40 |
$1,295.40 |
$1,830.60 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$213.60 |
$220.20 |
$266.40 |
$176.28
|
