|
Colectomy/end colost/close dis seg 44143
|
$1,200.16 |
$1,200.16 |
$1,200.16 |
$2,557.80
|
|
Colectomy/ ileostomy without prctect 44150
|
$1,344.98 |
$1,344.98 |
$1,344.98 |
$3,530.40
|
|
Colectomy/ ileostomy w/prctect 44155
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$3,951.60
|
|
Colectomy partial w/anastomosis 44140
|
$978.90 |
$978.90 |
$978.90 |
$2,401.20
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$1,408.16 |
$1,408.16 |
$1,408.16 |
$3,435.89
|
|
Colectomy prtl w/coloproctostomy 44145
|
$1,199.12 |
$1,199.12 |
$1,199.12 |
$2,993.40
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$1,522.56 |
$1,522.56 |
$1,522.56 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$905.84 |
$905.84 |
$905.84 |
$1,891.68
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$1,315.08 |
$1,315.08 |
$1,315.08 |
$3,231.32
|
|
Colectomy/w colostomy or ileostomy 44144
|
$1,282.32 |
$1,282.32 |
$1,282.32 |
$2,679.36
|
|
Colectomy w/ileoanal anast
|
$1,588.60 |
$1,588.60 |
$1,588.60 |
$5,367.20
|
|
Colectomy w/neo-rectum pouch
|
$1,627.86 |
$1,627.86 |
$1,627.86 |
$5,500.80
|
|
Colistimethate sodium inj
|
$50.94 |
$50.94 |
$50.94 |
$77.00
|
|
Collagen dressing <=16 sq in
|
$5.98 |
$5.98 |
$5.98 |
$42.50
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$340.40 |
$340.40 |
$340.40 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$3.76 |
$3.76 |
$3.76 |
$61.20
|
|
Collection blood specimen from completely implantable venous access device
|
$815.48 |
$815.48 |
$815.48 |
$162.00
|
|
Collj & interpj data ea 30 d
|
$39.00 |
$39.00 |
$39.00 |
$162.00
|
|
Colon motility 6 hr study
|
$98.02 |
$98.02 |
$98.02 |
$477.92
|
|
Colonoscopy (diagnostic)
|
$133.12 |
$133.12 |
$133.12 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$180.70 |
$180.70 |
$180.70 |
$2,020.80
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$164.58 |
$164.58 |
$164.58 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$165.36 |
$165.36 |
$165.36 |
$2,147.00
|
|
Colonoscopy for foreign body
|
$151.58 |
$151.58 |
$151.58 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$144.30 |
$144.30 |
$144.30 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$217.88 |
$217.88 |
$217.88 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$162.24 |
$162.24 |
$162.24 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$144.82 |
$144.82 |
$144.82 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$112.84 |
$112.84 |
$112.84 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$194.48 |
$194.48 |
$194.48 |
$2,975.70
|
|
Colonoscopy w/balloon dilat
|
$152.88 |
$152.88 |
$152.88 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$169.52 |
$169.52 |
$169.52 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$186.16 |
$186.16 |
$186.16 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$166.66 |
$166.66 |
$166.66 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$132.08 |
$132.08 |
$132.08 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$185.12 |
$185.12 |
$185.12 |
$2,138.50
|
|
Colonoscopy w/endoscopic fnb
|
$218.14 |
$218.14 |
$218.14 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$207.74 |
$207.74 |
$207.74 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$171.34 |
$171.34 |
$171.34 |
$1,395.28
|
|
Colonoscopy w/injection
|
$124.02 |
$124.02 |
$124.02 |
$2,449.20
|
|
Colonoscopy with ablation
|
$173.94 |
$173.94 |
$173.94 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$144.82 |
$144.82 |
$144.82 |
$2,132.40
|
|
Colonoscopy with biopsy
|
$124.02 |
$124.02 |
$124.02 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$182.78 |
$182.78 |
$182.78 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$197.86 |
$197.86 |
$197.86 |
$2,495.25
|
|
Colonoscopy w/resection
|
$238.42 |
$238.42 |
$238.42 |
$3,029.60
|
|
Colonoscopy w/stent plcmt
|
$187.46 |
$187.46 |
$187.46 |
$5,824.00
|
|
Colonoscopy w/ultrasound
|
$165.10 |
$165.10 |
$165.10 |
$2,495.25
|
|
Colostomy skin level cecostomy 44320
|
$875.42 |
$875.42 |
$875.42 |
$2,161.80
|
|
Colostomy with biopsies
|
$728.52 |
$728.52 |
$728.52 |
$2,461.60
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$718.64 |
$718.64 |
$718.64 |
$1,731.60
|
|
Colpocentesis 57020
|
$57.72 |
$57.72 |
$57.72 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$387.14 |
$387.14 |
$387.14 |
$5,468.70
|
|
Colpopexy abdominal approach 57280
|
$704.86 |
$704.86 |
$704.86 |
$1,587.20
|
|
Colpopexy extraperitoneal
|
$506.48 |
$506.48 |
$506.48 |
$6,001.67
|
|
Colpopexy intraperitoneal
|
$510.38 |
$510.38 |
$510.38 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$8,940.68 |
$8,940.68 |
$8,940.68 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$89.18 |
$89.18 |
$89.18 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$133.90 |
$133.90 |
$133.90 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$66.30 |
$66.30 |
$66.30 |
$314.00
|
|
Colposcopy vulva 56820
|
$61.36 |
$61.36 |
$61.36 |
$311.50
|
|
Colposcopy vulva w/biopsy 56821
|
$82.94 |
$82.94 |
$82.94 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$79.56 |
$79.56 |
$79.56 |
$470.25
|
|
Colpotomy drng of abscess 57010
|
$333.58 |
$333.58 |
$333.58 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$8,940.68 |
$8,940.68 |
$8,940.68 |
$4,096.68
|
|
Compatibility test each unit antiglobulin technique
|
$1,084.10 |
$1,084.10 |
$1,084.10 |
$173.50
|
|
Compatibility test each unit electronic
|
$1,084.10 |
$1,084.10 |
$1,084.10 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$1,084.10 |
$1,084.10 |
$1,084.10 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$74.88 |
$74.88 |
$74.88 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$91.00 |
$91.00 |
$91.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$76.22 |
$76.22 |
$76.22 |
$110.00
|
|
Complement fixation each
|
$63.64 |
$63.64 |
$63.64 |
$29.12
|
|
Complete removal of vulva
|
$487.24 |
$487.24 |
$487.24 |
$3,762.53
|
|
Completion pneumonectomy 32488
|
$1,719.38 |
$1,719.38 |
$1,719.38 |
$5,828.00
|
|
Complex cystometrogram 51726
|
$61.10 |
$61.10 |
$61.10 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,721.98 |
$1,721.98 |
$1,721.98 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,721.98 |
$1,721.98 |
$1,721.98 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$5.98 |
$5.98 |
$5.98 |
$344.68
|
|
Compl oph exam general anes
|
$101.66 |
$101.66 |
$101.66 |
$2,161.60
|
|
Compl rpr tof w/pulm atresia
|
$1,474.98 |
$1,474.98 |
$1,474.98 |
$2,910.86
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,721.98 |
$1,721.98 |
$1,721.98 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,151.92 |
$2,151.92 |
$2,151.92 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$99.58 |
$99.58 |
$99.58 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,123.32 |
$1,123.32 |
$1,123.32 |
$809.46
|
|
Complx repair fccmnaxghf 13132
|
$1,721.98 |
$1,721.98 |
$1,721.98 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,290.56 |
$1,290.56 |
$1,290.56 |
$524.04
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,290.56 |
$1,290.56 |
$1,290.56 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,721.98 |
$1,721.98 |
$1,721.98 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,721.98 |
$1,721.98 |
$1,721.98 |
$537.00
|
|
Composite byp grft 2 veins
|
$251.16 |
$251.16 |
$251.16 |
$490.36
|
|
Composite byp grft 3/> segmt
|
$293.02 |
$293.02 |
$293.02 |
$574.98
|
|
Composite byp grft pros&vein
|
$56.68 |
$56.68 |
$56.68 |
$205.60
|
|
Composite graft/pri close/don area 15760
|
$509.08 |
$509.08 |
$509.08 |
$2,816.50
|
|
Comprehensive hearing test
|
$23.14 |
$23.14 |
$23.14 |
$261.46
|
|
Compre oph exam est pt 1/>
|
$54.34 |
$54.34 |
$54.34 |
$183.07
|
|
Compre oph exam new pt 1/>
|
$67.34 |
$67.34 |
$67.34 |
$186.00
|
|
Comp rpr tof wo pulm atresia
|
$1,401.92 |
$1,401.92 |
$1,401.92 |
$2,761.68
|
|
Concentration infection agents any type
|
$42.18 |
$42.18 |
$42.18 |
$51.32
|
|
Condylomata destruction 56420
|
$566.10 |
$566.10 |
$566.10 |
$468.30
|
|
Conization/cerv/loop electrode exc 57522
|
$186.42 |
$186.42 |
$186.42 |
$4,840.07
|
