|
Clsd tx/ulnar shaft fx without manip 25530
|
$325.00 |
$445.80 |
$1,697.60 |
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$283.50 |
$759.00 |
$3,355.20 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$325.00 |
$370.80 |
$998.40 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$283.50 |
$520.80 |
$1,369.60 |
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$597.60 |
$597.60 |
$3,391.80 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$283.50 |
$721.20 |
$1,216.00 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$298.50 |
$494.40 |
$1,266.00 |
|
|
Cls tx of heel fracture w/manip 28405
|
$283.50 |
$759.00 |
$4,507.20 |
|
|
Cltx carpl scphd fx w/mnpj
|
$1,848.00 |
$2,440.80 |
$5,289.00 |
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$729.60 |
$2,055.00 |
$6,097.20 |
|
|
Cltx hum epcndylr fx wo mnpj
|
$283.50 |
$856.20 |
$3,355.20 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$698.40 |
$2,374.20 |
$3,123.60 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$362.40 |
$759.00 |
$3,355.20 |
|
|
Cltx lunate dislc w/mnpj
|
$825.60 |
$2,055.00 |
$3,849.60 |
|
|
Cltx mndblr fx ntrdntl fixj
|
$1,339.20 |
$4,665.00 |
$14,868.60 |
|
|
Cltx mndblr fx w/mnpj
|
$2,095.50 |
$4,051.20 |
$7,899.60 |
|
|
Cltx mndblr/max alv ridge fx
|
$4,856.40 |
$4,856.40 |
$6,514.20 |
|
|
Cltx palatal/max fx wire fix
|
$4,226.50 |
$4,706.40 |
$6,093.60 |
|
|
Cltx post ankle fx
|
$283.50 |
$1,642.80 |
$2,523.60 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,208.00 |
$2,710.20 |
$4,024.20 |
|
|
Cltx strnclav dislc w/mnpj
|
$3,539.40 |
$3,539.40 |
$3,539.40 |
|
|
Cltx thigh fx w/mnpj
|
$4,240.80 |
$4,668.60 |
$6,871.80 |
|
|
Cmbn ant pst colprhy
|
$1,042.80 |
$1,042.80 |
$2,159.92 |
|
|
C motor evoked lwr limbs
|
$154.80 |
$486.60 |
$1,258.80 |
|
|
C motor evoked uppr limbs
|
$155.40 |
$429.00 |
$1,258.80 |
|
|
C motor evoked upr&lwr limbs
|
$330.00 |
$2,029.20 |
$2,816.40 |
|
|
#cms hgb-sulfhemoglobin
|
$27.00 |
$36.00 |
$74.00 |
|
|
#cmvcul-virus inoculation shell
|
$8.40 |
$109.80 |
$903.60 |
|
|
Cmv pcr-sendout
|
$99.00 |
$299.40 |
$1,109.40 |
|
|
Cnbp gene detc abnor allele
|
$5,398.20 |
$5,398.20 |
$5,398.20 |
|
|
Co2 monitor per day
|
$682.80 |
$990.60 |
$1,197.60 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$5.40 |
$9.00 |
$37,844.00 |
|
|
Coagulation time activated teg
|
$13.20 |
$28.80 |
$142.20 |
|
|
Coagulation time lee & white
|
$45.00 |
$45.00 |
$45.00 |
|
|
Coagulation time otr method
|
$32.40 |
$40.80 |
$2,658.60 |
|
|
Cocaine 4 % nasal solution
|
$414.80 |
$414.80 |
$1,018.20 |
|
|
Cocaine hcl nasal (numbrino)
|
$84.60 |
$84.60 |
$309.45 |
|
|
Codeine 15 mg/ml inj 2 ml
|
$55.80 |
$55.80 |
$58.80 |
|
|
Coil axium 3d 14mmx40cm qc
|
$336.60 |
$336.60 |
$336.60 |
|
|
Cold agglutinin screen (arc)
|
$45.00 |
$45.00 |
$105.00 |
|
|
Cold agglutinin titer
|
$22.20 |
$45.00 |
$622.20 |
|
|
Colectomy/end colost/close dis seg 44143
|
$4,608.00 |
$4,608.00 |
$4,608.00 |
|
|
Colectomy partial w/anastomosis 44140
|
$2,401.20 |
$5,395.80 |
$17,928.60 |
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$3,154.80 |
$3,154.80 |
$3,154.80 |
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$2,136.00 |
$3,279.60 |
$3,279.60 |
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$4,815.60 |
$4,815.60 |
$4,815.60 |
|
|
Colistimethate sodium inj
|
$16.80 |
$129.00 |
$1,284.60 |
|
|
Collagenase, clost hist inj
|
$10,707.85 |
$10,707.85 |
$10,707.85 |
|
|
Collagen based wound filler
|
$31.80 |
$31.80 |
$2,376.00 |
|
|
Collagen dressing <=16 sq in
|
$16.80 |
$16.80 |
$21.00 |
|
|
Collagen gel/paste wound fil
|
$86.40 |
$3,434.40 |
$4,801.20 |
|
|
Collagen imp urinary 2.5 ml
|
$2,022.60 |
$2,188.20 |
$2,409.00 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$100.20 |
$282.60 |
$686.40 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$10.20 |
$75.60 |
$223.20 |
|
|
Collar cerv adlt perfit ace extric
|
$39.60 |
$39.60 |
$39.60 |
|
|
Collar cerv ascend 172 reg
|
$19.20 |
$163.20 |
$2,075.40 |
|
|
Collar cerv patriot adlt
|
$19.20 |
$213.00 |
$321.00 |
|
|
Collection blood specimen from completely implantable venous access device
|
$50.40 |
$155.40 |
$243.00 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$86.40 |
$162.00 |
$537.00 |
|
|
Collj & interpj data ea 30 d
|
$253.80 |
$302.40 |
$382.20 |
|
|
Colonoscopy (diagnostic)
|
$609.00 |
$1,500.00 |
$2,000.00 |
|
|
Colonoscopy flex with decompression 45393
|
$294.60 |
$294.60 |
$2,448.60 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$691.50 |
$3,055.20 |
$4,419.60 |
|
|
Colonoscopy for bleeding 44391
|
$1,722.00 |
$2,854.80 |
$4,047.00 |
|
|
Colonoscopy for foreign body
|
$1,507.20 |
$3,232.80 |
$3,933.60 |
|
|
Colonoscopy & polypectomy 44392
|
$1,486.80 |
$3,558.00 |
$4,108.80 |
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$1,286.40 |
$1,363.80 |
$3,255.00 |
|
|
Colonoscopy stoma w/snare 44394
|
$722.40 |
$3,193.20 |
$4,047.00 |
|
|
Colonoscopy submucous njx
|
$597.75 |
$3,696.60 |
$5,152.80 |
|
|
Colonoscopy thru stoma spx
|
$472.20 |
$2,704.20 |
$4,047.00 |
|
|
Colonoscopy w/ablation
|
$775.50 |
$3,033.60 |
$10,513.80 |
|
|
Colonoscopy w/balloon dilat
|
$195.50 |
$2,890.20 |
$4,659.00 |
|
|
Colonoscopy w/band ligation
|
$609.00 |
$2,449.20 |
$3,933.60 |
|
|
Colonoscopy w/control bleed
|
$544.50 |
$2,476.20 |
$8,934.60 |
|
|
Colonoscopy w/decompression
|
$2,448.60 |
$2,940.60 |
$3,816.80 |
|
|
Colonoscopy w/dilation
|
$2,310.00 |
$2,448.60 |
$3,263.40 |
|
|
Colonoscopy w/endoscope Ultrasound
|
$2,457.60 |
$3,750.60 |
$4,123.20 |
|
|
Colonoscopy w/endoscopic fnb
|
$2,842.20 |
$3,933.60 |
$30,601.80 |
|
|
Colonoscopy/w endoscopic stent 45389
|
$1,449.00 |
$2,799.00 |
$7,896.80 |
|
|
Colonoscopy w/fb removal
|
$691.50 |
$3,045.00 |
$8,934.60 |
|
|
Colonoscopy w/injection
|
$2,310.60 |
$2,449.20 |
$3,933.60 |
|
|
Colonoscopy with ablation
|
$1,333.20 |
$2,327.40 |
$3,933.60 |
|
|
Colonoscopy (with biopsy)
|
$727.20 |
$3,033.60 |
$4,867.80 |
|
|
Colonoscopy with biopsy
|
$520.80 |
$2,337.60 |
$3,933.60 |
|
|
Colonoscopy (with polyp removal)
|
$862.80 |
$3,055.20 |
$5,583.00 |
|
|
Colonoscopy w/resection
|
$430.80 |
$2,449.20 |
$3,933.60 |
|
|
Colonoscopy w/stent plcmt
|
$2,617.80 |
$2,617.80 |
$7,896.80 |
|
|
Colpocentesis 57020
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
|
|
Colpocleisis (le forte type) 57120
|
$2,767.33 |
$2,767.33 |
$2,804.40 |
|
|
Colpopexy extraperitoneal
|
$927.60 |
$927.60 |
$2,504.01 |
|
|
Colpopexy intraperitoneal
|
$2,159.92 |
$2,159.92 |
$2,159.92 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,967.00 |
$6,660.60 |
$6,660.60 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$50.40 |
$1,452.00 |
$2,244.60 |
|
|
Colposcopy/cervix/ conization 57461
|
$3,595.20 |
$3,595.20 |
$3,720.50 |
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$133.80 |
$378.00 |
$766.20 |
|
|
Colposcopy vulva 56820
|
$378.00 |
$378.00 |
$1,577.60 |
|
|
Colposcopy vulva w/biopsy 56821
|
$855.60 |
$1,626.60 |
$2,133.60 |
|
|
Colposcopy w/biopsy of cervix 57455
|
$57.00 |
$615.60 |
$2,084.80 |
|
|
Colpotomy drng of abscess 57010
|
$786.60 |
$786.60 |
$786.60 |
|
|
Colpotomy w/exploration 57000
|
$2,431.20 |
$3,114.00 |
$3,346.80 |
|
