|
Cltx lunate dislc w/mnpj
|
$952.20 |
$952.20 |
$952.20 |
|
|
Cltx mndblr fx ntrdntl fixj
|
$6,639.00 |
$9,179.50 |
$9,179.50 |
|
|
Cltx mndblr fx w/mnpj
|
$2,381.50 |
$3,293.00 |
$3,293.00 |
|
|
Cltx mndblr/max alv ridge fx
|
$3,210.50 |
$4,358.50 |
$4,358.50 |
|
|
Cltx palatal/max fx wire fix
|
$5,919.50 |
$8,036.50 |
$8,036.50 |
|
|
Cltx post ankle fx w/mnpj
|
$734.50 |
$952.20 |
$1,113.50 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$805.00 |
$999.00 |
$1,113.50 |
|
|
Cltx thigh fx
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
|
|
Cltx thigh fx w/mnpj
|
$7,289.40 |
$7,289.40 |
$7,289.40 |
|
|
Cmbn ant pst colprhy
|
$27,750.31 |
$27,750.31 |
$27,750.31 |
|
|
C motor evoked lwr limbs
|
$543.00 |
$1,376.50 |
$1,699.50 |
|
|
C motor evoked uppr limbs
|
$363.00 |
$1,376.50 |
$1,699.50 |
|
|
C motor evoked upr&lwr limbs
|
$780.00 |
$1,699.50 |
$1,869.50 |
|
|
Cmptr ophth dx img ant segmt
|
$47.00 |
$58.00 |
$58.00 |
|
|
Cmptr ophth img optic nerve
|
$47.00 |
$58.00 |
$58.00 |
|
|
#cmvcul-virus inoculation shell
|
$23.50 |
$82.80 |
$678.00 |
|
|
Cmv pcr-sendout
|
$257.40 |
$455.50 |
$663.65 |
|
|
Co2 monitor per day
|
$286.00 |
$353.50 |
$3,351.00 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$59,010.00 |
$59,010.00 |
$67,440.00 |
|
|
Coagulation time activated teg
|
$40.00 |
$55.50 |
$106.00 |
|
|
Cocaine 4 % nasal solution
|
$492.00 |
$492.00 |
$2,393.43 |
|
|
Coch imp ext proc/contr rplc
|
$74,907.69 |
$74,907.69 |
$74,907.69 |
|
|
Coch implant microphone repl
|
$421.00 |
$421.00 |
$1,849.65 |
|
|
Cochlear implt f/up exam <7
|
$353.00 |
$353.00 |
$353.00 |
|
|
Cochlear implt f/up exam 7/>
|
$307.00 |
$307.00 |
$307.00 |
|
|
Coil axium 3d 14mmx40cm qc
|
$1,692.50 |
$3,610.00 |
$3,778.50 |
|
|
Cold agglutinin titer
|
$45.60 |
$65.50 |
$284.00 |
|
|
Colistimethate sodium inj
|
$232.60 |
$260.31 |
$389.00 |
|
|
Collagen based wound filler
|
$1,404.00 |
$2,424.00 |
$5,972.00 |
|
|
Collagen drsg>16<=48 sq in
|
$2,831.50 |
$4,368.00 |
$6,969.50 |
|
|
Collagen imp urinary 2.5 ml
|
$368.50 |
$368.50 |
$368.50 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$144.50 |
$317.40 |
$582.50 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$66.50 |
$93.00 |
$532.95 |
|
|
Collar cerv adlt perfit ace extric
|
$357.39 |
$357.39 |
$357.39 |
|
|
Collar cerv ascend 172 reg
|
$231.50 |
$362.00 |
$861.88 |
|
|
Collar cerv patriot adlt
|
$10.50 |
$15.50 |
$590.69 |
|
|
Collar extrication adult univ
|
$497.00 |
$908.00 |
$1,111.00 |
|
|
Collection blood specimen from completely implantable venous access device
|
$79.50 |
$110.50 |
$397.20 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$69.00 |
$211.00 |
$384.00 |
|
|
Colon motility 6 hr study
|
$304.50 |
$421.00 |
$720.50 |
|
|
Colonoscopy (diagnostic)
|
$12,126.00 |
$12,126.00 |
$12,626.01 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$8,104.57 |
$8,104.57 |
$9,012.43 |
|
|
Colonoscopy stoma w/snare 44394
|
$2,228.20 |
$2,228.20 |
$2,228.20 |
|
|
Colonoscopy submucous njx
|
$2,482.35 |
$12,422.47 |
$18,173.50 |
|
|
Colonoscopy w/ablation
|
$14,364.34 |
$14,364.34 |
$14,364.34 |
|
|
Colonoscopy w/control bleed
|
$8,222.18 |
$8,222.18 |
$8,222.18 |
|
|
Colonoscopy w/fb removal
|
$6,490.80 |
$6,490.80 |
$6,490.80 |
|
|
Colonoscopy (with biopsy)
|
$2,438.80 |
$12,699.41 |
$17,949.64 |
|
|
Colonoscopy with biopsy
|
$5,562.66 |
$5,562.66 |
$5,562.66 |
|
|
Colonoscopy (with polyp removal)
|
$535.00 |
$666.00 |
$12,726.85 |
|
|
Colonoscopy w/resection
|
$17,708.85 |
$17,708.85 |
$17,708.85 |
|
|
Colpocentesis 57020
|
$1,444.00 |
$1,597.00 |
$1,997.00 |
|
|
Colpopexy extraperitoneal
|
$42,989.65 |
$42,989.65 |
$46,347.40 |
|
|
Colpopexy intraperitoneal
|
$34,215.58 |
$34,215.58 |
$34,215.58 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,373.00 |
$3,221.50 |
$26,826.77 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$401.50 |
$555.00 |
$555.00 |
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$242.50 |
$403.00 |
$403.00 |
|
|
Colposcopy vulva 56820
|
$174.50 |
$241.50 |
$241.50 |
|
|
Colposcopy vulva w/biopsy 56821
|
$174.50 |
$241.50 |
$241.50 |
|
|
Colposcopy w/biopsy of cervix 57455
|
$349.00 |
$579.00 |
$579.00 |
|
|
Combination bilateral ho
|
$4,015.50 |
$4,015.50 |
$10,932.06 |
|
|
Compatibility test each unit antiglobulin technique
|
$73.50 |
$90.50 |
$187.80 |
|
|
Compatibility test each unit electronic
|
$52.00 |
$73.50 |
$128.40 |
|
|
Compatibility test each unit immediate spin technique
|
$110.00 |
$144.50 |
$260.00 |
|
|
Compatibility test incubate
|
$56.00 |
$136.80 |
$561.00 |
|
|
Comp cystometrogram/void presssure 51728
|
$526.00 |
$727.50 |
$727.50 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$345.50 |
$477.50 |
$477.50 |
|
|
Complement antigen each component c3
|
$139.80 |
$368.50 |
$841.00 |
|
|
Complex cystometrogram 51726
|
$550.50 |
$761.00 |
$761.00 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$449.50 |
$621.50 |
$1,065.50 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$691.00 |
$1,065.50 |
$11,111.18 |
|
|
Complex uroflowmetry (electronic) 51741
|
$285.00 |
$393.50 |
$393.50 |
|
|
Compl oph exam general anes
|
$973.00 |
$1,345.50 |
$14,077.85 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$529.00 |
$864.00 |
$11,290.30 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$637.00 |
$881.00 |
$14,724.53 |
|
|
Complx repair enel addl 5cm/< 13153
|
$304.50 |
$472.00 |
$14,724.53 |
|
|
Complx repair fccmnaxghf 13131
|
$365.00 |
$678.50 |
$864.00 |
|
|
Complx repair fccmnaxghf 13132
|
$449.50 |
$797.00 |
$1,065.50 |
|
|
Complx repair fccmnaxghf 13133
|
$348.50 |
$481.50 |
$777.60 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$304.50 |
$533.00 |
$777.60 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$653.50 |
$1,012.00 |
$9,892.79 |
|
|
Complx repair trunk addl 5cm/< 13102
|
$348.50 |
$481.50 |
$777.60 |
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$965.00 |
$1,847.00 |
$5,216.64 |
|
|
Composite graft/pri close/don area 15760
|
$2,485.00 |
$3,373.50 |
$3,373.50 |
|
|
Comprehensive hearing test
|
$236.50 |
$236.50 |
$236.50 |
|
|
Compre oph exam est pt 1/>
|
$53.50 |
$74.00 |
$74.00 |
|
|
Compre oph exam new pt 1/>
|
$71.00 |
$99.00 |
$99.00 |
|
|
Computed tomographic angiography head and neck with contrast
|
$324.50 |
$4,160.00 |
$18,995.00 |
|
|
Concentration infection agents any type
|
$76.00 |
$106.00 |
$367.00 |
|
|
Conditioning play audiometry 92582
|
$236.50 |
$236.50 |
$236.50 |
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$43,858.65 |
$43,858.65 |
$43,858.65 |
|
|
Condylomata destruction 56420
|
$375.50 |
$519.00 |
$14,769.94 |
|
|
Conivaptan hcl
|
$303.00 |
$303.00 |
$303.00 |
|
|
Conization/cerv/loop electrode exc 57522
|
$2,543.00 |
$3,516.00 |
$10,691.10 |
|
|
Conization of cervix
|
$11,321.72 |
$11,321.72 |
$11,321.72 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,865.00 |
$1,865.00 |
$3,504.98 |
|
|
Connect omega .5mm
|
$1,091.00 |
$1,104.50 |
$18,334.55 |
|
|
Connector tis 2x10mm
|
$1,659.00 |
$4,055.00 |
$19,386.84 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$128.00 |
$245.00 |
$1,863.60 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$54.50 |
$71.50 |
$214.00 |
|
