|
Cltx carpl scphd fx w/mnpj
|
$1,530.83 |
$1,530.83 |
$1,530.83 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,072.29 |
$2,072.29 |
$2,072.29 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$486.35 |
$486.35 |
$486.35 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,530.83 |
$1,530.83 |
$1,530.83 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$415.84 |
$415.84 |
$415.84 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$2,450.72 |
$2,450.72 |
$2,450.72 |
$2,384.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$4,738.30 |
$4,738.30 |
$4,738.30 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$2,694.45 |
$2,694.45 |
$2,694.45 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$3,473.43 |
$3,473.43 |
$3,473.43 |
$3,986.00
|
|
Cltx palatal/max fx wire fix
|
$3,817.72 |
$3,817.72 |
$3,817.72 |
$4,377.24
|
|
Cltx post ankle fx
|
$332.53 |
$332.53 |
$332.53 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$1,559.18 |
$1,559.18 |
$1,559.18 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,683.92 |
$1,683.92 |
$1,683.92 |
$2,021.04
|
|
Cltx strnclav dislc w/mnpj
|
$804.79 |
$804.79 |
$804.79 |
$619.30
|
|
Cltx thigh fx
|
$1,996.56 |
$1,996.56 |
$1,996.56 |
$3,986.00
|
|
Cltx thigh fx w/mnpj
|
$989.98 |
$989.98 |
$989.98 |
$3,276.70
|
|
Cltx tmprmand dislc comp
|
$3,562.64 |
$3,562.64 |
$3,562.64 |
$3,740.85
|
|
Cmbn ant pst colprhy
|
$7,063.81 |
$7,063.81 |
$7,063.81 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$884.52 |
$884.52 |
$884.52 |
$627.89
|
|
C motor evoked uppr limbs
|
$824.67 |
$824.67 |
$824.67 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$1,083.58 |
$1,083.58 |
$1,083.58 |
$1,333.36
|
|
Cmptr ophth dx img ant segmt
|
$115.95 |
$115.95 |
$115.95 |
$83.20
|
|
Cmptr ophth img optic nerve
|
$162.53 |
$162.53 |
$162.53 |
$98.00
|
|
#cms hgb-carboxyhemoglobin
|
$67.80 |
$67.80 |
$67.80 |
$61.60
|
|
#cms hgb-sulfhemoglobin
|
$75.58 |
$75.58 |
$75.58 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$124.00 |
$124.00 |
$372.11 |
$89.76
|
|
Cmv pcr-sendout
|
$568.11 |
$568.11 |
$629.74 |
$175.70
|
|
Cnbp gene detc abnor allele
|
$7,487.95 |
$7,487.95 |
$7,487.95 |
$313.60
|
|
Co2 monitor per day
|
$473.13 |
$473.13 |
$473.13 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$26.45 |
$26.45 |
$8,798.60 |
$11,888.50
|
|
Coagulation time activated teg
|
$81.07 |
$81.07 |
$82.52 |
$52.47
|
|
Coagulation time otr method
|
$36.01 |
$36.01 |
$36.01 |
$20.00
|
|
Coch implant headset replace
|
$1,083.39 |
$1,083.39 |
$1,083.39 |
$1,064.00
|
|
Coch implant microphone repl
|
$1,083.39 |
$1,083.39 |
$1,083.39 |
$890.83
|
|
Coch implant tran cable repl
|
$434.37 |
$434.37 |
$434.37 |
$193.52
|
|
Coch implant trans coil repl
|
$1,359.90 |
$1,359.90 |
$1,359.90 |
$677.57
|
|
Cochlear implt f/up exam <7
|
$169.83 |
$169.83 |
$570.17 |
$423.87
|
|
Cochlear implt f/up exam 7/>
|
$169.83 |
$169.83 |
$516.84 |
$386.64
|
|
Cocm by rhc/fqhc 60 min mo
|
$87.13 |
$87.13 |
$87.13 |
$87.13
|
|
Codeine 15 mg/ml inj 2 ml
|
$3.60 |
$3.60 |
$3.60 |
$54.65
|
|
Cogenex amnio memb per sq cm
|
$0.01 |
$0.01 |
$0.01 |
$1.00
|
|
Cold agglutinin screen (arc)
|
$82.03 |
$82.03 |
$82.03 |
$48.10
|
|
Cold agglutinin titer
|
$78.30 |
$78.30 |
$153.40 |
$52.00
|
|
Colistimethate sodium inj
|
$15.90 |
$15.90 |
$103.76 |
$82.71
|
|
Collagen based wound filler
|
$1,096.43 |
$1,096.43 |
$1,096.43 |
$1,794.78
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$300.05 |
$300.05 |
$313.72 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$97.80 |
$97.80 |
$97.80 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$60.00 |
$60.00 |
$60.00 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$151.61 |
$151.61 |
$151.61 |
$224.11
|
|
Collar cerv patriot adlt
|
$94.80 |
$94.80 |
$94.80 |
$134.66
|
|
Collar extrication adult univ
|
$521.40 |
$521.40 |
$521.40 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$117.35 |
$117.35 |
$181.55 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$73.98 |
$73.98 |
$173.83 |
$155.40
|
|
Colon motility 6 hr study
|
$477.92 |
$477.92 |
$477.92 |
$477.92
|
|
Colpocentesis 57020
|
$3,492.48 |
$3,492.48 |
$3,492.48 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$5,960.51 |
$5,960.51 |
$5,960.51 |
$5,813.46
|
|
Colpopexy extraperitoneal
|
$6,722.56 |
$6,722.56 |
$6,722.56 |
$6,570.00
|
|
Colpopexy intraperitoneal
|
$6,152.63 |
$6,152.63 |
$6,152.63 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,367.10 |
$3,367.10 |
$3,367.10 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$895.92 |
$895.92 |
$895.92 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,467.23 |
$3,467.23 |
$3,467.23 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$481.48 |
$481.48 |
$481.48 |
$314.00
|
|
Colposcopy vulva 56820
|
$386.44 |
$386.44 |
$386.44 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$385.63 |
$385.63 |
$385.63 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$729.29 |
$729.29 |
$729.29 |
$485.50
|
|
Colpotomy drng of abscess 57010
|
$3,309.79 |
$3,309.79 |
$3,309.79 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$3,905.53 |
$3,905.53 |
$3,905.53 |
$4,075.20
|
|
Compatibility test each unit antiglobulin technique
|
$216.52 |
$216.52 |
$317.85 |
$173.50
|
|
Compatibility test each unit electronic
|
$211.75 |
$211.75 |
$211.75 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$149.06 |
$149.06 |
$183.18 |
$169.52
|
|
Compatibility test incubate
|
$183.18 |
$183.18 |
$183.18 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$1,034.09 |
$1,034.09 |
$1,034.09 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,111.03 |
$1,111.03 |
$1,111.03 |
$1,111.03
|
|
Complement antigen each component c3
|
$228.49 |
$228.49 |
$542.33 |
$110.00
|
|
Complement fixation each
|
$106.80 |
$106.80 |
$465.41 |
$29.12
|
|
Complete removal of vulva
|
$3,905.53 |
$3,905.53 |
$3,905.53 |
$3,786.00
|
|
Complex body section x-rays
|
$558.95 |
$558.95 |
$558.95 |
$532.33
|
|
Complex cystometrogram 51726
|
$963.53 |
$963.53 |
$963.53 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$746.06 |
$746.06 |
$746.06 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,445.50 |
$1,445.50 |
$1,445.50 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$316.04 |
$316.04 |
$316.04 |
$344.68
|
|
Compl oph exam general anes
|
$2,367.37 |
$2,367.37 |
$2,367.37 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,154.08 |
$1,154.08 |
$1,154.08 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,622.55 |
$1,622.55 |
$1,622.55 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$773.39 |
$773.39 |
$773.39 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,110.86 |
$1,110.86 |
$1,110.86 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,631.57 |
$1,631.57 |
$1,631.57 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$897.08 |
$897.08 |
$897.08 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$546.29 |
$546.29 |
$546.29 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,594.51 |
$1,594.51 |
$1,594.51 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,028.45 |
$1,028.45 |
$1,028.45 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$622.80 |
$622.80 |
$622.80 |
$1,350.27
|
|
Composite drsg >16<=48 sq in
|
$106.67 |
$106.67 |
$106.67 |
$42.60
|
|
Composite graft/pri close/don area 15760
|
$3,703.68 |
$3,703.68 |
$3,703.68 |
$2,816.50
|
|
Comprehensive hearing test
|
$299.76 |
$299.76 |
$299.76 |
$261.46
|
|
Compre oph exam est pt 1/>
|
$228.00 |
$228.00 |
$228.00 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$241.00 |
$241.00 |
$241.00 |
$188.51
|
|
Computed tomographic angiography head and neck with contrast
|
$4,762.80 |
$4,762.80 |
$4,762.80 |
$2,247.00
|
|
Concentration infection agents any type
|
$55.30 |
$55.30 |
$127.00 |
$51.32
|
|
Conditioning play audiometry 92582
|
$279.40 |
$279.40 |
$279.40 |
$189.15
|
