|
Collagen based wound filler
|
$1,096.43 |
$1,096.43 |
$1,096.43 |
$1,794.78
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$286.09 |
$286.09 |
$286.09 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$97.80 |
$97.80 |
$232.75 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$60.00 |
$60.00 |
$60.00 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$114.63 |
$114.63 |
$151.61 |
$224.11
|
|
Collar cerv patriot adlt
|
$94.80 |
$94.80 |
$94.80 |
$134.66
|
|
Collar extrication adult univ
|
$521.40 |
$521.40 |
$567.53 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$81.90 |
$81.90 |
$186.73 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$88.55 |
$88.55 |
$170.68 |
$155.40
|
|
Colon motility 6 hr study
|
$501.82 |
$501.82 |
$501.82 |
$477.92
|
|
Colonoscopy (with biopsy)
|
$97.30 |
$97.30 |
$97.30 |
$2,214.00
|
|
Colpocentesis 57020
|
$240.80 |
$240.80 |
$3,562.33 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$4,279.19 |
$4,279.19 |
$4,279.19 |
$5,813.46
|
|
Colpopexy extraperitoneal
|
$4,423.50 |
$4,423.50 |
$4,423.50 |
$6,570.00
|
|
Colpopexy intraperitoneal
|
$4,755.92 |
$4,755.92 |
$4,755.92 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$950.60 |
$950.60 |
$3,703.81 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$939.92 |
$939.92 |
$939.92 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,155.82 |
$3,155.82 |
$3,155.82 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$125.48 |
$125.48 |
$481.48 |
$314.00
|
|
Colposcopy vulva 56820
|
$139.00 |
$139.00 |
$139.00 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$424.19 |
$424.19 |
$424.19 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$891.87 |
$891.87 |
$891.87 |
$485.50
|
|
Colpotomy drng of abscess 57010
|
$1,375.50 |
$1,375.50 |
$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
|
$104.48 |
$104.48 |
$131.76 |
$173.50
|
|
Compatibility test each unit electronic
|
$211.75 |
$211.75 |
$211.75 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$96.95 |
$96.95 |
$158.27 |
$169.52
|
|
Compatibility test incubate
|
$100.45 |
$100.45 |
$100.45 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$78.05 |
$78.05 |
$1,068.95 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$84.35 |
$84.35 |
$978.47 |
$1,111.03
|
|
Complement antigen each component c3
|
$47.95 |
$47.95 |
$542.33 |
$110.00
|
|
Complement fixation each
|
$106.80 |
$106.80 |
$106.80 |
$29.12
|
|
Complete removal of vulva
|
$3,905.53 |
$3,905.53 |
$3,905.53 |
$3,786.00
|
|
Complex body section x-rays
|
$532.33 |
$532.33 |
$532.33 |
$532.33
|
|
Complex cystometrogram 51726
|
$58.28 |
$58.28 |
$1,091.05 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$243.25 |
$243.25 |
$893.41 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$243.25 |
$243.25 |
$1,612.19 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$4.90 |
$4.90 |
$178.94 |
$344.68
|
|
Compl oph exam general anes
|
$3,476.30 |
$3,476.30 |
$3,476.30 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$148.05 |
$148.05 |
$1,605.96 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$163.28 |
$163.28 |
$1,637.79 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$144.90 |
$144.90 |
$1,237.05 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$100.45 |
$100.45 |
$1,121.21 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$105.70 |
$105.70 |
$1,720.30 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$187.08 |
$187.08 |
$1,037.23 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$43.23 |
$43.23 |
$538.64 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$328.83 |
$328.83 |
$1,786.43 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$92.75 |
$92.75 |
$1,267.55 |
$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
|
$4.55 |
$4.55 |
$106.67 |
$42.60
|
|
Composite drsg <= 16 sq in
|
$2.10 |
$2.10 |
$2.10 |
$6.62
|
|
Composite graft/pri close/don area 15760
|
$2,765.76 |
$2,765.76 |
$2,765.76 |
$2,816.50
|
|
Comprehensive hearing test
|
$12.08 |
$12.08 |
$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
|
$21.00 |
$21.00 |
$65.48 |
$51.32
|
|
Conditioning play audiometry 92582
|
$348.53 |
$348.53 |
$348.53 |
$189.15
|
|
Condylomata destruction 56420
|
$149.28 |
$149.28 |
$569.45 |
$467.35
|
|
Conivaptan hcl
|
$97.77 |
$97.77 |
$1,611.54 |
$1,625.08
|
|
Conization/cerv/loop electrode exc 57522
|
$4,840.07 |
$4,840.07 |
$4,840.07 |
$4,840.07
|
|
Conization of cervix
|
$2,717.96 |
$2,717.96 |
$2,717.96 |
$3,820.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$50.79 |
$50.79 |
$993.74 |
$860.00
|
|
Connect omega .5mm
|
$1,069.43 |
$1,069.43 |
$1,447.28 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,862.15 |
$3,862.15 |
$3,934.53 |
$4,024.34
|
|
Constj trachesophgl fstl
|
$3,531.65 |
$3,531.65 |
$3,531.65 |
$3,837.72
|
|
Construction of vagina
|
$3,576.43 |
$3,576.43 |
$3,576.43 |
$5,468.70
|
|
Construct thumb replacement
|
$3,500.49 |
$3,500.49 |
$3,500.49 |
$5,110.00
|
|
Construct vagina with graft
|
$4,317.40 |
$4,317.40 |
$4,317.40 |
$5,813.46
|
|
Consultation pathology during surgery
|
$25.73 |
$25.73 |
$45.01 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$461.30 |
$461.30 |
$519.69 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$58.28 |
$58.28 |
$152.96 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$179.03 |
$179.03 |
$282.52 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$130.03 |
$130.03 |
$309.65 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$91.35 |
$91.35 |
$151.88 |
$176.28
|
|
Consultation with family
|
$75.60 |
$75.60 |
$75.60 |
$135.79
|
|
Consult comp w/report rfrd material
|
$414.00 |
$414.00 |
$494.03 |
$374.40
|
|
Contact layer >16<= 48 sq in
|
$9.45 |
$9.45 |
$9.45 |
$36.17
|
|
Contact lens fitting for tx
|
$86.19 |
$86.19 |
$86.19 |
$92.96
|
|
Contact lens gas permeable
|
$3,573.60 |
$3,573.60 |
$3,573.60 |
$1,192.80
|
|
Contour cranial bone lesion
|
$5,078.92 |
$5,078.92 |
$5,078.92 |
$6,839.00
|
|
Contour of face bone lesion
|
$3,672.09 |
$3,672.09 |
$3,672.09 |
$3,837.72
|
|
Contrast baths charges
|
$87.17 |
$87.17 |
$87.17 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$1,543.15 |
$1,543.15 |
$3,884.68 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$3,748.50 |
$3,748.50 |
$3,748.50 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$851.20 |
$851.20 |
$4,994.35 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$178.85 |
$178.85 |
$260.14 |
$341.00
|
|
Contrast x-ray of ankle
|
$923.65 |
$923.65 |
$923.65 |
$684.00
|
|
Contrast x-ray of brain
|
$1,979.98 |
$1,979.98 |
$1,979.98 |
$735.93
|
|
Contrast x-ray of brain
|
$1,718.20 |
$1,718.20 |
$1,718.20 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$960.60 |
$960.60 |
$960.60 |
$708.00
|
|
Contrast x-ray of hip
|
$1,006.12 |
$1,006.12 |
$1,006.12 |
$796.38
|
|
Contrast x-ray of knee joint
|
$923.65 |
$923.65 |
$923.65 |
$790.50
|
|
Contrast x-ray of wrist
|
$1,109.48 |
$1,109.48 |
$1,109.48 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$16,559.40 |
$16,559.40 |
$16,559.40 |
$12,355.20
|
|
Controller infinity pt dbs
|
$3,101.00 |
$3,101.00 |
$35,689.50 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$83.48 |
$83.48 |
$489.67 |
$383.52
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$2,136.12 |
$2,136.12 |
$2,136.12 |
$3,786.00
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$327.10 |
$327.10 |
$327.10 |
$644.80
|
|
Control of nosebleed ant comp 30903
|
$136.15 |
$136.15 |
$445.15 |
$396.00
|
