|
Cold agglutinin titer
|
$83.66 |
$83.66 |
$969.36 |
$52.00
|
|
Colistimethate sodium inj
|
$35.27 |
$76.13 |
$103.76 |
$82.71
|
|
Collagen based wound filler
|
$1,096.43 |
$1,096.43 |
$3,108.00 |
$1,794.78
|
|
Collagen dressing <=16 sq in
|
$56.02 |
$56.02 |
$56.02 |
$42.50
|
|
Collagen drsg>16<=48 sq in
|
$3,348.00 |
$3,348.00 |
$3,348.00 |
$25.75
|
|
Collagen gel/paste wound fil
|
$9.65 |
$9.65 |
$9.65 |
$9.65
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$236.29 |
$236.29 |
$371.85 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$86.48 |
$482.43 |
$482.43 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$497.00 |
$497.00 |
$497.00 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$136.56 |
$286.37 |
$286.37 |
$224.11
|
|
Collar cerv patriot adlt
|
$16.50 |
$16.50 |
$16.50 |
$134.66
|
|
Collar extrication adult univ
|
$907.63 |
$907.63 |
$1,370.20 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$77.40 |
$202.31 |
$440.28 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$192.03 |
$192.03 |
$192.03 |
$155.40
|
|
Coll-e-derm 1 sq cm
|
$342.21 |
$342.21 |
$342.21 |
$1.00
|
|
Collj & interpj data ea 30 d
|
$174.20 |
$174.20 |
$174.20 |
$172.35
|
|
Colonoscopy (diagnostic)
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$760.95 |
$760.95 |
$760.95 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$760.95 |
$760.95 |
$760.95 |
$2,147.00
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$1,671.30 |
$1,671.30 |
$1,671.30 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$760.95 |
$760.95 |
$760.95 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$760.95 |
$760.95 |
$760.95 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$760.95 |
$760.95 |
$760.95 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$760.95 |
$760.95 |
$760.95 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$760.95 |
$760.95 |
$760.95 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$760.95 |
$760.95 |
$760.95 |
$2,101.71
|
|
Colonoscopy w/endoscope Ultrasound
|
$760.95 |
$760.95 |
$760.95 |
$2,288.00
|
|
Colonoscopy w/endoscopic fnb
|
$760.95 |
$760.95 |
$760.95 |
$2,004.81
|
|
Colonoscopy/w endoscopic stent 45389
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$760.95 |
$760.95 |
$760.95 |
$1,645.43
|
|
Colonoscopy (with biopsy)
|
$760.95 |
$760.95 |
$760.95 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$760.95 |
$760.95 |
$760.95 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$760.95 |
$760.95 |
$760.95 |
$2,288.00
|
|
Colonoscopy w/resection
|
$1,671.30 |
$1,671.30 |
$1,671.30 |
$3,035.44
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,070.30 |
$3,907.93 |
$3,907.93 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$139.80 |
$139.80 |
$139.80 |
$314.00
|
|
Colposcopy vulva 56820
|
$90.00 |
$90.00 |
$90.00 |
$333.20
|
|
Colpotomy w/exploration 57000
|
$2,788.64 |
$2,788.64 |
$2,788.64 |
$4,075.20
|
|
Compatibility test each unit antiglobulin technique
|
$156.90 |
$182.86 |
$733.35 |
$173.50
|
|
Compatibility test each unit electronic
|
$171.00 |
$188.22 |
$500.53 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$169.52 |
$169.52 |
$500.53 |
$169.52
|
|
Compatibility test incubate
|
$620.90 |
$620.90 |
$620.90 |
$156.24
|
|
Complement antigen each component c3
|
$265.50 |
$542.33 |
$542.33 |
$110.00
|
|
Complement fixation each
|
$1,210.14 |
$1,210.14 |
$1,210.14 |
$29.12
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$478.95 |
$1,109.03 |
$1,109.03 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$695.40 |
$1,612.19 |
$1,787.72 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$478.95 |
$1,278.25 |
$1,278.25 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$487.20 |
$1,622.55 |
$1,622.55 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$490.50 |
$680.92 |
$680.92 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$449.25 |
$1,065.98 |
$1,065.98 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$478.95 |
$1,528.04 |
$1,787.72 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$490.50 |
$896.48 |
$896.48 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$478.95 |
$592.69 |
$592.69 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$423.45 |
$1,427.85 |
$1,427.85 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$382.80 |
$1,267.55 |
$1,267.55 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,350.27 |
$1,350.27 |
$1,350.27 |
$1,350.27
|
|
Composite drsg >16<=48 sq in
|
$147.60 |
$147.60 |
$147.60 |
$42.60
|
|
Composite drsg <= 16 sq in
|
$31.98 |
$31.98 |
$31.98 |
$6.62
|
|
Compression stocking bk18-30
|
$186.96 |
$186.96 |
$186.96 |
$62.88
|
|
Computed tomographic angiography head and neck with contrast
|
$7,050.71 |
$7,050.71 |
$21,719.92 |
$2,247.00
|
|
Concentration infection agents any type
|
$51.32 |
$51.32 |
$201.16 |
$51.32
|
|
Conditioning play audiometry 92582
|
$106.80 |
$106.80 |
$106.80 |
$189.15
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$5,061.60 |
$5,061.60 |
$5,061.60 |
$3,352.21
|
|
Condylomata destruction 56420
|
$306.90 |
$509.81 |
$1,137.05 |
$467.35
|
|
Conivaptan hcl
|
$1,611.54 |
$1,611.54 |
$2,925.59 |
$1,625.08
|
|
Conjugated estrogens 25 mg solution for injection
|
$794.99 |
$993.74 |
$1,997.92 |
$860.00
|
|
Connect omega .5mm
|
$1,393.59 |
$1,447.28 |
$6,675.00 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,862.15 |
$3,862.15 |
$11,088.00 |
$4,024.34
|
|
Consultation pathology during surgery
|
$74.70 |
$134.66 |
$134.66 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$461.95 |
$461.95 |
$1,528.50 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$154.18 |
$154.18 |
$945.62 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$297.87 |
$297.87 |
$1,848.45 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$275.42 |
$275.42 |
$1,816.77 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$171.65 |
$171.65 |
$581.25 |
$176.28
|
|
Consultation with family
|
$135.79 |
$135.79 |
$135.79 |
$135.79
|
|
Consult comp w/report rfrd material
|
$425.93 |
$425.93 |
$425.93 |
$374.40
|
|
Contact layer >16<= 48 sq in
|
$285.36 |
$285.36 |
$285.36 |
$36.17
|
|
Contrast baths charges
|
$87.17 |
$87.17 |
$330.06 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$3,389.09 |
$3,389.09 |
$3,480.00 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$3,570.00 |
$3,570.00 |
$7,273.16 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$3,167.26 |
$3,167.26 |
$3,267.30 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$186.25 |
$186.25 |
$845.79 |
$341.00
|
|
Contrast x-ray of ankle
|
$495.58 |
$495.58 |
$571.35 |
$684.00
|
|
Contrast x-ray of brain
|
$3,653.66 |
$3,653.66 |
$3,653.66 |
$735.93
|
|
Contrast x-ray of brain
|
$1,336.32 |
$1,336.32 |
$1,840.21 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$495.60 |
$495.60 |
$594.30 |
$708.00
|
|
Contrast x-ray of hip
|
$468.00 |
$520.38 |
$520.38 |
$796.38
|
|
Contrast x-ray of knee joint
|
$495.60 |
$495.60 |
$564.45 |
$790.50
|
|
Contrast x-ray of wrist
|
$495.58 |
$495.58 |
$564.45 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$16,559.40 |
$16,559.40 |
$16,559.40 |
$12,355.20
|
|
Controller infinity pt dbs
|
$5,277.60 |
$35,689.50 |
$35,689.50 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$284.40 |
$460.17 |
$460.17 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$261.30 |
$410.06 |
$410.06 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$284.40 |
$461.69 |
$571.51 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$682.33 |
$682.33 |
$741.45 |
$620.00
|
|
Contrst x-ray uppr gi tract
|
$762.93 |
$762.93 |
$762.93 |
$762.93
|
|
Conversion ext bil drg cath
|
$2,790.30 |
$4,896.87 |
$4,896.87 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$3,009.45 |
$4,267.48 |
$4,267.48 |
$2,777.60
|
|
Conv gtube to jtube
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,099.70
|
