|
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
|
$225.00 |
$225.00 |
$1,605.96 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$233.19 |
$233.19 |
$1,637.79 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$1,237.05 |
$1,237.05 |
$1,237.05 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$542.79 |
$542.79 |
$1,121.21 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$282.24 |
$282.24 |
$1,720.30 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,037.23 |
$1,037.23 |
$1,037.23 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$234.54 |
$234.54 |
$538.64 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$734.13 |
$734.13 |
$1,786.43 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$320.31 |
$320.31 |
$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
|
$10.26 |
$10.26 |
$106.67 |
$42.60
|
|
Composite drsg <= 16 sq in
|
$8.91 |
$8.91 |
$8.91 |
$6.62
|
|
Composite graft/pri close/don area 15760
|
$2,765.76 |
$2,765.76 |
$2,765.76 |
$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
|
$9.99 |
$9.99 |
$65.48 |
$51.32
|
|
Conditioning play audiometry 92582
|
$348.53 |
$348.53 |
$348.53 |
$189.15
|
|
Condylomata destruction 56420
|
$150.48 |
$150.48 |
$569.45 |
$467.35
|
|
Conform band n/s w>=3"<5"/yd
|
$19.80 |
$19.80 |
$19.80 |
$1.04
|
|
Conivaptan hcl
|
$1,611.54 |
$1,611.54 |
$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
|
$437.67 |
$437.67 |
$993.74 |
$860.00
|
|
Connect omega .5mm
|
$1,447.28 |
$1,447.28 |
$1,447.28 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,862.15 |
$3,862.15 |
$3,862.15 |
$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
|
$45.01 |
$45.01 |
$45.01 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$519.69 |
$519.69 |
$519.69 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$37.89 |
$37.89 |
$152.96 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$124.20 |
$124.20 |
$282.52 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$309.65 |
$309.65 |
$309.65 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$151.88 |
$151.88 |
$285.03 |
$176.28
|
|
Consultation with family
|
$75.60 |
$75.60 |
$75.60 |
$135.79
|
|
Consult comp w/report rfrd material
|
$111.42 |
$111.42 |
$414.00 |
$374.40
|
|
Contact layer >16<= 48 sq in
|
$14.49 |
$14.49 |
$14.49 |
$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
|
$2,142.99 |
$2,142.99 |
$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
|
$1,841.13 |
$1,841.13 |
$4,994.35 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$126.36 |
$126.36 |
$260.14 |
$341.00
|
|
Contrast x-ray of ankle
|
$250.02 |
$250.02 |
$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
|
$327.06 |
$327.06 |
$960.60 |
$708.00
|
|
Contrast x-ray of hip
|
$322.20 |
$322.20 |
$1,006.12 |
$796.38
|
|
Contrast x-ray of knee joint
|
$250.02 |
$250.02 |
$923.65 |
$790.50
|
|
Contrast x-ray of wrist
|
$275.13 |
$275.13 |
$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
|
$35,689.50 |
$35,689.50 |
$35,689.50 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$294.84 |
$294.84 |
$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
|
$397.98 |
$397.98 |
$445.15 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$364.96 |
$364.96 |
$364.96 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$88.47 |
$88.47 |
$360.68 |
$620.00
|
|
Control throat bleeding
|
$4,414.57 |
$4,414.57 |
$4,414.57 |
$3,967.00
|
|
Contrst x-ray uppr gi tract
|
$779.20 |
$779.20 |
$779.20 |
$762.93
|
|
Conversion ext bil drg cath
|
$798.12 |
$798.12 |
$4,099.56 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$1,732.69 |
$1,732.69 |
$1,732.69 |
$2,777.60
|
|
Coombs direct
|
$68.22 |
$68.22 |
$71.74 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$74.68 |
$74.68 |
$74.68 |
$107.25
|
|
Coombs indirect titer reference
|
$105.93 |
$105.93 |
$217.64 |
$156.71
|
|
Copper intrauterine device
|
$1,953.00 |
$1,953.00 |
$1,953.00 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$447.75 |
$447.75 |
$3,420.97 |
$2,904.48
|
|
Cor hlx vlgs double osteot
|
$4,863.22 |
$4,863.22 |
$4,863.22 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$4,032.55 |
$4,032.55 |
$4,032.55 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$4,595.89 |
$4,595.89 |
$4,595.89 |
$5,855.00
|
|
Corneal hysteresis deter
|
$74.41 |
$74.41 |
$74.41 |
$74.41
|
|
Corneal smear
|
$409.10 |
$409.10 |
$409.10 |
$472.21
|
|
Corneal transplant
|
$7,521.70 |
$7,521.70 |
$7,521.70 |
$6,105.79
|
|
Corneal transplant
|
$6,186.10 |
$6,186.10 |
$6,186.10 |
$5,912.40
|
|
Corneal transplant
|
$7,163.63 |
$7,163.63 |
$7,163.63 |
$6,220.80
|
|
Corneal transplant
|
$6,332.99 |
$6,332.99 |
$6,332.99 |
$5,741.00
|
|
Corneal trnspl endothelial
|
$5,667.08 |
$5,667.08 |
$5,667.08 |
$5,667.08
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$20,318.21 |
$20,318.21 |
$20,318.21 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$15,464.21 |
$15,464.21 |
$15,464.21 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$17,332.88 |
$17,332.88 |
$17,332.88 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$13,241.88 |
$13,241.88 |
$13,241.88 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,172.62 |
$10,172.62 |
$10,172.62 |
$7,988.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$484.37 |
$484.37 |
$484.37 |
$484.37
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$3,702.94 |
$3,702.94 |
$3,702.94 |
$3,839.54
|
|
Correct cock-up 5th toe/plast clos 28286
|
$3,183.94 |
$3,183.94 |
$3,183.94 |
$2,912.00
|
|
Correct finger deformity
|
$5,399.50 |
$5,399.50 |
$5,399.50 |
$4,192.86
|
|
Correct inverted nipple(s)
|
$4,243.90 |
$4,243.90 |
$4,243.90 |
$4,243.90
|
|
Correction claw finger other
|
$3,333.80 |
$3,333.80 |
$3,333.80 |
$3,839.54
|
|
Correction eyelid w/implant
|
$3,987.22 |
$3,987.22 |
$3,987.22 |
$3,452.80
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$3,651.66 |
$3,651.66 |
$3,651.66 |
$3,842.58
|
|
Correction of astigmatism
|
$1,642.43 |
$1,642.43 |
$1,642.43 |
$2,240.00
|
|
Correction of astigmatism
|
$1,819.36 |
$1,819.36 |
$1,819.36 |
$2,790.40
|
|
Correction of everted punctum 68705
|
$769.70 |
$769.70 |
$769.70 |
$878.80
|
