|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$567.50 |
$567.50 |
$567.50 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$462.50 |
$462.50 |
$462.50 |
$2,211.05
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$373.00 |
$373.00 |
$373.00 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$36.00 |
$36.00 |
$36.00 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$446.50 |
$446.50 |
$446.50 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$340.50 |
$340.50 |
$340.50 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,576.00 |
$1,576.00 |
$1,576.00 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$273.50 |
$273.50 |
$273.50 |
$452.40
|
|
Clsd tx wrist carpal fx without manip 25630
|
$425.00 |
$425.00 |
$425.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$425.00 |
$425.00 |
$425.00 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$353.50 |
$353.50 |
$353.50 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$305.00 |
$305.00 |
$305.00 |
$474.50
|
|
Cltx carpl scphd fx w/mnpj
|
$489.00 |
$489.00 |
$489.00 |
$1,893.86
|
|
Cltx hum epcndylr fx wo mnpj
|
$346.50 |
$346.50 |
$346.50 |
$520.80
|
|
Cltx humrl cndylr fx wo mnpj
|
$364.50 |
$364.50 |
$364.50 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$533.50 |
$533.50 |
$533.50 |
$2,437.00
|
|
Cltx post ankle fx
|
$367.00 |
$367.00 |
$367.00 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$488.00 |
$488.00 |
$488.00 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$417.00 |
$417.00 |
$417.00 |
$2,021.04
|
|
Cltx thigh fx w/mnpj
|
$580.00 |
$580.00 |
$580.00 |
$3,503.71
|
|
Cmbn ant pst colprhy
|
$795.50 |
$795.50 |
$795.50 |
$4,928.00
|
|
Cmptr ophth dx img ant segmt
|
$31.50 |
$31.50 |
$31.50 |
$115.95
|
|
Cmptr ophth img optic nerve
|
$33.00 |
$33.00 |
$33.00 |
$119.00
|
|
#cms hgb-sulfhemoglobin
|
$74.00 |
$74.00 |
$74.00 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$37.00 |
$37.00 |
$37.00 |
$100.80
|
|
Cmv pcr-sendout
|
$97.50 |
$97.50 |
$97.50 |
$177.50
|
|
Colectomy/end colost/close dis seg 44143
|
$1,800.50 |
$1,800.50 |
$1,800.50 |
$2,880.80
|
|
Colectomy partial w/anastomosis 44140
|
$1,470.50 |
$1,470.50 |
$1,470.50 |
$2,510.73
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$2,073.00 |
$2,073.00 |
$2,073.00 |
$3,652.20
|
|
Colectomy prtl w/coloproctostomy 44145
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$2,274.50 |
$2,274.50 |
$2,274.50 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$1,359.00 |
$1,359.00 |
$1,359.00 |
$2,343.60
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$1,981.50 |
$1,981.50 |
$1,981.50 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$1,923.00 |
$1,923.00 |
$1,923.00 |
$3,176.40
|
|
Colectomy w/ileoanal anast
|
$2,407.00 |
$2,407.00 |
$2,407.00 |
$5,367.20
|
|
Collagenase, clost hist inj
|
$123.50 |
$123.50 |
$123.50 |
$12,906.28
|
|
Collection blood specimen from completely implantable venous access device
|
$198.00 |
$198.00 |
$198.00 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$127.50 |
$127.50 |
$127.50 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$6.50 |
$6.50 |
$6.50 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$200.00 |
$200.00 |
$200.00 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$252.00 |
$252.00 |
$252.00 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$235.50 |
$235.50 |
$235.50 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$208.50 |
$208.50 |
$208.50 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$229.50 |
$229.50 |
$229.50 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$217.00 |
$217.00 |
$217.00 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$162.50 |
$162.50 |
$162.50 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$274.00 |
$274.00 |
$274.00 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$214.50 |
$214.50 |
$214.50 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$242.00 |
$242.00 |
$242.00 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$259.00 |
$259.00 |
$259.00 |
$2,030.25
|
|
Colonoscopy w/dilation
|
$185.50 |
$185.50 |
$185.50 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$258.00 |
$258.00 |
$258.00 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$290.00 |
$290.00 |
$290.00 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$240.50 |
$240.50 |
$240.50 |
$1,395.28
|
|
Colonoscopy w/injection
|
$175.50 |
$175.50 |
$175.50 |
$2,449.20
|
|
Colonoscopy (with biopsy)
|
$217.50 |
$217.50 |
$217.50 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$176.00 |
$176.00 |
$176.00 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$1,455.50 |
$1,455.50 |
$1,455.50 |
$2,288.00
|
|
Colonoscopy w/resection
|
$360.00 |
$360.00 |
$360.00 |
$3,029.60
|
|
Colostomy skin level cecostomy 44320
|
$1,310.50 |
$1,310.50 |
$1,310.50 |
$2,269.80
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$1,080.50 |
$1,080.50 |
$1,080.50 |
$1,746.00
|
|
Colpocleisis (le forte type) 57120
|
$584.50 |
$584.50 |
$584.50 |
$5,419.00
|
|
Colpopexy abdominal approach 57280
|
$992.00 |
$992.00 |
$992.00 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$709.00 |
$709.00 |
$709.00 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$714.50 |
$714.50 |
$714.50 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$342.00 |
$342.00 |
$342.00 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$882.50 |
$882.50 |
$882.50 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,616.00 |
$3,616.00 |
$3,616.00 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$95.00 |
$95.00 |
$95.00 |
$312.90
|
|
Colposcopy vulva 56820
|
$88.00 |
$88.00 |
$88.00 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$299.50 |
$299.50 |
$299.50 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$113.50 |
$113.50 |
$113.50 |
$502.80
|
|
Colpotomy drng of abscess 57010
|
$465.00 |
$465.00 |
$465.00 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$203.00 |
$203.00 |
$203.00 |
$3,905.53
|
|
Compatibility test each unit antiglobulin technique
|
$87.50 |
$87.50 |
$87.50 |
$170.05
|
|
Compatibility test each unit immediate spin technique
|
$87.50 |
$87.50 |
$87.50 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$350.50 |
$350.50 |
$350.50 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$371.00 |
$371.00 |
$371.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$30.00 |
$30.00 |
$30.00 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$236.00 |
$236.00 |
$236.00 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$234.50 |
$234.50 |
$234.50 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$17.00 |
$17.00 |
$17.00 |
$346.71
|
|
Compl oph exam general anes
|
$127.50 |
$127.50 |
$127.50 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$264.00 |
$264.00 |
$264.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$316.50 |
$316.50 |
$316.50 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$132.50 |
$132.50 |
$132.50 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$646.50 |
$646.50 |
$646.50 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$849.00 |
$849.00 |
$849.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$424.50 |
$424.50 |
$424.50 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$79.00 |
$79.00 |
$79.00 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$192.50 |
$192.50 |
$192.50 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$70.00 |
$70.00 |
$70.00 |
$537.00
|
|
Composite byp grft 2 veins
|
$387.00 |
$387.00 |
$387.00 |
$619.20
|
|
Composite byp grft 3/> segmt
|
$454.00 |
$454.00 |
$454.00 |
$574.98
|
|
Composite byp grft pros&vein
|
$88.00 |
$88.00 |
$88.00 |
$205.60
|
|
Comprehensive hearing test
|
$29.00 |
$29.00 |
$29.00 |
$255.00
|
|
Compre oph exam est pt 1/>
|
$70.00 |
$70.00 |
$70.00 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$87.50 |
$87.50 |
$87.50 |
$186.00
|
|
Computed tomographic angiography head and neck with contrast
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$2,237.25
|
|
Concentration infection agents any type
|
$16.00 |
$16.00 |
$16.00 |
$49.95
|
