|
Clsd tx pelvic ring fx
|
$284.00 |
$284.00 |
$284.00 |
$660.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$284.00 |
$284.00 |
$284.00 |
$445.80
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,839.54
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$630.00 |
$630.00 |
$630.00 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$873.00 |
$873.00 |
$873.00 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$3,079.50 |
$3,079.50 |
$3,079.50 |
$1,565.74
|
|
Cmbn ant pst colprhy
|
$19,410.00 |
$19,410.00 |
$19,410.00 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$881.50 |
$881.50 |
$881.50 |
$627.89
|
|
C motor evoked upr&lwr limbs
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$1,308.00
|
|
#cms hgb-sulfhemoglobin
|
$74.00 |
$74.00 |
$74.00 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$180.00 |
$180.00 |
$180.00 |
$100.80
|
|
Cmv pcr-sendout
|
$112.00 |
$112.00 |
$112.00 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$1.00 |
$1.00 |
$1.00 |
$8,980.00
|
|
Coagulation time activated teg
|
$30.50 |
$30.50 |
$30.50 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$562.77 |
$562.77 |
$562.77 |
$629.41
|
|
Cochlear implt f/up exam 7/>
|
$209.50 |
$209.50 |
$209.50 |
$423.87
|
|
Cold agglutinin screen (arc)
|
$67.50 |
$67.50 |
$67.50 |
$45.00
|
|
Cold agglutinin titer
|
$3.00 |
$3.00 |
$3.00 |
$50.00
|
|
Collagenase, clost hist inj
|
$185.00 |
$185.00 |
$185.00 |
$12,906.28
|
|
Collagen based wound filler
|
$543.50 |
$543.50 |
$543.50 |
$1,823.25
|
|
Collar cerv ascend 172 reg
|
$156.00 |
$156.00 |
$156.00 |
$213.89
|
|
Collection blood specimen from completely implantable venous access device
|
$173.50 |
$173.50 |
$173.50 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$193.50 |
$193.50 |
$193.50 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$16.00 |
$16.00 |
$16.00 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,116.00 |
$1,116.00 |
$1,116.00 |
$2,288.00
|
|
Colonoscopy stoma w/snare 44394
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$387.50 |
$387.50 |
$387.50 |
$1,899.00
|
|
Colonoscopy w/balloon dilat
|
$510.00 |
$510.00 |
$510.00 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$2,030.25
|
|
Colonoscopy w/dilation
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$527.00 |
$527.00 |
$527.00 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$597.50 |
$597.50 |
$597.50 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$457.50 |
$457.50 |
$457.50 |
$1,395.28
|
|
Colonoscopy (with biopsy)
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$410.00 |
$410.00 |
$410.00 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$1,192.50 |
$1,192.50 |
$1,192.50 |
$2,288.00
|
|
Colonoscopy w/resection
|
$1,280.00 |
$1,280.00 |
$1,280.00 |
$3,029.60
|
|
Colpopexy extraperitoneal
|
$6,570.00 |
$6,570.00 |
$6,570.00 |
$5,110.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$10,094.83 |
$10,094.83 |
$10,094.83 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$339.00 |
$339.00 |
$339.00 |
$312.90
|
|
Colposcopy vulva w/biopsy 56821
|
$350.50 |
$350.50 |
$350.50 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$994.67 |
$994.67 |
$994.67 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$168.72 |
$168.72 |
$168.72 |
$170.05
|
|
Compatibility test each unit immediate spin technique
|
$373.50 |
$373.50 |
$373.50 |
$169.52
|
|
Complement antigen each component c3
|
$150.00 |
$150.00 |
$150.00 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$467.50 |
$467.50 |
$467.50 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$3,212.00 |
$3,212.00 |
$3,212.00 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$248.50 |
$248.50 |
$248.50 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$988.50 |
$988.50 |
$988.50 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$6,716.00 |
$6,716.00 |
$6,716.00 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$543.00 |
$543.00 |
$543.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,135.25 |
$2,135.25 |
$2,135.25 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$571.83 |
$571.83 |
$571.83 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$537.00
|
|
Comprehensive hearing test
|
$220.00 |
$220.00 |
$220.00 |
$255.00
|
|
Compression stocking bk18-30
|
$997.50 |
$997.50 |
$997.50 |
$97.50
|
|
Concentration infection agents any type
|
$75.50 |
$75.50 |
$75.50 |
$49.95
|
|
Conditioning play audiometry 92582
|
$227.50 |
$227.50 |
$227.50 |
$189.15
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$2,013.39 |
$2,013.39 |
$2,013.39 |
$3,322.20
|
|
Condylomata destruction 56420
|
$245.50 |
$245.50 |
$245.50 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$5,042.50 |
$5,042.50 |
$5,042.50 |
$4,840.07
|
|
Conization of cervix
|
$5,402.00 |
$5,402.00 |
$5,402.00 |
$3,762.53
|
|
Consultation pathology during surgery
|
$54.50 |
$54.50 |
$54.50 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$318.50 |
$318.50 |
$318.50 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$159.00 |
$159.00 |
$159.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$201.00 |
$201.00 |
$201.00 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$215.63 |
$215.63 |
$215.63 |
$224.80
|
|
Contact lens fitg aphakia 1
|
$513.50 |
$513.50 |
$513.50 |
$472.21
|
|
Contact lens fitg aphakia ou
|
$153.00 |
$153.00 |
$153.00 |
$170.00
|
|
Contrast exam abdominl aorta 75625-26
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$5,039.00 |
$5,039.00 |
$5,039.00 |
$3,728.24
|
|
Controller infinity pt dbs
|
$2,042.50 |
$2,042.50 |
$2,042.50 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$188.00 |
$188.00 |
$188.00 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$359.00 |
$359.00 |
$359.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$2,649.50 |
$2,649.50 |
$2,649.50 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$2,993.00 |
$2,993.00 |
$2,993.00 |
$634.80
|
|
Convert nephrostomy catheter
|
$2,403.00 |
$2,403.00 |
$2,403.00 |
$2,777.60
|
|
Coombs direct
|
$144.00 |
$144.00 |
$144.00 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$21.25 |
$21.25 |
$21.25 |
$102.90
|
|
Coombs indirect titer reference
|
$55.00 |
$55.00 |
$55.00 |
$146.40
|
|
Copper intrauterine device
|
$2,345.00 |
$2,345.00 |
$2,345.00 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,415.50 |
$2,415.50 |
$2,415.50 |
$2,678.00
|
|
Cor hlx vlgs double osteot
|
$8,808.00 |
$8,808.00 |
$8,808.00 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$8,322.00 |
$8,322.00 |
$8,322.00 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$4,581.00 |
$4,581.00 |
$4,581.00 |
$4,627.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$8,645.00 |
$8,645.00 |
$8,645.00 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$7,914.00 |
$7,914.00 |
$7,914.00 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$8,988.50 |
$8,988.50 |
$8,988.50 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$10,408.00 |
$10,408.00 |
$10,408.00 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,914.00 |
$7,914.00 |
$7,914.00 |
$7,914.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$1,902.75 |
$1,902.75 |
$1,902.75 |
$3,839.54
|
