|
Colonoscopy & polypectomy 44392
|
$209.50 |
$209.50 |
$209.50 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$245.00 |
$245.00 |
$245.00 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$1,764.50 |
$1,764.50 |
$1,764.50 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$163.00 |
$163.00 |
$163.00 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$293.50 |
$293.50 |
$293.50 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$219.50 |
$219.50 |
$219.50 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$244.50 |
$244.50 |
$244.50 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$280.00 |
$280.00 |
$280.00 |
$2,030.25
|
|
Colonoscopy w/dilation
|
$188.50 |
$188.50 |
$188.50 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$264.50 |
$264.50 |
$264.50 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$297.50 |
$297.50 |
$297.50 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$245.50 |
$245.50 |
$245.50 |
$1,395.28
|
|
Colonoscopy w/injection
|
$178.00 |
$178.00 |
$178.00 |
$2,449.20
|
|
Colonoscopy (with biopsy)
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$186.50 |
$186.50 |
$186.50 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$2,288.00
|
|
Colonoscopy w/resection
|
$360.00 |
$360.00 |
$360.00 |
$3,029.60
|
|
Colostomy skin level cecostomy 44320
|
$1,280.50 |
$1,280.50 |
$1,280.50 |
$2,269.80
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$1,055.50 |
$1,055.50 |
$1,055.50 |
$1,746.00
|
|
Colpocleisis (le forte type) 57120
|
$554.50 |
$554.50 |
$554.50 |
$5,419.00
|
|
Colpopexy abdominal approach 57280
|
$1,015.50 |
$1,015.50 |
$1,015.50 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$728.00 |
$728.00 |
$728.00 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$774.00 |
$774.00 |
$774.00 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$343.50 |
$343.50 |
$343.50 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$195.00 |
$195.00 |
$195.00 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$100.00 |
$100.00 |
$100.00 |
$312.90
|
|
Colposcopy vulva 56820
|
$89.00 |
$89.00 |
$89.00 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$292.00 |
$292.00 |
$292.00 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$115.50 |
$115.50 |
$115.50 |
$502.80
|
|
Colpotomy drng of abscess 57010
|
$477.50 |
$477.50 |
$477.50 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$210.50 |
$210.50 |
$210.50 |
$3,905.53
|
|
Compatibility test each unit antiglobulin technique
|
$107.94 |
$107.94 |
$107.94 |
$170.05
|
|
Compatibility test each unit electronic
|
$14.00 |
$14.00 |
$14.00 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$143.95 |
$143.95 |
$143.95 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$112.50 |
$112.50 |
$112.50 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$131.00 |
$131.00 |
$131.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$134.00 |
$134.00 |
$134.00 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$456.17 |
$456.17 |
$456.17 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$708.00 |
$708.00 |
$708.00 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$303.50 |
$303.50 |
$303.50 |
$346.71
|
|
Compl oph exam general anes
|
$142.00 |
$142.00 |
$142.00 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$708.00 |
$708.00 |
$708.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,133.50 |
$1,133.50 |
$1,133.50 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$533.50 |
$533.50 |
$533.50 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$751.00 |
$751.00 |
$751.00 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,013.00 |
$1,013.00 |
$1,013.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$440.00 |
$440.00 |
$440.00 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$502.50 |
$502.50 |
$502.50 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$708.00 |
$708.00 |
$708.00 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$309.00 |
$309.00 |
$309.00 |
$537.00
|
|
Composite byp grft 2 veins
|
$378.50 |
$378.50 |
$378.50 |
$619.20
|
|
Composite byp grft 3/> segmt
|
$442.00 |
$442.00 |
$442.00 |
$574.98
|
|
Composite byp grft pros&vein
|
$85.00 |
$85.00 |
$85.00 |
$205.60
|
|
Comprehensive hearing test
|
$34.00 |
$34.00 |
$34.00 |
$255.00
|
|
Compre oph exam est pt 1/>
|
$76.00 |
$76.00 |
$76.00 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$94.00 |
$94.00 |
$94.00 |
$186.00
|
|
Concentration infection agents any type
|
$64.00 |
$64.00 |
$64.00 |
$49.95
|
|
Conditioning play audiometry 92582
|
$204.00 |
$204.00 |
$204.00 |
$189.15
|
|
Condylomata destruction 56420
|
$758.08 |
$758.08 |
$758.08 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$5,693.50 |
$5,693.50 |
$5,693.50 |
$4,840.07
|
|
Conization of cervix
|
$308.50 |
$308.50 |
$308.50 |
$3,762.53
|
|
Consultation pathology during surgery
|
$35.50 |
$35.50 |
$35.50 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$61.00 |
$61.00 |
$61.00 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$30.00 |
$30.00 |
$30.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$61.00 |
$61.00 |
$61.00 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$88.00 |
$88.00 |
$88.00 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$84.00 |
$84.00 |
$84.00 |
$171.65
|
|
Consult comp w/report rfrd material
|
$137.50 |
$137.50 |
$137.50 |
$365.60
|
|
Contact lens fitting for tx
|
$34.00 |
$34.00 |
$34.00 |
$92.96
|
|
Cont gluc mntr analysis i&r 95251
|
$39.50 |
$39.50 |
$39.50 |
$65.70
|
|
Controller infinity pt dbs
|
$1,835.00 |
$1,835.00 |
$1,835.00 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$287.50 |
$287.50 |
$287.50 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$287.50 |
$287.50 |
$287.50 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$500.00 |
$500.00 |
$500.00 |
$355.50
|
|
Control throat bleeding
|
$536.50 |
$536.50 |
$536.50 |
$3,984.00
|
|
Coombs direct
|
$35.50 |
$35.50 |
$35.50 |
$75.00
|
|
Coombs indirect titer reference
|
$117.00 |
$117.00 |
$117.00 |
$146.40
|
|
Copper intrauterine device
|
$1,563.50 |
$1,563.50 |
$1,563.50 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,560.00 |
$2,560.00 |
$2,560.00 |
$2,678.00
|
|
Cor hlx vlgs double osteot
|
$3,212.75 |
$3,212.75 |
$3,212.75 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$7,338.34 |
$7,338.34 |
$7,338.34 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$553.00 |
$553.00 |
$553.00 |
$4,627.00
|
|
Corneal smear
|
$102.00 |
$102.00 |
$102.00 |
$472.21
|
|
Corneal transplant
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$6,105.79
|
|
Corneal transplant
|
$1,243.00 |
$1,243.00 |
$1,243.00 |
$5,912.40
|
|
Corneal transplant
|
$1,251.50 |
$1,251.50 |
$1,251.50 |
$6,220.80
|
|
Corneal transplant
|
$1,247.50 |
$1,247.50 |
$1,247.50 |
$5,419.00
|
|
Corneal trnspl endothelial
|
$1,182.50 |
$1,182.50 |
$1,182.50 |
$5,667.08
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$3,117.50 |
$3,117.50 |
$3,117.50 |
$3,839.54
|
|
Correct cock-up 5th toe/plast clos 28286
|
$306.50 |
$306.50 |
$306.50 |
$2,508.80
|
|
Correction eyelid w/implant
|
$487.50 |
$487.50 |
$487.50 |
$3,269.14
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$623.50 |
$623.50 |
$623.50 |
$3,839.54
|
|
Correction of astigmatism
|
$404.00 |
$404.00 |
$404.00 |
$2,240.00
|
|
Correction of everted punctum 68705
|
$165.00 |
$165.00 |
$165.00 |
$878.80
|
|
Correction trichiasis epilation forcep 67820
|
$22.00 |
$22.00 |
$22.00 |
$176.00
|
|
Correction trichiasis inccision lid margin 67830
|
$482.50 |
$482.50 |
$482.50 |
$1,370.74
|
|
Correct malrotation of bowel 44055
|
$1,610.50 |
$1,610.50 |
$1,610.50 |
$2,764.20
|
|
Correct rectal prolapse
|
$991.00 |
$991.00 |
$991.00 |
$3,861.00
|
|
Corrj halux rigdus w/implt
|
$496.00 |
$496.00 |
$496.00 |
$5,886.74
|
