|
Clsd tx wrist scaphoid fx without manip 25622
|
$611.50 |
$611.50 |
$611.50 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$707.00 |
$707.00 |
$707.00 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$589.00 |
$589.00 |
$589.00 |
$474.50
|
|
Cltx hum epcndylr fx wo mnpj
|
$719.00 |
$719.00 |
$719.00 |
$520.80
|
|
Cltx humrl cndylr fx wo mnpj
|
$668.00 |
$668.00 |
$668.00 |
$535.60
|
|
Cltx post ankle fx
|
$571.00 |
$571.00 |
$571.00 |
$483.60
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,039.50 |
$2,039.50 |
$2,039.50 |
$2,021.04
|
|
Cmbn ant pst colprhy
|
$10,891.00 |
$10,891.00 |
$10,891.00 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$377.00 |
$377.00 |
$377.00 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,230.50 |
$1,230.50 |
$1,230.50 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$1,230.50 |
$1,230.50 |
$1,230.50 |
$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
|
$205.50 |
$205.50 |
$205.50 |
$177.50
|
|
Cnbp gene detc abnor allele
|
$287.50 |
$287.50 |
$287.50 |
$313.60
|
|
Coagulation time activated teg
|
$25.50 |
$25.50 |
$25.50 |
$53.72
|
|
Coil axium 3d 14mmx40cm qc
|
$1,014.38 |
$1,014.38 |
$1,014.38 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$29.00 |
$29.00 |
$29.00 |
$45.00
|
|
Cold agglutinin titer
|
$49.00 |
$49.00 |
$49.00 |
$50.00
|
|
Collagenase, clost hist inj
|
$185.00 |
$185.00 |
$185.00 |
$12,906.28
|
|
Collection blood specimen from completely implantable venous access device
|
$260.00 |
$260.00 |
$260.00 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$241.50 |
$241.50 |
$241.50 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$14.00 |
$14.00 |
$14.00 |
$21.00
|
|
Collj & interpj data ea 30 d
|
$120.00 |
$120.00 |
$120.00 |
$172.35
|
|
Colonoscopy (diagnostic)
|
$5,038.00 |
$5,038.00 |
$5,038.00 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,398.00 |
$3,398.00 |
$3,398.00 |
$2,288.00
|
|
Colonoscopy stoma w/snare 44394
|
$4,628.00 |
$4,628.00 |
$4,628.00 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$2,704.33 |
$2,704.33 |
$2,704.33 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$2,197.00 |
$2,197.00 |
$2,197.00 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$4,336.00 |
$4,336.00 |
$4,336.00 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$3,398.00 |
$3,398.00 |
$3,398.00 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$2,680.50 |
$2,680.50 |
$2,680.50 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$3,017.00 |
$3,017.00 |
$3,017.00 |
$2,030.25
|
|
Colonoscopy w/dilation
|
$1,986.83 |
$1,986.83 |
$1,986.83 |
$2,495.25
|
|
Colonoscopy w/fb removal
|
$5,653.00 |
$5,653.00 |
$5,653.00 |
$1,395.28
|
|
Colonoscopy (with biopsy)
|
$5,755.50 |
$5,755.50 |
$5,755.50 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$3,973.67 |
$3,973.67 |
$3,973.67 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$3,295.50 |
$3,295.50 |
$3,295.50 |
$2,288.00
|
|
Colonoscopy w/resection
|
$4,935.50 |
$4,935.50 |
$4,935.50 |
$3,029.60
|
|
Colpopexy extraperitoneal
|
$10,971.34 |
$10,971.34 |
$10,971.34 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$7,575.09 |
$7,575.09 |
$7,575.09 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$15,754.50 |
$15,754.50 |
$15,754.50 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$234.50 |
$234.50 |
$234.50 |
$312.90
|
|
Colposcopy vulva 56820
|
$234.50 |
$234.50 |
$234.50 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$761.50 |
$761.50 |
$761.50 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$837.00 |
$837.00 |
$837.00 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$552.00 |
$552.00 |
$552.00 |
$170.05
|
|
Compatibility test each unit electronic
|
$987.00 |
$987.00 |
$987.00 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$169.52
|
|
Compatibility test incubate
|
$514.00 |
$514.00 |
$514.00 |
$155.40
|
|
Comp cystometrogram/void presssure 51728
|
$1,207.50 |
$1,207.50 |
$1,207.50 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$2,099.00 |
$2,099.00 |
$2,099.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$162.00 |
$162.00 |
$162.00 |
$108.55
|
|
Complex cystometrogram 51726
|
$509.00 |
$509.00 |
$509.00 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$3,281.00 |
$3,281.00 |
$3,281.00 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$852.00 |
$852.00 |
$852.00 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$313.50 |
$313.50 |
$313.50 |
$346.71
|
|
Compl oph exam general anes
|
$4,541.00 |
$4,541.00 |
$4,541.00 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$6,827.50 |
$6,827.50 |
$6,827.50 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$700.50 |
$700.50 |
$700.50 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,373.50 |
$1,373.50 |
$1,373.50 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$2,238.50 |
$2,238.50 |
$2,238.50 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$398.00 |
$398.00 |
$398.00 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,661.33 |
$2,661.33 |
$2,661.33 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$840.00 |
$840.00 |
$840.00 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$268.00 |
$268.00 |
$268.00 |
$537.00
|
|
Composite drsg <= 16 sq in
|
$8.00 |
$8.00 |
$8.00 |
$6.62
|
|
Composite graft/pri close/don area 15760
|
$2,404.50 |
$2,404.50 |
$2,404.50 |
$2,765.76
|
|
Concentration infection agents any type
|
$87.00 |
$87.00 |
$87.00 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$1,969.88 |
$1,969.88 |
$1,969.88 |
$3,322.20
|
|
Condylomata destruction 56420
|
$234.50 |
$234.50 |
$234.50 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$4,752.00 |
$4,752.00 |
$4,752.00 |
$4,840.07
|
|
Conization of cervix
|
$8,755.00 |
$8,755.00 |
$8,755.00 |
$3,762.53
|
|
Consultation pathology during surgery
|
$84.00 |
$84.00 |
$84.00 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$414.50 |
$414.50 |
$414.50 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$329.50 |
$329.50 |
$329.50 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$461.50 |
$461.50 |
$461.50 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$473.50 |
$473.50 |
$473.50 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$473.50 |
$473.50 |
$473.50 |
$171.65
|
|
Consult comp w/report rfrd material
|
$202.50 |
$202.50 |
$202.50 |
$365.60
|
|
Contact lens fitg aphakia 1
|
$508.00 |
$508.00 |
$508.00 |
$472.21
|
|
Contact lens fitg aphakia ou
|
$153.50 |
$153.50 |
$153.50 |
$170.00
|
|
Cont gluc mntr analysis i&r 95251
|
$80.50 |
$80.50 |
$80.50 |
$65.70
|
|
Contrast baths charges
|
$44.50 |
$44.50 |
$44.50 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$5,567.00 |
$5,567.00 |
$5,567.00 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$5,039.50 |
$5,039.50 |
$5,039.50 |
$3,728.24
|
|
Contrast x-ray of elbow
|
$1,331.50 |
$1,331.50 |
$1,331.50 |
$649.80
|
|
Contrast x-ray of hip
|
$2,476.00 |
$2,476.00 |
$2,476.00 |
$771.12
|
|
Contrast x-ray of knee joint
|
$921.00 |
$921.00 |
$921.00 |
$769.88
|
|
Contrast x-ray of wrist
|
$667.50 |
$667.50 |
$667.50 |
$637.00
|
|
Controller infinity pt dbs
|
$2,320.00 |
$2,320.00 |
$2,320.00 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$158.50 |
$158.50 |
$158.50 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$405.00 |
$405.00 |
$405.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$499.00 |
$499.00 |
$499.00 |
$355.50
|
|
Coombs direct
|
$205.50 |
$205.50 |
$205.50 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$84.50 |
$84.50 |
$84.50 |
$102.90
|
|
Coombs indirect titer reference
|
$276.50 |
$276.50 |
$276.50 |
$146.40
|
