|
Clsd tx/ulnar shaft fx without manip 25530
|
$174.00 |
$327.60 |
$1,979.17 |
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$284.00 |
$284.00 |
$838.00 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$284.00 |
$337.00 |
$575.50 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$185.50 |
$341.00 |
$611.50 |
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$284.00 |
$284.00 |
$284.00 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$185.50 |
$353.50 |
$3,457.88 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$185.50 |
$327.00 |
$589.00 |
|
|
Cls tx of heel fracture w/manip 28405
|
$284.00 |
$284.00 |
$284.00 |
|
|
Cltx carpl scphd fx w/mnpj
|
$474.00 |
$489.00 |
$2,197.50 |
|
|
Cltx hum epcndylr fx wo mnpj
|
$284.00 |
$346.50 |
$719.00 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$286.80 |
$2,182.00 |
$2,509.50 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$186.50 |
$333.50 |
$668.00 |
|
|
Cltx lunate dislc w/mnpj
|
$521.50 |
$533.50 |
$2,346.00 |
|
|
Cltx mndblr fx ntrdntl fixj
|
$14,546.50 |
$14,546.50 |
$14,546.50 |
|
|
Cltx mndblr fx w/mnpj
|
$2,226.50 |
$2,226.50 |
$2,226.50 |
|
|
Cltx mndblr/max alv ridge fx
|
$4,699.00 |
$4,699.00 |
$4,699.00 |
|
|
Cltx palatal/max fx wire fix
|
$3,805.50 |
$3,827.50 |
$5,480.50 |
|
|
Cltx post ankle fx
|
$206.50 |
$322.50 |
$2,156.75 |
|
|
Cltx post ankle fx w/mnpj
|
$488.00 |
$488.00 |
$1,848.50 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$417.00 |
$2,039.50 |
$2,641.60 |
|
|
Cltx strnclav dislc w/mnpj
|
$2,661.25 |
$2,661.25 |
$2,661.25 |
|
|
Cltx thigh fx
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
|
|
Cltx thigh fx w/mnpj
|
$578.50 |
$580.00 |
$6,304.00 |
|
|
Cmbn ant pst colprhy
|
$795.50 |
$1,859.63 |
$21,717.00 |
|
|
C motor evoked lwr limbs
|
$137.50 |
$377.00 |
$1,202.50 |
|
|
C motor evoked uppr limbs
|
$593.00 |
$593.00 |
$1,274.00 |
|
|
C motor evoked upr&lwr limbs
|
$593.00 |
$1,230.50 |
$2,500.50 |
|
|
Cmptr ophth dx img ant segmt
|
$15.50 |
$17.00 |
$141.50 |
|
|
Cmptr ophth img optic nerve
|
$16.50 |
$28.80 |
$688.00 |
|
|
#cms hgb-sulfhemoglobin
|
$74.00 |
$74.00 |
$131.79 |
|
|
#cmvcul-virus inoculation shell
|
$37.00 |
$180.00 |
$385.60 |
|
|
Cmv pcr-sendout
|
$69.00 |
$126.00 |
$433.60 |
|
|
Cnbp gene detc abnor allele
|
$287.50 |
$287.50 |
$496.00 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$1.00 |
$1.00 |
$1.00 |
|
|
Coagulation time activated teg
|
$25.50 |
$32.50 |
$98.40 |
|
|
Cocaine 4 % nasal solution
|
$562.77 |
$562.77 |
$562.77 |
|
|
Cocaine hcl nasal (numbrino)
|
$547.79 |
$562.77 |
$742.08 |
|
|
Cochlear implt f/up exam <7
|
$216.50 |
$216.50 |
$216.50 |
|
|
Cochlear implt f/up exam 7/>
|
$201.00 |
$201.00 |
$209.50 |
|
|
Coil axium 3d 14mmx40cm qc
|
$1,014.38 |
$1,045.00 |
$3,546.54 |
|
|
Cold agglutinin screen (arc)
|
$26.00 |
$29.00 |
$67.50 |
|
|
Cold agglutinin titer
|
$3.00 |
$3.00 |
$64.50 |
|
|
Colectomy/end colost/close dis seg 44143
|
$1,764.00 |
$1,800.50 |
$2,880.80 |
|
|
Colectomy partial w/anastomosis 44140
|
$1,438.50 |
$1,508.00 |
$24,360.00 |
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$2,073.00 |
$2,073.00 |
$3,316.80 |
|
|
Colectomy prtl w/coloproctostomy 44145
|
$1,755.50 |
$1,780.00 |
$2,848.00 |
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$2,228.50 |
$2,274.50 |
$3,639.20 |
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$76.00 |
$1,359.00 |
$2,174.40 |
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$1,981.50 |
$1,981.50 |
$3,170.40 |
|
|
Colectomy/w colostomy or ileostomy 44144
|
$1,883.50 |
$1,923.00 |
$16,632.00 |
|
|
Colectomy w/ileoanal anast
|
$2,342.00 |
$2,407.00 |
$3,851.20 |
|
|
Colistimethate sodium inj
|
$94.20 |
$94.20 |
$94.20 |
|
|
Collagenase, clost hist inj
|
$123.50 |
$185.00 |
$197.60 |
|
|
Collagen based wound filler
|
$543.50 |
$725.50 |
$2,130.38 |
|
|
Collagen dressing <=16 sq in
|
$5.29 |
$5.29 |
$234.00 |
|
|
Collagen imp urinary 2.5 ml
|
$748.00 |
$764.50 |
$845.00 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$11.50 |
$11.50 |
$11.50 |
|
|
Collar cerv ascend 172 reg
|
$83.00 |
$83.00 |
$156.00 |
|
|
Collar cerv patriot adlt
|
$63.00 |
$80.50 |
$83.50 |
|
|
Collection blood specimen from completely implantable venous access device
|
$76.00 |
$181.20 |
$300.00 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$73.50 |
$170.50 |
$278.00 |
|
|
Collection of venous blood by venipuncture
|
$5.50 |
$16.00 |
$52.00 |
|
|
Collj & interpj data ea 30 d
|
$29.00 |
$37.00 |
$120.00 |
|
|
Colonoscopy (diagnostic)
|
$188.50 |
$1,647.00 |
$5,251.00 |
|
|
Colonoscopy flex with decompression 45393
|
$252.00 |
$260.00 |
$3,787.00 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$235.50 |
$1,116.00 |
$3,398.00 |
|
|
Colonoscopy & polypectomy 44392
|
$208.50 |
$209.50 |
$1,722.00 |
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$802.67 |
$802.67 |
$802.67 |
|
|
Colonoscopy stoma w/snare 44394
|
$229.50 |
$1,093.34 |
$4,628.00 |
|
|
Colonoscopy submucous njx
|
$217.00 |
$1,350.00 |
$3,375.00 |
|
|
Colonoscopy thru stoma spx
|
$162.50 |
$762.50 |
$2,791.00 |
|
|
Colonoscopy w/ablation
|
$274.00 |
$438.40 |
$4,336.00 |
|
|
Colonoscopy w/balloon dilat
|
$214.50 |
$343.20 |
$3,604.00 |
|
|
Colonoscopy w/band ligation
|
$242.00 |
$1,551.00 |
$7,181.50 |
|
|
Colonoscopy w/control bleed
|
$259.00 |
$760.00 |
$4,153.00 |
|
|
Colonoscopy w/dilation
|
$185.50 |
$188.50 |
$1,986.83 |
|
|
Colonoscopy w/endoscope Ultrasound
|
$258.00 |
$264.50 |
$1,846.00 |
|
|
Colonoscopy w/endoscopic fnb
|
$4,926.00 |
$4,926.00 |
$4,926.00 |
|
|
Colonoscopy/w endoscopic stent 45389
|
$290.00 |
$297.50 |
$597.50 |
|
|
Colonoscopy w/fb removal
|
$240.50 |
$384.80 |
$5,653.00 |
|
|
Colonoscopy w/injection
|
$175.50 |
$178.00 |
$1,224.00 |
|
|
Colonoscopy (with biopsy)
|
$203.00 |
$1,967.50 |
$7,818.00 |
|
|
Colonoscopy with biopsy
|
$176.00 |
$932.50 |
$8,422.00 |
|
|
Colonoscopy (with polyp removal)
|
$255.50 |
$2,046.50 |
$5,958.50 |
|
|
Colonoscopy w/resection
|
$332.50 |
$532.00 |
$4,935.50 |
|
|
Colostomy skin level cecostomy 44320
|
$1,280.50 |
$1,310.50 |
$2,096.80 |
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$1,055.50 |
$1,080.50 |
$1,728.80 |
|
|
Colpocleisis (le forte type) 57120
|
$540.50 |
$864.80 |
$8,448.00 |
|
|
Colpopexy abdominal approach 57280
|
$992.00 |
$1,015.50 |
$1,587.20 |
|
|
Colpopexy extraperitoneal
|
$709.00 |
$1,134.40 |
$10,971.34 |
|
|
Colpopexy intraperitoneal
|
$714.50 |
$774.00 |
$10,767.50 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$342.00 |
$343.50 |
$15,754.50 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$128.50 |
$1,103.00 |
$2,301.00 |
|
|
Colposcopy/cervix/ conization 57461
|
$190.50 |
$3,721.00 |
$5,885.50 |
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$95.00 |
$194.00 |
$1,772.67 |
|
|
Colposcopy vulva 56820
|
$88.00 |
$194.00 |
$302.00 |
|
|
Colposcopy vulva w/biopsy 56821
|
$292.00 |
$350.00 |
$1,402.17 |
|
|
Colposcopy w/biopsy of cervix 57455
|
$113.50 |
$292.00 |
$1,119.50 |
|
|
Colpotomy drng of abscess 57010
|
$465.00 |
$465.00 |
$744.00 |
|
|
Colpotomy w/exploration 57000
|
$203.00 |
$210.50 |
$3,907.50 |
|
