|
Compatibility test each unit antiglobulin technique
|
$32.00 |
$139.20 |
$552.00 |
|
|
Compatibility test each unit electronic
|
$14.00 |
$126.00 |
$987.00 |
|
|
Compatibility test each unit immediate spin technique
|
$56.00 |
$164.00 |
$1,029.00 |
|
|
Compatibility test incubate
|
$38.50 |
$38.50 |
$514.00 |
|
|
Comp cystometrogram/void presssure 51728
|
$106.50 |
$350.50 |
$2,389.50 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$131.00 |
$371.00 |
$3,045.00 |
|
|
Complement antigen each component c3
|
$30.00 |
$140.00 |
$443.40 |
|
|
Complement fixation each
|
$55.50 |
$55.50 |
$55.50 |
|
|
Complete removal of vulva
|
$12,929.50 |
$12,929.50 |
$12,929.50 |
|
|
Complex cystometrogram 51726
|
$207.00 |
$287.50 |
$828.50 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$221.50 |
$792.00 |
$17,847.50 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$234.50 |
$852.00 |
$4,867.50 |
|
|
Complex uroflowmetry (electronic) 51741
|
$9.00 |
$209.00 |
$313.50 |
|
|
Compl oph exam general anes
|
$127.50 |
$142.00 |
$10,388.00 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$264.00 |
$849.50 |
$18,427.00 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$316.50 |
$1,108.00 |
$7,616.00 |
|
|
Complx repair enel addl 5cm/< 13153
|
$132.50 |
$400.00 |
$700.50 |
|
|
Complx repair fccmnaxghf 13131
|
$368.80 |
$640.50 |
$2,410.50 |
|
|
Complx repair fccmnaxghf 13132
|
$284.00 |
$939.60 |
$5,460.50 |
|
|
Complx repair fccmnaxghf 13133
|
$118.00 |
$398.00 |
$2,820.94 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$79.00 |
$464.50 |
$3,281.88 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$192.50 |
$784.00 |
$1,378.00 |
|
|
Complx repair trunk addl 5cm/< 13102
|
$70.00 |
$268.00 |
$4,867.50 |
|
|
Composite byp grft 2 veins
|
$378.50 |
$387.00 |
$619.20 |
|
|
Composite byp grft 3/> segmt
|
$442.00 |
$454.00 |
$726.40 |
|
|
Composite byp grft pros&vein
|
$85.00 |
$88.00 |
$140.80 |
|
|
Composite drsg >16<=48 sq in
|
$11.50 |
$11.50 |
$11.50 |
|
|
Composite drsg <= 16 sq in
|
$8.00 |
$8.00 |
$8.50 |
|
|
Composite graft/pri close/don area 15760
|
$1,647.60 |
$2,371.50 |
$3,262.50 |
|
|
Comprehensive hearing test
|
$29.00 |
$131.50 |
$510.50 |
|
|
Compre oph exam est pt 1/>
|
$70.00 |
$76.00 |
$228.50 |
|
|
Compre oph exam new pt 1/>
|
$78.00 |
$87.50 |
$305.00 |
|
|
Compression stocking bk18-30
|
$398.64 |
$997.50 |
$3,050.35 |
|
|
Computed tomographic angiography head and neck with contrast
|
$1,259.50 |
$1,315.00 |
$2,104.00 |
|
|
Concentration infection agents any type
|
$16.00 |
$57.50 |
$247.00 |
|
|
Conditioning play audiometry 92582
|
$86.50 |
$123.00 |
$731.50 |
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$1,969.88 |
$1,969.88 |
$2,932.13 |
|
|
Condylomata destruction 56420
|
$120.00 |
$282.00 |
$3,940.50 |
|
|
Conization/cerv/loop electrode exc 57522
|
$262.00 |
$3,721.00 |
$6,247.00 |
|
|
Conization of cervix
|
$308.50 |
$3,118.50 |
$8,755.00 |
|
|
Connect omega .5mm
|
$684.00 |
$699.00 |
$936.50 |
|
|
Connector tis 2x10mm
|
$2,411.50 |
$2,800.50 |
$3,095.50 |
|
|
Construct thumb replacement
|
$22,565.00 |
$22,565.00 |
$22,565.00 |
|
|
Consultation pathology during surgery
|
$32.00 |
$47.00 |
$137.50 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$38.00 |
$101.60 |
$1,629.50 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$30.00 |
$51.20 |
$740.00 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$61.00 |
$124.00 |
$792.50 |
|
|
Consultation/report referred material w/preparation of slides
|
$88.00 |
$185.50 |
$473.50 |
|
|
Consultation/report referred slides prepared elsewhere
|
$59.50 |
$84.00 |
$495.50 |
|
|
Consultation with family
|
$100.50 |
$100.50 |
$100.50 |
|
|
Consult comp w/report rfrd material
|
$128.50 |
$200.50 |
$581.50 |
|
|
Contact lens fitg aphakia 1
|
$449.00 |
$508.00 |
$570.50 |
|
|
Contact lens fitg aphakia ou
|
$145.00 |
$153.00 |
$170.00 |
|
|
Contact lens fitting for tx
|
$29.50 |
$34.00 |
$92.00 |
|
|
Contact lens gas permeable
|
$300.00 |
$300.00 |
$300.00 |
|
|
Cont gluc mntr analysis i&r 95251
|
$11.50 |
$39.50 |
$364.00 |
|
|
Contour of face bone lesion
|
$5,999.50 |
$5,999.50 |
$5,999.50 |
|
|
Contrast baths charges
|
$37.00 |
$44.50 |
$118.00 |
|
|
Contrast exam abdominl aorta 75625-26
|
$2,509.00 |
$3,250.00 |
$7,104.50 |
|
|
Contrast exam thoracic aorta
|
$2,870.00 |
$2,870.00 |
$3,312.00 |
|
|
Contrast exam thoracic aorta 75605-26
|
$2,863.00 |
$5,039.50 |
$6,426.00 |
|
|
Contrast x-ray of ankle
|
$942.00 |
$942.00 |
$942.00 |
|
|
Contrast x-ray of elbow
|
$748.00 |
$748.00 |
$1,331.50 |
|
|
Contrast x-ray of hip
|
$532.00 |
$665.00 |
$2,476.00 |
|
|
Contrast x-ray of knee joint
|
$748.00 |
$921.00 |
$2,894.00 |
|
|
Contrast x-ray of wrist
|
$543.00 |
$920.00 |
$1,077.00 |
|
|
Controller infinity pt dbs
|
$1,835.00 |
$2,137.50 |
$2,489.50 |
|
|
Control nosebleed pack+caut 30905
|
$127.50 |
$224.50 |
$574.00 |
|
|
Control of nosebleed ant comp 30903
|
$54.00 |
$281.60 |
$434.50 |
|
|
Control of nosebleedantersmpl 30901
|
$169.50 |
$324.00 |
$4,970.50 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$213.00 |
$863.50 |
$3,984.00 |
|
|
Control throat bleeding
|
$3,098.50 |
$3,098.50 |
$3,098.50 |
|
|
Control throat bleeding
|
$514.50 |
$536.50 |
$5,075.50 |
|
|
Convert nephrostomy catheter
|
$2,403.00 |
$3,292.00 |
$4,656.00 |
|
|
Conv gtube to jtube
|
$4,921.50 |
$4,921.50 |
$4,921.50 |
|
|
Coombs direct
|
$15.20 |
$71.50 |
$294.00 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$10.50 |
$20.00 |
$165.50 |
|
|
Coombs indirect titer reference
|
$10.40 |
$87.50 |
$276.50 |
|
|
Copper cu 64 dotatate diag
|
$1,079.50 |
$3,541.50 |
$4,722.00 |
|
|
Copper intrauterine device
|
$1,563.50 |
$2,345.00 |
$2,563.00 |
|
|
Core ndl bx lng/med perq
|
$1,635.00 |
$2,443.50 |
$3,411.50 |
|
|
Cor hlx vlgs double osteot
|
$621.50 |
$3,896.67 |
$12,236.50 |
|
|
Cor hlx vlgs dstl mtar osteo
|
$536.00 |
$4,224.00 |
$16,428.50 |
|
|
Cor hlx vlgs prx phlx osteot
|
$528.00 |
$553.00 |
$8,505.26 |
|
|
Corneal hysteresis deter
|
$56.50 |
$66.00 |
$84.50 |
|
|
Corneal smear
|
$94.50 |
$94.50 |
$151.20 |
|
|
Corneal transplant
|
$1,073.00 |
$1,073.00 |
$8,384.00 |
|
|
Corneal transplant
|
$1,170.00 |
$1,243.00 |
$14,567.00 |
|
|
Corneal transplant
|
$1,176.00 |
$1,251.50 |
$9,347.00 |
|
|
Corneal transplant
|
$1,169.50 |
$1,247.50 |
$9,832.00 |
|
|
Corneal trnspl endothelial
|
$1,097.50 |
$1,182.50 |
$9,140.50 |
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$4,698.91 |
$4,698.91 |
$5,432.80 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$5,742.00 |
$8,645.00 |
$17,650.20 |
|
|
Coronary angio/lv gram/lt heart
|
$5,742.00 |
$7,914.00 |
$16,723.80 |
|
|
Coronary angio/lv gram/rt< heart
|
$5,961.00 |
$8,988.50 |
$16,723.80 |
|
|
Coronary art/grft angio s&i
|
$4,502.50 |
$6,206.00 |
$11,555.40 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,742.50 |
$7,197.00 |
$10,359.50 |
|
|
Coronary thrombolysis/iv infusion 92977
|
$369.50 |
$369.50 |
$369.50 |
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$505.50 |
$3,117.50 |
$12,807.00 |
|
|
Correct cock-up 5th toe/plast clos 28286
|
$306.50 |
$308.00 |
$2,912.00 |
|
