|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$2,061.60 |
$2,061.60 |
$2,061.60 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$1,874.40 |
$1,874.40 |
$1,874.40 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$1,615.20 |
$1,615.20 |
$1,615.20 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$2,308.00 |
$2,308.00 |
$2,308.00 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$2,698.40 |
$2,698.40 |
$2,698.40 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$3,066.40 |
$3,066.40 |
$3,066.40 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$1,439.20 |
$1,439.20 |
$1,439.20 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
$2,495.25
|
|
Colonoscopy/w endoscopic stent 45389
|
$2,195.20 |
$2,195.20 |
$2,384.25 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$2,053.60 |
$2,053.60 |
$2,053.60 |
$1,645.43
|
|
Colonoscopy w/injection
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
$2,449.20
|
|
Colonoscopy (with biopsy)
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$3,477.30 |
$3,477.30 |
$3,477.30 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
$2,704.00
|
|
Colonoscopy w/resection
|
$2,484.80 |
$2,484.80 |
$2,484.80 |
$3,035.44
|
|
Colonoscopy w/ultrasound
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
$2,636.40
|
|
Colostomy skin level cecostomy 44320
|
$3,691.20 |
$3,691.20 |
$3,691.20 |
$2,269.80
|
|
Colpopexy extraperitoneal
|
$1,589.60 |
$1,589.60 |
$1,589.60 |
$6,570.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,503.95 |
$4,503.95 |
$8,328.15 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$882.40 |
$882.40 |
$882.40 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$4,208.80 |
$4,208.80 |
$4,208.80 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$555.20 |
$555.20 |
$555.20 |
$314.00
|
|
Colposcopy vulva 56820
|
$468.00 |
$468.00 |
$468.00 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$700.00 |
$700.00 |
$700.00 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$704.00 |
$704.00 |
$704.00 |
$485.50
|
|
Comm hlth intg svs sdoh 60mn
|
$302.40 |
$302.40 |
$302.40 |
$109.46
|
|
Compatibility test each unit antiglobulin technique
|
$117.15 |
$117.15 |
$221.28 |
$173.50
|
|
Compatibility test each unit electronic
|
$85.25 |
$85.25 |
$85.25 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$117.15 |
$117.15 |
$653.60 |
$169.52
|
|
Compatibility test incubate
|
$94.60 |
$94.60 |
$129.61 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,642.40 |
$1,642.40 |
$1,642.40 |
$1,111.03
|
|
Complement antigen each component c3
|
$160.54 |
$160.54 |
$182.60 |
$110.00
|
|
Completion pneumonectomy 32488
|
$11,064.80 |
$11,064.80 |
$11,064.80 |
$5,828.00
|
|
Complex cystometrogram 51726
|
$1,337.97 |
$1,337.97 |
$1,337.97 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$952.60 |
$952.60 |
$1,367.94 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$843.20 |
$843.20 |
$1,244.65 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$1,337.97 |
$1,337.97 |
$1,337.97 |
$344.68
|
|
Compl oph exam general anes
|
$1,971.75 |
$1,971.75 |
$1,971.75 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,066.45 |
$1,066.45 |
$1,436.32 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,065.35 |
$1,065.35 |
$2,236.92 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$683.96 |
$683.96 |
$954.25 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,065.35 |
$1,065.35 |
$1,201.47 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,065.35 |
$1,065.35 |
$2,236.92 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,069.75 |
$1,069.75 |
$2,236.92 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$683.96 |
$683.96 |
$1,065.35 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,065.35 |
$1,065.35 |
$1,617.60 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$328.00 |
$328.00 |
$1,065.35 |
$537.00
|
|
Composite byp grft 2 veins
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
$619.20
|
|
Composite byp grft 3/> segmt
|
$1,453.60 |
$1,453.60 |
$1,453.60 |
$574.98
|
|
Composite byp grft pros&vein
|
$398.40 |
$398.40 |
$398.40 |
$205.60
|
|
Composite graft/pri close/don area 15760
|
$2,781.60 |
$2,781.60 |
$2,781.60 |
$2,816.50
|
|
Comprehensive hearing test
|
$183.20 |
$183.20 |
$183.20 |
$261.46
|
|
Compression stocking bk18-30
|
$42.40 |
$42.40 |
$42.40 |
$62.88
|
|
Concentration infection agents any type
|
$33.00 |
$33.00 |
$76.00 |
$51.32
|
|
Conditioning play audiometry 92582
|
$122.40 |
$122.40 |
$122.40 |
$189.15
|
|
Condylomata destruction 56420
|
$436.70 |
$436.70 |
$773.60 |
$467.35
|
|
Conization/cerv/loop electrode exc 57522
|
$2,441.60 |
$2,441.60 |
$2,441.60 |
$4,840.07
|
|
Conization of cervix
|
$3,232.00 |
$3,232.00 |
$3,232.00 |
$3,820.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$664.96 |
$664.96 |
$664.96 |
$860.00
|
|
Connect omega .5mm
|
$632.40 |
$632.40 |
$1,671.24 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,286.81 |
$3,286.81 |
$3,286.81 |
$4,024.34
|
|
Constj trachesophgl fstl
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
$3,837.72
|
|
Consultation pathology during surgery cytological exam initial site
|
$301.95 |
$301.95 |
$602.40 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$24.20 |
$24.20 |
$167.12 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$137.50 |
$137.50 |
$314.01 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$235.95 |
$235.95 |
$372.80 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$220.00 |
$220.00 |
$302.40 |
$176.28
|
|
Consult comp w/report rfrd material
|
$282.38 |
$282.38 |
$572.00 |
$374.40
|
|
Contact lens fitting for tx
|
$288.80 |
$288.80 |
$288.80 |
$92.96
|
|
Cont gluc mntr analysis i&r 95251
|
$295.79 |
$295.79 |
$295.79 |
$80.00
|
|
Contour cranial bone lesion
|
$3,203.20 |
$3,203.20 |
$3,203.20 |
$6,839.00
|
|
Contour of face bone lesion
|
$3,109.60 |
$3,109.60 |
$3,109.60 |
$3,837.72
|
|
Contrast baths charges
|
$135.29 |
$135.29 |
$135.29 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$2,730.20 |
$2,730.20 |
$6,489.91 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$8,981.68 |
$8,981.68 |
$8,981.68 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$2,995.20 |
$2,995.20 |
$3,215.85 |
$3,745.00
|
|
Contrast x-ray of ankle
|
$410.85 |
$410.85 |
$1,312.72 |
$684.00
|
|
Contrast x-ray of elbow
|
$625.35 |
$625.35 |
$1,312.72 |
$708.00
|
|
Contrast x-ray of hip
|
$487.30 |
$487.30 |
$1,531.88 |
$796.38
|
|
Contrast x-ray of knee joint
|
$650.10 |
$650.10 |
$1,312.72 |
$790.50
|
|
Contrast x-ray of wrist
|
$620.95 |
$620.95 |
$1,312.72 |
$667.50
|
|
Controller infinity pt dbs
|
$1,420.77 |
$1,420.77 |
$4,301.40 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$579.15 |
$579.15 |
$668.80 |
$383.52
|
|
Control nose/throat bleeding comp req hospital 42971
|
$864.80 |
$864.80 |
$864.80 |
$1,120.80
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$975.20 |
$975.20 |
$975.20 |
$3,786.00
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$667.20 |
$667.20 |
$667.20 |
$644.80
|
|
Control of nosebleed ant comp 30903
|
$520.00 |
$520.00 |
$564.30 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$448.00 |
$448.00 |
$518.10 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$709.76 |
$709.76 |
$2,502.50 |
$620.00
|
|
Control throat bleeding
|
$776.80 |
$776.80 |
$776.80 |
$972.84
|
|
Control throat bleeding
|
$932.00 |
$932.00 |
$932.00 |
$3,967.00
|
|
Conversion ext bil drg cath
|
$3,396.25 |
$3,396.25 |
$5,277.99 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$3,911.05 |
$3,911.05 |
$4,003.40 |
$2,777.60
|
|
Conv gtube to jtube
|
$846.40 |
$846.40 |
$846.40 |
$2,099.70
|
|
Coombs direct
|
$77.75 |
$77.75 |
$89.10 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$68.23 |
$68.23 |
$74.25 |
$107.25
|
