|
Collection blood specimen using established central/peripheral catheter venous nos
|
$70.49 |
$82.50 |
$308.22 |
|
|
Collj & interpj data ea 30 d
|
$186.40 |
$186.40 |
$186.40 |
|
|
Colonoscopy (diagnostic)
|
$372.78 |
$1,338.48 |
$2,031.49 |
|
|
Colonoscopy flex with decompression 45393
|
$448.91 |
$448.91 |
$2,776.80 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$434.91 |
$1,896.18 |
$2,306.56 |
|
|
Colonoscopy for bleeding 44391
|
$720.80 |
$720.80 |
$2,076.00 |
|
|
Colonoscopy for foreign body
|
$619.57 |
$619.57 |
$1,898.40 |
|
|
Colonoscopy & polypectomy 44392
|
$585.12 |
$585.12 |
$1,784.80 |
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
|
|
Colonoscopy stoma w/snare 44394
|
$531.81 |
$678.93 |
$2,061.60 |
|
|
Colonoscopy submucous njx
|
$410.97 |
$684.23 |
$1,874.40 |
|
|
Colonoscopy thru stoma spx
|
$367.08 |
$487.07 |
$1,615.20 |
|
|
Colonoscopy w/ablation
|
$2,308.00 |
$2,308.00 |
$2,308.00 |
|
|
Colonoscopy w/balloon dilat
|
$1,099.75 |
$1,099.75 |
$2,698.40 |
|
|
Colonoscopy w/band ligation
|
$2,691.34 |
$2,691.34 |
$3,066.40 |
|
|
Colonoscopy w/control bleed
|
$477.09 |
$1,302.74 |
$2,071.85 |
|
|
Colonoscopy w/decompression
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
|
|
Colonoscopy w/dilation
|
$1,045.16 |
$1,045.16 |
$1,422.40 |
|
|
Colonoscopy/w endoscopic stent 45389
|
$2,195.20 |
$2,195.20 |
$2,384.25 |
|
|
Colonoscopy w/fb removal
|
$619.57 |
$619.57 |
$2,053.60 |
|
|
Colonoscopy w/injection
|
$1,188.26 |
$1,188.26 |
$1,422.40 |
|
|
Colonoscopy (with biopsy)
|
$430.35 |
$1,472.46 |
$2,205.33 |
|
|
Colonoscopy with biopsy
|
$587.24 |
$587.24 |
$1,629.60 |
|
|
Colonoscopy (with polyp removal)
|
$599.64 |
$1,896.18 |
$3,477.30 |
|
|
Colonoscopy w/ndl aspir/bx
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
|
|
Colonoscopy w/resection
|
$902.31 |
$5,139.42 |
$5,139.42 |
|
|
Colonoscopy w/ultrasound
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
|
|
Colostomy skin level cecostomy 44320
|
$2,285.13 |
$2,285.13 |
$3,691.20 |
|
|
Colpopexy extraperitoneal
|
$1,589.60 |
$1,589.60 |
$1,589.60 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,496.00 |
$4,804.25 |
$8,328.15 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$371.80 |
$371.80 |
$882.40 |
|
|
Colposcopy/cervix/ conization 57461
|
$548.55 |
$548.55 |
$4,208.80 |
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$347.13 |
$347.13 |
$555.20 |
|
|
Colposcopy vulva 56820
|
$468.00 |
$468.00 |
$468.00 |
|
|
Colposcopy vulva w/biopsy 56821
|
$700.00 |
$700.00 |
$700.00 |
|
|
Colposcopy w/biopsy of cervix 57455
|
$455.43 |
$455.43 |
$704.00 |
|
|
Comm hlth intg svs sdoh 60mn
|
$302.40 |
$302.40 |
$302.40 |
|
|
Compatibility test each unit antiglobulin technique
|
$70.95 |
$142.50 |
$265.61 |
|
|
Compatibility test each unit electronic
|
$67.50 |
$88.55 |
$261.06 |
|
|
Compatibility test each unit immediate spin technique
|
$88.51 |
$137.50 |
$653.60 |
|
|
Compatibility test incubate
|
$35.51 |
$82.50 |
$219.45 |
|
|
Comp cystometrogram/void presssure 51728
|
$496.08 |
$775.00 |
$1,508.00 |
|
|
Comp cystometrogram/void/uret pres 51729
|
$505.62 |
$840.00 |
$1,642.40 |
|
|
Complement antigen each component c3
|
$57.00 |
$105.00 |
$336.02 |
|
|
Complement fixation each
|
$39.22 |
$281.16 |
$281.16 |
|
|
Completion pneumonectomy 32488
|
$11,064.80 |
$11,064.80 |
$11,064.80 |
|
|
Complex cystometrogram 51726
|
$520.46 |
$705.00 |
$1,337.97 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$291.27 |
$898.92 |
$2,135.65 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$231.42 |
$898.92 |
$1,244.65 |
|
|
Complex uroflowmetry (electronic) 51741
|
$58.83 |
$226.86 |
$1,337.97 |
|
|
Compl oph exam general anes
|
$1,971.75 |
$1,971.75 |
$1,971.75 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$812.35 |
$1,186.68 |
$1,436.32 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$287.26 |
$1,252.90 |
$2,236.92 |
|
|
Complx repair enel addl 5cm/< 13153
|
$379.50 |
$681.12 |
$965.25 |
|
|
Complx repair fccmnaxghf 13131
|
$614.35 |
$1,065.35 |
$2,771.61 |
|
|
Complx repair fccmnaxghf 13132
|
$193.60 |
$1,247.95 |
$2,236.92 |
|
|
Complx repair fccmnaxghf 13133
|
$186.45 |
$589.60 |
$4,272.40 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$70.49 |
$683.96 |
$2,125.35 |
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$694.10 |
$898.92 |
$1,617.60 |
|
|
Complx repair trunk addl 5cm/< 13102
|
$112.29 |
$494.34 |
$1,068.10 |
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$545.37 |
$545.37 |
$545.37 |
|
|
Composite byp grft 2 veins
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
|
|
Composite byp grft 3/> segmt
|
$1,453.60 |
$1,453.60 |
$1,453.60 |
|
|
Composite byp grft pros&vein
|
$398.40 |
$398.40 |
$398.40 |
|
|
Composite drsg >16<=48 sq in
|
$13.78 |
$13.78 |
$13.78 |
|
|
Composite graft/pri close/don area 15760
|
$2,781.60 |
$2,781.60 |
$3,930.30 |
|
|
Comprehensive hearing test
|
$37.05 |
$147.50 |
$183.20 |
|
|
Compre oph exam est pt 1/>
|
$97.90 |
$97.90 |
$132.50 |
|
|
Compre oph exam new pt 1/>
|
$125.95 |
$125.95 |
$157.50 |
|
|
Compression stocking bk18-30
|
$41.06 |
$42.40 |
$97.50 |
|
|
Concentration infection agents any type
|
$17.10 |
$40.92 |
$99.14 |
|
|
Conditioning play audiometry 92582
|
$81.40 |
$103.88 |
$197.50 |
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$1,483.90 |
$2,598.22 |
$2,598.22 |
|
|
Condylomata destruction 56420
|
$121.55 |
$463.98 |
$773.60 |
|
|
Conform band n/s w>=3"<5"/yd
|
$1.59 |
$1.59 |
$1.59 |
|
|
Conization/cerv/loop electrode exc 57522
|
$2,441.60 |
$3,255.00 |
$3,255.00 |
|
|
Conization of cervix
|
$3,232.00 |
$3,232.00 |
$3,232.00 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$373.12 |
$664.96 |
$1,228.17 |
|
|
Connect omega .5mm
|
$369.36 |
$632.40 |
$1,671.24 |
|
|
Connector tis 2x10mm
|
$1,285.00 |
$3,167.05 |
$4,382.86 |
|
|
Constj trachesophgl fstl
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
|
|
Consultation pathology during surgery
|
$50.35 |
$100.89 |
$353.10 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$67.50 |
$228.80 |
$820.38 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$24.20 |
$160.00 |
$287.10 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$92.91 |
$230.00 |
$436.15 |
|
|
Consultation/report referred material w/preparation of slides
|
$205.64 |
$372.50 |
$1,678.23 |
|
|
Consultation/report referred slides prepared elsewhere
|
$151.62 |
$220.00 |
$461.06 |
|
|
Consultation with family
|
$106.15 |
$106.15 |
$106.15 |
|
|
Consult comp w/report rfrd material
|
$177.55 |
$359.87 |
$1,045.00 |
|
|
Contact layer >16<= 48 sq in
|
$18.02 |
$45.00 |
$45.00 |
|
|
Contact lens fitting for tx
|
$50.00 |
$50.00 |
$288.80 |
|
|
Cont gluc mntr analysis i&r 95251
|
$122.55 |
$122.55 |
$295.79 |
|
|
Contour cranial bone lesion
|
$3,203.20 |
$3,203.20 |
$3,203.20 |
|
|
Contour of face bone lesion
|
$3,109.60 |
$3,109.60 |
$3,109.60 |
|
|
Contrast baths charges
|
$75.35 |
$75.35 |
$135.29 |
|
|
Contrast exam abdominl aorta 75625-26
|
$1,690.70 |
$2,590.00 |
$6,489.91 |
|
|
Contrast exam thoracic aorta
|
$1,738.40 |
$2,032.02 |
$8,981.68 |
|
|
Contrast exam thoracic aorta 75605-26
|
$1,665.40 |
$2,885.85 |
$6,243.60 |
|
|
Contrast x-ray gallbladder
|
$276.65 |
$412.50 |
$412.50 |
|
|
Contrast x-ray of ankle
|
$410.85 |
$1,024.65 |
$1,312.72 |
|
