|
Closed carpo/metacarpal fx disl thumb w/manip
|
$363.47 |
$363.47 |
$363.47 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$78.85 |
$78.85 |
$78.85 |
$470.00
|
|
Closed tx humerus fx with manip 23605
|
$475.76 |
$475.76 |
$475.76 |
$2,075.00
|
|
Closed tx humerus fx without manip 23600
|
$59.66 |
$59.66 |
$59.66 |
$487.48
|
|
Closed tx humerus fx w/manip 24505
|
$363.47 |
$363.47 |
$363.47 |
$1,520.36
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$59.66 |
$59.66 |
$59.66 |
$366.70
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$845.50 |
$845.50 |
$845.50 |
$2,527.50
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$101.46 |
$101.46 |
$101.46 |
$468.18
|
|
Clos txnose fx without stablz 21315
|
$515.09 |
$515.09 |
$515.09 |
$2,266.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$179.93 |
$179.93 |
$179.93 |
$1,244.64
|
|
Closure paravalvlr leak pq
|
$8,455.19 |
$8,455.19 |
$8,455.19 |
$7,723.17
|
|
Clot factor fletcher fact
|
$149.72 |
$149.72 |
$149.72 |
$117.66
|
|
Clot factor wght kininogen
|
$317.49 |
$317.49 |
$317.49 |
$157.50
|
|
Clot factor xii hageman
|
$27.36 |
$27.36 |
$27.36 |
$130.65
|
|
Clot factor xiii fibrin scrn
|
$103.93 |
$103.93 |
$103.93 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$72.01 |
$72.01 |
$72.01 |
$102.70
|
|
Clotting assay whole blood
|
$37.62 |
$37.62 |
$37.62 |
$101.52
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$59.66 |
$59.66 |
$59.66 |
$632.40
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$78.85 |
$78.85 |
$78.85 |
$450.48
|
|
Clsd tx/clavicular fx without manip 23500
|
$47.50 |
$47.50 |
$47.50 |
$438.90
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$47.50 |
$47.50 |
$47.50 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$59.66 |
$59.66 |
$59.66 |
$655.20
|
|
Clsd tx elbow dislocation child 24640
|
$59.66 |
$59.66 |
$59.66 |
$447.60
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$364.99 |
$364.99 |
$364.99 |
$2,184.00
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$59.66 |
$59.66 |
$59.66 |
$404.00
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$59.66 |
$59.66 |
$59.66 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$363.47 |
$363.47 |
$363.47 |
$1,684.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$363.47 |
$363.47 |
$363.47 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$59.66 |
$59.66 |
$59.66 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$59.66 |
$59.66 |
$59.66 |
$478.40
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$59.66 |
$59.66 |
$59.66 |
$495.20
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$59.66 |
$59.66 |
$59.66 |
$603.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$59.66 |
$59.66 |
$59.66 |
$497.88
|
|
Clsd tx of ankle fracture w/manip 28435
|
$364.99 |
$364.99 |
$364.99 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$47.50 |
$47.50 |
$47.50 |
$553.15
|
|
Clsd tx/patellar fx without manip 27520
|
$59.66 |
$59.66 |
$59.66 |
$465.28
|
|
Clsd tx pelvic ring fx
|
$63.27 |
$63.27 |
$63.27 |
$414.00
|
|
Clsd tx pelvic ring fx
|
$63.27 |
$63.27 |
$63.27 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$363.47 |
$363.47 |
$363.47 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$47.50 |
$47.50 |
$47.50 |
$397.60
|
|
Clsd tx radius fracture w/manip 24655
|
$363.47 |
$363.47 |
$363.47 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$363.47 |
$363.47 |
$363.47 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$363.47 |
$363.47 |
$363.47 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$838.66 |
$838.66 |
$838.66 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$47.50 |
$47.50 |
$47.50 |
$353.60
|
|
Clsd tx toe dislocation without anes28660
|
$47.50 |
$47.50 |
$47.50 |
$392.50
|
|
Clsd tx trimall ankle fx without manip 27816
|
$59.66 |
$59.66 |
$59.66 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$363.47 |
$363.47 |
$363.47 |
$1,565.74
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$78.85 |
$78.85 |
$78.85 |
$475.68
|
|
Cls tx of heel fracture w/manip 28405
|
$78.85 |
$78.85 |
$78.85 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$850.44 |
$850.44 |
$850.44 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$364.99 |
$364.99 |
$364.99 |
$2,211.05
|
|
Cltx humrl cndylr fx w/mnpj
|
$363.47 |
$363.47 |
$363.47 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$884.45 |
$884.45 |
$884.45 |
$2,384.00
|
|
Cltx post ankle fx w/mnpj
|
$363.47 |
$363.47 |
$363.47 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$363.47 |
$363.47 |
$363.47 |
$2,030.33
|
|
#cmvcul-virus inoculation shell
|
$24.70 |
$24.70 |
$24.70 |
$89.76
|
|
Cmv pcr-sendout
|
$44.84 |
$44.84 |
$44.84 |
$172.25
|
|
Coagulation time activated teg
|
$45.60 |
$45.60 |
$45.60 |
$52.25
|
|
Cocaine 4 % nasal solution
|
$2,195.69 |
$2,195.69 |
$2,195.69 |
$624.55
|
|
Cold agglutinin titer
|
$70.49 |
$70.49 |
$70.49 |
$50.00
|
|
Colistimethate sodium inj
|
$73.83 |
$73.83 |
$73.83 |
$68.47
|
|
Collection blood specimen from completely implantable venous access device
|
$86.83 |
$86.83 |
$86.83 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$86.83 |
$86.83 |
$86.83 |
$152.54
|
|
Collection of venous blood by venipuncture
|
$6.65 |
$6.65 |
$6.65 |
$20.74
|
|
Colonoscopy w/control bleed
|
$245.48 |
$245.48 |
$245.48 |
$2,019.60
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,743.06 |
$1,743.06 |
$1,743.06 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$44.84 |
$44.84 |
$44.84 |
$165.00
|
|
Compatibility test each unit electronic
|
$67.26 |
$67.26 |
$67.26 |
$171.25
|
|
Compatibility test each unit immediate spin technique
|
$48.45 |
$48.45 |
$48.45 |
$169.52
|
|
Complement antigen each component c3
|
$83.60 |
$83.60 |
$83.60 |
$110.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$126.54 |
$126.54 |
$126.54 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$121.22 |
$121.22 |
$121.22 |
$1,193.40
|
|
Complx repair enel addl 5cm/< 13153
|
$104.50 |
$104.50 |
$104.50 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$104.50 |
$104.50 |
$104.50 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$119.70 |
$119.70 |
$119.70 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$104.50 |
$104.50 |
$104.50 |
$531.30
|
|
Complx repair sal addl 5 cm/> 13122
|
$82.46 |
$82.46 |
$82.46 |
$498.27
|
|
Concentration infection agents any type
|
$11.97 |
$11.97 |
$11.97 |
$48.91
|
|
Condylomata destruction 56420
|
$54.53 |
$54.53 |
$54.53 |
$469.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$211.28 |
$211.28 |
$211.28 |
$426.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$7.03 |
$7.03 |
$7.03 |
$109.90
|
|
Consultation pathology during surgery frozen section first tissue block
|
$55.86 |
$55.86 |
$55.86 |
$223.86
|
|
Consultation/report referred material w/preparation of slides
|
$56.62 |
$56.62 |
$56.62 |
$205.64
|
|
Consultation/report referred slides prepared elsewhere
|
$49.59 |
$49.59 |
$49.59 |
$171.65
|
|
Contrast exam abdominl aorta 75625-26
|
$1,014.79 |
$1,014.79 |
$1,014.79 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$1,498.15 |
$1,498.15 |
$1,498.15 |
$3,661.50
|
|
Contrast x-ray of ankle
|
$211.66 |
$211.66 |
$211.66 |
$575.82
|
|
Contrast x-ray of elbow
|
$185.63 |
$185.63 |
$185.63 |
$625.35
|
|
Contrast x-ray of hip
|
$196.65 |
$196.65 |
$196.65 |
$739.05
|
|
Contrast x-ray of knee joint
|
$400.52 |
$400.52 |
$400.52 |
$686.25
|
|
Contrast x-ray of wrist
|
$181.64 |
$181.64 |
$181.64 |
$602.68
|
|
Controller infinity pt dbs
|
$0.19 |
$0.19 |
$0.19 |
$4,494.00
|
|
Control nosebleed pack+caut 30905
|
$35.91 |
$35.91 |
$35.91 |
$385.45
|
|
Control of nosebleed ant comp 30903
|
$58.71 |
$58.71 |
$58.71 |
$391.20
|
|
Control of nosebleedantersmpl 30901
|
$44.65 |
$44.65 |
$44.65 |
$342.24
|
|
Control oropharyngeal hemorr/simp 42960
|
$139.46 |
$139.46 |
$139.46 |
$621.45
|
|
Contrst x-ray uppr gi tract
|
$314.45 |
$314.45 |
$314.45 |
$737.75
|
|
Conversion ext bil drg cath
|
$1,863.90 |
$1,863.90 |
$1,863.90 |
$4,143.00
|
|
Convert nephrostomy catheter
|
$644.10 |
$644.10 |
$644.10 |
$2,777.60
|