|
Clot factor xii hageman
|
$64.06 |
$64.06 |
$64.06 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$29.49 |
$29.49 |
$29.49 |
$50.41
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$153.03 |
$153.03 |
$153.03 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$205.14 |
$205.14 |
$205.14 |
$611.10
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$154.56 |
$154.56 |
$154.56 |
$543.00
|
|
Clsd tx clavicle dislocation without manip 23540
|
$205.14 |
$205.14 |
$205.14 |
$477.10
|
|
Clsd tx clavicle fracture w/manip 23505
|
$345.97 |
$345.97 |
$345.97 |
$2,211.05
|
|
Clsd tx/clavicular fx without manip 23500
|
$205.14 |
$205.14 |
$205.14 |
$488.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$154.56 |
$154.56 |
$154.56 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$205.14 |
$205.14 |
$205.14 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$229.55 |
$229.55 |
$229.55 |
$490.00
|
|
Clsd tx elbow dislocation child 24640
|
$126.34 |
$126.34 |
$126.34 |
$525.28
|
|
Clsd tx fracture of radius 25500
|
$205.14 |
$205.14 |
$205.14 |
$445.40
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$205.14 |
$205.14 |
$205.14 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$205.14 |
$205.14 |
$205.14 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$205.14 |
$205.14 |
$205.14 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$449.18 |
$449.18 |
$449.18 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$205.14 |
$205.14 |
$205.14 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$712.02 |
$712.02 |
$712.02 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$205.14 |
$205.14 |
$205.14 |
$473.20
|
|
Clsd tx hip disloc without anes 27265
|
$212.52 |
$212.52 |
$212.52 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$229.55 |
$229.55 |
$229.55 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$229.55 |
$229.55 |
$229.55 |
$558.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$889.96 |
$889.96 |
$889.96 |
$1,014.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$154.56 |
$154.56 |
$154.56 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$205.14 |
$205.14 |
$205.14 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$215.31 |
$215.31 |
$215.31 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$205.14 |
$205.14 |
$205.14 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$205.14 |
$205.14 |
$205.14 |
$446.40
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$918.94 |
$918.94 |
$918.94 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$345.97 |
$345.97 |
$345.97 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$205.14 |
$205.14 |
$205.14 |
$705.60
|
|
Clsd tx/patellar fx without manip 27520
|
$205.14 |
$205.14 |
$205.14 |
$525.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,024.69 |
$1,024.69 |
$1,024.69 |
$2,557.07
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$154.56 |
$154.56 |
$154.56 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$205.14 |
$205.14 |
$205.14 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$345.97 |
$345.97 |
$345.97 |
$1,884.74
|
|
Clsd tx/scapular fx without manip 23570
|
$205.14 |
$205.14 |
$205.14 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$345.97 |
$345.97 |
$345.97 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$345.97 |
$345.97 |
$345.97 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,186.36 |
$1,186.36 |
$1,186.36 |
$2,466.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$167.01 |
$167.01 |
$167.01 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$154.56 |
$154.56 |
$154.56 |
$436.70
|
|
Clsd tx trimall ankle fx without manip 27816
|
$345.97 |
$345.97 |
$345.97 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$712.02 |
$712.02 |
$712.02 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$205.14 |
$205.14 |
$205.14 |
$487.80
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$229.55 |
$229.55 |
$229.55 |
$705.60
|
|
Clsd tx wrist carpal fx without manip 25630
|
$205.14 |
$205.14 |
$205.14 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$205.14 |
$205.14 |
$205.14 |
$543.23
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$148.46 |
$148.46 |
$148.46 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$205.14 |
$205.14 |
$205.14 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$1,479.45 |
$1,479.45 |
$1,479.45 |
$857.50
|
|
Cltx hum epcndylr fx wo mnpj
|
$229.55 |
$229.55 |
$229.55 |
$523.25
|
|
Cltx humrl cndylr fx w/mnpj
|
$345.97 |
$345.97 |
$345.97 |
$1,893.86
|
|
Cltx humrl cndylr fx wo mnpj
|
$229.55 |
$229.55 |
$229.55 |
$563.00
|
|
Cltx mndblr/max alv ridge fx
|
$1,756.78 |
$1,756.78 |
$1,756.78 |
$3,990.33
|
|
Cltx post ankle fx w/mnpj
|
$938.26 |
$938.26 |
$938.26 |
$2,621.64
|
|
Cltx scap fx w/mnpj +-tractj
|
$404.44 |
$404.44 |
$404.44 |
$2,320.50
|
|
Cltx strnclav dislc w/mnpj
|
$205.14 |
$205.14 |
$205.14 |
$722.16
|
|
#cms hgb-carboxyhemoglobin
|
$9.66 |
$9.66 |
$9.66 |
$19.42
|
|
#cmvcul-virus inoculation shell
|
$86.18 |
$86.18 |
$86.18 |
$102.57
|
|
Cmv pcr-sendout
|
$115.92 |
$115.92 |
$115.92 |
$173.25
|
|
Coagulation time activated teg
|
$21.87 |
$21.87 |
$21.87 |
$50.05
|
|
Coch imp ext proc/contr rplc
|
$10,274.01 |
$10,274.01 |
$10,274.01 |
$14,283.08
|
|
Cold agglutinin titer
|
$26.95 |
$26.95 |
$26.95 |
$48.57
|
|
Collagen imp urinary 2.5 ml
|
$321.92 |
$321.92 |
$321.92 |
$1,800.00
|
|
Collection blood specimen from completely implantable venous access device
|
$197.52 |
$197.52 |
$197.52 |
$164.50
|
|
Collection of venous blood by venipuncture
|
$9.66 |
$9.66 |
$9.66 |
$22.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,592.82 |
$1,592.82 |
$1,592.82 |
$3,907.93
|
|
Colpotomy drng of abscess 57010
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$3,744.41
|
|
Colpotomy w/exploration 57000
|
$1,587.48 |
$1,587.48 |
$1,587.48 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$206.67 |
$206.67 |
$206.67 |
$173.25
|
|
Compatibility test each unit electronic
|
$212.77 |
$212.77 |
$212.77 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$206.67 |
$206.67 |
$206.67 |
$169.52
|
|
Complement antigen each component c3
|
$53.39 |
$53.39 |
$53.39 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$430.11 |
$430.11 |
$430.11 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$430.11 |
$430.11 |
$430.11 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$430.11 |
$430.11 |
$430.11 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$430.11 |
$430.11 |
$430.11 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$151.76 |
$151.76 |
$151.76 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$430.11 |
$430.11 |
$430.11 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$430.11 |
$430.11 |
$430.11 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$151.76 |
$151.76 |
$151.76 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$430.11 |
$430.11 |
$430.11 |
$576.66
|
|
Concentration infection agents any type
|
$23.65 |
$23.65 |
$23.65 |
$51.32
|
|
Condylomata destruction 56420
|
$148.46 |
$148.46 |
$148.46 |
$509.81
|
|
Connect omega .5mm
|
$448.41 |
$448.41 |
$448.41 |
$1,168.80
|
|
Connector tis 2x10mm
|
$2,109.86 |
$2,109.86 |
$2,109.86 |
$3,862.15
|
|
Consultation pathology during surgery
|
$66.61 |
$66.61 |
$66.61 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$890.72 |
$890.72 |
$890.72 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$73.98 |
$73.98 |
$73.98 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$206.67 |
$206.67 |
$206.67 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$223.19 |
$223.19 |
$223.19 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$66.61 |
$66.61 |
$66.61 |
$176.15
|
|
Consult comp w/report rfrd material
|
$104.23 |
$104.23 |
$104.23 |
$359.87
|
|
Contrast exam abdominl aorta 75625-26
|
$909.53 |
$909.53 |
$909.53 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$984.01 |
$984.01 |
$984.01 |
$4,178.00
|
|
Contrast x-ray of ankle
|
$270.98 |
$270.98 |
$270.98 |
$602.40
|
|
Contrast x-ray of elbow
|
$203.11 |
$203.11 |
$203.11 |
$637.14
|
|
Contrast x-ray of hip
|
$181.76 |
$181.76 |
$181.76 |
$768.00
|