|
Clos txnose fx without stablz 21315
|
$1,453.92 |
$1,453.92 |
$1,453.92 |
$2,596.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,177.44 |
$1,177.44 |
$1,177.44 |
$1,181.99
|
|
Closure of eyelid by suture
|
$1,380.96 |
$1,380.96 |
$1,380.96 |
$1,306.20
|
|
Closure paravalvlr leak pq
|
$15,291.84 |
$15,291.84 |
$15,291.84 |
$10,497.50
|
|
Clot factor viii reltd antgn
|
$86.40 |
$86.40 |
$86.40 |
$95.72
|
|
Clot factor xiii fibrin stab
|
$56.11 |
$56.11 |
$56.11 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$294.72 |
$294.72 |
$294.72 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$367.20 |
$367.20 |
$367.20 |
$611.10
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$285.60 |
$285.60 |
$285.60 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$1,893.86
|
|
Clsd tx clavicle dislocation without manip 23540
|
$337.92 |
$337.92 |
$337.92 |
$477.10
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,496.64 |
$1,496.64 |
$1,496.64 |
$2,211.05
|
|
Clsd tx/clavicular fx without manip 23500
|
$337.92 |
$337.92 |
$337.92 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$337.92 |
$337.92 |
$337.92 |
$339.18
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$325.44 |
$325.44 |
$325.44 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$597.60 |
$597.60 |
$597.60 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$337.92 |
$337.92 |
$337.92 |
$490.00
|
|
Clsd tx elbow dislocation child 24640
|
$388.32 |
$388.32 |
$388.32 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$6,617.28 |
$6,617.28 |
$6,617.28 |
$2,748.90
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$2,021.04
|
|
Clsd tx fracture of radius 25500
|
$337.92 |
$337.92 |
$337.92 |
$445.40
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$337.92 |
$337.92 |
$337.92 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$455.04 |
$455.04 |
$455.04 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$362.88 |
$362.88 |
$362.88 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,496.64 |
$1,496.64 |
$1,496.64 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$314.40 |
$314.40 |
$314.40 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,634.72 |
$2,634.72 |
$2,634.72 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$337.92 |
$337.92 |
$337.92 |
$473.20
|
|
Clsd tx hip disloc without anes 27265
|
$862.08 |
$862.08 |
$862.08 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$337.92 |
$337.92 |
$337.92 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$337.92 |
$337.92 |
$337.92 |
$558.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$6,849.12 |
$6,849.12 |
$6,849.12 |
$1,014.00
|
|
Clsd tx mandibular fx without manip 21450
|
$1,255.68 |
$1,255.68 |
$1,255.68 |
$995.40
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$337.92 |
$337.92 |
$337.92 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$388.32 |
$388.32 |
$388.32 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$580.32 |
$580.32 |
$580.32 |
$716.95
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$430.08 |
$430.08 |
$430.08 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$388.32 |
$388.32 |
$388.32 |
$446.40
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$2,939.52 |
$2,939.52 |
$2,939.52 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,453.28 |
$2,453.28 |
$2,453.28 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$399.36 |
$399.36 |
$399.36 |
$705.60
|
|
Clsd tx/patellar fx without manip 27520
|
$337.92 |
$337.92 |
$337.92 |
$525.85
|
|
Clsd tx pelvic ring fx
|
$337.92 |
$337.92 |
$337.92 |
$448.80
|
|
Clsd tx pelvic ring fx
|
$337.92 |
$337.92 |
$337.92 |
$705.60
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$3,679.68 |
$3,679.68 |
$3,679.68 |
$2,557.07
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$325.44 |
$325.44 |
$325.44 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$318.72 |
$318.72 |
$318.72 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$1,884.74
|
|
Clsd tx/scapular fx without manip 23570
|
$325.44 |
$325.44 |
$325.44 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,122.08 |
$2,122.08 |
$2,122.08 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$4,792.80 |
$4,792.80 |
$4,792.80 |
$2,466.40
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$3,842.58
|
|
Clsd tx temporomandibular dislocat 21480
|
$450.24 |
$450.24 |
$450.24 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$688.32 |
$688.32 |
$688.32 |
$436.70
|
|
Clsd tx trimall ankle fx without manip 27816
|
$388.32 |
$388.32 |
$388.32 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,270.56 |
$1,270.56 |
$1,270.56 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$337.92 |
$337.92 |
$337.92 |
$487.80
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$408.96 |
$408.96 |
$408.96 |
$705.60
|
|
Clsd tx wrist carpal fx without manip 25630
|
$262.08 |
$262.08 |
$262.08 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$337.92 |
$337.92 |
$337.92 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$337.92 |
$337.92 |
$337.92 |
$579.88
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$433.92 |
$433.92 |
$433.92 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$337.92 |
$337.92 |
$337.92 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$337.92 |
$337.92 |
$337.92 |
$857.50
|
|
Cltx carpl scphd fx w/mnpj
|
$2,453.28 |
$2,453.28 |
$2,453.28 |
$2,316.80
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$877.44 |
$877.44 |
$877.44 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$337.92 |
$337.92 |
$337.92 |
$523.25
|
|
Cltx humrl cndylr fx w/mnpj
|
$956.64 |
$956.64 |
$956.64 |
$1,893.86
|
|
Cltx humrl cndylr fx wo mnpj
|
$337.92 |
$337.92 |
$337.92 |
$563.00
|
|
Cltx lunate dislc w/mnpj
|
$1,496.64 |
$1,496.64 |
$1,496.64 |
$2,893.80
|
|
Cltx mndblr fx ntrdntl fixj
|
$9,183.36 |
$9,183.36 |
$9,183.36 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$2,440.80 |
$2,440.80 |
$2,440.80 |
$2,503.20
|
|
Cltx mndblr/max alv ridge fx
|
$8,765.76 |
$8,765.76 |
$8,765.76 |
$3,990.33
|
|
Cltx palatal/max fx wire fix
|
$8,765.76 |
$8,765.76 |
$8,765.76 |
$4,199.49
|
|
Cltx post ankle fx
|
$337.92 |
$337.92 |
$337.92 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$2,621.64
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,453.28 |
$2,453.28 |
$2,453.28 |
$2,320.50
|
|
Cltx strnclav dislc w/mnpj
|
$337.92 |
$337.92 |
$337.92 |
$722.16
|
|
Cltx thigh fx
|
$5,214.24 |
$5,214.24 |
$5,214.24 |
$3,881.76
|
|
C motor evoked lwr limbs
|
$570.24 |
$570.24 |
$570.24 |
$627.89
|
|
C motor evoked uppr limbs
|
$342.24 |
$342.24 |
$342.24 |
$780.00
|
|
#cmvcul-virus inoculation shell
|
$129.33 |
$129.33 |
$129.33 |
$102.57
|
|
Cmv pcr-sendout
|
$139.20 |
$139.20 |
$139.20 |
$173.25
|
|
Co2 monitor per day
|
$504.96 |
$504.96 |
$504.96 |
$388.85
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$23,131.93 |
$23,131.93 |
$23,131.93 |
$2,950.68
|
|
Coagulation time activated teg
|
$125.76 |
$125.76 |
$125.76 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$807.71 |
$807.71 |
$807.71 |
$807.71
|
|
Cold agglutinin titer
|
$11.75 |
$11.75 |
$11.75 |
$48.57
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$2,598.24 |
$2,598.24 |
$2,598.24 |
$4,476.80
|
|
Colistimethate sodium inj
|
$105.43 |
$105.43 |
$105.43 |
$84.60
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$100.27 |
$100.27 |
$100.27 |
$66.69
|
|
Collar cerv adlt perfit ace extric
|
$32.46 |
$32.46 |
$32.46 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$425.32 |
$425.32 |
$425.32 |
$241.88
|
|
Collar cerv patriot adlt
|
$174.83 |
$174.83 |
$174.83 |
$153.57
|
|
Collar extrication adult univ
|
$219.24 |
$219.24 |
$219.24 |
$567.53
|
|
Collection blood specimen from completely implantable venous access device
|
$121.44 |
$121.44 |
$121.44 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$121.44 |
$121.44 |
$121.44 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$10.56 |
$10.56 |
$10.56 |
$22.00
|