|
Clsd tx/grt hum tube fx without manip 23620
|
$995.01 |
$995.01 |
$995.01 |
$473.20
|
|
Clsd tx hip disloc without anes 27265
|
$1,025.10 |
$1,025.10 |
$1,025.10 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$1,314.78 |
$1,314.78 |
$1,314.78 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$895.05 |
$895.05 |
$895.05 |
$558.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$555.39 |
$555.39 |
$555.39 |
$1,014.00
|
|
Clsd tx mandibular fx without manip 21450
|
$313.14 |
$313.14 |
$313.14 |
$995.40
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$254.49 |
$254.49 |
$254.49 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$896.07 |
$896.07 |
$896.07 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$2,028.27 |
$2,028.27 |
$2,028.27 |
$716.95
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$915.96 |
$915.96 |
$915.96 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$836.40 |
$836.40 |
$836.40 |
$446.40
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,496.05 |
$3,496.05 |
$3,496.05 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$1,338.75 |
$1,338.75 |
$1,338.75 |
$705.60
|
|
Clsd tx/patellar fx without manip 27520
|
$690.54 |
$690.54 |
$690.54 |
$525.85
|
|
Clsd tx pelvic ring fx
|
$254.49 |
$254.49 |
$254.49 |
$448.80
|
|
Clsd tx pelvic ring fx
|
$254.49 |
$254.49 |
$254.49 |
$705.60
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,557.07
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$518.16 |
$518.16 |
$518.16 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$771.63 |
$771.63 |
$771.63 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$1,061.31 |
$1,061.31 |
$1,061.31 |
$1,884.74
|
|
Clsd tx/scapular fx without manip 23570
|
$760.92 |
$760.92 |
$760.92 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,466.40
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,842.58
|
|
Clsd tx temporomandibular dislocat 21480
|
$254.49 |
$254.49 |
$254.49 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$767.55 |
$767.55 |
$767.55 |
$436.70
|
|
Clsd tx trimall ankle fx without manip 27816
|
$254.49 |
$254.49 |
$254.49 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,318.46 |
$2,318.46 |
$2,318.46 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$783.87 |
$783.87 |
$783.87 |
$487.80
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$211.14 |
$211.14 |
$211.14 |
$705.60
|
|
Clsd tx wrist carpal fx without manip 25630
|
$1,087.83 |
$1,087.83 |
$1,087.83 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$892.50 |
$892.50 |
$892.50 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$254.49 |
$254.49 |
$254.49 |
$579.88
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$848.64 |
$848.64 |
$848.64 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$554.37 |
$554.37 |
$554.37 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$521.22 |
$521.22 |
$521.22 |
$857.50
|
|
Cltx carpl scphd fx w/mnpj
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,316.80
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$665.55 |
$665.55 |
$665.55 |
$523.25
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$1,893.86
|
|
Cltx humrl cndylr fx wo mnpj
|
$254.49 |
$254.49 |
$254.49 |
$563.00
|
|
Cltx lunate dislc w/mnpj
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,893.80
|
|
Cltx mndblr fx ntrdntl fixj
|
$4,560.93 |
$4,560.93 |
$4,560.93 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$1,705.95 |
$1,705.95 |
$1,705.95 |
$2,503.20
|
|
Cltx mndblr/max alv ridge fx
|
$2,901.90 |
$2,901.90 |
$2,901.90 |
$3,990.33
|
|
Cltx palatal/max fx wire fix
|
$2,901.90 |
$2,901.90 |
$2,901.90 |
$4,199.49
|
|
Cltx post ankle fx
|
$1,155.66 |
$1,155.66 |
$1,155.66 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$1,770.21 |
$1,770.21 |
$1,770.21 |
$2,621.64
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,320.50
|
|
Cltx strnclav dislc w/mnpj
|
$254.49 |
$254.49 |
$254.49 |
$722.16
|
|
Cltx thigh fx
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$3,881.76
|
|
Coagulation time activated teg
|
$85.68 |
$85.68 |
$85.68 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$858.19 |
$858.19 |
$858.19 |
$807.71
|
|
Colectomy partial w/anastomosis 44140
|
$2,510.73 |
$2,510.73 |
$2,510.73 |
$3,296.80
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$92.14 |
$92.14 |
$92.14 |
$66.69
|
|
Collar cerv adlt perfit ace extric
|
$29.83 |
$29.83 |
$29.83 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$342.83 |
$342.83 |
$342.83 |
$241.88
|
|
Collar cerv patriot adlt
|
$160.65 |
$160.65 |
$160.65 |
$153.57
|
|
Collar extrication adult univ
|
$176.72 |
$176.72 |
$176.72 |
$567.53
|
|
Collection blood specimen from completely implantable venous access device
|
$552.84 |
$552.84 |
$552.84 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$485.01 |
$485.01 |
$485.01 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$20.40 |
$20.40 |
$20.40 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$847.62 |
$847.62 |
$847.62 |
$1,612.62
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$736.95 |
$736.95 |
$736.95 |
$1,904.00
|
|
Colonoscopy submucous njx
|
$391.68 |
$391.68 |
$391.68 |
$2,063.25
|
|
Colonoscopy w/control bleed
|
$1,104.66 |
$1,104.66 |
$1,104.66 |
$2,101.71
|
|
Colonoscopy (with biopsy)
|
$760.92 |
$760.92 |
$760.92 |
$2,512.42
|
|
Colonoscopy (with polyp removal)
|
$854.25 |
$854.25 |
$854.25 |
$2,205.33
|
|
Colonoscopy w/resection
|
$607.41 |
$607.41 |
$607.41 |
$3,252.60
|
|
Colpocentesis 57020
|
$5,695.68 |
$5,695.68 |
$5,695.68 |
$5,419.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$493.17 |
$493.17 |
$493.17 |
$326.30
|
|
Colposcopy vulva 56820
|
$633.93 |
$633.93 |
$633.93 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$997.56 |
$997.56 |
$997.56 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$800.19 |
$800.19 |
$800.19 |
$544.70
|
|
Colpotomy drng of abscess 57010
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
$3,744.41
|
|
Colpotomy w/exploration 57000
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
$3,762.53
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$904.23 |
$904.23 |
$904.23 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$723.69 |
$723.69 |
$723.69 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$714.00 |
$714.00 |
$714.00 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,328.66 |
$2,328.66 |
$2,328.66 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$1,048.05 |
$1,048.05 |
$1,048.05 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$1,304.07 |
$1,304.07 |
$1,304.07 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$1,860.48 |
$1,860.48 |
$1,860.48 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$1,142.91 |
$1,142.91 |
$1,142.91 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$602.82 |
$602.82 |
$602.82 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$723.69 |
$723.69 |
$723.69 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$154.02 |
$154.02 |
$154.02 |
$683.25
|
|
Composite graft/pri close/don area 15760
|
$1,760.52 |
$1,760.52 |
$1,760.52 |
$2,692.80
|
|
Condylomata destruction 56420
|
$218.79 |
$218.79 |
$218.79 |
$509.81
|
|
Conization/cerv/loop electrode exc 57522
|
$608.43 |
$608.43 |
$608.43 |
$3,986.00
|
|
Conization of cervix
|
$733.38 |
$733.38 |
$733.38 |
$3,577.50
|
|
Connect omega .5mm
|
$1,606.50 |
$1,606.50 |
$1,606.50 |
$1,069.43
|
|
Connector tis 2x10mm
|
$3,686.24 |
$3,686.24 |
$3,686.24 |
$3,934.53
|
|
Consultation pathology during surgery frozen section each additional block
|
$168.81 |
$168.81 |
$168.81 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$300.39 |
$300.39 |
$300.39 |
$214.00
|
|
Contrast x-ray of hip
|
$375.87 |
$375.87 |
$375.87 |
$768.00
|