|
Clsd tx clavicle dislocation without manip 23540
|
$535.60 |
$535.60 |
$535.60 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$452.40 |
$452.40 |
$452.40 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$452.40 |
$452.40 |
$452.40 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$452.40 |
$452.40 |
$452.40 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$691.60 |
$691.60 |
$691.60 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$535.60 |
$535.60 |
$535.60 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$462.80 |
$462.80 |
$462.80 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,116.40 |
$2,116.40 |
$2,116.40 |
$2,184.08
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$3,073.20 |
$3,073.20 |
$3,073.20 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$452.40 |
$452.40 |
$452.40 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$452.40 |
$452.40 |
$452.40 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$535.60 |
$535.60 |
$535.60 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$546.00 |
$546.00 |
$546.00 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$452.40 |
$452.40 |
$452.40 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$946.40 |
$946.40 |
$946.40 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$535.60 |
$535.60 |
$535.60 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$665.60 |
$665.60 |
$665.60 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$577.20 |
$577.20 |
$577.20 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$551.20 |
$551.20 |
$551.20 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$582.40 |
$582.40 |
$582.40 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$535.60 |
$535.60 |
$535.60 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$535.60 |
$535.60 |
$535.60 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$712.40 |
$712.40 |
$712.40 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$858.00 |
$858.00 |
$858.00 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$535.60 |
$535.60 |
$535.60 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,530.80 |
$3,530.80 |
$3,530.80 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$3,286.40 |
$3,286.40 |
$3,286.40 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$577.20 |
$577.20 |
$577.20 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$535.60 |
$535.60 |
$535.60 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$660.40 |
$660.40 |
$660.40 |
$416.35
|
|
Clsd tx pelvic ring fx
|
$660.40 |
$660.40 |
$660.40 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,007.20 |
$2,007.20 |
$2,007.20 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$452.40 |
$452.40 |
$452.40 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$535.60 |
$535.60 |
$535.60 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$946.40 |
$946.40 |
$946.40 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$452.40 |
$452.40 |
$452.40 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,783.60 |
$1,783.60 |
$1,783.60 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$946.40 |
$946.40 |
$946.40 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,880.80 |
$2,880.80 |
$2,880.80 |
$2,211.05
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$3,047.20 |
$3,047.20 |
$3,047.20 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$520.00 |
$520.00 |
$520.00 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$452.40 |
$452.40 |
$452.40 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$535.60 |
$535.60 |
$535.60 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$452.40 |
$452.40 |
$452.40 |
$452.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$488.80 |
$488.80 |
$488.80 |
$674.68
|
|
Clsd tx wrist carpal fx without manip 25630
|
$535.60 |
$535.60 |
$535.60 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$535.60 |
$535.60 |
$535.60 |
$523.53
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$852.80 |
$852.80 |
$852.80 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$535.60 |
$535.60 |
$535.60 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$452.40 |
$452.40 |
$452.40 |
$474.50
|
|
Cls tx of heel fracture w/manip 28405
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$2,064.40 |
$2,064.40 |
$2,064.40 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$3,286.40 |
$3,286.40 |
$3,286.40 |
$2,317.60
|
|
Cltx hum epcndylr fx wo mnpj
|
$535.60 |
$535.60 |
$535.60 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$946.40 |
$946.40 |
$946.40 |
$1,815.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$535.60 |
$535.60 |
$535.60 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$2,437.00
|
|
Cltx mndblr fx w/mnpj
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$2,343.00
|
|
Cltx post ankle fx
|
$483.60 |
$483.60 |
$483.60 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$946.40 |
$946.40 |
$946.40 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$946.40 |
$946.40 |
$946.40 |
$2,021.04
|
|
Cltx strnclav dislc w/mnpj
|
$598.00 |
$598.00 |
$598.00 |
$619.30
|
|
Cmbn ant pst colprhy
|
$2,293.20 |
$2,293.20 |
$2,293.20 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$1,202.24 |
$1,202.24 |
$1,202.24 |
$627.89
|
|
C motor evoked uppr limbs
|
$2,016.56 |
$2,016.56 |
$2,016.56 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$2,016.56 |
$2,016.56 |
$2,016.56 |
$1,308.00
|
|
Cmptr ophth dx img ant segmt
|
$187.20 |
$187.20 |
$187.20 |
$115.95
|
|
Cmptr ophth img optic nerve
|
$187.20 |
$187.20 |
$187.20 |
$119.00
|
|
#cms hgb-carboxyhemoglobin
|
$79.56 |
$79.56 |
$79.56 |
$61.60
|
|
#cms hgb-sulfhemoglobin
|
$66.56 |
$66.56 |
$66.56 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$110.76 |
$110.76 |
$110.76 |
$100.80
|
|
Cmv pcr-sendout
|
$229.84 |
$229.84 |
$229.84 |
$177.50
|
|
Co2 monitor per day
|
$477.36 |
$477.36 |
$477.36 |
$450.60
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$8.56 |
$8.56 |
$8.56 |
$8,980.00
|
|
Coagulation time activated teg
|
$52.00 |
$52.00 |
$52.00 |
$53.72
|
|
Coagulation time lee & white
|
$37.96 |
$37.96 |
$37.96 |
$11.20
|
|
Coagulation time otr method
|
$34.32 |
$34.32 |
$34.32 |
$33.00
|
|
Cocaine 4 % nasal solution
|
$585.04 |
$585.04 |
$585.04 |
$629.41
|
|
Coch imp ext proc/contr rplc
|
$8,798.40 |
$8,798.40 |
$8,798.40 |
$20,146.35
|
|
Coch implant headset replace
|
$988.00 |
$988.00 |
$988.00 |
$1,064.00
|
|
Coil axium 3d 14mmx40cm qc
|
$249.60 |
$249.60 |
$249.60 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$69.16 |
$69.16 |
$69.16 |
$45.00
|
|
Cold agglutinin titer
|
$67.60 |
$67.60 |
$67.60 |
$50.00
|
|
Colistimethate sodium inj
|
$62.00 |
$62.00 |
$62.00 |
$68.47
|
|
Collagenase, clost hist inj
|
$11,984.40 |
$11,984.40 |
$11,984.40 |
$12,906.28
|
|
Collagen imp urinary 2.5 ml
|
$2,293.20 |
$2,293.20 |
$2,293.20 |
$1,949.63
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$52.00 |
$52.00 |
$52.00 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$93.60 |
$93.60 |
$93.60 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$232.96 |
$232.96 |
$232.96 |
$213.89
|
|
Collection blood specimen from completely implantable venous access device
|
$187.20 |
$187.20 |
$187.20 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$140.40 |
$140.40 |
$140.40 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$26.52 |
$26.52 |
$26.52 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$2,288.00
|