|
Clsd tx humerus fract without manip 24500
|
$522.81 |
$522.81 |
$522.81 |
$558.40
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$362.97 |
$362.97 |
$362.97 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$522.81 |
$522.81 |
$522.81 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$398.27 |
$398.27 |
$398.27 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$363.64 |
$363.64 |
$363.64 |
$446.40
|
|
Clsd tx of ankle fracture w/manip 28435
|
$572.76 |
$572.76 |
$572.76 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$390.95 |
$390.95 |
$390.95 |
$705.60
|
|
Clsd tx/patellar fx without manip 27520
|
$541.46 |
$541.46 |
$541.46 |
$525.85
|
|
Clsd tx pelvic ring fx
|
$227.78 |
$227.78 |
$227.78 |
$448.80
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$225.78 |
$225.78 |
$225.78 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$426.91 |
$426.91 |
$426.91 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$1,207.46 |
$1,207.46 |
$1,207.46 |
$1,884.74
|
|
Clsd tx/scapular fx without manip 23570
|
$472.86 |
$472.86 |
$472.86 |
$454.50
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$897.11 |
$897.11 |
$897.11 |
$1,828.80
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$456.88 |
$456.88 |
$456.88 |
$487.80
|
|
Clsd tx wrist carpal fx without manip 25630
|
$538.13 |
$538.13 |
$538.13 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$540.13 |
$540.13 |
$540.13 |
$543.23
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$618.72 |
$618.72 |
$618.72 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$346.99 |
$346.99 |
$346.99 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$618.05 |
$618.05 |
$618.05 |
$857.50
|
|
Cltx carpl scphd fx w/mnpj
|
$819.85 |
$819.85 |
$819.85 |
$2,316.80
|
|
Cltx hum epcndylr fx wo mnpj
|
$528.81 |
$528.81 |
$528.81 |
$523.25
|
|
Cmv pcr-sendout
|
$58.43 |
$58.43 |
$58.43 |
$173.25
|
|
Cold agglutinin titer
|
$99.13 |
$99.13 |
$99.13 |
$48.57
|
|
Colectomy/end colost/close dis seg 44143
|
$2,937.73 |
$2,937.73 |
$2,937.73 |
$4,085.60
|
|
Colectomy partial w/anastomosis 44140
|
$2,350.32 |
$2,350.32 |
$2,350.32 |
$3,296.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$3,757.58 |
$3,757.58 |
$3,757.58 |
$5,203.20
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$3,227.44 |
$3,227.44 |
$3,227.44 |
$4,476.80
|
|
Collection blood specimen from completely implantable venous access device
|
$250.42 |
$250.42 |
$250.42 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$169.17 |
$169.17 |
$169.17 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$75.93 |
$75.93 |
$75.93 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$426.91 |
$426.91 |
$426.91 |
$1,612.62
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$532.14 |
$532.14 |
$532.14 |
$1,904.00
|
|
Colonoscopy & polypectomy 44392
|
$388.28 |
$388.28 |
$388.28 |
$1,395.28
|
|
Colonoscopy stoma w/snare 44394
|
$451.55 |
$451.55 |
$451.55 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$432.90 |
$432.90 |
$432.90 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$293.71 |
$293.71 |
$293.71 |
$1,278.72
|
|
Colonoscopy w/ablation
|
$659.34 |
$659.34 |
$659.34 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$467.54 |
$467.54 |
$467.54 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$474.20 |
$474.20 |
$474.20 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$652.02 |
$652.02 |
$652.02 |
$2,101.71
|
|
Colonoscopy w/fb removal
|
$534.14 |
$534.14 |
$534.14 |
$1,395.28
|
|
Colonoscopy (with biopsy)
|
$512.16 |
$512.16 |
$512.16 |
$2,512.42
|
|
Colonoscopy with biopsy
|
$325.68 |
$325.68 |
$325.68 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$606.06 |
$606.06 |
$606.06 |
$2,205.33
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$1,731.60 |
$1,731.60 |
$1,731.60 |
$2,417.60
|
|
Colpopexy extraperitoneal
|
$893.78 |
$893.78 |
$893.78 |
$5,339.00
|
|
Colposcopy/cervix/ conization 57461
|
$319.68 |
$319.68 |
$319.68 |
$3,519.29
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$432.90 |
$432.90 |
$432.90 |
$326.30
|
|
Compatibility test each unit antiglobulin technique
|
$158.51 |
$158.51 |
$158.51 |
$173.25
|
|
Compatibility test each unit immediate spin technique
|
$341.00 |
$341.00 |
$341.00 |
$169.52
|
|
Complement antigen each component c3
|
$46.62 |
$46.62 |
$46.62 |
$111.15
|
|
Complement fixation each
|
$27.98 |
$27.98 |
$27.98 |
$24.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$725.94 |
$725.94 |
$725.94 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$30.64 |
$30.64 |
$30.64 |
$353.50
|
|
Complx repair fccmnaxghf 13131
|
$415.59 |
$415.59 |
$415.59 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$582.09 |
$582.09 |
$582.09 |
$1,244.09
|
|
Complx repair sal addl 5 cm/> 13122
|
$141.20 |
$141.20 |
$141.20 |
$576.66
|
|
Complx repair trunk addl 5cm/< 13102
|
$221.78 |
$221.78 |
$221.78 |
$683.25
|
|
Comprehensive hearing test
|
$68.60 |
$68.60 |
$68.60 |
$224.40
|
|
Concentration infection agents any type
|
$11.13 |
$11.13 |
$11.13 |
$51.32
|
|
Condylomata destruction 56420
|
$189.81 |
$189.81 |
$189.81 |
$509.81
|
|
Conization/cerv/loop electrode exc 57522
|
$428.91 |
$428.91 |
$428.91 |
$3,986.00
|
|
Consultation pathology during surgery
|
$162.51 |
$162.51 |
$162.51 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$26.64 |
$26.64 |
$26.64 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$17.55 |
$17.55 |
$17.55 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$93.24 |
$93.24 |
$93.24 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$33.30 |
$33.30 |
$33.30 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$83.92 |
$83.92 |
$83.92 |
$176.15
|
|
Contrast x-ray gallbladder
|
$1,042.29 |
$1,042.29 |
$1,042.29 |
$312.00
|
|
Contrast x-ray of brain
|
$1,464.54 |
$1,464.54 |
$1,464.54 |
$930.42
|
|
Control nosebleed pack+caut 30905
|
$600.74 |
$600.74 |
$600.74 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$150.52 |
$150.52 |
$150.52 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$125.21 |
$125.21 |
$125.21 |
$385.45
|
|
Conv gtube to jtube
|
$360.98 |
$360.98 |
$360.98 |
$2,133.54
|
|
Coombs direct
|
$97.24 |
$97.24 |
$97.24 |
$73.26
|
|
Coombs indirect titer reference
|
$175.16 |
$175.16 |
$175.16 |
$146.00
|
|
Copper intrauterine device
|
$3,463.78 |
$3,463.78 |
$3,463.78 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$2,363.64 |
$2,363.64 |
$2,363.64 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$902.43 |
$902.43 |
$902.43 |
$4,499.12
|
|
Cor hlx vlgs prx phlx osteot
|
$905.76 |
$905.76 |
$905.76 |
$5,419.00
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$1,066.94 |
$1,066.94 |
$1,066.94 |
$3,839.54
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$981.69 |
$981.69 |
$981.69 |
$4,108.00
|
|
Correct malrotation of bowel 44055
|
$2,400.93 |
$2,400.93 |
$2,400.93 |
$3,657.60
|
|
Correct metacarpal flaw
|
$1,177.49 |
$1,177.49 |
$1,177.49 |
$3,839.54
|
|
Correct rectal prolapse
|
$1,662.34 |
$1,662.34 |
$1,662.34 |
$3,722.88
|
|
Cortisol total am
|
$110.56 |
$110.56 |
$110.56 |
$122.20
|
|
Counseling smoke cess interm >10mins
|
$139.86 |
$139.86 |
$139.86 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$1,321.35 |
$1,321.35 |
$1,321.35 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$84.59 |
$84.59 |
$84.59 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$588.08 |
$588.08 |
$588.08 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$588.08 |
$588.08 |
$588.08 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$102.57 |
$102.57 |
$102.57 |
$56.44
|
|
#covid19rsv-rsv
|
$152.52 |
$152.52 |
$152.52 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$22.57 |
$22.57 |
$22.57 |
$65.36
|
|
C-peptide
|
$49.95 |
$49.95 |
$49.95 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$5,796.87 |
$5,796.87 |
$5,796.87 |
$1,466.97
|
|
C-reactive protein
|
$84.59 |
$84.59 |
$84.59 |
$63.00
|
|
C-reactive protein high sensitivity
|
$112.56 |
$112.56 |
$112.56 |
$91.65
|
|
Creatine kinase
|
$82.59 |
$82.59 |
$82.59 |
$59.78
|