|
Clsd tx wrist carpal fx without manip 25630
|
$448.80 |
$448.80 |
$448.80 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$448.80 |
$448.80 |
$448.80 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$455.94 |
$455.94 |
$455.94 |
$579.88
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$820.59 |
$820.59 |
$820.59 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$448.80 |
$448.80 |
$448.80 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$4,323.78 |
$4,323.78 |
$4,323.78 |
$857.50
|
|
Cltx carpl scphd fx w/mnpj
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$2,316.80
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$3,107.43 |
$3,107.43 |
$3,107.43 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$448.80 |
$448.80 |
$448.80 |
$523.25
|
|
Cltx humrl cndylr fx w/mnpj
|
$3,107.43 |
$3,107.43 |
$3,107.43 |
$1,893.86
|
|
Cltx humrl cndylr fx wo mnpj
|
$448.80 |
$448.80 |
$448.80 |
$563.00
|
|
Cltx lunate dislc w/mnpj
|
$4,232.49 |
$4,232.49 |
$4,232.49 |
$2,893.80
|
|
Cltx mndblr fx ntrdntl fixj
|
$11,565.78 |
$11,565.78 |
$11,565.78 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$3,006.96 |
$3,006.96 |
$3,006.96 |
$2,503.20
|
|
Cltx mndblr/max alv ridge fx
|
$6,199.05 |
$6,199.05 |
$6,199.05 |
$3,990.33
|
|
Cltx palatal/max fx wire fix
|
$6,199.05 |
$6,199.05 |
$6,199.05 |
$4,199.49
|
|
Cltx post ankle fx
|
$448.80 |
$448.80 |
$448.80 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$3,107.43 |
$3,107.43 |
$3,107.43 |
$2,621.64
|
|
Cltx scap fx w/mnpj +-tractj
|
$3,107.43 |
$3,107.43 |
$3,107.43 |
$2,320.50
|
|
Cltx strnclav dislc w/mnpj
|
$448.80 |
$448.80 |
$448.80 |
$722.16
|
|
Cltx thigh fx
|
$6,486.18 |
$6,486.18 |
$6,486.18 |
$3,881.76
|
|
#cmvcul-virus inoculation shell
|
$137.41 |
$137.41 |
$137.41 |
$102.57
|
|
Cmv pcr-sendout
|
$147.90 |
$147.90 |
$147.90 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$26,155.60 |
$26,155.60 |
$26,155.60 |
$2,950.68
|
|
Coagulation time activated teg
|
$307.02 |
$307.02 |
$307.02 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$858.19 |
$858.19 |
$858.19 |
$807.71
|
|
Cold agglutinin titer
|
$12.48 |
$12.48 |
$12.48 |
$48.57
|
|
Colistimethate sodium inj
|
$84.15 |
$84.15 |
$84.15 |
$84.60
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$143.97 |
$143.97 |
$143.97 |
$66.69
|
|
Collar cerv adlt perfit ace extric
|
$46.61 |
$46.61 |
$46.61 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$529.82 |
$529.82 |
$529.82 |
$241.88
|
|
Collar cerv patriot adlt
|
$251.02 |
$251.02 |
$251.02 |
$153.57
|
|
Collar extrication adult univ
|
$273.11 |
$273.11 |
$273.11 |
$567.53
|
|
Collection blood specimen from completely implantable venous access device
|
$255.00 |
$255.00 |
$255.00 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$255.00 |
$255.00 |
$255.00 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$38.25 |
$38.25 |
$38.25 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$1,612.62 |
$1,612.62 |
$1,612.62 |
$1,612.62
|
|
Colonoscopy w/control bleed
|
$2,101.71 |
$2,101.71 |
$2,101.71 |
$2,101.71
|
|
Colpocentesis 57020
|
$10,039.35 |
$10,039.35 |
$10,039.35 |
$5,419.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$6,160.80 |
$6,160.80 |
$6,160.80 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$532.95 |
$532.95 |
$532.95 |
$326.30
|
|
Colposcopy vulva 56820
|
$385.56 |
$385.56 |
$385.56 |
$295.20
|
|
Colpotomy drng of abscess 57010
|
$6,160.80 |
$6,160.80 |
$6,160.80 |
$3,744.41
|
|
Colpotomy w/exploration 57000
|
$6,160.80 |
$6,160.80 |
$6,160.80 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$359.04 |
$359.04 |
$359.04 |
$173.25
|
|
Compatibility test each unit electronic
|
$166.26 |
$166.26 |
$166.26 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$287.64 |
$287.64 |
$287.64 |
$169.52
|
|
Complement antigen each component c3
|
$108.12 |
$108.12 |
$108.12 |
$111.15
|
|
Complement fixation each
|
$4.59 |
$4.59 |
$4.59 |
$24.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$890.97 |
$890.97 |
$890.97 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,587.63 |
$1,587.63 |
$1,587.63 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$2,640.27 |
$2,640.27 |
$2,640.27 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,640.27 |
$2,640.27 |
$2,640.27 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$890.97 |
$890.97 |
$890.97 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$1,066.92 |
$1,066.92 |
$1,066.92 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$1,066.92 |
$1,066.92 |
$1,066.92 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$713.49 |
$713.49 |
$713.49 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$498.27 |
$498.27 |
$498.27 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,258.68 |
$1,258.68 |
$1,258.68 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$890.97 |
$890.97 |
$890.97 |
$683.25
|
|
Composite graft/pri close/don area 15760
|
$3,760.74 |
$3,760.74 |
$3,760.74 |
$2,692.80
|
|
Computed tomographic angiography head and neck with contrast
|
$1,885.47 |
$1,885.47 |
$1,885.47 |
$2,313.35
|
|
Concentration infection agents any type
|
$113.22 |
$113.22 |
$113.22 |
$51.32
|
|
Condylomata destruction 56420
|
$544.68 |
$544.68 |
$544.68 |
$509.81
|
|
Conivaptan hcl
|
$2,565.81 |
$2,565.81 |
$2,565.81 |
$438.57
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,143.29 |
$1,143.29 |
$1,143.29 |
$986.92
|
|
Connect omega .5mm
|
$2,417.40 |
$2,417.40 |
$2,417.40 |
$1,069.43
|
|
Connector tis 2x10mm
|
$6,529.91 |
$6,529.91 |
$6,529.91 |
$3,934.53
|
|
Consultation pathology during surgery
|
$273.87 |
$273.87 |
$273.87 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$913.92 |
$913.92 |
$913.92 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$169.83 |
$169.83 |
$169.83 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$325.89 |
$325.89 |
$325.89 |
$214.00
|
|
Consultation/report referred slides prepared elsewhere
|
$243.78 |
$243.78 |
$243.78 |
$176.15
|
|
Consult comp w/report rfrd material
|
$298.35 |
$298.35 |
$298.35 |
$359.87
|
|
Contrast exam abdominl aorta 75625-26
|
$4,415.58 |
$4,415.58 |
$4,415.58 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$4,627.74 |
$4,627.74 |
$4,627.74 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$5,847.66 |
$5,847.66 |
$5,847.66 |
$4,178.00
|
|
Contrast x-ray gallbladder
|
$265.71 |
$265.71 |
$265.71 |
$312.00
|
|
Contrast x-ray of hip
|
$1,105.68 |
$1,105.68 |
$1,105.68 |
$768.00
|
|
Contrast x-ray of knee joint
|
$1,481.04 |
$1,481.04 |
$1,481.04 |
$683.20
|
|
Contrast x-ray of wrist
|
$761.94 |
$761.94 |
$761.94 |
$623.50
|
|
Controler lvad heartmate 3 includes ebb
|
$18,418.75 |
$18,418.75 |
$18,418.75 |
$11,518.85
|
|
Controller infinity pt dbs
|
$9,394.20 |
$9,394.20 |
$9,394.20 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$1,944.63 |
$1,944.63 |
$1,944.63 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,944.63 |
$1,944.63 |
$1,944.63 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$1,944.63 |
$1,944.63 |
$1,944.63 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$660.45 |
$660.45 |
$660.45 |
$618.80
|
|
Control throat bleeding
|
$6,199.05 |
$6,199.05 |
$6,199.05 |
$4,122.30
|
|
Conversion ext bil drg cath
|
$7,717.83 |
$7,717.83 |
$7,717.83 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$2,572.95 |
$2,572.95 |
$2,572.95 |
$3,569.60
|
|
Coombs direct
|
$191.76 |
$191.76 |
$191.76 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$87.72 |
$87.72 |
$87.72 |
$94.90
|
|
Coombs indirect titer reference
|
$508.47 |
$508.47 |
$508.47 |
$146.00
|
|
Copper intrauterine device
|
$3,115.60 |
$3,115.60 |
$3,115.60 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$3,329.28 |
$3,329.28 |
$3,329.28 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$4,499.12
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$15,969.12 |
$15,969.12 |
$15,969.12 |
$9,900.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$20,996.19 |
$20,996.19 |
$20,996.19 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$17,719.95 |
$17,719.95 |
$17,719.95 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$17,792.88 |
$17,792.88 |
$17,792.88 |
$11,280.10
|