|
Clsd tx fracture of radius 25500
|
$183.16 |
$183.16 |
$183.16 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$88.54 |
$88.54 |
$88.54 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$100.89 |
$100.89 |
$100.89 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$231.99 |
$231.99 |
$231.99 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$349.41 |
$349.41 |
$349.41 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$183.92 |
$183.92 |
$183.92 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$317.11 |
$317.11 |
$317.11 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$183.92 |
$183.92 |
$183.92 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$284.43 |
$284.43 |
$284.43 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$246.05 |
$246.05 |
$246.05 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$235.03 |
$235.03 |
$235.03 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$247.76 |
$247.76 |
$247.76 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$329.27 |
$329.27 |
$329.27 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$157.70 |
$157.70 |
$157.70 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$205.01 |
$205.01 |
$205.01 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$209.19 |
$209.19 |
$209.19 |
$606.00
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$344.28 |
$344.28 |
$344.28 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$158.46 |
$158.46 |
$158.46 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$144.59 |
$144.59 |
$144.59 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$61.94 |
$61.94 |
$61.94 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$228.38 |
$228.38 |
$228.38 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$235.60 |
$235.60 |
$235.60 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$212.04 |
$212.04 |
$212.04 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$88.73 |
$88.73 |
$88.73 |
$416.35
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$279.11 |
$279.11 |
$279.11 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$135.28 |
$135.28 |
$135.28 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$175.56 |
$175.56 |
$175.56 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$280.63 |
$280.63 |
$280.63 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$172.33 |
$172.33 |
$172.33 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$276.45 |
$276.45 |
$276.45 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$341.24 |
$341.24 |
$341.24 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$279.11 |
$279.11 |
$279.11 |
$2,211.05
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$236.74 |
$236.74 |
$236.74 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$19.76 |
$19.76 |
$19.76 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$63.08 |
$63.08 |
$63.08 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$206.53 |
$206.53 |
$206.53 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$300.20 |
$300.20 |
$300.20 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$174.04 |
$174.04 |
$174.04 |
$452.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$201.21 |
$201.21 |
$201.21 |
$674.68
|
|
Clsd tx wrist carpal fx without manip 25630
|
$200.64 |
$200.64 |
$200.64 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$201.40 |
$201.40 |
$201.40 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$215.08 |
$215.08 |
$215.08 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$189.24 |
$189.24 |
$189.24 |
$474.50
|
|
Cls tx of heel fracture w/manip 28405
|
$279.68 |
$279.68 |
$279.68 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$310.27 |
$310.27 |
$310.27 |
$1,893.86
|
|
Cltx hum epcndylr fx wo mnpj
|
$207.67 |
$207.67 |
$207.67 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$349.41 |
$349.41 |
$349.41 |
$1,815.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$221.54 |
$221.54 |
$221.54 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$337.63 |
$337.63 |
$337.63 |
$2,437.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$627.00 |
$627.00 |
$627.00 |
$6,776.64
|
|
Cltx post ankle fx
|
$207.10 |
$207.10 |
$207.10 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$308.75 |
$308.75 |
$308.75 |
$1,893.86
|
|
Cltx strnclav dislc w/mnpj
|
$254.41 |
$254.41 |
$254.41 |
$619.30
|
|
Cmbn ant pst colprhy
|
$504.07 |
$504.07 |
$504.07 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$170.81 |
$170.81 |
$170.81 |
$627.89
|
|
C motor evoked uppr limbs
|
$614.08 |
$614.08 |
$614.08 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$319.77 |
$319.77 |
$319.77 |
$1,308.00
|
|
Cmptr ophth dx img ant segmt
|
$7.22 |
$7.22 |
$7.22 |
$115.95
|
|
Cmptr ophth img optic nerve
|
$7.79 |
$7.79 |
$7.79 |
$119.00
|
|
#cmvcul-virus inoculation shell
|
$38.11 |
$38.11 |
$38.11 |
$100.80
|
|
Cmv pcr-sendout
|
$12.45 |
$12.45 |
$12.45 |
$177.50
|
|
Co2 monitor per day
|
$121.22 |
$121.22 |
$121.22 |
$450.60
|
|
Coagulation time activated teg
|
$24.51 |
$24.51 |
$24.51 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$450.19 |
$450.19 |
$450.19 |
$629.41
|
|
Cold agglutinin titer
|
$38.95 |
$38.95 |
$38.95 |
$50.00
|
|
Colectomy/end colost/close dis seg 44143
|
$1,042.34 |
$1,042.34 |
$1,042.34 |
$2,880.80
|
|
Colectomy/ ileostomy without prctect 44150
|
$1,177.43 |
$1,177.43 |
$1,177.43 |
$3,530.40
|
|
Colectomy/ ileostomy w/prctect 44155
|
$1,313.47 |
$1,313.47 |
$1,313.47 |
$4,562.58
|
|
Colectomy partial w/anastomosis 44140
|
$850.63 |
$850.63 |
$850.63 |
$2,510.73
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$1,218.47 |
$1,218.47 |
$1,218.47 |
$3,652.20
|
|
Colectomy prtl w/coloproctostomy 44145
|
$1,044.05 |
$1,044.05 |
$1,044.05 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$1,328.10 |
$1,328.10 |
$1,328.10 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$788.12 |
$788.12 |
$788.12 |
$2,343.60
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$1,145.70 |
$1,145.70 |
$1,145.70 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$1,113.59 |
$1,113.59 |
$1,113.59 |
$3,176.40
|
|
Colistimethate sodium inj
|
$43.41 |
$43.41 |
$43.41 |
$68.47
|
|
Collagen imp urinary 2.5 ml
|
$406.60 |
$406.60 |
$406.60 |
$1,949.63
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$32.11 |
$32.11 |
$32.11 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$49.21 |
$49.21 |
$49.21 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$49.78 |
$49.78 |
$49.78 |
$213.89
|
|
Collar cerv patriot adlt
|
$38.95 |
$38.95 |
$38.95 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$56.81 |
$56.81 |
$56.81 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$78.85 |
$78.85 |
$78.85 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$4.94 |
$4.94 |
$4.94 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$118.37 |
$118.37 |
$118.37 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$159.60 |
$159.60 |
$159.60 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$144.97 |
$144.97 |
$144.97 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$126.73 |
$126.73 |
$126.73 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$193.99 |
$193.99 |
$193.99 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$143.83 |
$143.83 |
$143.83 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$128.63 |
$128.63 |
$128.63 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$99.94 |
$99.94 |
$99.94 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$172.33 |
$172.33 |
$172.33 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$135.66 |
$135.66 |
$135.66 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$149.53 |
$149.53 |
$149.53 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$165.49 |
$165.49 |
$165.49 |
$2,030.25
|
|
Colonoscopy w/decompression
|
$148.20 |
$148.20 |
$148.20 |
$2,184.00
|
|
Colonoscopy w/dilation
|
$117.80 |
$117.80 |
$117.80 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$164.92 |
$164.92 |
$164.92 |
$1,645.43
|
|
Colonoscopy w/endoscopic fnb
|
$194.18 |
$194.18 |
$194.18 |
$1,645.43
|
