|
Closure of eyelid by suture
|
$90.18 |
$90.18 |
$90.18 |
$1,613.00
|
|
Closure of windpipe lesion 31820
|
$312.93 |
$312.93 |
$312.93 |
$3,837.72
|
|
Clot factor fletcher fact
|
$31.09 |
$31.09 |
$31.09 |
$119.50
|
|
Clot factor wght kininogen
|
$48.20 |
$48.20 |
$48.20 |
$167.96
|
|
Clot factor xii hageman
|
$4.64 |
$4.64 |
$4.64 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$2.14 |
$2.14 |
$2.14 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$3.92 |
$3.92 |
$3.92 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$332.10 |
$332.10 |
$332.10 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$338.31 |
$338.31 |
$338.31 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$351.00 |
$351.00 |
$351.00 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$238.14 |
$238.14 |
$238.14 |
$419.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$230.85 |
$230.85 |
$230.85 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$193.59 |
$193.59 |
$193.59 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$376.65 |
$376.65 |
$376.65 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$314.28 |
$314.28 |
$314.28 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$100.17 |
$100.17 |
$100.17 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$704.16 |
$704.16 |
$704.16 |
$2,184.08
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$528.93 |
$528.93 |
$528.93 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$288.63 |
$288.63 |
$288.63 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$143.64 |
$143.64 |
$143.64 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$164.70 |
$164.70 |
$164.70 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$344.25 |
$344.25 |
$344.25 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$528.39 |
$528.39 |
$528.39 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$294.03 |
$294.03 |
$294.03 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$510.03 |
$510.03 |
$510.03 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$273.78 |
$273.78 |
$273.78 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$404.19 |
$404.19 |
$404.19 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$383.94 |
$383.94 |
$383.94 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$364.50 |
$364.50 |
$364.50 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$352.08 |
$352.08 |
$352.08 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$576.99 |
$576.99 |
$576.99 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$237.60 |
$237.60 |
$237.60 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$305.91 |
$305.91 |
$305.91 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$331.29 |
$331.29 |
$331.29 |
$606.00
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$489.24 |
$489.24 |
$489.24 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$225.18 |
$225.18 |
$225.18 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$218.16 |
$218.16 |
$218.16 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$209.25 |
$209.25 |
$209.25 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$324.54 |
$324.54 |
$324.54 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$334.80 |
$334.80 |
$334.80 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$327.78 |
$327.78 |
$327.78 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$126.09 |
$126.09 |
$126.09 |
$416.35
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$396.63 |
$396.63 |
$396.63 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$205.20 |
$205.20 |
$205.20 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$268.65 |
$268.65 |
$268.65 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$398.79 |
$398.79 |
$398.79 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$244.89 |
$244.89 |
$244.89 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$392.85 |
$392.85 |
$392.85 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$484.92 |
$484.92 |
$484.92 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$396.63 |
$396.63 |
$396.63 |
$2,211.05
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$336.42 |
$336.42 |
$336.42 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$136.08 |
$136.08 |
$136.08 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$89.64 |
$89.64 |
$89.64 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$332.64 |
$332.64 |
$332.64 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$426.60 |
$426.60 |
$426.60 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$270.00 |
$270.00 |
$270.00 |
$452.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$285.93 |
$285.93 |
$285.93 |
$674.68
|
|
Clsd tx wrist carpal fx without manip 25630
|
$307.80 |
$307.80 |
$307.80 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$311.85 |
$311.85 |
$311.85 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$330.48 |
$330.48 |
$330.48 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$295.65 |
$295.65 |
$295.65 |
$474.50
|
|
Cls tx of heel fracture w/manip 28405
|
$397.44 |
$397.44 |
$397.44 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$440.91 |
$440.91 |
$440.91 |
$1,893.86
|
|
Cltx hum epcndylr fx wo mnpj
|
$335.07 |
$335.07 |
$335.07 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$496.53 |
$496.53 |
$496.53 |
$1,815.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$314.82 |
$314.82 |
$314.82 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$479.79 |
$479.79 |
$479.79 |
$2,437.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$891.00 |
$891.00 |
$891.00 |
$6,776.64
|
|
Cltx post ankle fx
|
$294.30 |
$294.30 |
$294.30 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$438.75 |
$438.75 |
$438.75 |
$1,893.86
|
|
Cltx strnclav dislc w/mnpj
|
$361.53 |
$361.53 |
$361.53 |
$619.30
|
|
Cmbn ant pst colprhy
|
$716.31 |
$716.31 |
$716.31 |
$4,928.00
|
|
Cmptr ophth dx img ant segmt
|
$20.52 |
$20.52 |
$20.52 |
$115.95
|
|
Cmptr ophth img optic nerve
|
$21.06 |
$21.06 |
$21.06 |
$119.00
|
|
#cmvcul-virus inoculation shell
|
$6.57 |
$6.57 |
$6.57 |
$100.80
|
|
Cmv pcr-sendout
|
$17.69 |
$17.69 |
$17.69 |
$177.50
|
|
Co2 monitor per day
|
$227.07 |
$227.07 |
$227.07 |
$450.60
|
|
Cold agglutinin screen (arc)
|
$67.50 |
$67.50 |
$67.50 |
$45.00
|
|
Cold agglutinin titer
|
$4.32 |
$4.32 |
$4.32 |
$50.00
|
|
Colectomy/end colost/close dis seg 44143
|
$1,481.22 |
$1,481.22 |
$1,481.22 |
$2,880.80
|
|
Colectomy/ ileostomy without prctect 44150
|
$1,673.19 |
$1,673.19 |
$1,673.19 |
$3,530.40
|
|
Colectomy/ ileostomy w/prctect 44155
|
$1,866.51 |
$1,866.51 |
$1,866.51 |
$4,562.58
|
|
Colectomy partial w/anastomosis 44140
|
$1,208.79 |
$1,208.79 |
$1,208.79 |
$2,510.73
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$1,731.51 |
$1,731.51 |
$1,731.51 |
$3,652.20
|
|
Colectomy prtl w/coloproctostomy 44145
|
$1,483.65 |
$1,483.65 |
$1,483.65 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$1,887.30 |
$1,887.30 |
$1,887.30 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$1,119.96 |
$1,119.96 |
$1,119.96 |
$2,343.60
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$1,628.10 |
$1,628.10 |
$1,628.10 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$1,582.47 |
$1,582.47 |
$1,582.47 |
$3,176.40
|
|
Collagenase, clost hist inj
|
$65.34 |
$65.34 |
$65.34 |
$12,906.28
|
|
Collagen dressing <=16 sq in
|
$19.71 |
$19.71 |
$19.71 |
$42.50
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$27.00 |
$27.00 |
$27.00 |
$60.84
|
|
Collar cerv ascend 172 reg
|
$53.19 |
$53.19 |
$53.19 |
$213.89
|
|
Collection blood specimen from completely implantable venous access device
|
$90.99 |
$90.99 |
$90.99 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$98.82 |
$98.82 |
$98.82 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$18.63 |
$18.63 |
$18.63 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$168.21 |
$168.21 |
$168.21 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$226.80 |
$226.80 |
$226.80 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$206.01 |
$206.01 |
$206.01 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$180.09 |
$180.09 |
$180.09 |
$1,645.43
|