|
Closed tx metatarsophalangeal jnt disl without anes
|
$749.52 |
$749.52 |
$749.52 |
$423.20
|
|
Closed tx nose/jaw fx
|
$4,045.88 |
$4,045.88 |
$4,045.88 |
$2,133.48
|
|
Closed tx orbit without manipulj
|
$1,331.45 |
$1,331.45 |
$1,331.45 |
$1,197.07
|
|
Closed tx orbit w/manipulj
|
$4,045.88 |
$4,045.88 |
$4,045.88 |
$2,528.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$3,592.74
|
|
Closed tx sesamoid fx 28530
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$404.04
|
|
Closed tx/talus fracture without manip 28430
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$442.80
|
|
Closed tx vert fx w/manj
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$3,422.65 |
$3,422.65 |
$3,422.65 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$15,146.87 |
$15,146.87 |
$15,146.87 |
$2,518.42
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$4,722.77 |
$4,722.77 |
$4,722.77 |
$1,181.99
|
|
Closure paravalvlr leak pq
|
$35,163.09 |
$35,163.09 |
$35,163.09 |
$9,285.00
|
|
Clot factor fletcher fact
|
$1,060.59 |
$1,060.59 |
$1,060.59 |
$88.20
|
|
Clot factor viii reltd antgn
|
$367.55 |
$367.55 |
$1,851.55 |
$95.72
|
|
Clot factor wght kininogen
|
$1,060.59 |
$1,060.59 |
$1,060.59 |
$134.81
|
|
Clot factor xii hageman
|
$490.57 |
$490.57 |
$1,812.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$137.29 |
$137.29 |
$271.00 |
$49.47
|
|
Clot factor xiii fibrin stab
|
$259.97 |
$259.97 |
$1,522.80 |
$84.27
|
|
Clotting assay whole blood
|
$225.64 |
$225.64 |
$2,763.00 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$626.40
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,884.74
|
|
Clsd tx clavicle dislocation without manip 23540
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$477.10
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$2,034.18
|
|
Clsd tx/clavicular fx without manip 23500
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$337.92
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,617.33 |
$1,617.33 |
$1,617.33 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$493.60
|
|
Clsd tx elbow dislocation child 24640
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$2,587.60
|
|
Clsd tx fracture of radius 25500
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$445.40
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$964.21 |
$964.21 |
$964.21 |
$491.25
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$1,060.94 |
$1,060.94 |
$1,060.94 |
$634.40
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$557.60
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$476.00
|
|
Clsd tx hip disloc without anes 27265
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$546.86
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$749.52 |
$749.52 |
$749.52 |
$1,066.00
|
|
Clsd tx mandibular fx without manip 21450
|
$1,331.45 |
$1,331.45 |
$1,331.45 |
$1,028.67
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$519.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$717.75
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$16,345.07 |
$16,345.07 |
$16,345.07 |
$3,821.05
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$749.52 |
$749.52 |
$749.52 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$603.35 |
$603.35 |
$603.35 |
$443.30
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$15,146.87 |
$15,146.87 |
$15,146.87 |
$3,600.75
|
|
Clsd tx of ankle fracture w/manip 28435
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$707.30
|
|
Clsd tx/patellar fx without manip 27520
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$544.80
|
|
Clsd tx pelvic ring fx
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$425.76
|
|
Clsd tx pelvic ring fx
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$760.00
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,533.60
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$720.17 |
$720.17 |
$720.17 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$497.00
|
|
Clsd tx radius fracture w/manip 24655
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$1,868.38
|
|
Clsd tx/scapular fx without manip 23570
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$466.14
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$1,797.83
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$2,423.85
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$2,797.19 |
$2,797.19 |
$2,797.19 |
$483.20
|
|
Clsd tx toe dislocation without anes28660
|
$749.52 |
$749.52 |
$749.52 |
$436.70
|
|
Clsd tx trimall ankle fx without manip 27816
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$596.55
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,617.33 |
$1,617.33 |
$1,617.33 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$497.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$716.95
|
|
Clsd tx wrist carpal fx without manip 25630
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$597.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$912.00
|
|
Cltx carpl scphd fx w/mnpj
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,368.00
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,893.86
|
|
Cltx humrl cndylr fx wo mnpj
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$563.00
|
|
Cltx lunate dislc w/mnpj
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,884.30
|
|
Cltx mndblr fx ntrdntl fixj
|
$15,563.00 |
$15,563.00 |
$15,563.00 |
$6,311.00
|
|
Cltx mndblr fx w/mnpj
|
$4,045.88 |
$4,045.88 |
$4,045.88 |
$2,345.20
|
|
Cltx mndblr/max alv ridge fx
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$3,837.72
|
|
Cltx palatal/max fx wire fix
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$4,199.49
|
|
Cltx post ankle fx
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$521.30
|
|
Cltx post ankle fx w/mnpj
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,334.27
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$2,211.05
|
|
Cltx strnclav dislc w/mnpj
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$722.16
|
|
Cltx thigh fx
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,839.54
|
|
Cltx tmprmand dislc comp
|
$2,797.19 |
$2,797.19 |
$2,797.19 |
$4,040.04
|
|
C motor evoked lwr limbs
|
$2,909.75 |
$2,909.75 |
$2,909.75 |
$624.87
|
|
C motor evoked uppr limbs
|
$2,904.28 |
$2,904.28 |
$2,904.28 |
$780.00
|
|
C motor evoked upr&lwr limbs
|
$2,140.53 |
$2,140.53 |
$2,140.53 |
$1,294.20
|
|
#cmvcul-virus inoculation shell
|
$313.16 |
$313.16 |
$455.00 |
$102.57
|
|
Cmv pcr-sendout
|
$269.00 |
$269.00 |
$461.03 |
$172.25
|