|
Clsd tx/grt hum tube fx without manip 23620
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$476.00
|
|
Clsd tx hip disloc without anes 27265
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$546.86
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$2,164.61 |
$2,164.61 |
$2,164.61 |
$1,035.98
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$519.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$716.95
|
|
Clsd tx/metatarsal fx without manip 28470
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$418.20
|
|
Clsd tx patella disloc without anes 27560
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$665.50
|
|
Clsd tx/patellar fx without manip 27520
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$544.80
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$11,889.00 |
$11,889.00 |
$11,889.00 |
$2,378.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$501.80
|
|
Clsd tx shoulder dislc/fx 23665
|
$11,889.00 |
$11,889.00 |
$11,889.00 |
$2,055.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$11,889.00 |
$11,889.00 |
$11,889.00 |
$2,423.85
|
|
Clsd tx temporomandibular dislocat 21480
|
$5,105.33 |
$5,105.33 |
$5,105.33 |
$512.40
|
|
Clsd tx toe dislocation without anes28660
|
$1,486.13 |
$1,486.13 |
$1,486.13 |
$415.20
|
|
Clsd tx trimall ankle fx without manip 27816
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$597.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$11,889.00 |
$11,889.00 |
$11,889.00 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$510.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$730.08
|
|
Clsd tx wrist carpal fx without manip 25630
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$543.23
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$494.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$525.75
|
|
Cltx tmprmand dislc comp
|
$11,283.51 |
$11,283.51 |
$11,283.51 |
$3,786.00
|
|
C motor evoked lwr limbs
|
$4,033.83 |
$4,033.83 |
$4,033.83 |
$621.00
|
|
C motor evoked upr&lwr limbs
|
$8,280.74 |
$8,280.74 |
$8,280.74 |
$1,273.61
|
|
#cmvcul-virus inoculation shell
|
$388.16 |
$388.16 |
$388.16 |
$102.57
|
|
Cmv pcr-sendout
|
$488.83 |
$488.83 |
$488.83 |
$172.25
|
|
Coagulation time activated teg
|
$84.93 |
$84.93 |
$84.93 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$4,991.13 |
$4,991.13 |
$4,991.13 |
$781.82
|
|
Cold agglutinin screen (arc)
|
$160.15 |
$160.15 |
$160.15 |
$47.19
|
|
Collection blood specimen from completely implantable venous access device
|
$548.18 |
$548.18 |
$548.18 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$438.91 |
$438.91 |
$438.91 |
$164.05
|
|
Collection of venous blood by venipuncture
|
$33.50 |
$33.50 |
$33.50 |
$22.00
|
|
Colonoscopy (with biopsy)
|
$8,848.67 |
$8,848.67 |
$8,848.67 |
$2,538.00
|
|
Compatibility test each unit antiglobulin technique
|
$462.75 |
$462.75 |
$462.75 |
$165.00
|
|
Compatibility test each unit electronic
|
$462.75 |
$462.75 |
$462.75 |
$171.25
|
|
Compatibility test each unit immediate spin technique
|
$1,211.95 |
$1,211.95 |
$1,211.95 |
$159.95
|
|
Complement antigen each component c3
|
$238.14 |
$238.14 |
$238.14 |
$113.13
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$4,574.31 |
$4,574.31 |
$4,574.31 |
$913.68
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$4,574.31 |
$4,574.31 |
$4,574.31 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$4,574.31 |
$4,574.31 |
$4,574.31 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$4,574.31 |
$4,574.31 |
$4,574.31 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$3,086.38 |
$3,086.38 |
$3,086.38 |
$927.55
|
|
Complx repair fccmnaxghf 13132
|
$4,574.31 |
$4,574.31 |
$4,574.31 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$1,737.79 |
$1,737.79 |
$1,737.79 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,065.44 |
$2,065.44 |
$2,065.44 |
$590.20
|
|
Concentration infection agents any type
|
$132.56 |
$132.56 |
$132.56 |
$50.70
|
|
Condylomata destruction 56420
|
$1,810.31 |
$1,810.31 |
$1,810.31 |
$503.67
|
|
Connector tis 2x10mm
|
$6,717.65 |
$6,717.65 |
$6,717.65 |
$2,988.26
|
|
Consultation pathology during surgery
|
$192.33 |
$192.33 |
$192.33 |
$112.45
|
|
Consultation pathology during surgery frozen section each additional block
|
$207.02 |
$207.02 |
$207.02 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$602.37 |
$602.37 |
$602.37 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$340.02 |
$340.02 |
$340.02 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$512.53 |
$512.53 |
$512.53 |
$176.15
|
|
Consult comp w/report rfrd material
|
$1,393.74 |
$1,393.74 |
$1,393.74 |
$345.71
|
|
Contrast exam abdominl aorta 75625-26
|
$13,126.22 |
$13,126.22 |
$13,126.22 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$12,681.44 |
$12,681.44 |
$12,681.44 |
$3,780.00
|
|
Contrast x-ray of brain
|
$5,315.46 |
$5,315.46 |
$5,315.46 |
$900.00
|
|
Contrast x-ray of hip
|
$1,748.07 |
$1,748.07 |
$1,748.07 |
$770.88
|
|
Contrast x-ray of knee joint
|
$2,421.16 |
$2,421.16 |
$2,421.16 |
$655.05
|
|
Contrast x-ray of wrist
|
$1,737.09 |
$1,737.09 |
$1,737.09 |
$561.00
|
|
Control nosebleed pack+caut 30905
|
$910.58 |
$910.58 |
$910.58 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$910.58 |
$910.58 |
$910.58 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$910.58 |
$910.58 |
$910.58 |
$385.45
|
|
Convert nephrostomy catheter
|
$13,677.17 |
$13,677.17 |
$13,677.17 |
$3,927.00
|
|
Coombs direct
|
$171.22 |
$171.22 |
$171.22 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$462.75 |
$462.75 |
$462.75 |
$100.29
|
|
Coombs indirect titer reference
|
$462.75 |
$462.75 |
$462.75 |
$143.40
|
|
Core ndl bx lng/med perq
|
$4,484.69 |
$4,484.69 |
$4,484.69 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$24,825.82 |
$24,825.82 |
$24,825.82 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$24,825.82 |
$24,825.82 |
$24,825.82 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$24,825.82 |
$24,825.82 |
$24,825.82 |
$11,247.60
|
|
Coronary art/grft angio s&i
|
$24,825.82 |
$24,825.82 |
$24,825.82 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$24,825.82 |
$24,825.82 |
$24,825.82 |
$7,697.25
|
|
Cortisol total am
|
$411.09 |
$411.09 |
$411.09 |
$122.00
|
|
Co-treatment - group 15 mins, st
|
$176.93 |
$176.93 |
$176.93 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$125.09 |
$125.09 |
$125.09 |
$57.60
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$2,096.75 |
$2,096.75 |
$2,096.75 |
$569.31
|
|
#coxa-coxsackie a serotype a16
|
$258.58 |
$258.58 |
$258.58 |
$65.36
|
|
C-peptide
|
$63.47 |
$63.47 |
$63.47 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$3,075.45 |
$3,075.45 |
$3,075.45 |
$1,410.04
|
|
C-reactive protein
|
$119.10 |
$119.10 |
$119.10 |
$61.10
|
|
C-reactive protein high sensitivity
|
$39.50 |
$39.50 |
$39.50 |
$91.65
|
|
C-reactive protein, quantitative
|
$211.16 |
$211.16 |
$211.16 |
$63.07
|
|
Creatine kinase
|
$125.98 |
$125.98 |
$125.98 |
$58.30
|
|
Creatine kinase isoenzymes
|
$40.84 |
$40.84 |
$40.84 |
$49.40
|
|
Creatine kinase mb
|
$1,174.25 |
$1,174.25 |
$1,174.25 |
$106.60
|
|
Creatine - sendout
|
$92.09 |
$92.09 |
$92.09 |
$40.59
|
|
Creatinine
|
$360.31 |
$360.31 |
$360.31 |
$42.50
|
|
Creatinine 24 hour urine
|
$193.16 |
$193.16 |
$193.16 |
$59.80
|
|
Creatinine clearance urine
|
$187.73 |
$187.73 |
$187.73 |
$85.80
|
|
#creutz-prot.,western blot
|
$579.67 |
$579.67 |
$579.67 |
$180.40
|
|
Critical care 30-74 minutes
|
$5,699.14 |
$5,699.14 |
$5,699.14 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$2,849.60 |
$2,849.60 |
$2,849.60 |
$757.20
|
|
Cryoprecipitate each unit
|
$207.91 |
$207.91 |
$207.91 |
$190.20
|