|
Clsd tx/metacarpal fx/sg without manip 26600
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$429.00
|
|
Clsd tx patella disloc without anes 27560
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$675.85
|
|
Clsd tx/patellar fx without manip 27520
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$525.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,378.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,868.38
|
|
Clsd tx/scapular fx without manip 23570
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,797.83
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$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 |
$420.80
|
|
Clsd tx trimall ankle fx without manip 27816
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$487.80
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$2,757.88 |
$2,757.88 |
$2,757.88 |
$716.95
|
|
Clsd tx wrist carpal fx without manip 25630
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$597.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$912.00
|
|
Cltx carpl scphd fx w/mnpj
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,316.80
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,558.00
|
|
Cltx humrl cndylr fx wo mnpj
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$563.00
|
|
Cltx lunate dislc w/mnpj
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,717.60
|
|
Cltx post ankle fx
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$521.30
|
|
Cltx post ankle fx w/mnpj
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,211.05
|
|
Cltx tmprmand dislc comp
|
$15,514.83 |
$15,514.83 |
$15,514.83 |
$3,786.00
|
|
C motor evoked lwr limbs
|
$2,333.78 |
$2,333.78 |
$2,333.78 |
$624.87
|
|
C motor evoked uppr limbs
|
$11,386.02 |
$11,386.02 |
$11,386.02 |
$780.00
|
|
C motor evoked upr&lwr limbs
|
$11,386.02 |
$11,386.02 |
$11,386.02 |
$1,294.20
|
|
#cmvcul-virus inoculation shell
|
$301.91 |
$301.91 |
$301.91 |
$102.57
|
|
Cmv pcr-sendout
|
$541.61 |
$541.61 |
$541.61 |
$172.25
|
|
Coagulation time activated teg
|
$113.47 |
$113.47 |
$113.47 |
$51.48
|
|
Cocaine 4 % nasal solution
|
$1,674.32 |
$1,674.32 |
$1,674.32 |
$807.71
|
|
Cold agglutinin screen (arc)
|
$44.94 |
$44.94 |
$44.94 |
$45.00
|
|
Collection blood specimen from completely implantable venous access device
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$168.80
|
|
Collection of venous blood by venipuncture
|
$37.92 |
$37.92 |
$37.92 |
$22.00
|
|
Colonoscopy (with biopsy)
|
$12,166.92 |
$12,166.92 |
$12,166.92 |
$2,538.00
|
|
Colposcopy w/biopsy of cervix 57455
|
$3,467.74 |
$3,467.74 |
$3,467.74 |
$534.30
|
|
Compatibility test each unit antiglobulin technique
|
$531.02 |
$531.02 |
$531.02 |
$165.00
|
|
Compatibility test each unit electronic
|
$531.02 |
$531.02 |
$531.02 |
$176.70
|
|
Compatibility test each unit immediate spin technique
|
$531.02 |
$531.02 |
$531.02 |
$163.80
|
|
Comp cystometrogram/void presssure 51728
|
$6,913.16 |
$6,913.16 |
$6,913.16 |
$958.81
|
|
Complement antigen each component c3
|
$185.22 |
$185.22 |
$185.22 |
$112.45
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$912.80
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$353.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,252.90
|
|
Complx repair enel addl 5cm/< 13153
|
$1,653.72 |
$1,653.72 |
$1,653.72 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$1,703.05 |
$1,703.05 |
$1,703.05 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,024.14 |
$2,024.14 |
$2,024.14 |
$590.20
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$2,405.29 |
$2,405.29 |
$2,405.29 |
$741.60
|
|
Concentration infection agents any type
|
$103.11 |
$103.11 |
$103.11 |
$51.32
|
|
Condylomata destruction 56420
|
$3,266.79 |
$3,266.79 |
$3,266.79 |
$503.67
|
|
Connector tis 2x10mm
|
$6,704.56 |
$6,704.56 |
$6,704.56 |
$3,180.28
|
|
Consultation pathology during surgery
|
$331.57 |
$331.57 |
$331.57 |
$119.60
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,669.63 |
$2,669.63 |
$2,669.63 |
$412.99
|
|
Consultation pathology during surgery frozen section each additional block
|
$607.04 |
$607.04 |
$607.04 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$938.29 |
$938.29 |
$938.29 |
$211.90
|
|
Consultation/report referred material w/preparation of slides
|
$691.67 |
$691.67 |
$691.67 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$639.19 |
$639.19 |
$639.19 |
$176.15
|
|
Contrast baths charges
|
$117.84 |
$117.84 |
$117.84 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$14,552.47 |
$14,552.47 |
$14,552.47 |
$3,780.00
|
|
Contrast x-ray gallbladder
|
$1,646.31 |
$1,646.31 |
$1,646.31 |
$280.14
|
|
Contrast x-ray of brain
|
$7,308.76 |
$7,308.76 |
$7,308.76 |
$900.00
|
|
Contrast x-ray of elbow
|
$3,582.22 |
$3,582.22 |
$3,582.22 |
$625.35
|
|
Contrast x-ray of hip
|
$2,698.83 |
$2,698.83 |
$2,698.83 |
$766.40
|
|
Contrast x-ray of knee joint
|
$3,495.47 |
$3,495.47 |
$3,495.47 |
$668.00
|
|
Contrast x-ray of wrist
|
$3,425.21 |
$3,425.21 |
$3,425.21 |
$592.40
|
|
Control nosebleed pack+caut 30905
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,706.04 |
$1,706.04 |
$1,706.04 |
$602.63
|
|
Conversion ext bil drg cath
|
$12,322.68 |
$12,322.68 |
$12,322.68 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$8,155.83 |
$8,155.83 |
$8,155.83 |
$3,749.60
|
|
Coombs direct
|
$224.12 |
$224.12 |
$224.12 |
$72.78
|
|
Coombs indirect qualitative each reagent red cell reference
|
$531.02 |
$531.02 |
$531.02 |
$98.40
|
|
Coombs indirect titer reference
|
$531.02 |
$531.02 |
$531.02 |
$144.00
|
|
Core ndl bx lng/med perq
|
$7,428.77 |
$7,428.77 |
$7,428.77 |
$2,938.49
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$27,030.84 |
$27,030.84 |
$27,030.84 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$23,278.68 |
$23,278.68 |
$23,278.68 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$22,572.68 |
$22,572.68 |
$22,572.68 |
$11,240.08
|
|
Coronary art/grft angio s&i
|
$18,170.16 |
$18,170.16 |
$18,170.16 |
$7,814.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$15,020.45 |
$15,020.45 |
$15,020.45 |
$7,697.25
|
|
Cortisol total am
|
$427.99 |
$427.99 |
$427.99 |
$122.54
|
|
Co-treatment - group 15 mins, st
|
$267.20 |
$267.20 |
$267.20 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$143.80 |
$143.80 |
$143.80 |
$57.77
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,823.26 |
$1,823.26 |
$1,823.26 |
$569.31
|