|
Clsd tx fx radius/ulna dist without manip 25600
|
$620.00 |
$806.13 |
$2,989.50 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$660.38 |
$5,763.00 |
$19,265.30 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$806.13 |
$806.13 |
$858.00 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,446.82 |
$5,763.00 |
$19,265.30 |
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$384.54 |
$384.54 |
$858.00 |
|
|
Clsd tx hip disloc without anes 27265
|
$444.99 |
$603.00 |
$2,989.50 |
|
|
Clsd tx humeral fract without manip 24530
|
$806.13 |
$806.13 |
$1,371.94 |
|
|
Clsd tx humerus fract without manip 24500
|
$806.13 |
$806.13 |
$858.00 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$977.00 |
$8,713.38 |
$8,713.38 |
|
|
Clsd tx mandibular fx without manip 21450
|
$1,661.79 |
$1,661.79 |
$1,661.79 |
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$806.13 |
$806.13 |
$858.00 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$806.13 |
$858.00 |
$5,507.00 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$858.00 |
$900.51 |
$2,989.50 |
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$6,536.79 |
$6,536.79 |
$6,536.79 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$806.13 |
$806.13 |
$858.00 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$806.13 |
$858.00 |
$6,653.00 |
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$5,810.00 |
$8,630.31 |
$8,630.31 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,118.91 |
$1,118.91 |
$5,763.00 |
|
|
Clsd tx patella disloc without anes 27560
|
$260.48 |
$900.51 |
$1,884.98 |
|
|
Clsd tx/patellar fx without manip 27520
|
$262.86 |
$262.86 |
$4,862.00 |
|
|
Clsd tx pelvic ring fx
|
$541.71 |
$541.71 |
$858.00 |
|
|
Clsd tx pelvic ring fx
|
$541.71 |
$541.71 |
$858.00 |
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$4,438.00 |
$9,945.00 |
$19,265.30 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$806.13 |
$806.13 |
$8,209.00 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$806.13 |
$806.13 |
$4,609.00 |
|
|
Clsd tx radius fracture w/manip 24655
|
$3,446.82 |
$4,455.00 |
$19,265.30 |
|
|
Clsd tx/scapular fx without manip 23570
|
$276.90 |
$276.90 |
$4,609.00 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$395.46 |
$4,438.00 |
$19,265.30 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$973.44 |
$973.44 |
$19,265.30 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$4,609.00 |
$7,791.81 |
$19,265.30 |
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$9,945.00 |
$9,945.00 |
$9,945.00 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$559.65 |
$559.65 |
$4,609.00 |
|
|
Clsd tx toe dislocation without anes28660
|
$531.00 |
$806.13 |
$2,989.50 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$662.00 |
$900.51 |
$2,989.50 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,707.42 |
$4,862.00 |
$19,265.30 |
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$806.13 |
$806.13 |
$4,398.00 |
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$730.08 |
$730.08 |
$730.08 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$858.00 |
$900.51 |
$900.51 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$858.00 |
$900.51 |
$900.51 |
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$806.13 |
$806.13 |
$806.13 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$858.00 |
$900.51 |
$900.51 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$806.13 |
$806.13 |
$858.00 |
|
|
Cls tx of heel fracture w/manip 28405
|
$9,945.00 |
$9,945.00 |
$9,945.00 |
|
|
Cltx carpl scphd fx w/mnpj
|
$3,082.17 |
$3,082.17 |
$3,082.17 |
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$8,962.32 |
$9,945.00 |
$9,945.00 |
|
|
Cltx hum epcndylr fx wo mnpj
|
$806.13 |
$806.13 |
$858.00 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$3,446.82 |
$3,446.82 |
$3,446.82 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$900.51 |
$900.51 |
$4,617.00 |
|
|
Cltx lunate dislc w/mnpj
|
$9,945.00 |
$9,945.00 |
$9,945.00 |
|
|
Cltx mndblr fx ntrdntl fixj
|
$6,776.64 |
$6,776.64 |
$6,776.64 |
|
|
Cltx mndblr fx w/mnpj
|
$4,218.24 |
$4,218.24 |
$4,218.24 |
|
|
Cltx mndblr/max alv ridge fx
|
$7,852.00 |
$7,852.00 |
$7,852.00 |
|
|
Cltx palatal/max fx wire fix
|
$3,610.62 |
$3,610.62 |
$3,610.62 |
|
|
Cltx post ankle fx
|
$806.13 |
$806.13 |
$4,862.00 |
|
|
Cltx post ankle fx w/mnpj
|
$973.44 |
$973.44 |
$973.44 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$3,446.82 |
$3,446.82 |
$5,763.00 |
|
|
Cltx strnclav dislc w/mnpj
|
$262.86 |
$262.86 |
$262.86 |
|
|
Cltx thigh fx
|
$1,852.89 |
$1,852.89 |
$1,852.89 |
|
|
Cmbn ant pst colprhy
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
|
|
C motor evoked lwr limbs
|
$571.74 |
$571.74 |
$5,581.00 |
|
|
C motor evoked uppr limbs
|
$670.02 |
$670.02 |
$5,581.00 |
|
|
C motor evoked upr&lwr limbs
|
$670.02 |
$670.02 |
$5,581.00 |
|
|
Cmptr ophth dx img ant segmt
|
$79.17 |
$79.17 |
$79.17 |
|
|
Cmptr ophth img optic nerve
|
$79.56 |
$79.56 |
$79.56 |
|
|
#cms hgb-sulfhemoglobin
|
$353.34 |
$353.34 |
$353.34 |
|
|
#cmvcul-virus inoculation shell
|
$23.68 |
$102.57 |
$1,048.33 |
|
|
Cmv pcr-sendout
|
$46.18 |
$517.05 |
$1,760.73 |
|
|
Cnbp gene detc abnor allele
|
$616.59 |
$616.59 |
$616.59 |
|
|
Co2 monitor per day
|
$652.86 |
$652.86 |
$1,672.00 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$5.58 |
$5.58 |
$26,900.00 |
|
|
Coagulation time activated teg
|
$20.00 |
$36.66 |
$229.39 |
|
|
Cocaine 4 % nasal solution
|
$7.95 |
$7.95 |
$2,401.79 |
|
|
Cochlear implt f/up exam 7/>
|
$349.00 |
$349.00 |
$349.00 |
|
|
Cold agglutinin screen (arc)
|
$74.49 |
$74.49 |
$432.52 |
|
|
Cold agglutinin titer
|
$23.01 |
$23.01 |
$222.00 |
|
|
Colectomy/ ileostomy without prctect 44150
|
$2,272.99 |
$2,272.99 |
$2,272.99 |
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
|
|
Colistimethate sodium inj
|
$48.74 |
$121.16 |
$121.16 |
|
|
Collagen dressing <=16 sq in
|
$3,236.71 |
$3,236.71 |
$3,236.71 |
|
|
Collagen imp urinary 2.5 ml
|
$1,949.63 |
$1,949.63 |
$1,949.63 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$241.80 |
$363.00 |
$710.50 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$36.33 |
$36.33 |
$36.33 |
|
|
Collar cerv adlt perfit ace extric
|
$534.84 |
$534.84 |
$534.84 |
|
|
Collar cerv ascend 172 reg
|
$127.71 |
$127.71 |
$253.00 |
|
|
Collar extrication adult univ
|
$764.15 |
$764.15 |
$764.15 |
|
|
Collection blood specimen from completely implantable venous access device
|
$60.98 |
$344.37 |
$560.35 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$60.98 |
$236.86 |
$1,475.52 |
|
|
Colonoscopy (diagnostic)
|
$3,992.00 |
$3,992.00 |
$3,992.00 |
|
|
Colonoscopy flex with decompression 45393
|
$5,130.00 |
$5,130.00 |
$5,130.00 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,828.00 |
$3,828.00 |
$3,828.00 |
|
|
Colonoscopy for bleeding 44391
|
$2,147.00 |
$2,147.00 |
$2,147.00 |
|
|
Colonoscopy for foreign body
|
$4,015.00 |
$4,015.00 |
$4,015.00 |
|
|
Colonoscopy & polypectomy 44392
|
$2,467.00 |
$2,467.00 |
$2,467.00 |
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$4,015.00 |
$4,015.00 |
$4,015.00 |
|
|
Colonoscopy stoma w/snare 44394
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
|
|
Colonoscopy submucous njx
|
$3,599.00 |
$3,599.00 |
$3,599.00 |
|
|
Colonoscopy thru stoma spx
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
|
|
Colonoscopy w/ablation
|
$5,387.00 |
$5,387.00 |
$5,387.00 |
|
|
Colonoscopy w/balloon dilat
|
$3,646.00 |
$3,646.00 |
$3,646.00 |
|
|
Colonoscopy w/band ligation
|
$5,364.00 |
$5,364.00 |
$5,364.00 |
|
