|
Clot factor viii reltd antgn
|
$377.30 |
$377.30 |
$377.30 |
$140.42
|
|
Clot factor wght kininogen
|
$262.50 |
$262.50 |
$262.50 |
$157.50
|
|
Clot factor xii hageman
|
$125.00 |
$125.00 |
$469.70 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$36.63 |
$36.63 |
$86.10 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$44.55 |
$105.00 |
$316.40 |
$106.40
|
|
Clotting assay whole blood
|
$161.00 |
$237.50 |
$237.50 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$540.00 |
$540.00 |
$1,773.80 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$270.00 |
$270.00 |
$270.00 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$270.00 |
$270.00 |
$849.10 |
$489.60
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,256.40 |
$3,256.40 |
$3,256.40 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$265.00 |
$265.00 |
$265.00 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$586.60 |
$586.60 |
$586.60 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$270.00 |
$270.00 |
$467.60 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$808.50 |
$808.50 |
$808.50 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$270.00 |
$270.00 |
$684.60 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,790.00 |
$1,790.00 |
$2,782.50 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$270.00 |
$270.00 |
$270.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$336.70 |
$336.70 |
$336.70 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$270.00 |
$270.00 |
$2,671.20 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$270.00 |
$270.00 |
$825.30 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$597.80 |
$3,580.00 |
$3,580.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$270.00 |
$270.00 |
$930.30 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,790.00 |
$1,790.00 |
$2,466.80 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$270.00 |
$270.00 |
$328.30 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$270.00 |
$270.00 |
$270.00 |
$577.20
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,141.70 |
$1,141.70 |
$1,141.70 |
$883.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$270.00 |
$270.00 |
$270.00 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$270.00 |
$270.00 |
$847.70 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$829.50 |
$829.50 |
$829.50 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$270.00 |
$270.00 |
$829.50 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,790.50 |
$3,790.50 |
$3,790.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,790.00 |
$1,790.00 |
$2,356.90 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$270.00 |
$270.00 |
$1,096.20 |
$573.52
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,790.00 |
$1,790.00 |
$5,644.80 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$270.00 |
$270.00 |
$609.00 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$270.00 |
$270.00 |
$270.00 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$1,790.00 |
$1,790.00 |
$2,157.40 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,790.00 |
$1,790.00 |
$2,118.90 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$410.20 |
$410.20 |
$1,790.00 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,084.20 |
$3,084.20 |
$3,084.20 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$380.10 |
$530.00 |
$530.00 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$270.00 |
$270.00 |
$689.50 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,790.00 |
$1,790.00 |
$2,609.60 |
$1,592.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$270.00 |
$270.00 |
$270.00 |
$535.60
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$270.00 |
$270.00 |
$270.00 |
$490.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$906.50 |
$906.50 |
$906.50 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$760.90 |
$760.90 |
$760.90 |
$487.15
|
|
Cltx carpl scphd fx w/mnpj
|
$829.50 |
$1,790.00 |
$1,790.00 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,790.00 |
$1,790.00 |
$2,967.30 |
$1,851.78
|
|
Cltx lunate dislc w/mnpj
|
$1,790.00 |
$1,790.00 |
$3,546.90 |
$2,384.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$2,895.00 |
$2,895.00 |
$2,895.00 |
$6,776.64
|
|
Cltx post ankle fx
|
$525.00 |
$525.00 |
$525.00 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,939.00
|
|
Cltx thigh fx w/mnpj
|
$2,366.70 |
$2,366.70 |
$2,366.70 |
$3,276.70
|
|
Cmbn ant pst colprhy
|
$41,764.51 |
$41,764.51 |
$41,764.51 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$578.16 |
$578.16 |
$1,364.30 |
$627.89
|
|
C motor evoked uppr limbs
|
$578.16 |
$578.16 |
$1,332.10 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$3,391.50 |
$3,391.50 |
$3,391.50 |
$1,333.36
|
|
#cms hgb-sulfhemoglobin
|
$18.20 |
$18.20 |
$18.20 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$37.62 |
$37.62 |
$179.90 |
$89.76
|
|
Cmv pcr-sendout
|
$97.02 |
$177.50 |
$660.10 |
$175.70
|
|
Cnbp gene detc abnor allele
|
$434.00 |
$434.00 |
$434.00 |
$313.60
|
|
Co2 monitor per day
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$5.43 |
$5.43 |
$71,664.25 |
$11,888.50
|
|
Coagulation time activated teg
|
$9.24 |
$40.00 |
$86.10 |
$52.47
|
|
Cocaine 4 % nasal solution
|
$4.79 |
$4.79 |
$1,013.86 |
$630.04
|
|
Cold agglutinin screen (arc)
|
$32.67 |
$32.67 |
$81.90 |
$48.10
|
|
Cold agglutinin titer
|
$55.00 |
$55.00 |
$64.40 |
$52.00
|
|
Colectomy prtl w/coloproctostomy 44145
|
$98,563.28 |
$98,563.28 |
$98,563.28 |
$3,142.80
|
|
Colistimethate sodium inj
|
$115.84 |
$115.84 |
$465.85 |
$82.71
|
|
Collagen imp urinary 2.5 ml
|
$4,037.94 |
$4,037.94 |
$4,037.94 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$244.86 |
$280.00 |
$547.40 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$39.35 |
$39.35 |
$39.35 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$612.99 |
$612.99 |
$612.99 |
$224.11
|
|
Collar extrication adult univ
|
$1,106.70 |
$1,106.70 |
$1,106.70 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$205.00 |
$205.00 |
$2,983.40 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$192.50 |
$192.50 |
$5,218.15 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$4,336.60 |
$4,336.60 |
$4,336.60 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$2,503.20 |
$2,503.20 |
$2,503.20 |
$2,288.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$10,156.52 |
$10,156.52 |
$10,156.52 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$4,102.70 |
$4,102.70 |
$4,102.70 |
$2,147.00
|
|
Colonoscopy & polypectomy 44392
|
$3,298.40 |
$3,298.40 |
$3,298.40 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$3,885.70 |
$3,885.70 |
$3,885.70 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$3,809.27 |
$3,809.27 |
$3,809.27 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$11,448.50 |
$11,448.50 |
$11,448.50 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$10,279.70 |
$10,279.70 |
$10,279.70 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$14,334.35 |
$14,334.35 |
$14,334.35 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$12,550.02 |
$12,550.02 |
$12,550.02 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$8,793.78 |
$8,793.78 |
$8,793.78 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$20,120.83 |
$20,120.83 |
$20,120.83 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$1,572.20 |
$1,572.20 |
$1,572.20 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$8,326.14 |
$8,326.14 |
$8,326.14 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$12,241.49 |
$12,241.49 |
$12,241.49 |
$2,288.00
|
|
Colonoscopy w/endoscopic fnb
|
$25,543.29 |
$25,543.29 |
$25,543.29 |
$2,004.81
|
|
Colonoscopy/w endoscopic stent 45389
|
$3,371.90 |
$3,371.90 |
$3,371.90 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$11,116.76 |
$11,116.76 |
$11,116.76 |
$1,645.43
|
|
Colonoscopy w/injection
|
$15,356.17 |
$15,356.17 |
$15,356.17 |
$2,449.20
|
|
Colonoscopy with ablation
|
$4,067.00 |
$4,067.00 |
$4,067.00 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$11,528.19 |
$11,528.19 |
$11,528.19 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$10,820.05 |
$10,820.05 |
$10,820.05 |
$1,555.20
|
