|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$861.00 |
$861.00 |
$861.00 |
$484.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,256.40 |
$3,256.40 |
$3,256.40 |
$1,893.86
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$616.00 |
$616.00 |
$616.00 |
$416.16
|
|
Clsd tx dist fib fx w/manip 27788
|
$467.60 |
$467.60 |
$467.60 |
$676.20
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$808.50 |
$808.50 |
$808.50 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$375.20 |
$375.20 |
$375.20 |
$462.80
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$336.70 |
$336.70 |
$336.70 |
$373.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$388.50 |
$388.50 |
$388.50 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$387.80 |
$387.80 |
$387.80 |
$529.65
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$597.80 |
$597.80 |
$597.80 |
$1,680.00
|
|
Clsd tx fx radius/ulna without manip 25560
|
$930.30 |
$930.30 |
$930.30 |
$487.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,410.10 |
$2,410.10 |
$2,410.10 |
$1,548.40
|
|
Clsd tx hip disloc without anes 27265
|
$328.30 |
$328.30 |
$328.30 |
$631.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,141.70 |
$1,141.70 |
$1,141.70 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$847.70 |
$847.70 |
$847.70 |
$613.14
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$829.50 |
$829.50 |
$829.50 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$829.50 |
$829.50 |
$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
|
$2,356.90 |
$2,356.90 |
$2,356.90 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$630.70 |
$630.70 |
$630.70 |
$577.20
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$5,644.80 |
$5,644.80 |
$5,644.80 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$609.00 |
$609.00 |
$609.00 |
$414.40
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,084.20 |
$3,084.20 |
$3,084.20 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$493.50 |
$493.50 |
$493.50 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$172.20 |
$172.20 |
$172.20 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$548.10 |
$548.10 |
$548.10 |
$1,565.74
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$760.90 |
$760.90 |
$760.90 |
$487.15
|
|
Cltx carpl scphd fx w/mnpj
|
$829.50 |
$829.50 |
$829.50 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,967.30 |
$2,967.30 |
$2,967.30 |
$1,851.78
|
|
Cltx lunate dislc w/mnpj
|
$1,681.40 |
$1,681.40 |
$1,681.40 |
$2,384.00
|
|
Cltx post ankle fx
|
$525.00 |
$525.00 |
$525.00 |
$483.60
|
|
Cltx thigh fx w/mnpj
|
$2,366.70 |
$2,366.70 |
$2,366.70 |
$3,276.70
|
|
Cmbn ant pst colprhy
|
$56,497.27 |
$56,497.27 |
$56,497.27 |
$4,928.00
|
|
#cms hgb-sulfhemoglobin
|
$84.70 |
$84.70 |
$84.70 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$179.90 |
$179.90 |
$179.90 |
$87.75
|
|
Cmv pcr-sendout
|
$313.60 |
$313.60 |
$313.60 |
$177.50
|
|
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
|
$62,252.05 |
$62,252.05 |
$62,252.05 |
$12,560.76
|
|
Coagulation time activated teg
|
$116.90 |
$116.90 |
$116.90 |
$53.55
|
|
Cold agglutinin screen (arc)
|
$133.00 |
$133.00 |
$133.00 |
$45.00
|
|
Cold agglutinin titer
|
$110.60 |
$110.60 |
$110.60 |
$51.60
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$213.50 |
$213.50 |
$213.50 |
$62.40
|
|
Collar cerv ascend 172 reg
|
$865.90 |
$865.90 |
$865.90 |
$213.89
|
|
Collection blood specimen from completely implantable venous access device
|
$3,013.15 |
$3,013.15 |
$3,013.15 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$5,218.15 |
$5,218.15 |
$5,218.15 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$33.60 |
$33.60 |
$33.60 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$4,398.68 |
$4,398.68 |
$4,398.68 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$3,474.80 |
$3,474.80 |
$3,474.80 |
$1,679.48
|
|
Colonoscopy for bleeding 44391
|
$11,133.97 |
$11,133.97 |
$11,133.97 |
$2,083.12
|
|
Colonoscopy stoma w/snare 44394
|
$3,809.27 |
$3,809.27 |
$3,809.27 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$14,893.86 |
$14,893.86 |
$14,893.86 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$3,466.93 |
$3,466.93 |
$3,466.93 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$16,476.61 |
$16,476.61 |
$16,476.61 |
$2,708.80
|
|
Colonoscopy w/band ligation
|
$8,844.70 |
$8,844.70 |
$8,844.70 |
$2,030.00
|
|
Colonoscopy w/control bleed
|
$16,324.49 |
$16,324.49 |
$16,324.49 |
$2,030.25
|
|
Colonoscopy w/decompression
|
$1,572.20 |
$1,572.20 |
$1,572.20 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$1,415.40 |
$1,415.40 |
$1,415.40 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$4,094.30 |
$4,094.30 |
$4,094.30 |
$1,645.43
|
|
Colonoscopy w/fb removal
|
$2,277.10 |
$2,277.10 |
$2,277.10 |
$1,395.28
|
|
Colonoscopy w/injection
|
$15,356.17 |
$15,356.17 |
$15,356.17 |
$2,448.60
|
|
Colonoscopy with ablation
|
$4,067.00 |
$4,067.00 |
$4,067.00 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$12,301.08 |
$12,301.08 |
$12,301.08 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$17,399.96 |
$17,399.96 |
$17,399.96 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$11,052.00 |
$11,052.00 |
$11,052.00 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$5,565.70 |
$5,565.70 |
$5,565.70 |
$2,495.25
|
|
Colonoscopy w/resection
|
$18,085.26 |
$18,085.26 |
$18,085.26 |
$3,029.60
|
|
Colonoscopy w/ultrasound
|
$1,449.00 |
$1,449.00 |
$1,449.00 |
$2,636.40
|
|
Colposcopy/cervix/ conization 57461
|
$13,773.65 |
$13,773.65 |
$13,773.65 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$327.60 |
$327.60 |
$327.60 |
$314.00
|
|
Colposcopy vulva 56820
|
$676.90 |
$676.90 |
$676.90 |
$333.20
|
|
Compatibility test each unit antiglobulin technique
|
$205.80 |
$205.80 |
$205.80 |
$172.00
|
|
Compatibility test each unit electronic
|
$158.20 |
$158.20 |
$158.20 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$188.30 |
$188.30 |
$188.30 |
$167.17
|
|
Compatibility test incubate
|
$184.10 |
$184.10 |
$184.10 |
$149.60
|
|
Complement antigen each component c3
|
$423.50 |
$423.50 |
$423.50 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$2,576.00 |
$2,576.00 |
$2,576.00 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$11,343.30 |
$11,343.30 |
$11,343.30 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,575.70 |
$1,575.70 |
$1,575.70 |
$1,049.60
|
|
Complx repair fccmnaxghf 13133
|
$1,933.40 |
$1,933.40 |
$1,933.40 |
$493.50
|
|
Comprehensive hearing test
|
$256.90 |
$256.90 |
$256.90 |
$260.40
|
|
Computed tomographic angiography head and neck with contrast
|
$7,464.10 |
$7,464.10 |
$7,464.10 |
$2,237.25
|
|
Concentration infection agents any type
|
$54.60 |
$54.60 |
$54.60 |
$51.32
|
|
Condylomata destruction 56420
|
$154.00 |
$154.00 |
$154.00 |
$463.98
|
|
Conization/cerv/loop electrode exc 57522
|
$12,547.48 |
$12,547.48 |
$12,547.48 |
$4,752.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,308.25 |
$2,308.25 |
$2,308.25 |
$839.07
|
|
Consultation pathology during surgery cytological exam initial site
|
$23,919.87 |
$23,919.87 |
$23,919.87 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$87,845.31 |
$87,845.31 |
$87,845.31 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$85,829.69 |
$85,829.69 |
$85,829.69 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$17,228.78 |
$17,228.78 |
$17,228.78 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$98,255.77 |
$98,255.77 |
$98,255.77 |
$176.15
|
|
Consult comp w/report rfrd material
|
$312.20 |
$312.20 |
$312.20 |
$375.00
|
|
Contrast exam abdominl aorta 75625-26
|
$4,842.60 |
$4,842.60 |
$4,842.60 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$3,616.90 |
$3,616.90 |
$3,616.90 |
$3,570.00
|
|
Contrast exam thoracic aorta 75605-26
|
$6,809.60 |
$6,809.60 |
$6,809.60 |
$3,663.60
|
|
Contrast x-ray of ankle
|
$1,136.80 |
$1,136.80 |
$1,136.80 |
$676.80
|
|
Contrast x-ray of elbow
|
$765.80 |
$765.80 |
$765.80 |
$686.95
|
|
Contrast x-ray of hip
|
$1,407.70 |
$1,407.70 |
$1,407.70 |
$781.13
|
|
Contrast x-ray of knee joint
|
$2,560.60 |
$2,560.60 |
$2,560.60 |
$777.00
|
|
Contrast x-ray of wrist
|
$1,440.60 |
$1,440.60 |
$1,440.60 |
$655.00
|
