|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$563.40 |
$563.40 |
$563.40 |
$353.60
|
|
Clsd tx toe dislocation without anes28660
|
$532.80 |
$532.80 |
$532.80 |
$392.50
|
|
Clsd tx trimall ankle fx without manip 27816
|
$297.60 |
$297.60 |
$297.60 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$203.40 |
$203.40 |
$203.40 |
$452.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$151.20 |
$151.20 |
$151.20 |
$674.68
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$249.00 |
$249.00 |
$249.00 |
$461.60
|
|
Cltx hum epcndylr fx wo mnpj
|
$249.00 |
$249.00 |
$249.00 |
$496.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,794.00 |
$1,794.00 |
$1,794.00 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,384.00
|
|
Cltx mndblr fx w/mnpj
|
$1,894.80 |
$1,894.80 |
$1,894.80 |
$2,345.20
|
|
Cltx mndblr/max alv ridge fx
|
$4,018.20 |
$4,018.20 |
$4,018.20 |
$3,837.72
|
|
Cltx post ankle fx w/mnpj
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,794.00 |
$1,794.00 |
$1,794.00 |
$2,030.33
|
|
C motor evoked lwr limbs
|
$2,362.20 |
$2,362.20 |
$2,362.20 |
$627.89
|
|
C motor evoked uppr limbs
|
$2,164.20 |
$2,164.20 |
$2,164.20 |
$780.00
|
|
C motor evoked upr&lwr limbs
|
$3,544.20 |
$3,544.20 |
$3,544.20 |
$1,273.61
|
|
Cmptr ophth dx img ant segmt
|
$188.40 |
$188.40 |
$188.40 |
$81.12
|
|
Cmptr ophth img optic nerve
|
$210.00 |
$210.00 |
$210.00 |
$97.50
|
|
#cmvcul-virus inoculation shell
|
$417.60 |
$417.60 |
$417.60 |
$89.76
|
|
Cmv pcr-sendout
|
$336.60 |
$336.60 |
$336.60 |
$172.25
|
|
Co2 monitor per day
|
$1,203.00 |
$1,203.00 |
$1,203.00 |
$409.50
|
|
Coagulation time activated teg
|
$112.20 |
$112.20 |
$112.20 |
$52.25
|
|
Cochlear implt f/up exam <7
|
$507.00 |
$507.00 |
$507.00 |
$423.87
|
|
Cochlear implt f/up exam 7/>
|
$507.00 |
$507.00 |
$507.00 |
$423.87
|
|
Cold agglutinin titer
|
$43.80 |
$43.80 |
$43.80 |
$50.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$136.80 |
$136.80 |
$136.80 |
$152.54
|
|
Collection of venous blood by venipuncture
|
$25.80 |
$25.80 |
$25.80 |
$20.74
|
|
Colonoscopy (diagnostic)
|
$720.00 |
$720.00 |
$720.00 |
$1,899.00
|
|
Colposcopy/cervix/ conization 57461
|
$3,579.60 |
$3,579.60 |
$3,579.60 |
$3,720.50
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$196.20 |
$196.20 |
$196.20 |
$309.10
|
|
Colposcopy w/biopsy of cervix 57455
|
$246.00 |
$246.00 |
$246.00 |
$474.65
|
|
Compatibility test each unit antiglobulin technique
|
$123.00 |
$123.00 |
$123.00 |
$165.00
|
|
Compatibility test each unit electronic
|
$280.80 |
$280.80 |
$280.80 |
$171.25
|
|
Compatibility test each unit immediate spin technique
|
$123.00 |
$123.00 |
$123.00 |
$169.52
|
|
Compatibility test incubate
|
$108.00 |
$108.00 |
$108.00 |
$155.40
|
|
Comp cystometrogram/void presssure 51728
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$933.75
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$1,099.00
|
|
Complement antigen each component c3
|
$381.60 |
$381.60 |
$381.60 |
$110.00
|
|
Complex cystometrogram 51726
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$433.20 |
$433.20 |
$433.20 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$530.40 |
$530.40 |
$530.40 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$479.40 |
$479.40 |
$479.40 |
$346.71
|
|
Compl oph exam general anes
|
$3,371.40 |
$3,371.40 |
$3,371.40 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$596.40 |
$596.40 |
$596.40 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$659.40 |
$659.40 |
$659.40 |
$1,193.40
|
|
Complx repair enel addl 5cm/< 13153
|
$292.20 |
$292.20 |
$292.20 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$659.40 |
$659.40 |
$659.40 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$677.40 |
$677.40 |
$677.40 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$659.40 |
$659.40 |
$659.40 |
$531.30
|
|
Complx repair sal addl 5 cm/> 13122
|
$506.40 |
$506.40 |
$506.40 |
$498.27
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$391.20 |
$391.20 |
$391.20 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$277.80 |
$277.80 |
$277.80 |
$537.00
|
|
Comprehensive hearing test
|
$260.40 |
$260.40 |
$260.40 |
$220.23
|
|
Computed tomographic angiography head and neck with contrast
|
$2,247.00 |
$2,247.00 |
$2,247.00 |
$2,237.25
|
|
Concentration infection agents any type
|
$83.40 |
$83.40 |
$83.40 |
$48.91
|
|
Conditioning play audiometry 92582
|
$257.40 |
$257.40 |
$257.40 |
$185.15
|
|
Condylomata destruction 56420
|
$442.80 |
$442.80 |
$442.80 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$6,596.40 |
$6,596.40 |
$6,596.40 |
$4,451.18
|
|
Consultation pathology during surgery cytological exam initial site
|
$552.60 |
$552.60 |
$552.60 |
$426.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$328.20 |
$328.20 |
$328.20 |
$109.90
|
|
Consultation pathology during surgery frozen section first tissue block
|
$192.00 |
$192.00 |
$192.00 |
$223.86
|
|
Consultation/report referred material w/preparation of slides
|
$541.80 |
$541.80 |
$541.80 |
$205.64
|
|
Consultation/report referred slides prepared elsewhere
|
$231.00 |
$231.00 |
$231.00 |
$171.65
|
|
Consult comp w/report rfrd material
|
$599.40 |
$599.40 |
$599.40 |
$337.44
|
|
Contrast exam abdominl aorta 75625-26
|
$5,484.00 |
$5,484.00 |
$5,484.00 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$7,127.40 |
$7,127.40 |
$7,127.40 |
$3,661.50
|
|
Contrast x-ray gallbladder
|
$375.00 |
$375.00 |
$375.00 |
$350.22
|
|
Contrast x-ray of ankle
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$575.82
|
|
Contrast x-ray of brain
|
$1,095.60 |
$1,095.60 |
$1,095.60 |
$956.16
|
|
Contrast x-ray of elbow
|
$892.20 |
$892.20 |
$892.20 |
$625.35
|
|
Contrast x-ray of hip
|
$892.20 |
$892.20 |
$892.20 |
$739.05
|
|
Contrast x-ray of knee joint
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$686.25
|
|
Contrast x-ray of wrist
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$602.68
|
|
Control nosebleed pack+caut 30905
|
$558.00 |
$558.00 |
$558.00 |
$385.45
|
|
Control of nosebleed ant comp 30903
|
$459.00 |
$459.00 |
$459.00 |
$391.20
|
|
Control of nosebleedantersmpl 30901
|
$330.60 |
$330.60 |
$330.60 |
$342.24
|
|
Conversion ext bil drg cath
|
$5,779.20 |
$5,779.20 |
$5,779.20 |
$4,143.00
|
|
Convert nephrostomy catheter
|
$4,267.80 |
$4,267.80 |
$4,267.80 |
$2,777.60
|
|
Coombs direct
|
$156.60 |
$156.60 |
$156.60 |
$73.15
|
|
Coombs indirect qualitative each reagent red cell reference
|
$426.60 |
$426.60 |
$426.60 |
$95.55
|
|
Coombs indirect titer reference
|
$274.20 |
$274.20 |
$274.20 |
$146.00
|
|
Core ndl bx lng/med perq
|
$1,030.80 |
$1,030.80 |
$1,030.80 |
$2,577.60
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$4,897.20 |
$4,897.20 |
$4,897.20 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$4,897.20 |
$4,897.20 |
$4,897.20 |
$9,964.80
|
|
Coronary angio/lv gram/rt< heart
|
$4,897.20 |
$4,897.20 |
$4,897.20 |
$11,121.60
|
|
Coronary art/grft angio s&i
|
$4,897.20 |
$4,897.20 |
$4,897.20 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,897.20 |
$4,897.20 |
$4,897.20 |
$7,720.80
|
|
Cortisol acth stimulation test - sendout
|
$506.40 |
$506.40 |
$506.40 |
$146.25
|
|
Cortisol total am
|
$156.60 |
$156.60 |
$156.60 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$129.60 |
$129.60 |
$129.60 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$58.80 |
$58.80 |
$58.80 |
$55.90
|
|
#covid19rsv-rsv
|
$210.60 |
$210.60 |
$210.60 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$127.80 |
$127.80 |
$127.80 |
$60.00
|
|
C-peptide
|
$138.00 |
$138.00 |
$138.00 |
$93.60
|
|
Cptr ophth dx img post segmt
|
$210.00 |
$210.00 |
$210.00 |
$97.50
|
|
Crbrospnl fld flw imag cistern
|
$1,663.80 |
$1,663.80 |
$1,663.80 |
$1,177.55
|
|
C-reactive protein
|
$109.80 |
$109.80 |
$109.80 |
$64.20
|
|
C-reactive protein high sensitivity
|
$307.20 |
$307.20 |
$307.20 |
$82.60
|
