|
Clot factor xii hageman
|
$143.50 |
$143.50 |
$143.50 |
$135.01
|
|
Clot factor xiii fibrin scrn
|
$86.10 |
$86.10 |
$86.10 |
$57.75
|
|
Clot factor xiii fibrin stab
|
$148.40 |
$148.40 |
$148.40 |
$106.26
|
|
Clotting assay whole blood
|
$161.00 |
$161.00 |
$161.00 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$657.28
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$869.40 |
$869.40 |
$869.40 |
$484.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,256.40 |
$3,256.40 |
$3,256.40 |
$1,893.86
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,177.40 |
$1,177.40 |
$1,177.40 |
$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
|
$684.60 |
$684.60 |
$684.60 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,782.50 |
$2,782.50 |
$2,782.50 |
$2,211.05
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$336.70 |
$336.70 |
$336.70 |
$373.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$750.40 |
$750.40 |
$750.40 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$825.30 |
$825.30 |
$825.30 |
$529.65
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,032.10 |
$2,032.10 |
$2,032.10 |
$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
|
$1,674.40 |
$1,674.40 |
$1,674.40 |
$1,548.40
|
|
Clsd tx hip disloc without anes 27265
|
$2,030.70 |
$2,030.70 |
$2,030.70 |
$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/sg without manip 26600
|
$580.30 |
$580.30 |
$580.30 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,064.70 |
$1,064.70 |
$1,064.70 |
$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
|
$2,380.70 |
$2,380.70 |
$2,380.70 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$893.90 |
$893.90 |
$893.90 |
$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 radius fracture w/manip 24655
|
$2,157.40 |
$2,157.40 |
$2,157.40 |
$1,772.97
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,118.90 |
$2,118.90 |
$2,118.90 |
$1,815.75
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,084.20 |
$3,084.20 |
$3,084.20 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$828.80 |
$828.80 |
$828.80 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$689.50 |
$689.50 |
$689.50 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,262.10 |
$1,262.10 |
$1,262.10 |
$1,565.74
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$906.50 |
$906.50 |
$906.50 |
$611.10
|
|
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 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
|
|
C motor evoked lwr limbs
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$2,256.10 |
$2,256.10 |
$2,256.10 |
$1,308.00
|
|
#cms hgb-sulfhemoglobin
|
$91.70 |
$91.70 |
$91.70 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$179.90 |
$179.90 |
$179.90 |
$87.75
|
|
Cmv pcr-sendout
|
$660.10 |
$660.10 |
$660.10 |
$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 time activated teg
|
$110.60 |
$110.60 |
$110.60 |
$53.55
|
|
Cold agglutinin screen (arc)
|
$93.80 |
$93.80 |
$93.80 |
$45.00
|
|
Cold agglutinin titer
|
$67.20 |
$67.20 |
$67.20 |
$51.60
|
|
Colistimethate sodium inj
|
$436.97 |
$436.97 |
$436.97 |
$71.09
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$177.10 |
$177.10 |
$177.10 |
$62.40
|
|
Collar cerv adlt perfit ace extric
|
$64.60 |
$64.60 |
$64.60 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$1,236.20 |
$1,236.20 |
$1,236.20 |
$213.89
|
|
Collar cerv patriot adlt
|
$35.38 |
$35.38 |
$35.38 |
$134.66
|
|
Collar extrication adult univ
|
$833.00 |
$833.00 |
$833.00 |
$800.32
|
|
Collection blood specimen from completely implantable venous access device
|
$16,147.25 |
$16,147.25 |
$16,147.25 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$9,726.15 |
$9,726.15 |
$9,726.15 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$573.30 |
$573.30 |
$573.30 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$5,034.34 |
$5,034.34 |
$5,034.34 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$2,961.70 |
$2,961.70 |
$2,961.70 |
$1,679.48
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$17,944.32 |
$17,944.32 |
$17,944.32 |
$2,004.81
|
|
Colonoscopy for bleeding 44391
|
$4,102.70 |
$4,102.70 |
$4,102.70 |
$2,083.12
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$23,884.75 |
$23,884.75 |
$23,884.75 |
$1,517.60
|
|
Colonoscopy stoma w/snare 44394
|
$15,730.57 |
$15,730.57 |
$15,730.57 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$19,373.66 |
$19,373.66 |
$19,373.66 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$10,279.70 |
$10,279.70 |
$10,279.70 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$18,199.15 |
$18,199.15 |
$18,199.15 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$12,550.02 |
$12,550.02 |
$12,550.02 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$11,947.67 |
$11,947.67 |
$11,947.67 |
$2,030.00
|
|
Colonoscopy w/control bleed
|
$18,872.71 |
$18,872.71 |
$18,872.71 |
$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
|
$17,087.10 |
$17,087.10 |
$17,087.10 |
$1,645.43
|
|
Colonoscopy w/endoscopic fnb
|
$14,713.60 |
$14,713.60 |
$14,713.60 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$4,575.90 |
$4,575.90 |
$4,575.90 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$4,165.70 |
$4,165.70 |
$4,165.70 |
$1,395.28
|
|
Colonoscopy w/injection
|
$15,897.42 |
$15,897.42 |
$15,897.42 |
$2,448.60
|
|
Colonoscopy with ablation
|
$18,386.13 |
$18,386.13 |
$18,386.13 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$12,254.04 |
$12,254.04 |
$12,254.04 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$15,730.57 |
$15,730.57 |
$15,730.57 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$12,432.73 |
$12,432.73 |
$12,432.73 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$5,565.70 |
$5,565.70 |
$5,565.70 |
$2,495.25
|
|
Colonoscopy w/resection
|
$20,510.36 |
$20,510.36 |
$20,510.36 |
$3,029.60
|
|
Colonoscopy w/ultrasound
|
$1,449.00 |
$1,449.00 |
$1,449.00 |
$2,636.40
|
|
Colpopexy intraperitoneal
|
$41,054.58 |
$41,054.58 |
$41,054.58 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$75,871.50 |
$75,871.50 |
$75,871.50 |
$3,762.53
|
|
Colposcopy/cervix/ conization 57461
|
$14,407.12 |
$14,407.12 |
$14,407.12 |
$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
|
|
Colposcopy w/biopsy of cervix 57455
|
$24,576.82 |
$24,576.82 |
$24,576.82 |
$485.50
|
|
Compatibility test each unit antiglobulin technique
|
$231.70 |
$231.70 |
$231.70 |
$172.00
|
|
Compatibility test each unit electronic
|
$179.20 |
$179.20 |
$179.20 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$218.40 |
$218.40 |
$218.40 |
$167.17
|
|
Compatibility test incubate
|
$221.20 |
$221.20 |
$221.20 |
$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
|
$16,463.12 |
$16,463.12 |
$16,463.12 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$11,538.11 |
$11,538.11 |
$11,538.11 |
$1,049.60
|
