|
Chylomicron screen, bf - sendout
|
$261.60 |
$261.60 |
$261.60 |
$123.20
|
|
Clearance of airways
|
$135.20 |
$135.20 |
$135.20 |
$208.00
|
|
Cllr miami j sm
|
$410.40 |
$410.40 |
$410.40 |
$552.23
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$10,228.80 |
$10,228.80 |
$10,228.80 |
$535.76
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$8,863.20 |
$8,863.20 |
$8,863.20 |
$1,815.75
|
|
Closed tx/acetabululm without manip 27220
|
$11,099.20 |
$11,099.20 |
$11,099.20 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$2,199.20 |
$2,199.20 |
$2,199.20 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$9,784.80 |
$9,784.80 |
$9,784.80 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$2,316.80 |
$2,316.80 |
$2,316.80 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$2,831.20 |
$2,831.20 |
$2,831.20 |
$402.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$2,621.64
|
|
Closed tx sesamoid fx 28530
|
$4,940.00 |
$4,940.00 |
$4,940.00 |
$448.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$498.00
|
|
Clos txnose fx without stablz 21315
|
$2,453.60 |
$2,453.60 |
$2,453.60 |
$2,453.60
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$3,022.40 |
$3,022.40 |
$3,022.40 |
$1,259.62
|
|
Clot factor xii hageman
|
$396.80 |
$396.80 |
$396.80 |
$126.39
|
|
Clot factor xiii fibrin scrn
|
$530.40 |
$530.40 |
$530.40 |
$51.91
|
|
Clot factor xiii fibrin stab
|
$568.80 |
$568.80 |
$568.80 |
$97.20
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$867.20 |
$867.20 |
$867.20 |
$700.00
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$7,720.00 |
$7,720.00 |
$7,720.00 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$7,591.20 |
$7,591.20 |
$7,591.20 |
$509.60
|
|
Clsd tx clav dislc without manip 23520
|
$6,443.20 |
$6,443.20 |
$6,443.20 |
$1,994.40
|
|
Clsd tx clavicle dislocation without manip 23540
|
$4,592.00 |
$4,592.00 |
$4,592.00 |
$444.71
|
|
Clsd tx/clavicular fx without manip 23500
|
$1,672.00 |
$1,672.00 |
$1,672.00 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$3,700.80 |
$3,700.80 |
$3,700.80 |
$394.20
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$3,411.20 |
$3,411.20 |
$3,411.20 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$328.00 |
$328.00 |
$328.00 |
$691.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$1,064.80 |
$1,064.80 |
$1,064.80 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$4,026.40 |
$4,026.40 |
$4,026.40 |
$507.20
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,180.00 |
$2,180.00 |
$2,180.00 |
$2,329.60
|
|
Clsd tx fracture of radius 25500
|
$6,224.00 |
$6,224.00 |
$6,224.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$2,490.40 |
$2,490.40 |
$2,490.40 |
$390.40
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$2,904.80 |
$2,904.80 |
$2,904.80 |
$480.48
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$6,824.00 |
$6,824.00 |
$6,824.00 |
$551.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,013.60 |
$2,013.60 |
$2,013.60 |
$1,776.04
|
|
Clsd tx fx radius/ulna without manip 25560
|
$6,219.20 |
$6,219.20 |
$6,219.20 |
$511.80
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,668.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$8,799.20 |
$8,799.20 |
$8,799.20 |
$475.68
|
|
Clsd tx hip disloc without anes 27265
|
$9,384.00 |
$9,384.00 |
$9,384.00 |
$665.60
|
|
Clsd tx humeral fract without manip 24530
|
$8,294.40 |
$8,294.40 |
$8,294.40 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$7,492.00 |
$7,492.00 |
$7,492.00 |
$520.80
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$3,879.20 |
$3,879.20 |
$3,879.20 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$5,353.60 |
$5,353.60 |
$5,353.60 |
$519.12
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$7,341.60 |
$7,341.60 |
$7,341.60 |
$688.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$5,478.40 |
$5,478.40 |
$5,478.40 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$6,059.20 |
$6,059.20 |
$6,059.20 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,312.00 |
$2,312.00 |
$2,312.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$797.60 |
$797.60 |
$797.60 |
$599.00
|
|
Clsd tx/patellar fx without manip 27520
|
$704.00 |
$704.00 |
$704.00 |
$495.80
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$2,322.60
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$3,317.60 |
$3,317.60 |
$3,317.60 |
$419.73
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$6,071.20 |
$6,071.20 |
$6,071.20 |
$470.08
|
|
Clsd tx radius fracture w/manip 24655
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,806.10
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,380.00 |
$2,380.00 |
$2,380.00 |
$1,893.86
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,292.00 |
$2,292.00 |
$2,292.00 |
$1,790.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,803.20 |
$3,803.20 |
$3,803.20 |
$2,422.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$476.00 |
$476.00 |
$476.00 |
$450.24
|
|
Clsd tx toe dislocation without anes28660
|
$3,100.80 |
$3,100.80 |
$3,100.80 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$515.20
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$11,949.60 |
$11,949.60 |
$11,949.60 |
$1,602.79
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$5,940.00 |
$5,940.00 |
$5,940.00 |
$469.20
|
|
Clsd tx wrist carpal fx without manip 25630
|
$6,804.00 |
$6,804.00 |
$6,804.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$6,518.40 |
$6,518.40 |
$6,518.40 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$7,213.60 |
$7,213.60 |
$7,213.60 |
$636.49
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$3,130.40 |
$3,130.40 |
$3,130.40 |
$487.15
|
|
Cltx hum epcndylr fx wo mnpj
|
$6,796.00 |
$6,796.00 |
$6,796.00 |
$523.25
|
|
Cltx humrl cndylr fx wo mnpj
|
$10,137.60 |
$10,137.60 |
$10,137.60 |
$546.75
|
|
Cltx mndblr fx w/mnpj
|
$2,156.00 |
$2,156.00 |
$2,156.00 |
$2,432.15
|
|
Cltx mndblr/max alv ridge fx
|
$4,385.60 |
$4,385.60 |
$4,385.60 |
$3,990.33
|
|
Cltx post ankle fx w/mnpj
|
$2,232.80 |
$2,232.80 |
$2,232.80 |
$2,172.80
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,120.00 |
$2,120.00 |
$2,120.00 |
$2,030.33
|
|
Cltx strnclav dislc w/mnpj
|
$9,855.20 |
$9,855.20 |
$9,855.20 |
$722.16
|
|
#cmvcul-virus inoculation shell
|
$560.80 |
$560.80 |
$560.80 |
$102.40
|
|
Cmv pcr-sendout
|
$616.80 |
$616.80 |
$616.80 |
$172.25
|
|
Coagulation time activated teg
|
$150.40 |
$150.40 |
$150.40 |
$52.00
|
|
Coch imp ext proc/contr rplc
|
$44,148.00 |
$44,148.00 |
$44,148.00 |
$12,888.72
|
|
Cold agglutinin screen (arc)
|
$92.00 |
$92.00 |
$92.00 |
$45.00
|
|
Cold agglutinin titer
|
$92.00 |
$92.00 |
$92.00 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$410.40 |
$410.40 |
$410.40 |
$52.78
|
|
Collar cerv adlt perfit ace extric
|
$113.60 |
$113.60 |
$113.60 |
$56.85
|
|
Collar cerv ascend 172 reg
|
$113.60 |
$113.60 |
$113.60 |
$189.95
|
|
Collection of venous blood by venipuncture
|
$34.40 |
$34.40 |
$34.40 |
$20.90
|
|
Compatibility test each unit antiglobulin technique
|
$318.40 |
$318.40 |
$318.40 |
$165.00
|
|
Compatibility test each unit electronic
|
$471.20 |
$471.20 |
$471.20 |
$176.70
|
|
Compatibility test each unit immediate spin technique
|
$140.00 |
$140.00 |
$140.00 |
$169.52
|
|
Compatibility test incubate
|
$140.00 |
$140.00 |
$140.00 |
$143.64
|
|
Complement antigen each component c3
|
$508.00 |
$508.00 |
$508.00 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,528.80 |
$1,528.80 |
$1,528.80 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$4,749.60 |
$4,749.60 |
$4,749.60 |
$1,244.65
|
|
Complex uroflowmetry (electronic) 51741
|
$924.80 |
$924.80 |
$924.80 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,590.40 |
$1,590.40 |
$1,590.40 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$4,673.60 |
$4,673.60 |
$4,673.60 |
$1,244.80
|
|
Complx repair enel addl 5cm/< 13153
|
$3,470.40 |
$3,470.40 |
$3,470.40 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$1,892.00 |
$1,892.00 |
$1,892.00 |
$832.02
|
|
Complx repair fccmnaxghf 13132
|
$1,972.80 |
$1,972.80 |
$1,972.80 |
$1,193.40
|
|
Complx repair fccmnaxghf 13133
|
$2,048.00 |
$2,048.00 |
$2,048.00 |
$635.40
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$546.29
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$4,445.60 |
$4,445.60 |
$4,445.60 |
$1,116.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,590.40 |
$1,590.40 |
$1,590.40 |
$619.20
|