|
Clsd tx hip disloc without anes 27265
|
$383.40 |
$383.40 |
$383.40 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$347.40 |
$347.40 |
$347.40 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$618.00 |
$618.00 |
$618.00 |
$492.99
|
|
Clsd tx mandibular fx without manip 21450
|
$321.00 |
$321.00 |
$321.00 |
$987.60
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$385.80 |
$385.80 |
$385.80 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$385.80 |
$385.80 |
$385.80 |
$606.00
|
|
Clsd tx/metatarsal fx without manip 28470
|
$380.40 |
$380.40 |
$380.40 |
$418.20
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,428.20 |
$2,428.20 |
$2,428.20 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$407.40 |
$407.40 |
$407.40 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$312.60 |
$312.60 |
$312.60 |
$475.68
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$962.40 |
$962.40 |
$962.40 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$272.40 |
$272.40 |
$272.40 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$347.40 |
$347.40 |
$347.40 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,542.60 |
$1,542.60 |
$1,542.60 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,410.80 |
$2,410.80 |
$2,410.80 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,500.80 |
$2,500.80 |
$2,500.80 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$451.20 |
$451.20 |
$451.20 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$579.60 |
$579.60 |
$579.60 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$471.60 |
$471.60 |
$471.60 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$656.40 |
$656.40 |
$656.40 |
$452.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$147.00 |
$147.00 |
$147.00 |
$674.68
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$347.40 |
$347.40 |
$347.40 |
$474.50
|
|
Cltx hum epcndylr fx wo mnpj
|
$347.40 |
$347.40 |
$347.40 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,263.20 |
$2,263.20 |
$2,263.20 |
$1,815.75
|
|
Cltx mndblr fx w/mnpj
|
$2,350.20 |
$2,350.20 |
$2,350.20 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$4,646.40 |
$4,646.40 |
$4,646.40 |
$3,990.33
|
|
Cltx post ankle fx w/mnpj
|
$2,365.80 |
$2,365.80 |
$2,365.80 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,263.20 |
$2,263.20 |
$2,263.20 |
$2,021.04
|
|
C motor evoked lwr limbs
|
$2,845.80 |
$2,845.80 |
$2,845.80 |
$627.89
|
|
C motor evoked uppr limbs
|
$2,652.60 |
$2,652.60 |
$2,652.60 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$4,261.80 |
$4,261.80 |
$4,261.80 |
$1,308.00
|
|
Cmptr ophth dx img ant segmt
|
$210.00 |
$210.00 |
$210.00 |
$115.95
|
|
Cmptr ophth img optic nerve
|
$234.60 |
$234.60 |
$234.60 |
$119.00
|
|
#cmvcul-virus inoculation shell
|
$426.60 |
$426.60 |
$426.60 |
$100.80
|
|
Cmv pcr-sendout
|
$114.00 |
$114.00 |
$414.60 |
$177.50
|
|
Co2 monitor per day
|
$1,449.60 |
$1,449.60 |
$1,449.60 |
$450.60
|
|
Coagulation time activated teg
|
$114.60 |
$114.60 |
$114.60 |
$53.72
|
|
Coch imp ext proc/contr rplc
|
$33,111.00 |
$33,111.00 |
$33,111.00 |
$20,146.35
|
|
Cochlear implt f/up exam <7
|
$705.00 |
$705.00 |
$705.00 |
$423.87
|
|
Cochlear implt f/up exam 7/>
|
$705.00 |
$705.00 |
$705.00 |
$423.87
|
|
Cold agglutinin screen (arc)
|
$82.20 |
$82.20 |
$82.20 |
$45.00
|
|
Cold agglutinin titer
|
$52.80 |
$52.80 |
$170.40 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$307.80 |
$307.80 |
$307.80 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$85.20 |
$85.20 |
$85.20 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$85.20 |
$85.20 |
$85.20 |
$213.89
|
|
Collection of venous blood by venipuncture
|
$25.80 |
$25.80 |
$25.80 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$866.40 |
$866.40 |
$866.40 |
$1,899.00
|
|
Colposcopy/cervix/ conization 57461
|
$5,648.40 |
$5,648.40 |
$5,648.40 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$213.00 |
$213.00 |
$213.00 |
$312.90
|
|
Colposcopy w/biopsy of cervix 57455
|
$388.20 |
$388.20 |
$388.20 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$139.20 |
$139.20 |
$258.00 |
$170.05
|
|
Compatibility test each unit electronic
|
$107.40 |
$107.40 |
$114.60 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$129.60 |
$129.60 |
$141.00 |
$169.52
|
|
Compatibility test incubate
|
$108.00 |
$108.00 |
$218.40 |
$155.40
|
|
Comp cystometrogram/void presssure 51728
|
$1,537.80 |
$1,537.80 |
$1,537.80 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,537.80 |
$1,537.80 |
$1,537.80 |
$1,111.03
|
|
Complement antigen each component c3
|
$390.00 |
$390.00 |
$390.00 |
$108.55
|
|
Complex cystometrogram 51726
|
$1,537.80 |
$1,537.80 |
$1,537.80 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$470.40 |
$470.40 |
$470.40 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$585.00 |
$585.00 |
$585.00 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$642.00 |
$642.00 |
$642.00 |
$346.71
|
|
Compl oph exam general anes
|
$3,892.20 |
$3,892.20 |
$3,892.20 |
$2,161.60
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$688.80 |
$688.80 |
$688.80 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$824.40 |
$824.40 |
$824.40 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$288.00 |
$288.00 |
$288.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$688.80 |
$688.80 |
$688.80 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$870.00 |
$870.00 |
$870.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$266.40 |
$266.40 |
$266.40 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$210.60 |
$210.60 |
$210.60 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$424.20 |
$424.20 |
$424.20 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$216.00 |
$216.00 |
$216.00 |
$537.00
|
|
Comprehensive hearing test
|
$312.60 |
$312.60 |
$312.60 |
$255.00
|
|
Computed tomographic angiography head and neck with contrast
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$2,237.25
|
|
Concentration infection agents any type
|
$16.20 |
$16.20 |
$87.60 |
$49.95
|
|
Conditioning play audiometry 92582
|
$310.80 |
$310.80 |
$310.80 |
$189.15
|
|
Condylomata destruction 56420
|
$575.40 |
$575.40 |
$575.40 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$11,185.80 |
$11,185.80 |
$11,185.80 |
$4,840.07
|
|
Consultation pathology during surgery
|
$97.80 |
$97.80 |
$97.80 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$558.60 |
$558.60 |
$558.60 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$111.00 |
$111.00 |
$457.20 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$219.60 |
$219.60 |
$433.80 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$276.60 |
$276.60 |
$276.60 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$269.40 |
$269.40 |
$269.40 |
$171.65
|
|
Consult comp w/report rfrd material
|
$382.80 |
$382.80 |
$382.80 |
$365.60
|
|
Contact lens fitg aphakia 1
|
$663.60 |
$663.60 |
$663.60 |
$472.21
|
|
Contact lens fitg aphakia ou
|
$204.00 |
$204.00 |
$204.00 |
$170.00
|
|
Contrast exam abdominl aorta 75625-26
|
$7,126.20 |
$7,126.20 |
$7,126.20 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$2,279.40 |
$2,279.40 |
$2,279.40 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$5,428.80 |
$5,428.80 |
$6,642.00 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$260.40 |
$260.40 |
$405.60 |
$350.22
|
|
Contrast x-ray of ankle
|
$888.00 |
$888.00 |
$888.00 |
$612.30
|
|
Contrast x-ray of brain
|
$1,182.00 |
$1,182.00 |
$1,182.00 |
$981.75
|
|
Contrast x-ray of elbow
|
$1,021.20 |
$1,021.20 |
$1,021.20 |
$649.80
|
|
Contrast x-ray of hip
|
$1,021.20 |
$1,021.20 |
$1,021.20 |
$771.12
|
|
Contrast x-ray of knee joint
|
$1,021.20 |
$1,021.20 |
$1,021.20 |
$769.88
|
|
Contrast x-ray of wrist
|
$1,021.20 |
$1,021.20 |
$1,021.20 |
$637.00
|
|
Controler lvad heartmate 3 includes ebb
|
$14,185.20 |
$14,185.20 |
$14,185.20 |
$13,218.75
|
|
Control nosebleed pack+caut 30905
|
$606.00 |
$606.00 |
$606.00 |
$392.60
|
