|
Chylomicron screen, bf - sendout
|
$189.00 |
$189.00 |
$189.00 |
$124.15
|
|
Circumcise/surg/28 days or < 54160
|
$6,240.60 |
$6,240.60 |
$6,240.60 |
$1,219.20
|
|
Circumcision (newborn)
|
$5,205.60 |
$5,205.60 |
$5,205.60 |
$1,395.20
|
|
Clearance of airways
|
$206.40 |
$206.40 |
$206.40 |
$208.86
|
|
Cllr miami j sm
|
$307.80 |
$307.80 |
$307.80 |
$566.23
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$546.60 |
$546.60 |
$546.60 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,806.01
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$1,615.35
|
|
Closed tx/acetabululm without manip 27220
|
$1,265.40 |
$1,265.40 |
$1,265.40 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$2,661.60 |
$2,661.60 |
$2,661.60 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$711.00 |
$711.00 |
$711.00 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$1,427.40 |
$1,427.40 |
$1,427.40 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$500.40 |
$500.40 |
$500.40 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,149.20 |
$2,149.20 |
$2,149.20 |
$2,520.60
|
|
Closed tx sesamoid fx 28530
|
$294.00 |
$294.00 |
$294.00 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$786.00 |
$786.00 |
$786.00 |
$421.40
|
|
Closed tx vert fx w/manj
|
$2,044.20 |
$2,044.20 |
$2,044.20 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$563.40 |
$563.40 |
$563.40 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$3,864.00 |
$3,864.00 |
$3,864.00 |
$2,326.08
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,259.62
|
|
Closure paravalvlr leak pq
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$7,723.17
|
|
Clot factor xii hageman
|
$378.00 |
$378.00 |
$378.00 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$382.80 |
$382.80 |
$382.80 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$514.20 |
$514.20 |
$514.20 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,378.20 |
$1,378.20 |
$1,378.20 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$745.20 |
$745.20 |
$745.20 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$343.20 |
$343.20 |
$343.20 |
$476.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$744.00 |
$744.00 |
$744.00 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$874.80 |
$874.80 |
$874.80 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$388.80 |
$388.80 |
$388.80 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$550.80 |
$550.80 |
$550.80 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$846.60 |
$846.60 |
$846.60 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$487.80 |
$487.80 |
$487.80 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$558.60 |
$558.60 |
$558.60 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,789.40 |
$2,789.40 |
$2,789.40 |
$2,184.08
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$4,228.80 |
$4,228.80 |
$4,228.80 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$546.60 |
$546.60 |
$546.60 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$550.80 |
$550.80 |
$550.80 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$610.20 |
$610.20 |
$610.20 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$546.60 |
$546.60 |
$546.60 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,434.60 |
$1,434.60 |
$1,434.60 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$546.60 |
$546.60 |
$546.60 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,221.60 |
$1,221.60 |
$1,221.60 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$514.20 |
$514.20 |
$514.20 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$316.20 |
$316.20 |
$316.20 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$852.60 |
$852.60 |
$852.60 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$775.20 |
$775.20 |
$775.20 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$2,615.40 |
$2,615.40 |
$2,615.40 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$474.60 |
$474.60 |
$474.60 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$563.40 |
$563.40 |
$563.40 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$841.20 |
$841.20 |
$841.20 |
$606.00
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$1,102.20 |
$1,102.20 |
$1,102.20 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$708.60 |
$708.60 |
$708.60 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$624.00 |
$624.00 |
$624.00 |
$418.20
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,178.60 |
$2,178.60 |
$2,178.60 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$550.80 |
$550.80 |
$550.80 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$745.80 |
$745.80 |
$745.80 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$2,457.60 |
$2,457.60 |
$2,457.60 |
$416.35
|
|
Clsd tx pelvic ring fx
|
$3,893.40 |
$3,893.40 |
$3,893.40 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$4,186.20 |
$4,186.20 |
$4,186.20 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$550.80 |
$550.80 |
$550.80 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$546.60 |
$546.60 |
$546.60 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$563.40 |
$563.40 |
$563.40 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,320.80 |
$2,320.80 |
$2,320.80 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,211.05
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$4,087.80 |
$4,087.80 |
$4,087.80 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$769.80 |
$769.80 |
$769.80 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$500.40 |
$500.40 |
$500.40 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$474.60 |
$474.60 |
$474.60 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$546.60 |
$546.60 |
$546.60 |
$452.40
|
|
Clsd tx wrist carpal fx without manip 25630
|
$813.60 |
$813.60 |
$813.60 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$511.80 |
$511.80 |
$511.80 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$560.40 |
$560.40 |
$560.40 |
$600.60
|
|
Cls tx of heel fracture w/manip 28405
|
$629.40 |
$629.40 |
$629.40 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$1,038.00 |
$1,038.00 |
$1,038.00 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$545.40 |
$545.40 |
$545.40 |
$2,317.60
|
|
Cltx hum epcndylr fx wo mnpj
|
$804.60 |
$804.60 |
$804.60 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,975.80 |
$1,975.80 |
$1,975.80 |
$1,815.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$702.60 |
$702.60 |
$702.60 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$4,054.20 |
$4,054.20 |
$4,054.20 |
$2,437.00
|
|
Cltx mndblr fx w/mnpj
|
$2,103.60 |
$2,103.60 |
$2,103.60 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$4,766.40 |
$4,766.40 |
$4,766.40 |
$3,990.33
|
|
Cltx post ankle fx
|
$492.60 |
$492.60 |
$492.60 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$2,427.00 |
$2,427.00 |
$2,427.00 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,975.80 |
$1,975.80 |
$1,975.80 |
$2,021.04
|
|
Cltx thigh fx
|
$843.00 |
$843.00 |
$843.00 |
$4,008.00
|
|
C motor evoked lwr limbs
|
$499.80 |
$499.80 |
$499.80 |
$627.89
|
|
C motor evoked uppr limbs
|
$640.80 |
$640.80 |
$640.80 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$996.60 |
$996.60 |
$996.60 |
$1,308.00
|
|
#cmvcul-virus inoculation shell
|
$406.20 |
$406.20 |
$406.20 |
$100.80
|
|
Cmv pcr-sendout
|
$433.20 |
$433.20 |
$433.20 |
$177.50
|
|
Co2 monitor per day
|
$678.60 |
$678.60 |
$678.60 |
$450.60
|
|
Coagulation time activated teg
|
$111.00 |
$111.00 |
$111.00 |
$53.72
|
|
Coagulation time otr method
|
$92.40 |
$92.40 |
$92.40 |
$33.00
|
|
Coch imp ext proc/contr rplc
|
$33,111.00 |
$33,111.00 |
$33,111.00 |
$20,146.35
|
|
Cold agglutinin titer
|
$115.80 |
$115.80 |
$115.80 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$307.80 |
$307.80 |
$307.80 |
$60.84
|