|
Clot factor wght kininogen
|
$38.40 |
$262.50 |
$539.40 |
|
|
Clot factor xii hageman
|
$37.44 |
$132.00 |
$469.70 |
|
|
Clot factor xiii fibrin scrn
|
$8.00 |
$86.10 |
$530.40 |
|
|
Clot factor xiii fibrin stab
|
$39.20 |
$200.88 |
$680.80 |
|
|
Clotting assay whole blood
|
$95.72 |
$237.50 |
$394.56 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$131.25 |
$630.00 |
$1,773.80 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$270.00 |
$469.60 |
$7,720.00 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$131.25 |
$484.80 |
$7,591.20 |
|
|
Clsd tx clav dislc without manip 23520
|
$427.80 |
$427.80 |
$6,443.20 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$411.60 |
$447.00 |
$4,592.00 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$652.80 |
$1,785.00 |
$3,456.72 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$228.00 |
$517.20 |
$1,672.00 |
|
|
Clsd tx coccygeal fracture 27200
|
$180.60 |
$388.80 |
$3,700.80 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$163.20 |
$537.60 |
$3,411.20 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$131.25 |
$507.60 |
$2,084.80 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$330.00 |
$808.50 |
$1,556.80 |
|
|
Clsd tx elbow dislocation child 24640
|
$131.25 |
$480.24 |
$4,026.40 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,008.00 |
$1,871.40 |
$4,600.00 |
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$935.40 |
$1,446.00 |
$4,228.80 |
|
|
Clsd tx fracture of radius 25500
|
$203.40 |
$557.28 |
$6,224.00 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$180.60 |
$336.70 |
$2,490.40 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$131.25 |
$404.00 |
$2,904.80 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$131.25 |
$518.40 |
$6,824.00 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$597.80 |
$1,755.60 |
$4,017.30 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$131.25 |
$541.20 |
$6,219.20 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$971.40 |
$1,674.40 |
$4,017.30 |
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$131.25 |
$504.60 |
$8,799.20 |
|
|
Clsd tx hip disloc without anes 27265
|
$131.25 |
$440.64 |
$9,384.00 |
|
|
Clsd tx humeral fract without manip 24530
|
$249.00 |
$736.20 |
$8,294.40 |
|
|
Clsd tx humerus fract without manip 24500
|
$270.00 |
$683.40 |
$7,492.00 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$167.40 |
$1,141.70 |
$2,615.40 |
|
|
Clsd tx mandibular fx without manip 21450
|
$321.00 |
$1,141.80 |
$1,450.40 |
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$255.00 |
$474.60 |
$3,879.20 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$131.25 |
$544.80 |
$5,353.60 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$131.25 |
$518.40 |
$7,341.60 |
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$857.40 |
$857.40 |
$1,190.40 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$270.00 |
$708.60 |
$5,478.40 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$259.20 |
$538.40 |
$1,152.80 |
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$496.80 |
$3,790.50 |
$7,400.40 |
|
|
Clsd tx nose fx without manip 21310
|
$236.40 |
$236.40 |
$236.40 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$696.60 |
$2,178.60 |
$4,378.50 |
|
|
Clsd tx patella disloc without anes 27560
|
$131.25 |
$518.40 |
$1,830.40 |
|
|
Clsd tx/patellar fx without manip 27520
|
$270.00 |
$604.80 |
$1,833.84 |
|
|
Clsd tx pelvic ring fx
|
$492.99 |
$518.40 |
$2,457.60 |
|
|
Clsd tx pelvic ring fx
|
$789.94 |
$3,893.40 |
$5,072.65 |
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$677.40 |
$1,790.00 |
$5,644.80 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$131.25 |
$537.60 |
$3,317.60 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$249.00 |
$583.80 |
$6,071.20 |
|
|
Clsd tx radius fracture w/manip 24655
|
$825.60 |
$1,630.40 |
$3,954.24 |
|
|
Clsd tx/scapular fx without manip 23570
|
$433.20 |
$563.40 |
$1,140.80 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$842.40 |
$1,790.00 |
$4,001.04 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$410.20 |
$2,043.00 |
$3,922.56 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,008.00 |
$2,274.60 |
$4,694.40 |
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$349.80 |
$1,814.40 |
$7,008.48 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$131.25 |
$518.40 |
$1,072.80 |
|
|
Clsd tx toe dislocation without anes28660
|
$164.40 |
$408.00 |
$3,100.80 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$279.00 |
$470.16 |
$4,060.00 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$548.10 |
$1,531.75 |
$11,949.60 |
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$203.40 |
$510.60 |
$5,940.00 |
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$147.00 |
$572.40 |
$1,095.20 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$572.40 |
$813.60 |
$6,804.00 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$131.25 |
$568.80 |
$6,518.40 |
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$270.00 |
$518.40 |
$2,572.80 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$270.00 |
$694.80 |
$7,213.60 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$249.00 |
$760.90 |
$3,130.40 |
|
|
Cls tx of heel fracture w/manip 28405
|
$259.20 |
$304.70 |
$4,502.16 |
|
|
Cltx carpl scphd fx w/mnpj
|
$829.50 |
$1,075.00 |
$3,651.90 |
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$545.40 |
$3,177.36 |
$6,773.76 |
|
|
Cltx hum epcndylr fx wo mnpj
|
$249.00 |
$804.60 |
$6,796.00 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,008.00 |
$2,707.20 |
$4,001.76 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$653.04 |
$702.60 |
$10,137.60 |
|
|
Cltx lunate dislc w/mnpj
|
$1,008.00 |
$3,456.72 |
$5,009.04 |
|
|
Cltx mndblr fx ntrdntl fixj
|
$2,468.80 |
$2,895.00 |
$2,895.00 |
|
|
Cltx mndblr fx w/mnpj
|
$1,735.00 |
$1,950.00 |
$7,030.08 |
|
|
Cltx mndblr/max alv ridge fx
|
$1,543.20 |
$4,018.20 |
$7,178.40 |
|
|
Cltx palatal/max fx wire fix
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
|
|
Cltx post ankle fx
|
$492.60 |
$525.00 |
$1,408.00 |
|
|
Cltx post ankle fx w/mnpj
|
$1,075.00 |
$1,989.60 |
$3,456.72 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,008.00 |
$1,975.80 |
$3,456.72 |
|
|
Cltx strnclav dislc w/mnpj
|
$259.20 |
$1,908.80 |
$9,855.20 |
|
|
Cltx thigh fx
|
$843.00 |
$843.00 |
$2,148.80 |
|
|
Cltx thigh fx w/mnpj
|
$2,366.70 |
$2,366.70 |
$6,751.20 |
|
|
Cltx tmprmand dislc comp
|
$6,540.72 |
$6,540.72 |
$6,540.72 |
|
|
Cmbn ant pst colprhy
|
$1,616.40 |
$41,764.51 |
$56,497.27 |
|
|
C motor evoked lwr limbs
|
$340.80 |
$1,146.24 |
$3,755.00 |
|
|
C motor evoked uppr limbs
|
$491.20 |
$1,328.80 |
$3,755.00 |
|
|
C motor evoked upr&lwr limbs
|
$711.00 |
$2,197.44 |
$4,261.80 |
|
|
Cmptr ophth dx img ant segmt
|
$65.60 |
$188.40 |
$210.00 |
|
|
Cmptr ophth img optic nerve
|
$44.10 |
$80.80 |
$234.60 |
|
|
#cms hgb-carboxyhemoglobin
|
$54.00 |
$54.00 |
$264.96 |
|
|
#cms hgb-sulfhemoglobin
|
$16.10 |
$33.57 |
$160.80 |
|
|
#cmvcul-virus inoculation shell
|
$37.62 |
$179.90 |
$560.80 |
|
|
Cmv pcr-sendout
|
$50.00 |
$257.60 |
$664.56 |
|
|
Cnbp gene detc abnor allele
|
$434.00 |
$434.00 |
$434.00 |
|
|
Co2 monitor per day
|
$115.20 |
$1,104.60 |
$1,568.80 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$3.72 |
$8,687.56 |
$71,664.25 |
|
|
Coagulation time activated teg
|
$9.24 |
$62.15 |
$150.40 |
|
|
Coagulation time lee & white
|
$11.20 |
$11.20 |
$11.20 |
|
|
Coagulation time otr method
|
$11.20 |
$88.80 |
$92.40 |
|
|
Cocaine 4 % nasal solution
|
$4.79 |
$380.65 |
$1,013.86 |
|
