|
Clsd tx humerus fract without manip 24500
|
$666.00 |
$666.00 |
$666.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$719.40 |
$719.40 |
$719.40 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$1,141.80 |
$1,141.80 |
$1,141.80 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$427.80 |
$427.80 |
$427.80 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$544.80 |
$544.80 |
$544.80 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$603.00 |
$603.00 |
$603.00 |
$620.32
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$857.40 |
$857.40 |
$857.40 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$494.40 |
$494.40 |
$494.40 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$401.40 |
$401.40 |
$401.40 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$496.80 |
$496.80 |
$496.80 |
$3,678.17
|
|
Clsd tx nose fx without manip 21310
|
$236.40 |
$236.40 |
$236.40 |
$323.95
|
|
Clsd tx of ankle fracture w/manip 28435
|
$696.60 |
$696.60 |
$696.60 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$709.20 |
$709.20 |
$709.20 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$604.80 |
$604.80 |
$604.80 |
$498.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$677.40 |
$677.40 |
$677.40 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$369.60 |
$369.60 |
$369.60 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$488.40 |
$488.40 |
$488.40 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$825.60 |
$825.60 |
$825.60 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$433.20 |
$433.20 |
$433.20 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$842.40 |
$842.40 |
$842.40 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$979.80 |
$979.80 |
$979.80 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,914.00 |
$1,914.00 |
$1,914.00 |
$2,331.50
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$349.80 |
$349.80 |
$349.80 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$183.60 |
$183.60 |
$183.60 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$276.60 |
$276.60 |
$276.60 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$597.60 |
$597.60 |
$597.60 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$917.40 |
$917.40 |
$917.40 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$487.80 |
$487.80 |
$487.80 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$572.40 |
$572.40 |
$572.40 |
$648.34
|
|
Clsd tx wrist carpal fx without manip 25630
|
$572.40 |
$572.40 |
$572.40 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$568.80 |
$568.80 |
$568.80 |
$535.60
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$894.60 |
$894.60 |
$894.60 |
$490.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$600.60 |
$600.60 |
$600.60 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$543.00 |
$543.00 |
$543.00 |
$487.15
|
|
Cls tx of heel fracture w/manip 28405
|
$761.40 |
$761.40 |
$761.40 |
$725.40
|
|
Cmbn ant pst colprhy
|
$1,616.40 |
$1,616.40 |
$1,616.40 |
$4,928.00
|
|
#cms hgb-carboxyhemoglobin
|
$54.00 |
$54.00 |
$54.00 |
$61.60
|
|
#cms hgb-sulfhemoglobin
|
$160.80 |
$160.80 |
$160.80 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$70.20 |
$70.20 |
$70.20 |
$89.76
|
|
Cmv pcr-sendout
|
$117.60 |
$117.60 |
$117.60 |
$175.70
|
|
Co2 monitor per day
|
$310.80 |
$310.80 |
$310.80 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$37,986.95 |
$37,986.95 |
$37,986.95 |
$11,888.50
|
|
Coagulation time activated teg
|
$36.60 |
$36.60 |
$36.60 |
$52.47
|
|
Cocaine 4 % nasal solution
|
$331.01 |
$331.01 |
$331.01 |
$630.04
|
|
Codeine 15 mg/ml inj 2 ml
|
$15.49 |
$15.49 |
$15.49 |
$54.65
|
|
Cold agglutinin titer
|
$20.40 |
$20.40 |
$20.40 |
$52.00
|
|
Colectomy/end colost/close dis seg 44143
|
$2,557.80 |
$2,557.80 |
$2,557.80 |
$2,880.80
|
|
Colectomy/ ileostomy without prctect 44150
|
$3,530.40 |
$3,530.40 |
$3,530.40 |
$3,530.40
|
|
Colectomy/ ileostomy w/prctect 44155
|
$3,951.60 |
$3,951.60 |
$3,951.60 |
$4,562.58
|
|
Colectomy partial w/anastomosis 44140
|
$2,073.60 |
$2,073.60 |
$2,073.60 |
$2,510.73
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$3,652.20 |
$3,652.20 |
$3,652.20 |
$3,652.20
|
|
Colectomy prtl w/coloproctostomy 44145
|
$3,142.80 |
$3,142.80 |
$3,142.80 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$3,233.40 |
$3,233.40 |
$3,233.40 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$2,343.60 |
$2,343.60 |
$2,343.60 |
$2,136.00
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$3,433.80 |
$3,433.80 |
$3,433.80 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$3,335.40 |
$3,335.40 |
$3,335.40 |
$3,176.40
|
|
Colistimethate sodium inj
|
$107.55 |
$107.55 |
$107.55 |
$82.71
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$295.20 |
$295.20 |
$295.20 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$82.20 |
$82.20 |
$82.20 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$63.60 |
$63.60 |
$63.60 |
$224.11
|
|
Collar cerv patriot adlt
|
$49.80 |
$49.80 |
$49.80 |
$134.66
|
|
Collection blood specimen from completely implantable venous access device
|
$93.00 |
$93.00 |
$93.00 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$96.60 |
$96.60 |
$96.60 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$516.00 |
$516.00 |
$516.00 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$543.00 |
$543.00 |
$543.00 |
$2,288.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$907.20 |
$907.20 |
$907.20 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$1,027.80 |
$1,027.80 |
$1,027.80 |
$2,147.00
|
|
Colonoscopy & polypectomy 44392
|
$874.20 |
$874.20 |
$874.20 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$461.40 |
$461.40 |
$461.40 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$996.60 |
$996.60 |
$996.60 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$697.20 |
$697.20 |
$697.20 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$683.40 |
$683.40 |
$683.40 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$1,099.20 |
$1,099.20 |
$1,099.20 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$1,216.20 |
$1,216.20 |
$1,216.20 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$1,401.60 |
$1,401.60 |
$1,401.60 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$1,471.80 |
$1,471.80 |
$1,471.80 |
$2,101.71
|
|
Colonoscopy w/endoscope Ultrasound
|
$554.40 |
$554.40 |
$554.40 |
$2,288.00
|
|
Colonoscopy/w endoscopic stent 45389
|
$620.40 |
$620.40 |
$620.40 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$721.20 |
$721.20 |
$721.20 |
$1,645.43
|
|
Colonoscopy (with biopsy)
|
$337.80 |
$337.80 |
$337.80 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$777.00 |
$777.00 |
$777.00 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$377.40 |
$377.40 |
$377.40 |
$2,288.00
|
|
Colonoscopy w/resection
|
$3,279.60 |
$3,279.60 |
$3,279.60 |
$3,035.44
|
|
Colostomy skin level cecostomy 44320
|
$2,269.80 |
$2,269.80 |
$2,269.80 |
$2,269.80
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$1,833.60 |
$1,833.60 |
$1,833.60 |
$1,746.00
|
|
Colpocentesis 57020
|
$181.80 |
$181.80 |
$181.80 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$994.80 |
$994.80 |
$994.80 |
$5,813.46
|
|
Colpopexy abdominal approach 57280
|
$1,863.60 |
$1,863.60 |
$1,863.60 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$1,294.20 |
$1,294.20 |
$1,294.20 |
$6,570.00
|
|
Colpopexy intraperitoneal
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$7,212.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$579.60 |
$579.60 |
$579.60 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$302.40 |
$302.40 |
$302.40 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$625.20 |
$625.20 |
$625.20 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$210.60 |
$210.60 |
$210.60 |
$314.00
|
|
Colposcopy vulva 56820
|
$214.20 |
$214.20 |
$214.20 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$284.40 |
$284.40 |
$284.40 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$277.20 |
$277.20 |
$277.20 |
$485.50
|
|
Colpotomy drng of abscess 57010
|
$844.80 |
$844.80 |
$844.80 |
$3,762.53
|
|
Colpotomy w/exploration 57000
|
$360.00 |
$360.00 |
$360.00 |
$4,075.20
|
|
Compatibility test each unit antiglobulin technique
|
$79.20 |
$79.20 |
$79.20 |
$173.50
|