|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,468.00 |
$2,468.00 |
$2,468.00 |
$2,569.28
|
|
Closed tx sesamoid fx 28530
|
$328.00 |
$328.00 |
$328.00 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$371.20 |
$371.20 |
$371.20 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$445.60 |
$445.60 |
$445.60 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$2,587.20 |
$2,587.20 |
$2,587.20 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$850.40 |
$850.40 |
$850.40 |
$1,259.62
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$584.80 |
$584.80 |
$584.80 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$417.60 |
$417.60 |
$417.60 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$442.40 |
$442.40 |
$442.40 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$1,524.80 |
$1,524.80 |
$1,524.80 |
$1,980.00
|
|
Clsd tx clavicle dislocation without manip 23540
|
$446.40 |
$446.40 |
$446.40 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$352.80 |
$352.80 |
$352.80 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$336.00 |
$336.00 |
$336.00 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$355.20 |
$355.20 |
$355.20 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$653.60 |
$653.60 |
$653.60 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$407.20 |
$407.20 |
$407.20 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$584.80 |
$584.80 |
$584.80 |
$465.21
|
|
Clsd tx fracture of radius 25500
|
$374.40 |
$374.40 |
$374.40 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$312.00 |
$312.00 |
$312.00 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$507.20 |
$507.20 |
$507.20 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$423.20 |
$423.20 |
$423.20 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$427.20 |
$427.20 |
$427.20 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,213.60 |
$1,213.60 |
$1,213.60 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$353.60 |
$353.60 |
$353.60 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$584.80 |
$584.80 |
$584.80 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$423.20 |
$423.20 |
$423.20 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$406.40 |
$406.40 |
$406.40 |
$492.99
|
|
Clsd tx mandibular fx without manip 21450
|
$308.80 |
$308.80 |
$308.80 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$403.20 |
$403.20 |
$403.20 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$373.60 |
$373.60 |
$373.60 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$564.00 |
$564.00 |
$564.00 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$609.60 |
$609.60 |
$609.60 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$344.80 |
$344.80 |
$344.80 |
$429.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,205.60 |
$1,205.60 |
$1,205.60 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$504.80 |
$504.80 |
$504.80 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$408.80 |
$408.80 |
$408.80 |
$498.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,215.20 |
$2,215.20 |
$2,215.20 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$384.00 |
$384.00 |
$384.00 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$387.20 |
$387.20 |
$387.20 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$1,270.40 |
$1,270.40 |
$1,270.40 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$344.00 |
$344.00 |
$344.00 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,291.20 |
$1,291.20 |
$1,291.20 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,980.80 |
$1,980.80 |
$1,980.80 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$454.40 |
$454.40 |
$454.40 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$415.20 |
$415.20 |
$415.20 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$498.40 |
$498.40 |
$498.40 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,194.40 |
$1,194.40 |
$1,194.40 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$348.00 |
$348.00 |
$348.00 |
$473.00
|
|
Clsd tx wrist carpal fx without manip 25630
|
$368.80 |
$368.80 |
$368.80 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$421.60 |
$421.60 |
$421.60 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$604.80 |
$604.80 |
$604.80 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$407.20 |
$407.20 |
$407.20 |
$487.15
|
|
Cls tx of heel fracture w/manip 28405
|
$612.80 |
$612.80 |
$612.80 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$1,694.40 |
$1,694.40 |
$1,694.40 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$396.80 |
$396.80 |
$396.80 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$994.40 |
$994.40 |
$994.40 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$443.20 |
$443.20 |
$443.20 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$2,546.40 |
$2,546.40 |
$2,546.40 |
$2,384.00
|
|
Cltx strnclav dislc w/mnpj
|
$328.00 |
$328.00 |
$328.00 |
$619.30
|
|
Cmv pcr-sendout
|
$86.40 |
$86.40 |
$86.40 |
$175.70
|
|
Co2 monitor per day
|
$661.60 |
$661.60 |
$661.60 |
$459.20
|
|
Cold agglutinin titer
|
$62.40 |
$62.40 |
$62.40 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$317.60 |
$317.60 |
$317.60 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$56.00 |
$56.00 |
$56.00 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$92.00 |
$92.00 |
$92.00 |
$224.11
|
|
Collection blood specimen from completely implantable venous access device
|
$175.20 |
$175.20 |
$175.20 |
$162.00
|
|
Compatibility test each unit antiglobulin technique
|
$195.20 |
$195.20 |
$195.20 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$159.20 |
$159.20 |
$159.20 |
$169.52
|
|
Compatibility test incubate
|
$132.00 |
$132.00 |
$132.00 |
$156.24
|
|
Complement antigen each component c3
|
$108.80 |
$108.80 |
$108.80 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$979.20 |
$979.20 |
$979.20 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$2,517.60 |
$2,517.60 |
$2,517.60 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$787.20 |
$787.20 |
$787.20 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$810.40 |
$810.40 |
$810.40 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,250.40 |
$1,250.40 |
$1,250.40 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$724.00 |
$724.00 |
$724.00 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$656.80 |
$656.80 |
$656.80 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,675.20 |
$1,675.20 |
$1,675.20 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,230.40 |
$1,230.40 |
$1,230.40 |
$537.00
|
|
Computed tomographic angiography head and neck with contrast
|
$3,008.00 |
$3,008.00 |
$3,008.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$52.80 |
$52.80 |
$52.80 |
$51.32
|
|
Condylomata destruction 56420
|
$388.80 |
$388.80 |
$388.80 |
$467.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$420.04 |
$420.04 |
$420.04 |
$860.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$220.00 |
$220.00 |
$220.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$153.60 |
$153.60 |
$153.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$453.60 |
$453.60 |
$453.60 |
$226.50
|
|
Contrast x-ray of hip
|
$1,037.60 |
$1,037.60 |
$1,037.60 |
$796.38
|
|
Contrast x-ray of knee joint
|
$1,105.60 |
$1,105.60 |
$1,105.60 |
$790.50
|
|
Control nosebleed pack+caut 30905
|
$356.00 |
$356.00 |
$356.00 |
$383.52
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$338.40 |
$338.40 |
$338.40 |
$644.80
|
|
Control of nosebleed ant comp 30903
|
$338.40 |
$338.40 |
$338.40 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$302.40 |
$302.40 |
$302.40 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$620.00
|
|
Coombs direct
|
$52.80 |
$52.80 |
$52.80 |
$76.80
|
