|
Clsd tx/metacar/interphal artic fx 26740
|
$403.20 |
$564.00 |
$564.00 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$338.94 |
$725.60 |
$2,571.00 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$445.44 |
$796.80 |
$1,740.90 |
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$816.60 |
$1,190.40 |
$1,190.40 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$471.00 |
$638.40 |
$664.98 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$294.24 |
$538.40 |
$2,471.00 |
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$452.00 |
$620.80 |
$12,460.43 |
|
|
Clsd tx nose fx without manip 21310
|
$225.00 |
$236.40 |
$589.96 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$663.60 |
$1,784.00 |
$2,855.64 |
|
|
Clsd tx patella disloc without anes 27560
|
$235.62 |
$1,830.40 |
$1,830.40 |
|
|
Clsd tx/patellar fx without manip 27520
|
$234.00 |
$1,579.20 |
$5,105.10 |
|
|
Clsd tx pelvic ring fx
|
$126.24 |
$419.21 |
$1,943.46 |
|
|
Clsd tx pelvic ring fx
|
$760.00 |
$760.00 |
$934.20 |
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$582.72 |
$2,120.00 |
$25,481.47 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$269.28 |
$484.00 |
$2,471.00 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$225.12 |
$1,281.60 |
$4,046.25 |
|
|
Clsd tx radius fracture w/manip 24655
|
$598.56 |
$2,163.20 |
$2,901.50 |
|
|
Clsd tx/scapular fx without manip 23570
|
$234.00 |
$1,140.80 |
$3,707.00 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$579.36 |
$2,102.40 |
$2,878.22 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$735.84 |
$2,708.80 |
$2,878.22 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$545.28 |
$1,985.60 |
$3,313.53 |
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$333.00 |
$1,814.40 |
$1,814.40 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$174.60 |
$571.20 |
$1,208.93 |
|
|
Clsd tx toe dislocation without anes28660
|
$163.20 |
$292.80 |
$797.42 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$244.86 |
$1,600.00 |
$1,600.00 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$652.80 |
$2,387.20 |
$2,901.50 |
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$234.00 |
$1,283.20 |
$3,679.65 |
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$545.40 |
$739.20 |
$2,836.02 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$368.80 |
$1,497.60 |
$4,576.65 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$413.76 |
$1,496.00 |
$4,326.40 |
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$852.00 |
$2,572.80 |
$2,572.80 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$154.56 |
$1,596.80 |
$4,587.05 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$259.98 |
$1,425.60 |
$4,232.15 |
|
|
Cls tx of heel fracture w/manip 28405
|
$534.66 |
$1,921.60 |
$1,921.60 |
|
|
Cltx carpl scphd fx w/mnpj
|
$341.88 |
$2,368.00 |
$2,901.50 |
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,038.24 |
$1,865.60 |
$5,553.79 |
|
|
Cltx hum epcndylr fx wo mnpj
|
$396.80 |
$1,609.60 |
$4,642.95 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$742.08 |
$2,707.20 |
$2,886.72 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$150.78 |
$1,692.80 |
$1,692.80 |
|
|
Cltx lunate dislc w/mnpj
|
$144.90 |
$2,384.00 |
$2,973.50 |
|
|
Cltx mndblr fx ntrdntl fixj
|
$2,468.80 |
$2,468.80 |
$3,235.00 |
|
|
Cltx mndblr fx w/mnpj
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
|
|
Cltx mndblr/max alv ridge fx
|
$942.72 |
$1,543.20 |
$4,055.77 |
|
|
Cltx palatal/max fx wire fix
|
$1,423.20 |
$1,664.00 |
$3,613.68 |
|
|
Cltx post ankle fx
|
$1,408.00 |
$1,408.00 |
$1,408.00 |
|
|
Cltx post ankle fx w/mnpj
|
$144.90 |
$2,172.80 |
$2,971.64 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$158.34 |
$1,985.60 |
$3,126.61 |
|
|
Cltx strnclav dislc w/mnpj
|
$204.96 |
$1,908.80 |
$1,908.80 |
|
|
Cltx thigh fx
|
$2,148.80 |
$2,148.80 |
$2,849.84 |
|
|
Cltx thigh fx w/mnpj
|
$2,285.64 |
$2,659.20 |
$8,313.84 |
|
|
Cltx tmprmand dislc comp
|
$4,342.40 |
$4,342.40 |
$6,540.72 |
|
|
Cmbn ant pst colprhy
|
$1,539.60 |
$1,937.60 |
$78,293.96 |
|
|
C motor evoked lwr limbs
|
$78.12 |
$503.20 |
$985.86 |
|
|
C motor evoked uppr limbs
|
$117.60 |
$491.20 |
$985.86 |
|
|
C motor evoked upr&lwr limbs
|
$1,043.25 |
$1,625.65 |
$2,870.40 |
|
|
Cmptr ophth dx img ant segmt
|
$65.60 |
$65.60 |
$65.60 |
|
|
Cmptr ophth img optic nerve
|
$80.80 |
$80.80 |
$80.80 |
|
|
#cms hgb-carboxyhemoglobin
|
$48.00 |
$64.28 |
$64.28 |
|
|
#cms hgb-sulfhemoglobin
|
$33.57 |
$33.57 |
$194.35 |
|
|
#cmvcul-virus inoculation shell
|
$39.20 |
$39.20 |
$72.00 |
|
|
Cmv pcr-sendout
|
$86.40 |
$88.80 |
$487.00 |
|
|
Co2 monitor per day
|
$115.20 |
$115.20 |
$868.00 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$4.32 |
$17,257.50 |
$43,143.75 |
|
|
Coagulation time activated teg
|
$32.85 |
$36.60 |
$131.00 |
|
|
Coagulation time lee & white
|
$11.20 |
$11.20 |
$11.20 |
|
|
Coagulation time otr method
|
$11.20 |
$11.20 |
$85.80 |
|
|
Cocaine 4 % nasal solution
|
$331.01 |
$673.20 |
$3,354.90 |
|
|
Cocaine hcl nasal (numbrino)
|
$1.48 |
$1.77 |
$2.16 |
|
|
Cochlear implt f/up exam <7
|
$369.60 |
$369.60 |
$369.60 |
|
|
Cochlear implt f/up exam 7/>
|
$345.60 |
$345.60 |
$345.60 |
|
|
Cocm by rhc/fqhc 60 min mo
|
$304.00 |
$304.00 |
$304.00 |
|
|
Codeine 15 mg/ml inj 2 ml
|
$15.49 |
$15.49 |
$15.49 |
|
|
Coil axium 3d 14mmx40cm qc
|
$2,801.50 |
$2,948.58 |
$4,536.28 |
|
|
Cold agglutinin screen (arc)
|
$48.57 |
$66.95 |
$158.00 |
|
|
Cold agglutinin titer
|
$20.40 |
$48.57 |
$152.04 |
|
|
Colectomy/end colost/close dis seg 44143
|
$2,436.00 |
$4,085.60 |
$5,902.00 |
|
|
Colectomy/ ileostomy without prctect 44150
|
$3,362.40 |
$4,586.40 |
$6,635.00 |
|
|
Colectomy/ ileostomy w/prctect 44155
|
$3,763.20 |
$5,118.40 |
$5,118.40 |
|
|
Colectomy partial w/anastomosis 44140
|
$1,974.60 |
$3,296.80 |
$4,792.00 |
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$3,478.20 |
$4,771.20 |
$4,771.20 |
|
|
Colectomy prtl w/coloproctostomy 44145
|
$2,993.40 |
$4,078.40 |
$5,911.00 |
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$3,079.20 |
$5,203.20 |
$7,513.00 |
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$2,232.00 |
$3,053.60 |
$4,440.00 |
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$3,270.00 |
$4,476.80 |
$6,472.00 |
|
|
Colectomy/w colostomy or ileostomy 44144
|
$3,176.40 |
$4,344.00 |
$4,344.00 |
|
|
Colectomy w/ileoanal anast
|
$5,367.20 |
$5,367.20 |
$5,367.20 |
|
|
Colectomy w/neo-rectum pouch
|
$5,500.80 |
$5,500.80 |
$5,500.80 |
|
|
Colistimethate sodium inj
|
$46.70 |
$65.30 |
$107.55 |
|
|
Collagenase, clost hist inj
|
$73.60 |
$73.60 |
$12,823.04 |
|
|
Collagen based wound filler
|
$867.68 |
$1,303.12 |
$1,428.43 |
|
|
Collagen dressing <=16 sq in
|
$59.20 |
$59.20 |
$92.68 |
|
|
Collagen imp urinary 2.5 ml
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$166.32 |
$271.05 |
$37,977.00 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$44.47 |
$80.00 |
$289.21 |
|
|
Collar cerv adlt perfit ace extric
|
$27.30 |
$52.47 |
$192.80 |
|
|
Collar cerv ascend 172 reg
|
$63.60 |
$339.36 |
$1,844.20 |
|
|
Collar cerv patriot adlt
|
$3.18 |
$49.80 |
$323.20 |
|
|
Collar extrication adult univ
|
$33.54 |
$41.92 |
$2,726.08 |
|
|
Collection blood specimen from completely implantable venous access device
|
$83.40 |
$141.01 |
$492.35 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$56.16 |
$134.48 |
$486.20 |
|
