|
Closed tx orbit without manipulj
|
$865.80 |
$865.80 |
$865.80 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,520.60 |
$2,520.60 |
$2,520.60 |
$2,562.40
|
|
Clos txnose fx without stablz 21315
|
$2,701.80 |
$2,701.80 |
$2,701.80 |
$2,403.33
|
|
Closure paravalvlr leak pq
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$8,207.99
|
|
Clot factor fletcher fact
|
$120.60 |
$120.60 |
$120.60 |
$116.82
|
|
Clot factor viii reltd antgn
|
$174.60 |
$174.60 |
$174.60 |
$140.42
|
|
Clot factor wght kininogen
|
$200.40 |
$200.40 |
$200.40 |
$157.50
|
|
Clot factor xii hageman
|
$58.80 |
$58.80 |
$58.80 |
$126.00
|
|
Clot factor xiii fibrin scrn
|
$33.60 |
$33.60 |
$33.60 |
$51.91
|
|
Clot factor xiii fibrin stab
|
$35.40 |
$35.40 |
$35.40 |
$99.23
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$904.80 |
$904.80 |
$904.80 |
$686.40
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$519.60 |
$519.60 |
$519.60 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$519.60 |
$519.60 |
$519.60 |
$503.40
|
|
Clsd tx clavicle dislocation without manip 23540
|
$394.20 |
$394.20 |
$394.20 |
$419.73
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,916.00
|
|
Clsd tx coccygeal fracture 27200
|
$394.20 |
$394.20 |
$394.20 |
$394.20
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$394.20 |
$394.20 |
$394.20 |
$413.40
|
|
Clsd tx dist fib fx w/manip 27788
|
$519.60 |
$519.60 |
$519.60 |
$691.60
|
|
Clsd tx elbow dislocation child 24640
|
$399.60 |
$399.60 |
$399.60 |
$494.90
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$2,319.00
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$519.60 |
$519.60 |
$519.60 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$394.20 |
$394.20 |
$394.20 |
$546.00
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$519.60 |
$519.60 |
$519.60 |
$665.60
|
|
Clsd tx humerus fract without manip 24500
|
$394.20 |
$394.20 |
$394.20 |
$492.99
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$519.60 |
$519.60 |
$519.60 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$519.60 |
$519.60 |
$519.60 |
$519.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$519.60 |
$519.60 |
$519.60 |
$670.40
|
|
Clsd tx/metatarsal fx without manip 28470
|
$519.60 |
$519.60 |
$519.60 |
$418.20
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$519.60 |
$519.60 |
$519.60 |
$577.20
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$2,275.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$372.00 |
$372.00 |
$372.00 |
$408.85
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$394.20 |
$394.20 |
$394.20 |
$459.90
|
|
Clsd tx radius fracture w/manip 24655
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,806.10
|
|
Clsd tx shoulder dislc/fx 23665
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,851.78
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,771.43
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$2,287.20
|
|
Clsd tx temporomandibular dislocat 21480
|
$519.60 |
$519.60 |
$519.60 |
$445.15
|
|
Clsd tx toe dislocation without anes28660
|
$519.60 |
$519.60 |
$519.60 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,592.00
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$394.20 |
$394.20 |
$394.20 |
$496.61
|
|
Cltx carpl scphd fx w/mnpj
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$2,064.40
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,847.60 |
$2,847.60 |
$2,847.60 |
$1,858.00
|
|
Cltx lunate dislc w/mnpj
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$2,464.50
|
|
Cltx post ankle fx w/mnpj
|
$2,667.00 |
$2,667.00 |
$2,667.00 |
$2,172.80
|
|
Cltx thigh fx w/mnpj
|
$5,419.20 |
$5,419.20 |
$5,419.20 |
$3,503.71
|
|
#cmvcul-virus inoculation shell
|
$67.20 |
$67.20 |
$67.20 |
$100.20
|
|
Cmv pcr-sendout
|
$78.00 |
$78.00 |
$78.00 |
$172.25
|
|
Coagulation time activated teg
|
$58.20 |
$58.20 |
$58.20 |
$52.00
|
|
Coch imp ext proc/contr rplc
|
$31,351.55 |
$31,351.55 |
$31,351.55 |
$14,283.08
|
|
Coch implant microphone repl
|
$774.14 |
$774.14 |
$774.14 |
$878.84
|
|
Cold agglutinin screen (arc)
|
$40.20 |
$40.20 |
$40.20 |
$44.94
|
|
Cold agglutinin titer
|
$60.60 |
$60.60 |
$60.60 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$223.06 |
$223.06 |
$223.06 |
$52.78
|
|
Collar cerv adlt perfit ace extric
|
$149.58 |
$149.58 |
$149.58 |
$56.85
|
|
Collar cerv ascend 172 reg
|
$360.73 |
$360.73 |
$360.73 |
$187.48
|
|
Collar cerv patriot adlt
|
$247.23 |
$247.23 |
$247.23 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$142.80 |
$142.80 |
$142.80 |
$156.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$142.80 |
$142.80 |
$142.80 |
$154.80
|
|
Collection of venous blood by venipuncture
|
$13.80 |
$13.80 |
$13.80 |
$20.40
|
|
Colonoscopy (diagnostic)
|
$3,999.90 |
$3,999.90 |
$3,999.90 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$5,546.66 |
$5,546.66 |
$5,546.66 |
$1,904.00
|
|
Colonoscopy (with biopsy)
|
$4,714.98 |
$4,714.98 |
$4,714.98 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$5,229.44 |
$5,229.44 |
$5,229.44 |
$2,288.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$5,425.80 |
$5,425.80 |
$5,425.80 |
$3,762.53
|
|
Combination bilateral ho
|
$4,575.46 |
$4,575.46 |
$4,575.46 |
$4,575.46
|
|
Compatibility test each unit antiglobulin technique
|
$118.20 |
$118.20 |
$118.20 |
$165.00
|
|
Compatibility test each unit electronic
|
$115.20 |
$115.20 |
$115.20 |
$176.70
|
|
Compatibility test each unit immediate spin technique
|
$118.20 |
$118.20 |
$118.20 |
$169.52
|
|
Compatibility test incubate
|
$118.20 |
$118.20 |
$118.20 |
$145.60
|
|
Complement antigen each component c3
|
$139.20 |
$139.20 |
$139.20 |
$108.80
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$887.25
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$927.00 |
$927.00 |
$927.00 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$1,098.35
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$758.40 |
$758.40 |
$758.40 |
$1,218.40
|
|
Complx repair fccmnaxghf 13131
|
$761.40 |
$761.40 |
$761.40 |
$820.00
|
|
Complx repair fccmnaxghf 13132
|
$1,019.40 |
$1,019.40 |
$1,019.40 |
$1,177.60
|
|
Complx repair fccmnaxghf 13133
|
$1,019.40 |
$1,019.40 |
$1,019.40 |
$589.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$538.64
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$1,016.25
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,183.35 |
$2,183.35 |
$2,183.35 |
$1,232.73
|
|
Concentration infection agents any type
|
$33.60 |
$33.60 |
$33.60 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$18,356.42 |
$18,356.42 |
$18,356.42 |
$3,322.20
|
|
Condylomata destruction 56420
|
$397.80 |
$397.80 |
$397.80 |
$473.75
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,700.52 |
$1,700.52 |
$1,700.52 |
$871.08
|
|
Connect omega .5mm
|
$7,673.66 |
$7,673.66 |
$7,673.66 |
$1,348.80
|
|
Connector tis 2x10mm
|
$8,114.09 |
$8,114.09 |
$8,114.09 |
$4,091.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$447.33
|
|
Consultation pathology during surgery frozen section each additional block
|
$87.60 |
$87.60 |
$87.60 |
$110.51
|
|
Consultation pathology during surgery frozen section first tissue block
|
$243.60 |
$243.60 |
$243.60 |
$223.86
|
|
Contrast x-ray gallbladder
|
$389.40 |
$389.40 |
$389.40 |
$350.22
|
|
Controler lvad heartmate 3 includes ebb
|
$18,763.18 |
$18,763.18 |
$18,763.18 |
$11,939.40
|
|
Controller infinity pt dbs
|
$6,494.95 |
$6,494.95 |
$6,494.95 |
$4,624.54
|
|
Control nosebleed pack+caut 30905
|
$260.40 |
$260.40 |
$260.40 |
$426.40
|
|
Control of nosebleed ant comp 30903
|
$260.40 |
$260.40 |
$260.40 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$260.40 |
$260.40 |
$260.40 |
$364.96
|
|
Control oropharyngeal hemorr/simp 42960
|
$462.00 |
$462.00 |
$462.00 |
$638.25
|
|
Control throat bleeding
|
$5,655.00 |
$5,655.00 |
$5,655.00 |
$4,122.30
|
