|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$434.62 |
$434.62 |
$509.72 |
$1,183.65
|
|
Clot factor fletcher fact
|
$204.46 |
$204.46 |
$239.79 |
$99.83
|
|
Clot factor wght kininogen
|
$204.46 |
$204.46 |
$239.79 |
$157.50
|
|
Clot factor xii hageman
|
$101.63 |
$101.63 |
$119.19 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$42.98 |
$42.98 |
$50.41 |
$50.65
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$297.65 |
$297.65 |
$373.19 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$533.03 |
$533.03 |
$625.13 |
$626.40
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$243.02 |
$243.02 |
$285.01 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$603.32 |
$603.32 |
$756.44 |
$1,839.79
|
|
Clsd tx clavicle dislocation without manip 23540
|
$212.09 |
$212.09 |
$248.74 |
$537.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,424.92 |
$2,424.92 |
$3,040.35 |
$1,916.00
|
|
Clsd tx/clavicular fx without manip 23500
|
$212.09 |
$212.09 |
$248.74 |
$497.00
|
|
Clsd tx coccygeal fracture 27200
|
$212.09 |
$212.09 |
$248.74 |
$336.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$212.09 |
$212.09 |
$248.74 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$212.09 |
$212.09 |
$265.92 |
$731.04
|
|
Clsd tx elbow dislocation child 24640
|
$281.98 |
$281.98 |
$330.71 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,332.76 |
$1,332.76 |
$1,563.06 |
$2,587.60
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$1,682.22 |
$1,682.22 |
$2,109.16 |
$1,941.60
|
|
Clsd tx fracture of radius 25500
|
$235.39 |
$235.39 |
$295.13 |
$445.40
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$351.07 |
$351.07 |
$411.73 |
$477.60
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$230.97 |
$230.97 |
$270.88 |
$600.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$372.36 |
$372.36 |
$466.86 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$237.80 |
$237.80 |
$278.89 |
$568.92
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$261.50 |
$261.50 |
$306.68 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$212.09 |
$212.09 |
$248.74 |
$476.00
|
|
Clsd tx hip disloc without anes 27265
|
$248.64 |
$248.64 |
$311.74 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$477.19 |
$477.19 |
$559.65 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$212.09 |
$212.09 |
$248.74 |
$558.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$838.30 |
$838.30 |
$983.16 |
$1,059.20
|
|
Clsd tx mandibular fx without manip 21450
|
$428.19 |
$428.19 |
$502.18 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$212.09 |
$212.09 |
$248.74 |
$529.50
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$212.09 |
$212.09 |
$265.92 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$212.09 |
$212.09 |
$265.92 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$216.11 |
$216.11 |
$270.95 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$218.11 |
$218.11 |
$255.80 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$141.39 |
$141.39 |
$165.83 |
$3,600.75
|
|
Clsd tx of ankle fracture w/manip 28435
|
$253.46 |
$253.46 |
$297.26 |
$1,839.77
|
|
Clsd tx patella disloc without anes 27560
|
$188.79 |
$188.79 |
$221.41 |
$681.85
|
|
Clsd tx/patellar fx without manip 27520
|
$212.09 |
$212.09 |
$248.74 |
$567.02
|
|
Clsd tx pelvic ring fx
|
$212.09 |
$212.09 |
$265.92 |
$435.60
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,332.76 |
$1,332.76 |
$1,671.01 |
$2,431.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$198.83 |
$198.83 |
$233.19 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$178.35 |
$178.35 |
$209.17 |
$501.80
|
|
Clsd tx radius fracture w/manip 24655
|
$229.76 |
$229.76 |
$288.07 |
$1,843.20
|
|
Clsd tx/scapular fx without manip 23570
|
$212.09 |
$212.09 |
$248.74 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$935.91 |
$935.91 |
$1,173.44 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$215.70 |
$215.70 |
$252.98 |
$1,797.83
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,640.79 |
$1,640.79 |
$1,640.79 |
$2,423.85
|
|
Clsd tx temporomandibular dislocat 21480
|
$231.37 |
$231.37 |
$290.09 |
$512.40
|
|
Clsd tx toe dislocation without anes28660
|
$239.40 |
$239.40 |
$300.16 |
$420.80
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$242.21 |
$242.21 |
$284.07 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$235.39 |
$235.39 |
$276.06 |
$510.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$512.94 |
$512.94 |
$601.58 |
$730.08
|
|
Clsd tx wrist carpal fx without manip 25630
|
$212.09 |
$212.09 |
$248.74 |
$482.40
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$212.09 |
$212.09 |
$248.74 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$212.09 |
$212.09 |
$248.74 |
$744.22
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$212.09 |
$212.09 |
$248.74 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$212.09 |
$212.09 |
$265.92 |
$494.77
|
|
Cltx carpl scphd fx w/mnpj
|
$693.30 |
$693.30 |
$813.09 |
$2,368.00
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,332.76 |
$1,332.76 |
$1,563.06 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$212.09 |
$212.09 |
$265.92 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$232.57 |
$232.57 |
$272.76 |
$1,858.61
|
|
Cltx humrl cndylr fx wo mnpj
|
$212.09 |
$212.09 |
$248.74 |
$581.99
|
|
Cltx lunate dislc w/mnpj
|
$1,332.76 |
$1,332.76 |
$1,671.01 |
$2,952.64
|
|
Cltx mndblr fx ntrdntl fixj
|
$1,723.19 |
$1,723.19 |
$2,160.53 |
$5,835.75
|
|
Cltx mndblr fx w/mnpj
|
$1,019.05 |
$1,019.05 |
$1,277.68 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$1,360.08 |
$1,360.08 |
$1,705.26 |
$3,786.00
|
|
Cltx post ankle fx
|
$231.77 |
$231.77 |
$271.82 |
$521.30
|
|
Cltx post ankle fx w/mnpj
|
$231.77 |
$231.77 |
$290.59 |
$2,580.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$243.82 |
$243.82 |
$285.95 |
$2,050.29
|
|
Cltx strnclav dislc w/mnpj
|
$730.25 |
$730.25 |
$915.58 |
$786.11
|
|
Cltx thigh fx
|
$221.33 |
$221.33 |
$259.57 |
$3,705.22
|
|
Cltx tmprmand dislc comp
|
$1,627.59 |
$1,627.59 |
$1,908.83 |
$4,040.04
|
|
#cmvcul-virus inoculation shell
|
$78.73 |
$78.73 |
$92.34 |
$102.57
|
|
Cmv pcr-sendout
|
$317.73 |
$317.73 |
$372.63 |
$172.25
|
|
Co2 monitor per day
|
$326.16 |
$326.16 |
$408.94 |
$388.85
|
|
Coagulation time activated teg
|
$41.38 |
$41.38 |
$48.53 |
$52.25
|
|
Cocaine 4 % nasal solution
|
$97.01 |
$97.01 |
$121.63 |
$781.82
|
|
Coil axium 3d 14mmx40cm qc
|
$546.28 |
$546.28 |
$684.93 |
$577.03
|
|
Cold agglutinin titer
|
$63.07 |
$63.07 |
$73.97 |
$49.80
|
|
Colistimethate sodium inj
|
$60.98 |
$60.98 |
$76.46 |
$84.22
|
|
Collection blood specimen from completely implantable venous access device
|
$103.24 |
$103.24 |
$121.07 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$59.05 |
$59.05 |
$69.25 |
$165.00
|
|
Collection of venous blood by venipuncture
|
$18.08 |
$18.08 |
$21.20 |
$22.00
|
|
Colonoscopy flex with decompression 45393
|
$1,106.22 |
$1,106.22 |
$1,297.37 |
$1,670.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,433.58 |
$1,433.58 |
$1,681.30 |
$2,476.20
|
|
Colonoscopy w/balloon dilat
|
$1,433.58 |
$1,433.58 |
$1,681.30 |
$1,645.43
|
|
Colonoscopy (with biopsy)
|
$1,433.58 |
$1,433.58 |
$1,681.30 |
$2,538.00
|
|
Colonoscopy (with polyp removal)
|
$530.62 |
$530.62 |
$2,639.48 |
$2,472.75
|
|
Colpopexy intraperitoneal
|
$1,399.12 |
$1,399.12 |
$1,399.12 |
$4,755.92
|
|
Colpotomy drng of abscess 57010
|
$944.74 |
$944.74 |
$1,184.51 |
$3,309.79
|
|
Compatibility test each unit antiglobulin technique
|
$102.23 |
$102.23 |
$155.05 |
$158.95
|
|
Compatibility test each unit electronic
|
$71.10 |
$71.10 |
$89.15 |
$163.80
|
|
Compatibility test each unit immediate spin technique
|
$86.37 |
$86.37 |
$101.29 |
$158.35
|
|
Complement antigen each component c3
|
$210.48 |
$210.48 |
$246.85 |
$113.30
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$404.09 |
$404.09 |
$506.64 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$431.00 |
$431.00 |
$540.39 |
$1,413.75
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$336.61 |
$336.61 |
$394.77 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$343.84 |
$343.84 |
$403.25 |
$1,252.90
|
|
Complx repair enel addl 5cm/< 13153
|
$326.57 |
$326.57 |
$383.00 |
$486.20
|