|
Clot factor wght kininogen
|
$111.69 |
$111.69 |
$111.69 |
$157.50
|
|
Clot factor xii hageman
|
$199.12 |
$199.12 |
$199.12 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$129.18 |
$129.18 |
$129.18 |
$50.65
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$640.88 |
$640.88 |
$640.88 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$468.89 |
$468.89 |
$468.89 |
$626.40
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$386.81 |
$386.81 |
$386.81 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$604.48 |
$604.48 |
$604.48 |
$1,839.79
|
|
Clsd tx clavicle dislocation without manip 23540
|
$419.29 |
$419.29 |
$419.29 |
$537.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$735.80 |
$735.80 |
$735.80 |
$1,916.00
|
|
Clsd tx/clavicular fx without manip 23500
|
$454.26 |
$454.26 |
$454.26 |
$497.00
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$243.01 |
$243.01 |
$243.01 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$768.99 |
$768.99 |
$768.99 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$711.18 |
$711.18 |
$711.18 |
$497.60
|
|
Clsd tx elbow dislocation child 24640
|
$174.14 |
$174.14 |
$174.14 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,742.79 |
$1,742.79 |
$1,742.79 |
$2,587.60
|
|
Clsd tx fracture of radius 25500
|
$538.83 |
$538.83 |
$538.83 |
$445.40
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$225.17 |
$225.17 |
$225.17 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$207.33 |
$207.33 |
$207.33 |
$477.60
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$657.30 |
$657.30 |
$657.30 |
$600.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$836.78 |
$836.78 |
$836.78 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$684.77 |
$684.77 |
$684.77 |
$568.92
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,456.96 |
$1,456.96 |
$1,456.96 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$650.16 |
$650.16 |
$650.16 |
$476.00
|
|
Clsd tx hip disloc without anes 27265
|
$216.60 |
$216.60 |
$216.60 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$626.61 |
$626.61 |
$626.61 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$509.57 |
$509.57 |
$509.57 |
$558.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$716.17 |
$716.17 |
$716.17 |
$1,059.20
|
|
Clsd tx mandibular fx without manip 21450
|
$861.05 |
$861.05 |
$861.05 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$473.17 |
$473.17 |
$473.17 |
$529.50
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$386.81 |
$386.81 |
$386.81 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$577.36 |
$577.36 |
$577.36 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$413.93 |
$413.93 |
$413.93 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$397.16 |
$397.16 |
$397.16 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$426.78 |
$426.78 |
$426.78 |
$3,600.75
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,093.35 |
$1,093.35 |
$1,093.35 |
$1,839.77
|
|
Clsd tx patella disloc without anes 27560
|
$333.65 |
$333.65 |
$333.65 |
$681.85
|
|
Clsd tx/patellar fx without manip 27520
|
$621.26 |
$621.26 |
$621.26 |
$567.02
|
|
Clsd tx pelvic ring fx
|
$869.61 |
$869.61 |
$869.61 |
$435.60
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$748.65 |
$748.65 |
$748.65 |
$2,431.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$208.75 |
$208.75 |
$208.75 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$438.91 |
$438.91 |
$438.91 |
$501.80
|
|
Clsd tx radius fracture w/manip 24655
|
$680.49 |
$680.49 |
$680.49 |
$1,843.20
|
|
Clsd tx/scapular fx without manip 23570
|
$522.06 |
$522.06 |
$522.06 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$927.06 |
$927.06 |
$927.06 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,390.24 |
$1,390.24 |
$1,390.24 |
$1,797.83
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,006.64 |
$1,006.64 |
$1,006.64 |
$2,423.85
|
|
Clsd tx temporomandibular dislocat 21480
|
$291.18 |
$291.18 |
$291.18 |
$512.40
|
|
Clsd tx toe dislocation without anes28660
|
$142.38 |
$142.38 |
$142.38 |
$420.80
|
|
Clsd tx trimall ankle fx without manip 27816
|
$468.89 |
$468.89 |
$468.89 |
$666.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,093.35 |
$1,093.35 |
$1,093.35 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$375.04 |
$375.04 |
$375.04 |
$510.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$992.01 |
$992.01 |
$992.01 |
$730.08
|
|
Clsd tx wrist carpal fx without manip 25630
|
$563.09 |
$563.09 |
$563.09 |
$482.40
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$563.09 |
$563.09 |
$563.09 |
$543.23
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$752.57 |
$752.57 |
$752.57 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$375.04 |
$375.04 |
$375.04 |
$494.77
|
|
Cls tx of heel fracture w/manip 28405
|
$914.57 |
$914.57 |
$914.57 |
$1,232.40
|
|
Cltx carpl scphd fx w/mnpj
|
$822.15 |
$822.15 |
$822.15 |
$2,368.00
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,093.35 |
$1,093.35 |
$1,093.35 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$626.61 |
$626.61 |
$626.61 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$696.19 |
$696.19 |
$696.19 |
$1,858.61
|
|
Cltx lunate dislc w/mnpj
|
$1,114.76 |
$1,114.76 |
$1,114.76 |
$2,952.64
|
|
Cltx post ankle fx
|
$136.67 |
$136.67 |
$136.67 |
$521.30
|
|
Cltx post ankle fx w/mnpj
|
$136.67 |
$136.67 |
$136.67 |
$2,580.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$730.80 |
$730.80 |
$730.80 |
$2,050.29
|
|
Cltx strnclav dislc w/mnpj
|
$786.11 |
$786.11 |
$786.11 |
$786.11
|
|
Cltx thigh fx
|
$145.95 |
$145.95 |
$145.95 |
$3,705.22
|
|
#cms hgb-carboxyhemoglobin
|
$29.27 |
$29.27 |
$29.27 |
$19.42
|
|
#cmvcul-virus inoculation shell
|
$31.05 |
$31.05 |
$31.05 |
$102.57
|
|
Cmv pcr-sendout
|
$97.78 |
$97.78 |
$97.78 |
$172.25
|
|
Co2 monitor per day
|
$327.58 |
$327.58 |
$327.58 |
$388.85
|
|
Coagulation time activated teg
|
$47.11 |
$47.11 |
$47.11 |
$52.25
|
|
Cocaine 4 % nasal solution
|
$86.18 |
$86.18 |
$86.18 |
$781.82
|
|
Coil axium 3d 14mmx40cm qc
|
$485.30 |
$485.30 |
$485.30 |
$577.03
|
|
Cold agglutinin screen (arc)
|
$35.69 |
$35.69 |
$35.69 |
$48.10
|
|
Cold agglutinin titer
|
$55.67 |
$55.67 |
$55.67 |
$49.80
|
|
Colistimethate sodium inj
|
$54.18 |
$54.18 |
$54.18 |
$84.22
|
|
Collection blood specimen from completely implantable venous access device
|
$71.37 |
$71.37 |
$71.37 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$67.09 |
$67.09 |
$67.09 |
$165.00
|
|
Collection of venous blood by venipuncture
|
$17.49 |
$17.49 |
$17.49 |
$22.00
|
|
Colonoscopy flex with decompression 45393
|
$973.09 |
$973.09 |
$973.09 |
$1,670.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,143.31 |
$1,143.31 |
$1,143.31 |
$2,476.20
|
|
Colonoscopy w/balloon dilat
|
$1,143.31 |
$1,143.31 |
$1,143.31 |
$1,645.43
|
|
Colonoscopy (with biopsy)
|
$1,143.31 |
$1,143.31 |
$1,143.31 |
$2,538.00
|
|
Colonoscopy (with polyp removal)
|
$766.13 |
$766.13 |
$766.13 |
$2,472.75
|
|
Colpotomy drng of abscess 57010
|
$1,375.96 |
$1,375.96 |
$1,375.96 |
$3,309.79
|
|
Compatibility test each unit antiglobulin technique
|
$63.16 |
$63.16 |
$63.16 |
$158.95
|
|
Compatibility test each unit electronic
|
$52.10 |
$52.10 |
$52.10 |
$163.80
|
|
Compatibility test each unit immediate spin technique
|
$47.11 |
$47.11 |
$47.11 |
$158.35
|
|
Complement antigen each component c3
|
$113.12 |
$113.12 |
$113.12 |
$113.30
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$404.30 |
$404.30 |
$404.30 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$406.80 |
$406.80 |
$406.80 |
$1,413.75
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$656.58 |
$656.58 |
$656.58 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$965.24 |
$965.24 |
$965.24 |
$1,252.90
|
|
Complx repair enel addl 5cm/< 13153
|
$482.45 |
$482.45 |
$482.45 |
$486.20
|
|
Complx repair fccmnaxghf 13131
|
$404.66 |
$404.66 |
$404.66 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$487.44 |
$487.44 |
$487.44 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$378.96 |
$378.96 |
$378.96 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$259.78 |
$259.78 |
$259.78 |
$590.20
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$296.89 |
$296.89 |
$296.89 |
$1,193.40
|