|
Clot factor xii hageman
|
$101.63 |
$119.19 |
$199.12 |
|
|
Clot factor xiii fibrin scrn
|
$10.27 |
$42.98 |
$165.47 |
|
|
Clot factor xiii fibrin stab
|
$19.52 |
$19.52 |
$136.48 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$202.95 |
$373.19 |
$2,300.33 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$288.06 |
$568.54 |
$1,346.17 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$243.02 |
$285.01 |
$599.09 |
|
|
Clsd tx clav dislc without manip 23520
|
$218.06 |
$603.32 |
$756.44 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$212.09 |
$248.74 |
$419.29 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$218.06 |
$735.80 |
$3,040.35 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$212.09 |
$218.06 |
$454.26 |
|
|
Clsd tx coccygeal fracture 27200
|
$212.09 |
$218.06 |
$248.74 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$211.83 |
$243.01 |
$460.35 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$212.09 |
$265.92 |
$768.99 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$288.06 |
$288.06 |
$711.18 |
|
|
Clsd tx elbow dislocation child 24640
|
$174.14 |
$263.48 |
$1,849.58 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,227.71 |
$1,332.76 |
$1,742.79 |
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$1,682.22 |
$1,682.22 |
$2,109.16 |
|
|
Clsd tx fracture of radius 25500
|
$235.39 |
$295.13 |
$538.83 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$163.46 |
$163.46 |
$225.17 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$178.11 |
$339.37 |
$411.73 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$230.97 |
$288.06 |
$2,663.55 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$288.06 |
$532.19 |
$8,711.83 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$237.80 |
$278.89 |
$684.77 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$261.50 |
$532.19 |
$8,794.01 |
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$212.09 |
$248.74 |
$650.16 |
|
|
Clsd tx hip disloc without anes 27265
|
$216.60 |
$248.64 |
$512.96 |
|
|
Clsd tx humeral fract without manip 24530
|
$236.75 |
$477.19 |
$626.61 |
|
|
Clsd tx humerus fract without manip 24500
|
$121.68 |
$241.51 |
$509.57 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$716.17 |
$838.30 |
$1,104.39 |
|
|
Clsd tx mandibular fx without manip 21450
|
$428.19 |
$502.18 |
$861.05 |
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$200.84 |
$212.09 |
$473.17 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$161.99 |
$245.24 |
$1,445.05 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$212.09 |
$288.06 |
$1,445.05 |
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$274.13 |
$274.13 |
$274.13 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$216.11 |
$270.95 |
$572.36 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$218.11 |
$255.80 |
$397.16 |
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$141.39 |
$255.00 |
$1,168.02 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$233.80 |
$288.06 |
$1,093.35 |
|
|
Clsd tx patella disloc without anes 27560
|
$188.79 |
$274.13 |
$1,849.58 |
|
|
Clsd tx/patellar fx without manip 27520
|
$127.54 |
$226.15 |
$621.26 |
|
|
Clsd tx pelvic ring fx
|
$212.09 |
$265.92 |
$869.61 |
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$288.06 |
$748.65 |
$1,671.01 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$198.83 |
$208.75 |
$586.36 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$178.35 |
$209.17 |
$438.91 |
|
|
Clsd tx radius fracture w/manip 24655
|
$229.76 |
$288.07 |
$835.41 |
|
|
Clsd tx/scapular fx without manip 23570
|
$212.09 |
$218.06 |
$522.06 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$598.72 |
$927.06 |
$8,711.83 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$215.70 |
$264.17 |
$1,390.24 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$684.59 |
$817.59 |
$10,856.65 |
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$684.59 |
$684.59 |
$684.59 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$156.86 |
$181.60 |
$291.18 |
|
|
Clsd tx toe dislocation without anes28660
|
$142.38 |
$239.40 |
$300.16 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$288.06 |
$468.89 |
$1,346.17 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$242.21 |
$532.19 |
$8,794.01 |
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$235.39 |
$276.06 |
$375.04 |
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$512.94 |
$601.58 |
$992.01 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$212.09 |
$248.74 |
$563.09 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$212.09 |
$248.74 |
$563.09 |
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$212.09 |
$254.05 |
$837.11 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$212.09 |
$248.74 |
$752.57 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$212.09 |
$265.92 |
$375.04 |
|
|
Cls tx of heel fracture w/manip 28405
|
$288.06 |
$288.06 |
$914.57 |
|
|
Cltx carpl scphd fx w/mnpj
|
$288.06 |
$693.30 |
$822.15 |
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,093.35 |
$1,215.99 |
$1,563.06 |
|
|
Cltx hum epcndylr fx wo mnpj
|
$212.09 |
$265.92 |
$626.61 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$232.57 |
$696.19 |
$1,093.80 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$212.09 |
$212.09 |
$248.74 |
|
|
Cltx lunate dislc w/mnpj
|
$1,114.76 |
$1,332.76 |
$1,671.01 |
|
|
Cltx mndblr fx ntrdntl fixj
|
$1,665.73 |
$1,723.19 |
$2,746.27 |
|
|
Cltx mndblr fx w/mnpj
|
$654.91 |
$1,019.05 |
$1,277.68 |
|
|
Cltx mndblr/max alv ridge fx
|
$949.12 |
$1,360.08 |
$1,705.26 |
|
|
Cltx post ankle fx
|
$136.67 |
$231.77 |
$271.82 |
|
|
Cltx post ankle fx w/mnpj
|
$136.67 |
$231.77 |
$290.59 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$218.06 |
$285.95 |
$750.98 |
|
|
Cltx strnclav dislc w/mnpj
|
$730.25 |
$786.11 |
$915.58 |
|
|
Cltx thigh fx
|
$145.95 |
$221.33 |
$259.57 |
|
|
Cltx tmprmand dislc comp
|
$1,627.59 |
$1,627.59 |
$1,908.83 |
|
|
C motor evoked upr&lwr limbs
|
$3,388.22 |
$3,388.22 |
$3,388.22 |
|
|
#cms hgb-carboxyhemoglobin
|
$29.27 |
$29.27 |
$29.27 |
|
|
#cmvcul-virus inoculation shell
|
$21.64 |
$78.73 |
$267.65 |
|
|
Cmv pcr-sendout
|
$56.43 |
$178.85 |
$372.63 |
|
|
Co2 monitor per day
|
$286.23 |
$327.58 |
$408.94 |
|
|
Coagulation time activated teg
|
$32.99 |
$41.38 |
$48.53 |
|
|
Cocaine 4 % nasal solution
|
$86.18 |
$102.47 |
$558.95 |
|
|
Coil axium 3d 14mmx40cm qc
|
$485.30 |
$546.28 |
$684.93 |
|
|
Cold agglutinin screen (arc)
|
$34.37 |
$35.69 |
$47.19 |
|
|
Cold agglutinin titer
|
$45.45 |
$55.92 |
$73.97 |
|
|
Colistimethate sodium inj
|
$54.18 |
$60.98 |
$76.46 |
|
|
Collection blood specimen from completely implantable venous access device
|
$59.40 |
$103.24 |
$549.83 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$59.05 |
$69.25 |
$232.41 |
|
|
Collection of venous blood by venipuncture
|
$15.43 |
$19.43 |
$52.82 |
|
|
Colonoscopy flex with decompression 45393
|
$973.09 |
$1,106.22 |
$1,340.12 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,143.31 |
$1,334.33 |
$1,681.30 |
|
|
Colonoscopy w/balloon dilat
|
$1,143.31 |
$1,334.33 |
$1,681.30 |
|
|
Colonoscopy (with biopsy)
|
$1,143.31 |
$1,334.33 |
$1,681.30 |
|
|
Colonoscopy (with polyp removal)
|
$530.62 |
$881.39 |
$2,639.48 |
|
|
Colpopexy intraperitoneal
|
$1,399.12 |
$1,399.12 |
$1,399.12 |
|
|
Colpotomy drng of abscess 57010
|
$944.74 |
$1,134.28 |
$1,375.96 |
|
|
Compatibility test each unit antiglobulin technique
|
$63.16 |
$95.89 |
$477.08 |
|
|
Compatibility test each unit electronic
|
$48.75 |
$62.37 |
$89.15 |
|
