|
Clsd tx bimalleol ank fx without manip 27808
|
$667.25 |
$667.25 |
$667.25 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$648.70 |
$648.70 |
$648.70 |
$489.60
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,353.95 |
$2,353.95 |
$2,353.95 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$677.90 |
$677.90 |
$677.90 |
$452.40
|
|
Clsd tx dist fib fx w/manip 27788
|
$924.50 |
$924.50 |
$924.50 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$328.00 |
$328.00 |
$328.00 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,546.75 |
$1,546.75 |
$1,546.75 |
$2,211.05
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$311.15 |
$311.15 |
$311.15 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$340.20 |
$340.20 |
$340.20 |
$464.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,427.95 |
$1,427.95 |
$1,427.95 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,059.15 |
$1,059.15 |
$1,059.15 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$832.80 |
$832.80 |
$832.80 |
$630.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$771.85 |
$771.85 |
$771.85 |
$883.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$587.15 |
$587.15 |
$587.15 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$682.95 |
$682.95 |
$682.95 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$572.30 |
$572.30 |
$572.30 |
$522.78
|
|
Clsd tx patella disloc without anes 27560
|
$765.35 |
$765.35 |
$765.35 |
$573.52
|
|
Clsd tx radius fracture w/manip 24655
|
$815.00 |
$815.00 |
$815.00 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$996.25 |
$996.25 |
$996.25 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,384.65 |
$2,384.65 |
$2,384.65 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$934.00 |
$934.00 |
$934.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$219.95 |
$219.95 |
$219.95 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$438.65 |
$438.65 |
$438.65 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,060.90 |
$1,060.90 |
$1,060.90 |
$1,592.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$8,595.35 |
$8,595.35 |
$8,595.35 |
$6,776.64
|
|
Cltx mndblr/max alv ridge fx
|
$4,623.35 |
$4,623.35 |
$4,623.35 |
$3,986.00
|
|
#cmvcul-virus inoculation shell
|
$222.70 |
$222.70 |
$222.70 |
$89.76
|
|
Cmv pcr-sendout
|
$138.85 |
$138.85 |
$138.85 |
$175.70
|
|
Cold agglutinin titer
|
$18.90 |
$18.90 |
$18.90 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$473.75 |
$473.75 |
$473.75 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$64.75 |
$64.75 |
$64.75 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$202.45 |
$202.45 |
$202.45 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$192.95 |
$192.95 |
$192.95 |
$173.50
|
|
Compatibility test each unit electronic
|
$699.80 |
$699.80 |
$699.80 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$156.55 |
$156.55 |
$156.55 |
$169.52
|
|
Complement antigen each component c3
|
$149.75 |
$149.75 |
$149.75 |
$110.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$835.45 |
$835.45 |
$835.45 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$859.25 |
$859.25 |
$859.25 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$783.80 |
$783.80 |
$783.80 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$1,187.65 |
$1,187.65 |
$1,187.65 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$757.30 |
$757.30 |
$757.30 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,226.00 |
$1,226.00 |
$1,226.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$10,403.10 |
$10,403.10 |
$10,403.10 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$533.10 |
$533.10 |
$533.10 |
$508.44
|
|
Complx repair trunk addl 5cm/< 13102
|
$259.60 |
$259.60 |
$259.60 |
$537.00
|
|
Concentration infection agents any type
|
$63.95 |
$63.95 |
$63.95 |
$51.32
|
|
Condylomata destruction 56420
|
$271.40 |
$271.40 |
$271.40 |
$467.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,335.44 |
$1,335.44 |
$1,335.44 |
$860.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$272.65 |
$272.65 |
$272.65 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$330.70 |
$330.70 |
$330.70 |
$226.50
|
|
Consultation/report referred slides prepared elsewhere
|
$561.00 |
$561.00 |
$561.00 |
$176.28
|
|
Contrast baths charges
|
$80.95 |
$80.95 |
$80.95 |
$75.60
|
|
Contrast x-ray of hip
|
$210.00 |
$210.00 |
$210.00 |
$796.38
|
|
Controller infinity pt dbs
|
$843.00 |
$843.00 |
$843.00 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$507.10 |
$507.10 |
$507.10 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$406.50 |
$406.50 |
$406.50 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$221.10 |
$221.10 |
$221.10 |
$352.80
|
|
Coombs direct
|
$101.60 |
$101.60 |
$101.60 |
$76.80
|
|
Coombs indirect titer reference
|
$91.75 |
$91.75 |
$91.75 |
$156.71
|
|
Core ndl bx lng/med perq
|
$1,549.45 |
$1,549.45 |
$1,549.45 |
$2,904.48
|
|
Cortisol acth stimulation test - sendout
|
$386.00 |
$386.00 |
$386.00 |
$146.25
|
|
Cortisol total am
|
$196.20 |
$196.20 |
$196.20 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$284.19 |
$284.19 |
$284.19 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$91.75 |
$91.75 |
$91.75 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$66.15 |
$66.15 |
$66.15 |
$54.60
|
|
Covid-19 administration immunization im inj 1st/only component
|
$50.00 |
$50.00 |
$50.00 |
$49.13
|
|
Covid-19 lab test non-cdc
|
$107.00 |
$107.00 |
$107.00 |
$82.40
|
|
#covid19rsv-rsv
|
$350.75 |
$350.75 |
$350.75 |
$145.60
|
|
CPAP or BiPAP Setup (first day)
|
$800.35 |
$800.35 |
$800.35 |
$584.50
|
|
C-peptide
|
$221.35 |
$221.35 |
$221.35 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$614.35 |
$614.35 |
$614.35 |
$777.71
|
|
C-reactive protein
|
$98.55 |
$98.55 |
$98.55 |
$69.36
|
|
C-reactive protein high sensitivity
|
$166.00 |
$166.00 |
$166.00 |
$85.50
|
|
Creatine kinase
|
$113.40 |
$113.40 |
$113.40 |
$66.30
|
|
Creatine kinase mb
|
$122.80 |
$122.80 |
$122.80 |
$113.63
|
|
Creatinine
|
$98.55 |
$98.55 |
$98.55 |
$46.20
|
|
Creatinine 24 hour urine
|
$97.90 |
$97.90 |
$97.90 |
$57.85
|
|
Creatinine clearance urine
|
$134.95 |
$134.95 |
$134.95 |
$90.26
|
|
#creutz-prot.,western blot
|
$336.55 |
$336.55 |
$336.55 |
$163.50
|
|
Crisis psychotherapy 90839
|
$221.10 |
$221.10 |
$221.10 |
$313.30
|
|
Crisis psychotherapy additional 30 mins 90840
|
$199.95 |
$199.95 |
$199.95 |
$149.52
|
|
Critical care each additional 30 minutes
|
$1,326.80 |
$1,326.80 |
$1,326.80 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,816.80 |
$2,816.80 |
$2,816.80 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$90.30 |
$90.30 |
$90.30 |
$52.50
|
|
Cryoprecipitate each unit
|
$437.25 |
$437.25 |
$437.25 |
$144.78
|
|
Crystal identification light microscopy
|
$117.40 |
$117.40 |
$117.40 |
$66.43
|
|
Cta lower extremity without & w/contrast (both sides)
|
$743.70 |
$743.70 |
$743.70 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,247.35 |
$3,247.35 |
$3,247.35 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$3,247.35 |
$3,247.35 |
$3,247.35 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,246.05 |
$3,246.05 |
$3,246.05 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$3,250.15 |
$3,250.15 |
$3,250.15 |
$1,915.30
|
|
CT Angiogram of the Head
|
$3,250.15 |
$3,250.15 |
$3,250.15 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,250.15 |
$3,250.15 |
$3,250.15 |
$1,881.75
|
|
CT angio pelvis
|
$3,247.35 |
$3,247.35 |
$3,247.35 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,449.85 |
$1,449.85 |
$1,449.85 |
$1,691.30
|
|
CT guidance for needle placement
|
$827.35 |
$827.35 |
$827.35 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$697.80 |
$697.80 |
$697.80 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$1,226.00 |
$1,226.00 |
$1,226.00 |
$2,039.76
|
|
CT limited or localized follow-up study
|
$734.25 |
$734.25 |
$734.25 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$3,248.75 |
$3,248.75 |
$3,248.75 |
$1,818.96
|
