|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$737.60 |
$737.60 |
$737.60 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$2,053.60 |
$2,053.60 |
$2,053.60 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,428.00 |
$2,428.00 |
$2,428.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$2,117.60 |
$2,117.60 |
$2,117.60 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,313.60 |
$1,313.60 |
$1,313.60 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$540.80 |
$540.80 |
$540.80 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$355.20 |
$355.20 |
$355.20 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$1,066.40 |
$1,066.40 |
$1,066.40 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$1,406.40 |
$1,406.40 |
$1,406.40 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,473.60 |
$1,473.60 |
$1,473.60 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$1,861.60 |
$1,861.60 |
$1,861.60 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$327.20 |
$327.20 |
$327.20 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$2,724.00 |
$2,724.00 |
$2,724.00 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,675.20 |
$2,675.20 |
$2,675.20 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$1,250.40 |
$1,250.40 |
$1,250.40 |
$498.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$3,848.00 |
$3,848.00 |
$3,848.00 |
$2,222.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$1,458.40 |
$1,458.40 |
$1,458.40 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$1,563.20 |
$1,563.20 |
$1,563.20 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,388.80 |
$2,388.80 |
$2,388.80 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,436.00 |
$2,436.00 |
$2,436.00 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$974.40 |
$974.40 |
$974.40 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$394.40 |
$394.40 |
$394.40 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$3,916.00 |
$3,916.00 |
$3,916.00 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,619.20 |
$1,619.20 |
$1,619.20 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$385.60 |
$385.60 |
$385.60 |
$473.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$612.80
|
|
Cltx carpl scphd fx w/mnpj
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,893.86
|
|
Cltx mndblr fx w/mnpj
|
$2,192.80 |
$2,192.80 |
$2,192.80 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$4,549.60 |
$4,549.60 |
$4,549.60 |
$3,986.00
|
|
Cltx post ankle fx w/mnpj
|
$2,316.80 |
$2,316.80 |
$2,316.80 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,077.60 |
$2,077.60 |
$2,077.60 |
$2,021.04
|
|
#cmvcul-virus inoculation shell
|
$573.60 |
$573.60 |
$573.60 |
$89.76
|
|
Cmv pcr-sendout
|
$548.00 |
$548.00 |
$548.00 |
$175.70
|
|
Co2 monitor per day
|
$761.60 |
$761.60 |
$761.60 |
$459.20
|
|
Coagulation time activated teg
|
$154.40 |
$154.40 |
$154.40 |
$52.47
|
|
Cold agglutinin titer
|
$135.20 |
$135.20 |
$135.20 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$742.40 |
$742.40 |
$742.40 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$170.40 |
$170.40 |
$170.40 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$98.40 |
$98.40 |
$98.40 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$196.00 |
$196.00 |
$196.00 |
$173.50
|
|
Compatibility test each unit electronic
|
$505.60 |
$505.60 |
$505.60 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$174.40 |
$174.40 |
$174.40 |
$169.52
|
|
Compatibility test incubate
|
$188.80 |
$188.80 |
$188.80 |
$156.24
|
|
Complement antigen each component c3
|
$528.00 |
$528.00 |
$528.00 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,319.20 |
$1,319.20 |
$1,319.20 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$2,827.20 |
$2,827.20 |
$2,827.20 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,856.80 |
$1,856.80 |
$1,856.80 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$692.80 |
$692.80 |
$692.80 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,093.60 |
$1,093.60 |
$1,093.60 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$474.40 |
$474.40 |
$474.40 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$2,631.20 |
$2,631.20 |
$2,631.20 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$2,671.20 |
$2,671.20 |
$2,671.20 |
$537.00
|
|
Computed tomographic angiography head and neck with contrast
|
$2,550.40 |
$2,550.40 |
$2,550.40 |
$2,247.00
|
|
Concentration infection agents any type
|
$97.60 |
$97.60 |
$97.60 |
$51.32
|
|
Condylomata destruction 56420
|
$626.40 |
$626.40 |
$626.40 |
$467.35
|
|
Consultation pathology during surgery
|
$181.60 |
$181.60 |
$181.60 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$736.00 |
$736.00 |
$736.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$468.00 |
$468.00 |
$468.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$408.80 |
$408.80 |
$408.80 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$1,079.20 |
$1,079.20 |
$1,079.20 |
$224.83
|
|
Consult comp w/report rfrd material
|
$1,193.60 |
$1,193.60 |
$1,193.60 |
$374.40
|
|
Contrast exam abdominl aorta 75625-26
|
$5,153.60 |
$5,153.60 |
$5,153.60 |
$3,480.00
|
|
Contrast x-ray gallbladder
|
$600.00 |
$600.00 |
$600.00 |
$341.00
|
|
Contrast x-ray of ankle
|
$1,947.20 |
$1,947.20 |
$1,947.20 |
$684.00
|
|
Contrast x-ray of brain
|
$2,622.40 |
$2,622.40 |
$2,622.40 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$1,947.20 |
$1,947.20 |
$1,947.20 |
$708.00
|
|
Contrast x-ray of hip
|
$1,947.20 |
$1,947.20 |
$1,947.20 |
$796.38
|
|
Contrast x-ray of knee joint
|
$2,434.40 |
$2,434.40 |
$2,434.40 |
$790.50
|
|
Contrast x-ray of wrist
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$667.50
|
|
Control nosebleed pack+caut 30905
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$383.52
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$1,496.80 |
$1,496.80 |
$1,496.80 |
$644.80
|
|
Control of nosebleed ant comp 30903
|
$632.80 |
$632.80 |
$632.80 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$575.20 |
$575.20 |
$575.20 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$6,578.40 |
$6,578.40 |
$6,578.40 |
$620.00
|
|
Convert nephrostomy catheter
|
$1,635.20 |
$1,635.20 |
$1,635.20 |
$2,777.60
|
|
Coombs direct
|
$165.60 |
$165.60 |
$165.60 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$189.60 |
$189.60 |
$189.60 |
$107.25
|
|
Coombs indirect titer reference
|
$236.80 |
$236.80 |
$236.80 |
$156.71
|
|
Core ndl bx lng/med perq
|
$1,415.20 |
$1,415.20 |
$1,415.20 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$15,490.40 |
$15,490.40 |
$15,490.40 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$12,860.80 |
$12,860.80 |
$12,860.80 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$13,943.20 |
$13,943.20 |
$13,943.20 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$2,395.20 |
$2,395.20 |
$2,395.20 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,453.60 |
$9,453.60 |
$9,453.60 |
$7,988.40
|
|
Cortisol total am
|
$233.60 |
$233.60 |
$233.60 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$172.80 |
$172.80 |
$172.80 |
$112.00
|
|
#covid19rsv-rsv
|
$287.20 |
$287.20 |
$287.20 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$171.20 |
$171.20 |
$171.20 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$607.20 |
$607.20 |
$607.20 |
$584.50
|
|
C-peptide
|
$211.20 |
$211.20 |
$211.20 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$735.20 |
$735.20 |
$735.20 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$4,056.80 |
$4,056.80 |
$4,056.80 |
$1,330.02
|
|
C-reactive protein
|
$124.00 |
$124.00 |
$124.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$452.00 |
$452.00 |
$452.00 |
$85.50
|
|
C-reactive protein, quantitative
|
$192.80 |
$192.80 |
$192.80 |
$65.16
|