|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$6,486.00 |
$6,486.00 |
$6,486.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$893.00 |
$893.00 |
$893.00 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$1,431.00 |
$1,431.00 |
$1,431.00 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$893.00 |
$893.00 |
$893.00 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$893.00 |
$893.00 |
$893.00 |
$473.00
|
|
Clsd tx wrist carpal fx without manip 25630
|
$536.00 |
$536.00 |
$536.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$599.00 |
$599.00 |
$599.00 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$893.00 |
$893.00 |
$893.00 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$599.00 |
$599.00 |
$599.00 |
$487.15
|
|
Cls tx of heel fracture w/manip 28405
|
$748.00 |
$748.00 |
$748.00 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$5,759.00 |
$5,759.00 |
$5,759.00 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$5,093.00 |
$5,093.00 |
$5,093.00 |
$2,274.40
|
|
Cltx humrl cndylr fx w/mnpj
|
$5,021.00 |
$5,021.00 |
$5,021.00 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$893.00 |
$893.00 |
$893.00 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$5,021.00 |
$5,021.00 |
$5,021.00 |
$2,384.00
|
|
Cltx mndblr/max alv ridge fx
|
$9,553.00 |
$9,553.00 |
$9,553.00 |
$3,986.00
|
|
Cltx palatal/max fx wire fix
|
$11,523.00 |
$11,523.00 |
$11,523.00 |
$4,377.24
|
|
Cltx post ankle fx w/mnpj
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$2,021.04
|
|
C motor evoked upr&lwr limbs
|
$3,208.00 |
$3,208.00 |
$3,208.00 |
$1,333.36
|
|
Cmptr ophth dx img ant segmt
|
$210.00 |
$210.00 |
$210.00 |
$83.20
|
|
Cmptr ophth img optic nerve
|
$210.00 |
$210.00 |
$210.00 |
$98.00
|
|
Cmv pcr-sendout
|
$74.00 |
$74.00 |
$74.00 |
$175.70
|
|
Coagulation time activated teg
|
$100.00 |
$100.00 |
$100.00 |
$52.47
|
|
Cold agglutinin titer
|
$18.00 |
$18.00 |
$18.00 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$359.00 |
$359.00 |
$359.00 |
$303.73
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$206.00 |
$206.00 |
$206.00 |
$155.40
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$2,689.00 |
$2,689.00 |
$2,689.00 |
$1,030.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$574.00 |
$574.00 |
$574.00 |
$314.00
|
|
Colposcopy vulva 56820
|
$1,498.00 |
$1,498.00 |
$1,498.00 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$1,498.00 |
$1,498.00 |
$1,498.00 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$936.00 |
$936.00 |
$936.00 |
$485.50
|
|
Compatibility test each unit antiglobulin technique
|
$191.00 |
$191.00 |
$191.00 |
$173.50
|
|
Compatibility test each unit electronic
|
$191.00 |
$191.00 |
$191.00 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$191.00 |
$191.00 |
$191.00 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$2,303.00 |
$2,303.00 |
$2,303.00 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$2,303.00 |
$2,303.00 |
$2,303.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$92.00 |
$92.00 |
$92.00 |
$110.00
|
|
Complex cystometrogram 51726
|
$1,753.00 |
$1,753.00 |
$1,753.00 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,561.00 |
$1,561.00 |
$1,561.00 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$572.00 |
$572.00 |
$572.00 |
$344.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$872.00 |
$872.00 |
$872.00 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$937.00 |
$937.00 |
$937.00 |
$508.44
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$537.00
|
|
Comprehensive hearing test
|
$435.00 |
$435.00 |
$435.00 |
$261.46
|
|
Concentration infection agents any type
|
$19.00 |
$19.00 |
$19.00 |
$51.32
|
|
Conditioning play audiometry 92582
|
$552.00 |
$552.00 |
$552.00 |
$189.15
|
|
Condylomata destruction 56420
|
$723.00 |
$723.00 |
$723.00 |
$467.35
|
|
Conization/cerv/loop electrode exc 57522
|
$10,332.00 |
$10,332.00 |
$10,332.00 |
$4,840.07
|
|
Consultation pathology during surgery cytological exam initial site
|
$940.00 |
$940.00 |
$940.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$103.00 |
$103.00 |
$103.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$214.00 |
$214.00 |
$214.00 |
$226.50
|
|
Contrast exam abdominl aorta 75625-26
|
$9,334.00 |
$9,334.00 |
$9,334.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$6,675.00 |
$6,675.00 |
$6,675.00 |
$3,745.00
|
|
Control nosebleed pack+caut 30905
|
$456.00 |
$456.00 |
$456.00 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$474.15 |
$474.15 |
$474.15 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$474.00 |
$474.00 |
$474.00 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$620.00
|
|
Conversion ext bil drg cath
|
$10,996.00 |
$10,996.00 |
$10,996.00 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$6,264.00 |
$6,264.00 |
$6,264.00 |
$2,777.60
|
|
Coombs direct
|
$81.00 |
$81.00 |
$81.00 |
$76.80
|
|
Coombs indirect titer reference
|
$90.00 |
$90.00 |
$90.00 |
$156.71
|
|
Core ndl bx lng/med perq
|
$5,821.00 |
$5,821.00 |
$5,821.00 |
$2,904.48
|
|
Corneal smear
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$472.21
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$14,407.00 |
$14,407.00 |
$14,407.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$15,085.00 |
$15,085.00 |
$15,085.00 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$14,407.00 |
$14,407.00 |
$14,407.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$11,083.00 |
$11,083.00 |
$11,083.00 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$11,526.00 |
$11,526.00 |
$11,526.00 |
$7,988.40
|
|
Correction trichiasis epilation forcep 67820
|
$474.00 |
$474.00 |
$474.00 |
$176.00
|
|
Cortisol acth stimulation test - sendout
|
$69.00 |
$69.00 |
$69.00 |
$146.25
|
|
Cortisol total am
|
$128.00 |
$128.00 |
$128.00 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$114.00 |
$114.00 |
$114.00 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$71.00 |
$71.00 |
$71.00 |
$54.60
|
|
Cover eye w/membrane
|
$3,665.00 |
$3,665.00 |
$3,665.00 |
$2,827.97
|
|
Covid-19 administration immunization im inj 1st/only component
|
$81.00 |
$81.00 |
$81.00 |
$49.13
|
|
#covid19rsv-rsv
|
$146.00 |
$146.00 |
$146.00 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$26.30 |
$26.30 |
$26.30 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$1,087.00 |
$1,087.00 |
$1,087.00 |
$584.50
|
|
C-peptide
|
$83.00 |
$83.00 |
$83.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,516.00 |
$1,516.00 |
$1,516.00 |
$777.71
|
|
Cptrized corneal topography
|
$145.00 |
$145.00 |
$145.00 |
$148.20
|
|
Cptr ophth dx img post segmt
|
$210.00 |
$210.00 |
$210.00 |
$105.00
|
|
Crbrospnl fld flw imag cistern
|
$1,828.00 |
$1,828.00 |
$1,828.00 |
$1,330.02
|
|
C-reactive protein
|
$39.00 |
$39.00 |
$39.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$134.00 |
$134.00 |
$134.00 |
$85.50
|
|
Creatine kinase
|
$30.00 |
$30.00 |
$30.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$28.00 |
$28.00 |
$28.00 |
$56.20
|
|
Creatine kinase mb
|
$36.00 |
$36.00 |
$36.00 |
$113.63
|
|
Creatine - sendout
|
$61.82 |
$61.82 |
$61.82 |
$41.25
|
|
Creatinine
|
$50.00 |
$50.00 |
$50.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$44.00 |
$44.00 |
$44.00 |
$57.85
|
