|
Clsd tx/radial head/neck fx/no manip 24650
|
$362.86 |
$599.00 |
$1,458.40 |
|
|
Clsd tx radius fracture w/manip 24655
|
$1,563.20 |
$1,593.00 |
$5,606.00 |
|
|
Clsd tx/scapular fx without manip 23570
|
$356.04 |
$536.00 |
$800.00 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,738.00 |
$2,211.05 |
$5,606.00 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,592.00 |
$2,211.05 |
$5,606.00 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,344.00 |
$3,331.00 |
$6,486.00 |
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$295.00 |
$349.00 |
$974.40 |
|
|
Clsd tx toe dislocation without anes28660
|
$339.18 |
$412.00 |
$1,431.00 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$443.09 |
$594.00 |
$3,916.00 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,208.00 |
$1,640.00 |
$5,606.00 |
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$356.63 |
$473.00 |
$893.00 |
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$419.99 |
$419.99 |
$419.99 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$411.01 |
$476.00 |
$536.00 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$416.43 |
$553.00 |
$599.00 |
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$744.22 |
$744.22 |
$744.22 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$459.80 |
$651.00 |
$1,132.80 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$373.00 |
$414.00 |
$599.00 |
|
|
Clsr 1 vsd w/wo patch w/vlvt
|
$2,679.31 |
$2,679.31 |
$2,679.31 |
|
|
Clsr 1vsd w/wo ptch rmvl bnd
|
$2,659.32 |
$2,659.32 |
$2,659.32 |
|
|
Cls tx of heel fracture w/manip 28405
|
$490.00 |
$573.11 |
$748.00 |
|
|
Cltx carpl scphd fx w/mnpj
|
$1,344.00 |
$4,438.00 |
$5,759.00 |
|
|
Cltx craniofacial separation
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,211.05 |
$2,806.00 |
$5,093.00 |
|
|
Cltx hum epcndylr fx wo mnpj
|
$435.00 |
$451.41 |
$483.00 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,858.00 |
$2,211.05 |
$5,021.00 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$475.77 |
$563.00 |
$893.00 |
|
|
Cltx lunate dislc w/mnpj
|
$2,211.05 |
$5,021.00 |
$5,021.00 |
|
|
Cltx mndblr fx ntrdntl fixj
|
$5,774.00 |
$5,774.00 |
$8,139.99 |
|
|
Cltx mndblr fx w/mnpj
|
$2,133.48 |
$2,133.48 |
$2,192.80 |
|
|
Cltx mndblr/max alv ridge fx
|
$4,549.60 |
$4,558.89 |
$9,553.00 |
|
|
Cltx palatal/max fx wire fix
|
$4,558.89 |
$11,523.00 |
$11,523.00 |
|
|
Cltx post ankle fx
|
$420.42 |
$426.00 |
$473.00 |
|
|
Cltx post ankle fx w/mnpj
|
$1,592.00 |
$2,211.05 |
$5,606.00 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,077.60 |
$4,438.00 |
$5,810.00 |
|
|
Cltx strnclav dislc w/mnpj
|
$521.06 |
$521.06 |
$521.06 |
|
|
Cltx thigh fx
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Cltx thigh fx w/mnpj
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
|
|
Cltx tmprmand dislc comp
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
|
|
Cmbn ant pst colprhy
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
C motor evoked lwr limbs
|
$513.11 |
$1,022.00 |
$1,022.00 |
|
|
C motor evoked uppr limbs
|
$647.36 |
$1,927.00 |
$1,927.00 |
|
|
C motor evoked upr&lwr limbs
|
$1,030.40 |
$2,040.00 |
$3,208.00 |
|
|
Cmp rpr tof wo plm atrs ptch
|
$2,765.23 |
$2,765.23 |
$2,765.23 |
|
|
Cmptr ophth dx img ant segmt
|
$81.12 |
$210.00 |
$210.00 |
|
|
Cmptr ophth img optic nerve
|
$81.12 |
$210.00 |
$210.00 |
|
|
#cms hgb-carboxyhemoglobin
|
$13.16 |
$19.42 |
$19.42 |
|
|
#cms hgb-sulfhemoglobin
|
$11.11 |
$12.14 |
$12.14 |
|
|
#cmvcul-virus inoculation shell
|
$23.97 |
$122.00 |
$573.60 |
|
|
Cmv pcr-sendout
|
$36.66 |
$48.42 |
$548.00 |
|
|
Cnbp gene detc abnor allele
|
$189.06 |
$189.06 |
$189.06 |
|
|
Cntct lens hydrophil photoch
|
$236.66 |
$236.66 |
$236.66 |
|
|
Co2 monitor per day
|
$108.10 |
$323.00 |
$761.60 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$2.18 |
$3.62 |
$89,135.21 |
|
|
Coagulation time activated teg
|
$5.91 |
$25.00 |
$154.40 |
|
|
Coagulation time lee & white
|
$6.47 |
$6.47 |
$6.47 |
|
|
Coagulation time otr method
|
$6.20 |
$6.20 |
$6.20 |
|
|
Coch imp ext proc/contr rplc
|
$14,283.08 |
$14,283.08 |
$14,283.08 |
|
|
Coch implant headset replace
|
$766.38 |
$766.38 |
$766.38 |
|
|
Coch implant microphone repl
|
$178.49 |
$178.49 |
$178.49 |
|
|
Coch implant tran cable repl
|
$44.56 |
$44.56 |
$44.56 |
|
|
Coch implant trans coil repl
|
$155.91 |
$155.91 |
$155.91 |
|
|
Cochlear implt f/up exam <7
|
$176.93 |
$569.00 |
$599.00 |
|
|
Cochlear implt f/up exam 7/>
|
$176.93 |
$542.00 |
$571.00 |
|
|
Cogenex amnio memb per sq cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Cold agglutinin screen (arc)
|
$11.14 |
$11.14 |
$34.72 |
|
|
Cold agglutinin titer
|
$3.65 |
$18.00 |
$135.20 |
|
|
Colectomy/end colost/close dis seg 44143
|
$2,301.58 |
$2,301.58 |
$2,301.58 |
|
|
Colectomy/ ileostomy without prctect 44150
|
$2,577.63 |
$2,577.63 |
$2,577.63 |
|
|
Colectomy/ ileostomy w/prctect 44155
|
$2,859.55 |
$2,859.55 |
$2,859.55 |
|
|
Colectomy partial w/anastomosis 44140
|
$1,879.89 |
$1,879.89 |
$1,879.89 |
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$2,639.58 |
$2,639.58 |
$2,639.58 |
|
|
Colectomy prtl w/coloproctostomy 44145
|
$2,268.07 |
$2,268.07 |
$2,268.07 |
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$2,904.14 |
$2,904.14 |
$2,904.14 |
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$1,736.94 |
$1,736.94 |
$1,736.94 |
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$2,537.02 |
$2,537.02 |
$2,537.02 |
|
|
Colectomy/w colostomy or ileostomy 44144
|
$2,457.19 |
$2,457.19 |
$2,457.19 |
|
|
Colectomy w/ileoanal anast
|
$3,085.40 |
$3,085.40 |
$3,085.40 |
|
|
Colectomy w/neo-rectum pouch
|
$3,160.99 |
$3,160.99 |
$3,160.99 |
|
|
Colistimethate sodium inj
|
$16.67 |
$16.67 |
$25.22 |
|
|
Collagenase, clost hist inj
|
$104.53 |
$104.53 |
$104.53 |
|
|
Collagen based wound filler
|
$60.91 |
$60.91 |
$1,601.60 |
|
|
Collagen dressing <=16 sq in
|
$15.54 |
$41.36 |
$1,848.00 |
|
|
Collagen drsg>16<=48 sq in
|
$41.36 |
$41.36 |
$1,975.12 |
|
|
Collagen dsg wound filler
|
$12.16 |
$12.16 |
$12.16 |
|
|
Collagen gel/paste wound fil
|
$4.49 |
$4.49 |
$4.49 |
|
|
Collagen imp urinary 2.5 ml
|
$739.80 |
$739.80 |
$739.80 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$70.00 |
$359.00 |
$742.40 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$18.06 |
$44.86 |
$44.86 |
|
|
Collar cerv adlt perfit ace extric
|
$101.51 |
$101.51 |
$101.51 |
|
|
Collar cerv ascend 172 reg
|
$86.10 |
$240.19 |
$240.19 |
|
|
Collar cerv patriot adlt
|
$181.53 |
$181.53 |
$181.53 |
|
|
Collar extrication adult univ
|
$349.86 |
$1,046.72 |
$1,046.72 |
|
|
Collection blood specimen from completely implantable venous access device
|
$32.48 |
$182.95 |
$182.95 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$98.40 |
$182.95 |
$206.00 |
|
|
Coll-e-derm 1 sq cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Collj & interpj data ea 30 d
|
$67.26 |
$67.26 |
$67.26 |
|
|
Colon motility 6 hr study
|
$296.91 |
$296.91 |
$296.91 |
|
|
Colonoscopy (diagnostic)
|
$872.59 |
$872.59 |
$1,278.72 |
|
|
Colonoscopy flex with decompression 45393
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
|
