|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$1,642.82
|
|
Closed tx/acetabululm without manip 27220
|
$564.80 |
$564.80 |
$564.80 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$2,096.00 |
$2,096.00 |
$2,096.00 |
$2,291.20
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$510.40 |
$510.40 |
$510.40 |
$386.40
|
|
Closed tx orbit w/manipulj
|
$996.80 |
$996.80 |
$996.80 |
$3,136.80
|
|
Closed tx septal&nose fx
|
$2,832.80 |
$2,832.80 |
$2,832.80 |
$3,651.90
|
|
Closed tx/talus fracture without manip 28430
|
$470.40 |
$470.40 |
$470.40 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$525.60 |
$525.60 |
$525.60 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$2,461.60 |
$2,461.60 |
$2,461.60 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$1,259.62
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$453.60 |
$453.60 |
$453.60 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$475.20 |
$475.20 |
$475.20 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$609.60 |
$609.60 |
$609.60 |
$489.60
|
|
Clsd tx/clavicular fx without manip 23500
|
$472.00 |
$472.00 |
$472.00 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$468.80 |
$468.80 |
$468.80 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$788.80 |
$788.80 |
$788.80 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$552.80 |
$552.80 |
$552.80 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$424.00 |
$424.00 |
$424.00 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$423.20 |
$423.20 |
$423.20 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$370.40 |
$370.40 |
$370.40 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$636.00 |
$636.00 |
$636.00 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$567.20 |
$567.20 |
$567.20 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,461.60 |
$1,461.60 |
$1,461.60 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$547.20 |
$547.20 |
$547.20 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,576.80 |
$1,576.80 |
$1,576.80 |
$1,592.00
|
|
Clsd tx humerus fract without manip 24500
|
$544.80 |
$544.80 |
$544.80 |
$492.99
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$464.00 |
$464.00 |
$464.00 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$478.40 |
$478.40 |
$478.40 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$733.60 |
$733.60 |
$733.60 |
$620.32
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$3,193.60 |
$3,193.60 |
$3,193.60 |
$3,839.54
|
|
Clsd tx/metatarsal fx without manip 28470
|
$460.00 |
$460.00 |
$460.00 |
$429.00
|
|
Clsd tx patella disloc without anes 27560
|
$576.00 |
$576.00 |
$576.00 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$522.40 |
$522.40 |
$522.40 |
$498.85
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$424.80 |
$424.80 |
$424.80 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$491.20 |
$491.20 |
$491.20 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$1,607.20 |
$1,607.20 |
$1,607.20 |
$1,782.86
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,422.40 |
$2,422.40 |
$2,422.40 |
$2,331.50
|
|
Clsd tx toe dislocation without anes28660
|
$368.80 |
$368.80 |
$368.80 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$463.20 |
$463.20 |
$463.20 |
$473.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$577.60 |
$577.60 |
$577.60 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$529.60 |
$529.60 |
$529.60 |
$487.15
|
|
Cltx hum epcndylr fx wo mnpj
|
$530.40 |
$530.40 |
$530.40 |
$525.75
|
|
Cmv pcr-sendout
|
$123.20 |
$123.20 |
$123.20 |
$175.70
|
|
Cold agglutinin titer
|
$46.40 |
$46.40 |
$46.40 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$237.60 |
$237.60 |
$237.60 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$60.80 |
$60.80 |
$60.80 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$161.60 |
$161.60 |
$161.60 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$144.00 |
$144.00 |
$144.00 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$139.20 |
$139.20 |
$139.20 |
$169.52
|
|
Complement antigen each component c3
|
$61.60 |
$61.60 |
$61.60 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$771.20 |
$771.20 |
$771.20 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,427.20 |
$1,427.20 |
$1,427.20 |
$1,191.78
|
|
Complx repair fccmnaxghf 13132
|
$962.40 |
$962.40 |
$962.40 |
$1,107.60
|
|
Computed tomographic angiography head and neck with contrast
|
$3,060.00 |
$3,060.00 |
$3,060.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$40.00 |
$40.00 |
$40.00 |
$51.32
|
|
Condylomata destruction 56420
|
$356.80 |
$356.80 |
$356.80 |
$467.35
|
|
Consultation pathology during surgery frozen section first tissue block
|
$207.20 |
$207.20 |
$207.20 |
$226.50
|
|
Contrast x-ray of knee joint
|
$1,076.00 |
$1,076.00 |
$1,076.00 |
$790.50
|
|
Control nosebleed pack+caut 30905
|
$448.00 |
$448.00 |
$448.00 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$411.20 |
$411.20 |
$411.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$236.00 |
$236.00 |
$236.00 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$650.40 |
$650.40 |
$650.40 |
$620.00
|
|
Coombs direct
|
$59.20 |
$59.20 |
$59.20 |
$76.80
|
|
Coombs indirect titer reference
|
$40.80 |
$40.80 |
$40.80 |
$156.71
|
|
Cortisol total am
|
$81.60 |
$81.60 |
$81.60 |
$121.20
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
$49.13
|
|
#covid19rsv-rsv
|
$171.20 |
$171.20 |
$171.20 |
$145.60
|
|
C-peptide
|
$132.80 |
$132.80 |
$132.80 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$967.20 |
$967.20 |
$967.20 |
$777.71
|
|
C-reactive protein
|
$68.00 |
$68.00 |
$68.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$84.80 |
$84.80 |
$84.80 |
$85.50
|
|
Creatine kinase
|
$57.60 |
$57.60 |
$57.60 |
$66.30
|
|
Creatine kinase mb
|
$69.60 |
$69.60 |
$69.60 |
$113.63
|
|
Creatinine
|
$45.60 |
$45.60 |
$45.60 |
$46.20
|
|
Creatinine 24 hour urine
|
$109.60 |
$109.60 |
$109.60 |
$57.85
|
|
Creatinine clearance urine
|
$55.20 |
$55.20 |
$55.20 |
$90.26
|
|
#creutz-prot.,western blot
|
$114.40 |
$114.40 |
$114.40 |
$163.50
|
|
Critical care each additional 30 minutes
|
$852.00 |
$852.00 |
$852.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,176.80 |
$2,176.80 |
$2,176.80 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$57.60 |
$57.60 |
$57.60 |
$52.50
|
|
Crystal identification light microscopy
|
$50.40 |
$50.40 |
$50.40 |
$66.43
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,984.80 |
$3,984.80 |
$3,984.80 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,617.60 |
$2,617.60 |
$2,617.60 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,612.00 |
$2,612.00 |
$2,612.00 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,555.20 |
$2,555.20 |
$2,555.20 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,536.80 |
$2,536.80 |
$2,536.80 |
$1,881.75
|
|
CT lwr extremity w/o&w/dye
|
$2,336.80 |
$2,336.80 |
$2,336.80 |
$1,818.96
|
|
Ctrl nosebld postir subsq 30906
|
$449.60 |
$449.60 |
$449.60 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,488.80 |
$2,488.80 |
$2,488.80 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,921.60 |
$1,921.60 |
$1,921.60 |
$2,272.00
|
|
Culture aerobic additional method definitive id each
|
$90.40 |
$90.40 |
$90.40 |
$72.00
|
|
Culture afb any source
|
$74.40 |
$74.40 |
$74.40 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$124.00 |
$124.00 |
$124.00 |
$84.76
|
|
Culture anaerobic except blood
|
$89.60 |
$89.60 |
$89.60 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$36.80 |
$36.80 |
$36.80 |
$52.50
|
|
Culture body fluid
|
$87.20 |
$87.20 |
$87.20 |
$126.75
|
