|
Closed tx humerus fx without manip 23600
|
$732.55 |
$732.55 |
$732.55 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$1,178.45 |
$1,178.45 |
$1,178.45 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$231.40 |
$231.40 |
$231.40 |
$413.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$489.45 |
$489.45 |
$489.45 |
$480.80
|
|
Clos txnose fx without stablz 21315
|
$517.40 |
$517.40 |
$517.40 |
$2,739.17
|
|
Clot factor xii hageman
|
$162.50 |
$162.50 |
$162.50 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$87.75 |
$87.75 |
$87.75 |
$81.25
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$645.45 |
$645.45 |
$645.45 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$700.05 |
$700.05 |
$700.05 |
$620.10
|
|
Clsd tx clavicle fracture w/manip 23505
|
$729.95 |
$729.95 |
$729.95 |
$1,913.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$498.55 |
$498.55 |
$498.55 |
$482.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$424.45 |
$424.45 |
$424.45 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,116.70 |
$1,116.70 |
$1,116.70 |
$728.00
|
|
Clsd tx elbow dislocation child 24640
|
$306.15 |
$306.15 |
$306.15 |
$520.00
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$393.90 |
$393.90 |
$393.90 |
$441.18
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$720.20 |
$720.20 |
$720.20 |
$567.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,319.50 |
$1,319.50 |
$1,319.50 |
$1,884.74
|
|
Clsd tx fx radius/ulna without manip 25560
|
$634.40 |
$634.40 |
$634.40 |
$634.40
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,112.15 |
$1,112.15 |
$1,112.15 |
$1,771.43
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$556.40 |
$556.40 |
$556.40 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$1,006.85 |
$1,006.85 |
$1,006.85 |
$685.81
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$739.05 |
$739.05 |
$739.05 |
$1,014.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$519.35 |
$519.35 |
$519.35 |
$519.12
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$789.75 |
$789.75 |
$789.75 |
$688.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$497.90 |
$497.90 |
$497.90 |
$551.85
|
|
Clsd tx/metatarsal fx without manip 28470
|
$429.65 |
$429.65 |
$429.65 |
$414.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$692.90 |
$692.90 |
$692.90 |
$3,592.74
|
|
Clsd tx patella disloc without anes 27560
|
$726.70 |
$726.70 |
$726.70 |
$614.25
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$416.65 |
$416.65 |
$416.65 |
$464.80
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$521.95 |
$521.95 |
$521.95 |
$476.80
|
|
Clsd tx radius fracture w/manip 24655
|
$902.85 |
$902.85 |
$902.85 |
$1,839.77
|
|
Clsd tx/scapular fx without manip 23570
|
$336.05 |
$336.05 |
$336.05 |
$454.50
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,167.40 |
$1,167.40 |
$1,167.40 |
$1,797.83
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$330.85 |
$330.85 |
$330.85 |
$454.40
|
|
Clsd tx toe dislocation without anes28660
|
$342.55 |
$342.55 |
$342.55 |
$400.20
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$1,632.60
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$571.35 |
$571.35 |
$571.35 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$736.45 |
$736.45 |
$736.45 |
$716.95
|
|
Clsd tx wrist carpal fx without manip 25630
|
$648.05 |
$648.05 |
$648.05 |
$476.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$776.75 |
$776.75 |
$776.75 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$570.70 |
$570.70 |
$570.70 |
$494.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$713.70 |
$713.70 |
$713.70 |
$525.75
|
|
Cltx mndblr/max alv ridge fx
|
$1,465.10 |
$1,465.10 |
$1,465.10 |
$3,676.40
|
|
Cltx post ankle fx w/mnpj
|
$1,080.95 |
$1,080.95 |
$1,080.95 |
$2,211.05
|
|
#cmvcul-virus inoculation shell
|
$121.55 |
$121.55 |
$121.55 |
$109.80
|
|
Cmv pcr-sendout
|
$162.50 |
$162.50 |
$162.50 |
$177.50
|
|
Cold agglutinin screen (arc)
|
$55.25 |
$55.25 |
$55.25 |
$48.57
|
|
Cold agglutinin titer
|
$66.95 |
$66.95 |
$66.95 |
$48.57
|
|
Colistimethate sodium inj
|
$84.63 |
$84.63 |
$84.63 |
$46.62
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$22.10 |
$22.10 |
$22.10 |
$32.26
|
|
Collar cerv adlt perfit ace extric
|
$53.95 |
$53.95 |
$53.95 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$10.40 |
$10.40 |
$10.40 |
$151.05
|
|
Collar cerv patriot adlt
|
$10.40 |
$10.40 |
$10.40 |
$83.20
|
|
Collection blood specimen from completely implantable venous access device
|
$88.40 |
$88.40 |
$88.40 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$577.20 |
$577.20 |
$577.20 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$348.40 |
$348.40 |
$348.40 |
$20.30
|
|
Colonoscopy (diagnostic)
|
$2,900.10 |
$2,900.10 |
$2,900.10 |
$1,500.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$913.90 |
$913.90 |
$913.90 |
$1,846.40
|
|
Colonoscopy submucous njx
|
$4,620.65 |
$4,620.65 |
$4,620.65 |
$2,063.25
|
|
Colonoscopy w/ablation
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$2,571.00
|
|
Colonoscopy (with biopsy)
|
$3,603.87 |
$3,603.87 |
$3,603.87 |
$2,074.50
|
|
Colonoscopy (with polyp removal)
|
$3,303.10 |
$3,303.10 |
$3,303.10 |
$2,074.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$811.85 |
$811.85 |
$811.85 |
$3,615.39
|
|
Compatibility test each unit antiglobulin technique
|
$125.45 |
$125.45 |
$125.45 |
$156.60
|
|
Compatibility test each unit immediate spin technique
|
$111.15 |
$111.15 |
$111.15 |
$156.24
|
|
Compatibility test incubate
|
$47.45 |
$47.45 |
$47.45 |
$140.00
|
|
Complement antigen each component c3
|
$131.95 |
$131.95 |
$131.95 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$588.25 |
$588.25 |
$588.25 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$6,628.82 |
$6,628.82 |
$6,628.82 |
$1,357.20
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,122.55 |
$1,122.55 |
$1,122.55 |
$1,244.80
|
|
Complx repair enel addl 5cm/< 13153
|
$399.10 |
$399.10 |
$399.10 |
$470.40
|
|
Complx repair fccmnaxghf 13131
|
$653.90 |
$653.90 |
$653.90 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$1,012.70 |
$1,012.70 |
$1,012.70 |
$1,193.40
|
|
Complx repair fccmnaxghf 13133
|
$312.65 |
$312.65 |
$312.65 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$268.45 |
$268.45 |
$268.45 |
$546.29
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$588.25 |
$588.25 |
$588.25 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$228.80 |
$228.80 |
$228.80 |
$716.95
|
|
Computed tomographic angiography head and neck with contrast
|
$2,670.85 |
$2,670.85 |
$2,670.85 |
$2,544.75
|
|
Concentration infection agents any type
|
$53.95 |
$53.95 |
$53.95 |
$48.00
|
|
Condylomata destruction 56420
|
$386.75 |
$386.75 |
$386.75 |
$472.50
|
|
Consultation pathology during surgery
|
$76.05 |
$76.05 |
$76.05 |
$89.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$139.10 |
$139.10 |
$139.10 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$84.50 |
$84.50 |
$84.50 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$178.10 |
$178.10 |
$178.10 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$182.00 |
$182.00 |
$182.00 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$182.00 |
$182.00 |
$182.00 |
$176.15
|
|
Consult comp w/report rfrd material
|
$278.20 |
$278.20 |
$278.20 |
$365.60
|
|
Contrast baths charges
|
$49.40 |
$49.40 |
$49.40 |
$77.98
|
|
Control nosebleed pack+caut 30905
|
$490.10 |
$490.10 |
$490.10 |
$457.60
|
|
Control of nosebleed ant comp 30903
|
$450.45 |
$450.45 |
$450.45 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$239.20 |
$239.20 |
$239.20 |
$336.00
|
|
Coombs direct
|
$65.65 |
$65.65 |
$65.65 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$46.80 |
$46.80 |
$46.80 |
$76.70
|
|
Coombs indirect titer reference
|
$116.35 |
$116.35 |
$116.35 |
$122.85
|
|
Cortisol acth stimulation test - sendout
|
$162.50 |
$162.50 |
$162.50 |
$143.40
|
|
Cortisol total am
|
$146.90 |
$146.90 |
$146.90 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$322.14 |
$322.14 |
$322.14 |
$218.95
|
|
Co-treatment - group 15 mins, st
|
$141.05 |
$141.05 |
$141.05 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$47.45 |
$47.45 |
$47.45 |
$57.85
|
