|
Closed tx metatarsophalangeal jnt disl without anes
|
$595.65 |
$595.65 |
$595.65 |
$432.80
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,323.75 |
$2,323.75 |
$2,323.75 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$2,640.55 |
$2,640.55 |
$2,640.55 |
$3,805.11
|
|
Closed tx/talus fracture without manip 28430
|
$479.60 |
$479.60 |
$479.60 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$410.30 |
$410.30 |
$410.30 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$1,818.30 |
$1,818.30 |
$1,818.30 |
$2,596.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,465.20 |
$1,465.20 |
$1,465.20 |
$1,181.99
|
|
Closure of windpipe lesion 31820
|
$3,133.90 |
$3,133.90 |
$3,133.90 |
$3,786.00
|
|
Closure paravalvlr leak pq
|
$23,447.05 |
$23,447.05 |
$23,447.05 |
$10,497.50
|
|
Clot factor xii hageman
|
$204.05 |
$204.05 |
$204.05 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$166.10 |
$166.10 |
$166.10 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$145.75 |
$145.75 |
$145.75 |
$84.27
|
|
Clotting assay whole blood
|
$522.50 |
$522.50 |
$522.50 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$424.60 |
$424.60 |
$424.60 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$526.35 |
$526.35 |
$526.35 |
$611.10
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$697.40 |
$697.40 |
$697.40 |
$543.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,754.40 |
$2,754.40 |
$2,754.40 |
$2,211.05
|
|
Clsd tx/clavicular fx without manip 23500
|
$617.65 |
$617.65 |
$617.65 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$541.75 |
$541.75 |
$541.75 |
$339.18
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$487.85 |
$487.85 |
$487.85 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$697.40 |
$697.40 |
$697.40 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$454.30 |
$454.30 |
$454.30 |
$490.00
|
|
Clsd tx elbow dislocation child 24640
|
$697.40 |
$697.40 |
$697.40 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,123.65 |
$1,123.65 |
$1,123.65 |
$2,748.90
|
|
Clsd tx fracture of radius 25500
|
$432.30 |
$432.30 |
$432.30 |
$445.40
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$479.60 |
$479.60 |
$479.60 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$526.35 |
$526.35 |
$526.35 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$790.90 |
$790.90 |
$790.90 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,549.90 |
$1,549.90 |
$1,549.90 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$539.00 |
$539.00 |
$539.00 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$709.50 |
$709.50 |
$709.50 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$538.45 |
$538.45 |
$538.45 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$443.30 |
$443.30 |
$443.30 |
$558.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$2,019.60 |
$2,019.60 |
$2,019.60 |
$1,014.00
|
|
Clsd tx mandibular fx without manip 21450
|
$915.20 |
$915.20 |
$915.20 |
$995.40
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$633.60 |
$633.60 |
$633.60 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$682.00 |
$682.00 |
$682.00 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$717.75 |
$717.75 |
$717.75 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$707.30 |
$707.30 |
$707.30 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$682.00 |
$682.00 |
$682.00 |
$446.40
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$2,642.20 |
$2,642.20 |
$2,642.20 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,525.60 |
$2,525.60 |
$2,525.60 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$707.30 |
$707.30 |
$707.30 |
$705.60
|
|
Clsd tx/patellar fx without manip 27520
|
$677.05 |
$677.05 |
$677.05 |
$525.85
|
|
Clsd tx pelvic ring fx
|
$416.35 |
$416.35 |
$416.35 |
$448.80
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,222.00 |
$2,222.00 |
$2,222.00 |
$2,557.07
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$534.05 |
$534.05 |
$534.05 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$633.60 |
$633.60 |
$633.60 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$1,884.74
|
|
Clsd tx/scapular fx without manip 23570
|
$447.70 |
$447.70 |
$447.70 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,515.80 |
$1,515.80 |
$1,515.80 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,349.15 |
$1,349.15 |
$1,349.15 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,423.85 |
$2,423.85 |
$2,423.85 |
$2,466.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$606.10 |
$606.10 |
$606.10 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$545.05 |
$545.05 |
$545.05 |
$436.70
|
|
Clsd tx trimall ankle fx without manip 27816
|
$666.60 |
$666.60 |
$666.60 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,722.60 |
$1,722.60 |
$1,722.60 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$510.40 |
$510.40 |
$510.40 |
$487.80
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$505.45 |
$505.45 |
$505.45 |
$705.60
|
|
Clsd tx wrist carpal fx without manip 25630
|
$447.70 |
$447.70 |
$447.70 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$583.00 |
$583.00 |
$583.00 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$682.00 |
$682.00 |
$682.00 |
$579.88
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$617.65 |
$617.65 |
$617.65 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$652.30 |
$652.30 |
$652.30 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$2,121.35 |
$2,121.35 |
$2,121.35 |
$857.50
|
|
Cltx carpl scphd fx w/mnpj
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$2,316.80
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,754.40 |
$2,754.40 |
$2,754.40 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$454.85 |
$454.85 |
$454.85 |
$523.25
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,341.45 |
$1,341.45 |
$1,341.45 |
$1,893.86
|
|
Cltx humrl cndylr fx wo mnpj
|
$479.60 |
$479.60 |
$479.60 |
$563.00
|
|
Cltx lunate dislc w/mnpj
|
$1,594.45 |
$1,594.45 |
$1,594.45 |
$2,893.80
|
|
Cltx mndblr fx ntrdntl fixj
|
$6,899.75 |
$6,899.75 |
$6,899.75 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$2,828.65 |
$2,828.65 |
$2,828.65 |
$2,503.20
|
|
Cltx mndblr/max alv ridge fx
|
$2,130.70 |
$2,130.70 |
$2,130.70 |
$3,990.33
|
|
Cltx post ankle fx w/mnpj
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$2,621.64
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$2,320.50
|
|
C motor evoked lwr limbs
|
$1,233.65 |
$1,233.65 |
$1,233.65 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,610.40 |
$1,610.40 |
$1,610.40 |
$780.00
|
|
C motor evoked upr&lwr limbs
|
$2,224.20 |
$2,224.20 |
$2,224.20 |
$1,308.00
|
|
#cmvcul-virus inoculation shell
|
$202.40 |
$202.40 |
$202.40 |
$102.57
|
|
Cmv pcr-sendout
|
$508.75 |
$508.75 |
$508.75 |
$173.25
|
|
Co2 monitor per day
|
$388.85 |
$388.85 |
$388.85 |
$388.85
|
|
Coagulation time activated teg
|
$47.30 |
$47.30 |
$47.30 |
$50.05
|
|
Cold agglutinin titer
|
$38.50 |
$38.50 |
$38.50 |
$48.57
|
|
Collection blood specimen from completely implantable venous access device
|
$200.75 |
$200.75 |
$200.75 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$131.45 |
$131.45 |
$131.45 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$15.95 |
$15.95 |
$15.95 |
$22.00
|
|
Colon motility 6 hr study
|
$819.50 |
$819.50 |
$819.50 |
$368.50
|
|
Colonoscopy w/control bleed
|
$778.80 |
$778.80 |
$778.80 |
$2,101.71
|
|
Colonoscopy (with polyp removal)
|
$1,390.95 |
$1,390.95 |
$1,390.95 |
$2,205.33
|
|
Colpocentesis 57020
|
$4,883.45 |
$4,883.45 |
$4,883.45 |
$5,419.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$5,509.35 |
$5,509.35 |
$5,509.35 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$1,713.80 |
$1,713.80 |
$1,713.80 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$1,961.85 |
$1,961.85 |
$1,961.85 |
$3,519.29
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$309.10 |
$309.10 |
$309.10 |
$326.30
|
|
Colposcopy vulva 56820
|
$231.55 |
$231.55 |
$231.55 |
$295.20
|
|
Colposcopy w/biopsy of cervix 57455
|
$470.25 |
$470.25 |
$470.25 |
$544.70
|
|
Compatibility test each unit antiglobulin technique
|
$104.50 |
$104.50 |
$104.50 |
$173.25
|
|
Compatibility test each unit electronic
|
$89.10 |
$89.10 |
$89.10 |
$180.00
|