|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$842.40 |
$842.40 |
$842.40 |
$688.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$685.10 |
$685.10 |
$685.10 |
$551.85
|
|
Clsd tx/metatarsal fx without manip 28470
|
$436.80 |
$436.80 |
$436.80 |
$414.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$1,016.60 |
$1,016.60 |
$1,016.60 |
$3,592.74
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,088.10 |
$1,088.10 |
$1,088.10 |
$1,815.75
|
|
Clsd tx patella disloc without anes 27560
|
$462.80 |
$462.80 |
$462.80 |
$614.25
|
|
Clsd tx/patellar fx without manip 27520
|
$762.45 |
$762.45 |
$762.45 |
$522.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$856.70 |
$856.70 |
$856.70 |
$2,370.40
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$429.65 |
$429.65 |
$429.65 |
$464.80
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$597.35 |
$597.35 |
$597.35 |
$476.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$1,839.77
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,038.70 |
$1,038.70 |
$1,038.70 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,298.05 |
$1,298.05 |
$1,298.05 |
$1,797.83
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$278.20 |
$278.20 |
$278.20 |
$454.40
|
|
Clsd tx toe dislocation without anes28660
|
$342.55 |
$342.55 |
$342.55 |
$400.20
|
|
Clsd tx trimall ankle fx without manip 27816
|
$778.70 |
$778.70 |
$778.70 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,281.15 |
$1,281.15 |
$1,281.15 |
$1,632.60
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$544.05 |
$544.05 |
$544.05 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$975.00 |
$975.00 |
$975.00 |
$716.95
|
|
Clsd tx wrist carpal fx without manip 25630
|
$705.25 |
$705.25 |
$705.25 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$617.50 |
$617.50 |
$617.50 |
$543.23
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$902.85 |
$902.85 |
$902.85 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$615.55 |
$615.55 |
$615.55 |
$494.40
|
|
Cltx carpl scphd fx w/mnpj
|
$1,268.80 |
$1,268.80 |
$1,268.80 |
$2,316.80
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,161.55 |
$1,161.55 |
$1,161.55 |
$2,211.05
|
|
Cltx hum epcndylr fx wo mnpj
|
$757.25 |
$757.25 |
$757.25 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,235.00 |
$1,235.00 |
$1,235.00 |
$1,858.00
|
|
Cltx humrl cndylr fx wo mnpj
|
$608.40 |
$608.40 |
$608.40 |
$579.20
|
|
Cltx post ankle fx w/mnpj
|
$391.95 |
$391.95 |
$391.95 |
$2,211.05
|
|
#cmvcul-virus inoculation shell
|
$141.05 |
$141.05 |
$141.05 |
$109.80
|
|
Cmv pcr-sendout
|
$72.80 |
$72.80 |
$72.80 |
$177.50
|
|
Co2 monitor per day
|
$575.25 |
$575.25 |
$575.25 |
$400.00
|
|
Coagulation time activated teg
|
$62.40 |
$62.40 |
$62.40 |
$37.05
|
|
Cold agglutinin screen (arc)
|
$62.40 |
$62.40 |
$62.40 |
$48.57
|
|
Cold agglutinin titer
|
$74.10 |
$74.10 |
$74.10 |
$48.57
|
|
Collection blood specimen from completely implantable venous access device
|
$480.35 |
$480.35 |
$480.35 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$224.25 |
$224.25 |
$224.25 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$1,385.31 |
$1,385.31 |
$1,385.31 |
$20.30
|
|
Colonoscopy (diagnostic)
|
$3,190.85 |
$3,190.85 |
$3,190.85 |
$1,500.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$4,540.45 |
$4,540.45 |
$4,540.45 |
$1,846.40
|
|
Colonoscopy submucous njx
|
$6,179.75 |
$6,179.75 |
$6,179.75 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$6,905.15 |
$6,905.15 |
$6,905.15 |
$1,261.31
|
|
Colonoscopy w/ablation
|
$5,014.30 |
$5,014.30 |
$5,014.30 |
$2,571.00
|
|
Colonoscopy (with biopsy)
|
$5,344.49 |
$5,344.49 |
$5,344.49 |
$2,074.50
|
|
Colonoscopy (with polyp removal)
|
$4,881.70 |
$4,881.70 |
$4,881.70 |
$2,074.50
|
|
Colonoscopy w/resection
|
$7,065.70 |
$7,065.70 |
$7,065.70 |
$3,214.09
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,052.35 |
$1,052.35 |
$1,052.35 |
$3,615.39
|
|
Compatibility test each unit antiglobulin technique
|
$131.95 |
$131.95 |
$131.95 |
$156.60
|
|
Compatibility test each unit electronic
|
$124.15 |
$124.15 |
$124.15 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$124.15 |
$124.15 |
$124.15 |
$156.24
|
|
Compatibility test incubate
|
$71.50 |
$71.50 |
$71.50 |
$140.00
|
|
Complement antigen each component c3
|
$143.00 |
$143.00 |
$143.00 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$765.05 |
$765.05 |
$765.05 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$867.10 |
$867.10 |
$867.10 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$954.85 |
$954.85 |
$954.85 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,166.10 |
$1,166.10 |
$1,166.10 |
$1,244.80
|
|
Complx repair fccmnaxghf 13131
|
$3,717.51 |
$3,717.51 |
$3,717.51 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$1,102.40 |
$1,102.40 |
$1,102.40 |
$1,193.40
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$582.40 |
$582.40 |
$582.40 |
$1,193.40
|
|
Concentration infection agents any type
|
$61.75 |
$61.75 |
$61.75 |
$48.00
|
|
Condylomata destruction 56420
|
$484.25 |
$484.25 |
$484.25 |
$472.50
|
|
Conization/cerv/loop electrode exc 57522
|
$4,332.95 |
$4,332.95 |
$4,332.95 |
$4,198.50
|
|
Consultation pathology during surgery cytological exam initial site
|
$111.15 |
$111.15 |
$111.15 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$128.05 |
$128.05 |
$128.05 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$222.30 |
$222.30 |
$222.30 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$258.05 |
$258.05 |
$258.05 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$200.85 |
$200.85 |
$200.85 |
$176.15
|
|
Consult comp w/report rfrd material
|
$293.15 |
$293.15 |
$293.15 |
$365.60
|
|
Cont gluc mntr analysis i&r 95251
|
$59.80 |
$59.80 |
$59.80 |
$80.00
|
|
Contrast baths charges
|
$58.50 |
$58.50 |
$58.50 |
$77.98
|
|
Control nosebleed pack+caut 30905
|
$483.60 |
$483.60 |
$483.60 |
$457.60
|
|
Control of nosebleed ant comp 30903
|
$471.90 |
$471.90 |
$471.90 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$293.15 |
$293.15 |
$293.15 |
$336.00
|
|
Control oropharyngeal hemorr/simp 42960
|
$382.85 |
$382.85 |
$382.85 |
$599.72
|
|
Coombs direct
|
$147.55 |
$147.55 |
$147.55 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$85.80 |
$85.80 |
$85.80 |
$76.70
|
|
Coombs indirect titer reference
|
$151.45 |
$151.45 |
$151.45 |
$122.85
|
|
Cortisol acth stimulation test - sendout
|
$234.65 |
$234.65 |
$234.65 |
$143.40
|
|
Cortisol total am
|
$152.10 |
$152.10 |
$152.10 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$346.38 |
$346.38 |
$346.38 |
$218.95
|
|
Counseling smoke cess interm >10mins
|
$42.25 |
$42.25 |
$42.25 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$41.60 |
$41.60 |
$41.60 |
$64.50
|
|
#covid19rsv-rsv
|
$150.80 |
$150.80 |
$150.80 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$98.15 |
$98.15 |
$98.15 |
$65.36
|
|
C-peptide
|
$143.65 |
$143.65 |
$143.65 |
$111.20
|
|
C-reactive protein
|
$82.55 |
$82.55 |
$82.55 |
$54.43
|
|
C-reactive protein high sensitivity
|
$109.20 |
$109.20 |
$109.20 |
$91.65
|
|
Creatine kinase
|
$76.70 |
$76.70 |
$76.70 |
$55.00
|
|
Creatine kinase isoenzymes
|
$90.35 |
$90.35 |
$90.35 |
$66.00
|
|
Creatine kinase mb
|
$118.30 |
$118.30 |
$118.30 |
$100.75
|
|
Creatinine
|
$62.40 |
$62.40 |
$62.40 |
$40.00
|
|
Creatinine 24 hour urine
|
$67.60 |
$67.60 |
$67.60 |
$54.40
|
|
Creatinine clearance urine
|
$142.35 |
$142.35 |
$142.35 |
$73.86
|
|
#creutz-prot.,western blot
|
$258.70 |
$258.70 |
$258.70 |
$178.10
|
|
Crisis psychotherapy 90839
|
$193.05 |
$193.05 |
$193.05 |
$326.34
|
|
Critical care 30-74 minutes
|
$2,099.50 |
$2,099.50 |
$2,099.50 |
$2,540.23
|
|
Crotalidae poly immune fab
|
$7,795.12 |
$7,795.12 |
$7,795.12 |
$3,996.74
|
|
Cryofibrinogen qualitative - sendout
|
$46.15 |
$46.15 |
$46.15 |
$52.50
|
|
Cryoprecipitate each unit
|
$109.85 |
$109.85 |
$109.85 |
$182.25
|
