|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$599.95 |
$599.95 |
$599.95 |
|
|
Clsd tx clav dislc without manip 23520
|
$705.90 |
$705.90 |
$705.90 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$477.10 |
$477.10 |
$477.10 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$729.95 |
$729.95 |
$729.95 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$259.50 |
$498.55 |
$567.45 |
|
|
Clsd tx coccygeal fracture 27200
|
$463.45 |
$463.45 |
$463.45 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$215.25 |
$384.80 |
$424.45 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,032.20 |
$1,116.70 |
$1,200.55 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$715.00 |
$715.00 |
$715.00 |
|
|
Clsd tx elbow dislocation child 24640
|
$166.50 |
$306.15 |
$474.50 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,627.60 |
$1,627.60 |
$1,636.05 |
|
|
Clsd tx fracture of radius 25500
|
$523.90 |
$523.90 |
$523.90 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$263.90 |
$263.90 |
$297.05 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$349.05 |
$358.80 |
$393.90 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$267.75 |
$570.70 |
$720.20 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$802.50 |
$1,291.55 |
$1,437.80 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$634.40 |
$634.40 |
$664.30 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$971.10 |
$981.75 |
$1,112.15 |
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$556.40 |
$556.40 |
$624.00 |
|
|
Clsd tx hip disloc without anes 27265
|
$866.45 |
$954.85 |
$1,006.85 |
|
|
Clsd tx humeral fract without manip 24530
|
$772.20 |
$772.20 |
$772.20 |
|
|
Clsd tx humerus fract without manip 24500
|
$930.15 |
$930.15 |
$930.15 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$739.05 |
$739.05 |
$895.05 |
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$617.50 |
$617.50 |
$617.50 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$204.00 |
$478.40 |
$589.55 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$668.20 |
$789.75 |
$842.40 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$352.95 |
$497.90 |
$685.10 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$252.75 |
$429.65 |
$443.30 |
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$692.90 |
$692.90 |
$1,016.60 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,088.10 |
$1,088.10 |
$1,088.10 |
|
|
Clsd tx patella disloc without anes 27560
|
$462.80 |
$681.85 |
$726.70 |
|
|
Clsd tx/patellar fx without manip 27520
|
$762.45 |
$762.45 |
$762.45 |
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$856.70 |
$856.70 |
$856.70 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$229.50 |
$363.35 |
$429.65 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$425.75 |
$521.95 |
$597.35 |
|
|
Clsd tx radius fracture w/manip 24655
|
$902.85 |
$1,025.70 |
$1,050.40 |
|
|
Clsd tx/scapular fx without manip 23570
|
$336.05 |
$336.05 |
$336.05 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$867.10 |
$867.10 |
$1,038.70 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$953.55 |
$1,167.40 |
$1,298.05 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,072.50 |
$1,110.20 |
$1,250.60 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$68.25 |
$278.20 |
$330.85 |
|
|
Clsd tx toe dislocation without anes28660
|
$342.55 |
$342.55 |
$388.70 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$778.70 |
$778.70 |
$778.70 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$772.50 |
$1,179.10 |
$1,281.15 |
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$544.05 |
$544.05 |
$571.35 |
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$736.45 |
$736.45 |
$975.00 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$648.05 |
$648.05 |
$705.25 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$617.50 |
$617.50 |
$617.50 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$776.75 |
$776.75 |
$902.85 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$474.50 |
$570.70 |
$615.55 |
|
|
Cltx carpl scphd fx w/mnpj
|
$1,268.80 |
$1,268.80 |
$1,268.80 |
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$924.30 |
$924.30 |
$1,161.55 |
|
|
Cltx hum epcndylr fx wo mnpj
|
$713.70 |
$713.70 |
$757.25 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,235.00 |
$1,235.00 |
$1,235.00 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$608.40 |
$608.40 |
$608.40 |
|
|
Cltx mndblr/max alv ridge fx
|
$1,465.10 |
$1,465.10 |
$1,465.10 |
|
|
Cltx palatal/max fx wire fix
|
$1,473.55 |
$1,473.55 |
$1,473.55 |
|
|
Cltx post ankle fx w/mnpj
|
$391.95 |
$391.95 |
$1,080.95 |
|
|
Cmbn ant pst colprhy
|
$20,789.68 |
$20,789.68 |
$20,789.68 |
|
|
C motor evoked lwr limbs
|
$321.75 |
$321.75 |
$1,912.95 |
|
|
C motor evoked uppr limbs
|
$1,313.65 |
$1,313.65 |
$1,912.95 |
|
|
C motor evoked upr&lwr limbs
|
$978.90 |
$978.90 |
$1,903.20 |
|
|
Cmptr ophth dx img ant segmt
|
$59.80 |
$59.80 |
$59.80 |
|
|
Cmptr ophth img optic nerve
|
$70.20 |
$70.20 |
$70.20 |
|
|
#cmvcul-virus inoculation shell
|
$121.55 |
$124.80 |
$141.05 |
|
|
Cmv pcr-sendout
|
$72.80 |
$162.50 |
$308.75 |
|
|
Co2 monitor per day
|
$81.25 |
$574.60 |
$577.85 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$28,762.50 |
$28,762.50 |
$46,173.40 |
|
|
Coagulation time activated teg
|
$39.00 |
$62.40 |
$91.65 |
|
|
Cocaine 4 % nasal solution
|
$836.06 |
$836.06 |
$836.06 |
|
|
Cold agglutinin screen (arc)
|
$55.25 |
$62.40 |
$99.45 |
|
|
Cold agglutinin titer
|
$38.35 |
$58.50 |
$74.10 |
|
|
Colectomy partial w/anastomosis 44140
|
$2,704.00 |
$2,704.00 |
$2,704.00 |
|
|
Colistimethate sodium inj
|
$84.60 |
$84.60 |
$84.63 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$5.20 |
$22.10 |
$57.85 |
|
|
Collar cerv adlt perfit ace extric
|
$53.95 |
$53.95 |
$70.20 |
|
|
Collar cerv ascend 172 reg
|
$10.40 |
$57.85 |
$57.85 |
|
|
Collar cerv patriot adlt
|
$10.40 |
$18.20 |
$83.20 |
|
|
Collar extrication adult univ
|
$503.75 |
$503.75 |
$503.75 |
|
|
Collection blood specimen from completely implantable venous access device
|
$88.40 |
$643.17 |
$5,415.96 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$224.25 |
$577.20 |
$968.50 |
|
|
Collection of venous blood by venipuncture
|
$12.00 |
$635.05 |
$2,324.02 |
|
|
Colonoscopy (diagnostic)
|
$2,166.45 |
$2,900.10 |
$5,510.84 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$913.90 |
$3,442.40 |
$7,007.65 |
|
|
Colonoscopy stoma w/snare 44394
|
$3,251.63 |
$3,251.63 |
$6,794.64 |
|
|
Colonoscopy submucous njx
|
$4,116.45 |
$4,771.29 |
$9,443.86 |
|
|
Colonoscopy thru stoma spx
|
$2,791.03 |
$6,473.36 |
$6,905.15 |
|
|
Colonoscopy w/ablation
|
$1,310.40 |
$4,259.37 |
$6,545.70 |
|
|
Colonoscopy w/balloon dilat
|
$4,605.13 |
$4,605.13 |
$7,875.28 |
|
|
Colonoscopy w/band ligation
|
$2,694.82 |
$2,694.82 |
$2,694.82 |
|
|
Colonoscopy w/control bleed
|
$3,874.13 |
$4,688.33 |
$6,899.76 |
|
|
Colonoscopy w/endoscope Ultrasound
|
$2,830.02 |
$2,830.02 |
$2,830.02 |
|
|
Colonoscopy (with biopsy)
|
$3,463.77 |
$3,931.01 |
$6,996.60 |
|
|
Colonoscopy with biopsy
|
$5,178.27 |
$5,178.27 |
$6,794.64 |
|
|
Colonoscopy (with polyp removal)
|
$2,693.62 |
$3,303.10 |
$7,286.51 |
|
|
Colonoscopy w/resection
|
$5,242.13 |
$7,065.70 |
$9,150.24 |
|
|
Colpopexy extraperitoneal
|
$20,002.16 |
$20,002.16 |
$20,002.16 |
|
|
Colpopexy intraperitoneal
|
$29,595.61 |
$29,595.61 |
$29,595.61 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$811.85 |
$811.85 |
$1,052.35 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$251.25 |
$251.25 |
$251.25 |
|