|
Closed carpo/metacarpal disl thumb w/manip
|
$336.50 |
$336.50 |
$336.50 |
$508.45
|
|
Closed tx humerus fx w/manip 24505
|
$204.50 |
$204.50 |
$204.50 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$246.00 |
$246.00 |
$246.00 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$962.50 |
$962.50 |
$962.50 |
$2,520.60
|
|
Closed tx septal&nose fx
|
$1,528.50 |
$1,528.50 |
$1,528.50 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$176.00 |
$176.00 |
$176.00 |
$445.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$240.00 |
$240.00 |
$240.00 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$1,132.50 |
$1,132.50 |
$1,132.50 |
$2,326.08
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$640.00 |
$640.00 |
$640.00 |
$1,259.62
|
|
Closure paravalvlr leak pq
|
$4,814.36 |
$4,814.36 |
$4,814.36 |
$7,723.17
|
|
Clot factor xii hageman
|
$131.00 |
$131.00 |
$131.00 |
$134.39
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$419.00 |
$419.00 |
$419.00 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$302.50 |
$302.50 |
$302.50 |
$476.80
|
|
Clsd tx coccygeal fracture 27200
|
$133.00 |
$133.00 |
$133.00 |
$388.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$231.50 |
$231.50 |
$231.50 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$347.50 |
$347.50 |
$347.50 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$888.50 |
$888.50 |
$888.50 |
$2,184.08
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$54.28 |
$54.28 |
$54.28 |
$2,630.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$234.50 |
$234.50 |
$234.50 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$422.50 |
$422.50 |
$422.50 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$667.00 |
$667.00 |
$667.00 |
$1,656.90
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,488.50 |
$1,488.50 |
$1,488.50 |
$1,571.25
|
|
Clsd tx hip disloc without anes 27265
|
$204.50 |
$204.50 |
$204.50 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$183.00 |
$183.00 |
$183.00 |
$538.45
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$472.50 |
$472.50 |
$472.50 |
$606.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$1,466.50 |
$1,466.50 |
$1,466.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$212.50 |
$212.50 |
$212.50 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$281.00 |
$281.00 |
$281.00 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$373.00 |
$373.00 |
$373.00 |
$475.68
|
|
Clsd tx radius fracture w/manip 24655
|
$1,537.00 |
$1,537.00 |
$1,537.00 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,467.00 |
$1,467.00 |
$1,467.00 |
$1,839.54
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$132.00 |
$132.00 |
$132.00 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$261.50 |
$261.50 |
$261.50 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,367.50 |
$1,367.50 |
$1,367.50 |
$1,565.74
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$134.50 |
$134.50 |
$134.50 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$227.50 |
$227.50 |
$227.50 |
$600.60
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,927.50 |
$1,927.50 |
$1,927.50 |
$2,317.60
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,547.50 |
$1,547.50 |
$1,547.50 |
$1,815.75
|
|
Cltx mndblr fx w/mnpj
|
$383.00 |
$383.00 |
$383.00 |
$2,343.00
|
|
Cltx post ankle fx w/mnpj
|
$320.00 |
$320.00 |
$320.00 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$190.50 |
$190.50 |
$190.50 |
$2,021.04
|
|
#cmvcul-virus inoculation shell
|
$6.50 |
$6.50 |
$6.50 |
$100.80
|
|
Cmv pcr-sendout
|
$107.00 |
$107.00 |
$107.00 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$5,054.48 |
$5,054.48 |
$5,494.00 |
$8,980.00
|
|
Coagulation time activated teg
|
$25.76 |
$25.76 |
$75.50 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$37.76 |
$37.76 |
$41.05 |
$629.41
|
|
Coil axium 3d 14mmx40cm qc
|
$937.50 |
$937.50 |
$937.50 |
$308.00
|
|
Cold agglutinin titer
|
$40.02 |
$40.02 |
$149.00 |
$50.00
|
|
Colistimethate sodium inj
|
$12.02 |
$12.02 |
$13.07 |
$68.47
|
|
Collagenase, clost hist inj
|
$2,407.59 |
$2,407.59 |
$2,616.95 |
$12,906.28
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$271.51 |
$271.51 |
$295.11 |
$60.84
|
|
Collar cerv ascend 172 reg
|
$325.22 |
$325.22 |
$353.49 |
$213.89
|
|
Collection blood specimen from completely implantable venous access device
|
$77.74 |
$77.74 |
$110.50 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$106.50 |
$106.50 |
$106.50 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$16.56 |
$16.56 |
$54.50 |
$21.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,423.50 |
$1,423.50 |
$1,423.50 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$254.84 |
$254.84 |
$291.50 |
$170.05
|
|
Compatibility test each unit electronic
|
$154.00 |
$154.00 |
$155.94 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$104.42 |
$104.42 |
$155.00 |
$169.52
|
|
Compatibility test incubate
|
$62.56 |
$62.56 |
$62.56 |
$155.40
|
|
Complement antigen each component c3
|
$30.82 |
$30.82 |
$86.00 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$412.00 |
$412.00 |
$412.00 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$510.50 |
$510.50 |
$510.50 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$444.50 |
$444.50 |
$444.50 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$484.00 |
$484.00 |
$484.00 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$336.50 |
$336.50 |
$336.50 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$285.50 |
$285.50 |
$285.50 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$623.50 |
$623.50 |
$623.50 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$141.00 |
$141.00 |
$141.00 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$304.00 |
$304.00 |
$304.00 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$438.50 |
$438.50 |
$438.50 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$545.50 |
$545.50 |
$545.50 |
$537.00
|
|
Concentration infection agents any type
|
$11.96 |
$11.96 |
$25.00 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$427.71 |
$427.71 |
$464.90 |
$3,322.20
|
|
Condylomata destruction 56420
|
$136.50 |
$136.50 |
$136.50 |
$469.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$158.56 |
$158.56 |
$172.35 |
$871.08
|
|
Connect omega .5mm
|
$450.09 |
$450.09 |
$489.23 |
$1,260.00
|
|
Connector tis 2x10mm
|
$1,959.26 |
$1,959.26 |
$2,129.63 |
$4,091.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$405.50 |
$405.50 |
$405.50 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$13.00 |
$13.00 |
$49.22 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$29.90 |
$29.90 |
$180.00 |
$225.96
|
|
Consultation/report referred slides prepared elsewhere
|
$198.00 |
$198.00 |
$198.00 |
$171.65
|
|
Contact layer >16<= 48 sq in
|
$43.00 |
$43.00 |
$43.00 |
$36.17
|
|
Contrast exam abdominl aorta 75625-26
|
$1,808.00 |
$1,808.00 |
$2,271.02 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$441.00 |
$441.00 |
$441.00 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$1,259.02 |
$1,259.02 |
$2,219.50 |
$3,728.24
|
|
Contrast x-ray of elbow
|
$484.00 |
$484.00 |
$484.00 |
$649.80
|
|
Contrast x-ray of hip
|
$759.50 |
$759.50 |
$759.50 |
$771.12
|
|
Contrast x-ray of knee joint
|
$760.00 |
$760.00 |
$760.00 |
$769.88
|
|
Contrast x-ray of wrist
|
$723.50 |
$723.50 |
$723.50 |
$637.00
|
|
Controller infinity pt dbs
|
$2,525.40 |
$2,525.40 |
$2,745.00 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$503.70 |
$503.70 |
$547.50 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$169.50 |
$169.50 |
$169.50 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$216.20 |
$216.20 |
$256.00 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$154.50 |
$154.50 |
$154.50 |
$634.80
|
|
Contrst x-ray uppr gi tract
|
$702.00 |
$702.00 |
$702.00 |
$737.75
|
|
Conversion ext bil drg cath
|
$1,905.50 |
$1,905.50 |
$1,905.50 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$1,610.50 |
$1,610.50 |
$1,610.50 |
$2,777.60
|
|
Coombs direct
|
$39.56 |
$39.56 |
$107.50 |
$75.00
|
