|
Clsd tx/metacarpal fx/sg without manip 26600
|
$700.52 |
$700.52 |
$700.52 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$770.24 |
$770.24 |
$770.24 |
$606.00
|
|
Clsd tx/metatarsal fx without manip 28470
|
$508.79 |
$508.79 |
$508.79 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$2,452.65 |
$2,452.65 |
$2,452.65 |
$3,678.17
|
|
Clsd tx nose fx without manip 21310
|
$230.74 |
$230.74 |
$230.74 |
$323.95
|
|
Clsd tx patella disloc without anes 27560
|
$854.07 |
$854.07 |
$854.07 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$756.13 |
$756.13 |
$756.13 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$243.19 |
$243.19 |
$243.19 |
$416.35
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,007.62 |
$1,007.62 |
$1,007.62 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$465.63 |
$465.63 |
$465.63 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$614.20 |
$614.20 |
$614.20 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,035.01 |
$1,035.01 |
$1,035.01 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$546.14 |
$546.14 |
$546.14 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,001.81 |
$1,001.81 |
$1,001.81 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,272.39 |
$1,272.39 |
$1,272.39 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,279.18 |
$2,279.18 |
$2,279.18 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$328.68 |
$328.68 |
$328.68 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$282.20 |
$282.20 |
$282.20 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$768.58 |
$768.58 |
$768.58 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,128.80 |
$1,128.80 |
$1,128.80 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$614.20 |
$614.20 |
$614.20 |
$452.40
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$715.46 |
$715.46 |
$715.46 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$768.58 |
$768.58 |
$768.58 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$679.77 |
$679.77 |
$679.77 |
$474.50
|
|
Cltx carpl scphd fx w/mnpj
|
$1,136.27 |
$1,136.27 |
$1,136.27 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,283.18 |
$1,283.18 |
$1,283.18 |
$1,815.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$817.55 |
$817.55 |
$817.55 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$1,130.46 |
$1,130.46 |
$1,130.46 |
$2,437.00
|
|
Cltx mndblr/max alv ridge fx
|
$1,630.12 |
$1,630.12 |
$1,630.12 |
$3,990.33
|
|
Cltx palatal/max fx wire fix
|
$2,736.51 |
$2,736.51 |
$2,736.51 |
$4,350.00
|
|
Cltx post ankle fx w/mnpj
|
$1,028.37 |
$1,028.37 |
$1,028.37 |
$1,893.86
|
|
#cmvcul-virus inoculation shell
|
$82.17 |
$82.17 |
$82.17 |
$100.80
|
|
Cmv pcr-sendout
|
$222.44 |
$222.44 |
$222.44 |
$177.50
|
|
Co2 monitor per day
|
$346.94 |
$346.94 |
$346.94 |
$450.60
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$9,120.04 |
$9,120.04 |
$9,120.04 |
$8,980.00
|
|
Coagulation time activated teg
|
$62.25 |
$62.25 |
$62.25 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$68.14 |
$68.14 |
$68.14 |
$629.41
|
|
Cold agglutinin titer
|
$63.08 |
$63.08 |
$63.08 |
$50.00
|
|
Colistimethate sodium inj
|
$21.69 |
$21.69 |
$21.69 |
$68.47
|
|
Collagenase, clost hist inj
|
$4,344.13 |
$4,344.13 |
$4,344.13 |
$12,906.28
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$489.89 |
$489.89 |
$489.89 |
$60.84
|
|
Collar cerv ascend 172 reg
|
$586.80 |
$586.80 |
$586.80 |
$213.89
|
|
Collection blood specimen from completely implantable venous access device
|
$140.27 |
$140.27 |
$140.27 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$8.30 |
$8.30 |
$8.30 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$92.13 |
$92.13 |
$92.13 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$622.50 |
$622.50 |
$622.50 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,168.64 |
$1,168.64 |
$1,168.64 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$1,550.44 |
$1,550.44 |
$1,550.44 |
$2,288.00
|
|
Colonoscopy for foreign body
|
$968.61 |
$968.61 |
$968.61 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$915.49 |
$915.49 |
$915.49 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$1,048.29 |
$1,048.29 |
$1,048.29 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$1,066.55 |
$1,066.55 |
$1,066.55 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$750.32 |
$750.32 |
$750.32 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$6,076.43 |
$6,076.43 |
$6,076.43 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$1,483.21 |
$1,483.21 |
$1,483.21 |
$1,645.43
|
|
Colonoscopy w/control bleed
|
$1,616.84 |
$1,616.84 |
$1,616.84 |
$2,030.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$596.77 |
$596.77 |
$596.77 |
$1,645.43
|
|
Colonoscopy w/endoscopic fnb
|
$703.01 |
$703.01 |
$703.01 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$670.64 |
$670.64 |
$670.64 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$1,040.82 |
$1,040.82 |
$1,040.82 |
$1,395.28
|
|
Colonoscopy with ablation
|
$5,888.02 |
$5,888.02 |
$5,888.02 |
$3,405.12
|
|
Colonoscopy (with biopsy)
|
$1,044.97 |
$1,044.97 |
$1,044.97 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$989.36 |
$989.36 |
$989.36 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$1,087.30 |
$1,087.30 |
$1,087.30 |
$2,288.00
|
|
Colonoscopy w/stent plcmt
|
$605.90 |
$605.90 |
$605.90 |
$5,824.00
|
|
Colpocentesis 57020
|
$790.16 |
$790.16 |
$790.16 |
$4,232.80
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,996.15 |
$1,996.15 |
$1,996.15 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$141.10 |
$141.10 |
$141.10 |
$1,030.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$285.52 |
$285.52 |
$285.52 |
$312.90
|
|
Colposcopy vulva w/biopsy 56821
|
$212.48 |
$212.48 |
$212.48 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$285.52 |
$285.52 |
$285.52 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$453.18 |
$453.18 |
$453.18 |
$170.05
|
|
Compatibility test each unit electronic
|
$244.85 |
$244.85 |
$244.85 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$204.18 |
$204.18 |
$204.18 |
$169.52
|
|
Comp cystometrogram/void/uret pres 51729
|
$925.45 |
$925.45 |
$925.45 |
$1,111.03
|
|
Complement antigen each component c3
|
$96.28 |
$96.28 |
$96.28 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$835.81 |
$835.81 |
$835.81 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$935.41 |
$935.41 |
$935.41 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$992.68 |
$992.68 |
$992.68 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,166.15 |
$1,166.15 |
$1,166.15 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$493.02 |
$493.02 |
$493.02 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$912.17 |
$912.17 |
$912.17 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,108.88 |
$1,108.88 |
$1,108.88 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$475.59 |
$475.59 |
$475.59 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$475.59 |
$475.59 |
$475.59 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$801.78 |
$801.78 |
$801.78 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$493.02 |
$493.02 |
$493.02 |
$537.00
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$771.74 |
$771.74 |
$771.74 |
$3,322.20
|
|
Condylomata destruction 56420
|
$585.98 |
$585.98 |
$585.98 |
$469.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$286.10 |
$286.10 |
$286.10 |
$871.08
|
|
Connect omega .5mm
|
$812.12 |
$812.12 |
$812.12 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,535.18 |
$3,535.18 |
$3,535.18 |
$4,091.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$17.43 |
$17.43 |
$17.43 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$34.86 |
$34.86 |
$34.86 |
$225.96
|
|
Contact layer >16<= 48 sq in
|
$68.06 |
$68.06 |
$68.06 |
$36.17
|
|
Contrast baths charges
|
$83.00 |
$83.00 |
$83.00 |
$70.50
|
|
Contrast x-ray of hip
|
$626.65 |
$626.65 |
$626.65 |
$771.12
|
|
Contrast x-ray of knee joint
|
$960.31 |
$960.31 |
$960.31 |
$769.88
|
|
Contrast x-ray of wrist
|
$516.26 |
$516.26 |
$516.26 |
$637.00
|
|
Controller infinity pt dbs
|
$4,556.70 |
$4,556.70 |
$4,556.70 |
$4,611.60
|