|
Clsd tx clav dislc without manip 23520
|
$566.16 |
$572.90 |
$593.45 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$175.56 |
$175.56 |
$566.95 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$455.28 |
$565.26 |
$853.40 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$104.16 |
$104.16 |
$528.70 |
|
|
Clsd tx coccygeal fracture 27200
|
$133.00 |
$133.00 |
$231.19 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$195.88 |
$365.40 |
$445.40 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$160.44 |
$231.50 |
$1,007.25 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$244.86 |
$244.86 |
$755.65 |
|
|
Clsd tx elbow dislocation child 24640
|
$133.04 |
$292.32 |
$512.11 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$888.50 |
$1,154.16 |
$1,764.60 |
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$54.28 |
$1,199.94 |
$1,199.94 |
|
|
Clsd tx fracture of radius 25500
|
$239.82 |
$335.12 |
$678.30 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$209.06 |
$482.58 |
$482.58 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$160.18 |
$162.54 |
$391.00 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$280.14 |
$311.52 |
$806.65 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$667.00 |
$727.86 |
$1,275.85 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$189.39 |
$412.44 |
$691.05 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$786.81 |
$1,029.00 |
$1,815.97 |
|
|
Clsd tx hip disloc without anes 27265
|
$204.50 |
$285.18 |
$963.05 |
|
|
Clsd tx humeral fract without manip 24530
|
$183.00 |
$273.42 |
$907.80 |
|
|
Clsd tx humerus fract without manip 24500
|
$171.69 |
$695.94 |
$860.20 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$187.74 |
$187.74 |
$390.42 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$259.01 |
$338.94 |
$717.40 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$331.23 |
$482.58 |
$788.80 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$255.75 |
$520.38 |
$520.38 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$229.69 |
$521.05 |
$587.16 |
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$1,466.50 |
$2,061.36 |
$2,452.65 |
|
|
Clsd tx nose fx without manip 21310
|
$230.74 |
$1,011.36 |
$1,023.40 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$212.50 |
$1,478.40 |
$2,167.33 |
|
|
Clsd tx patella disloc without anes 27560
|
$235.62 |
$281.00 |
$874.65 |
|
|
Clsd tx/patellar fx without manip 27520
|
$323.82 |
$323.82 |
$774.35 |
|
|
Clsd tx pelvic ring fx
|
$220.92 |
$243.19 |
$580.11 |
|
|
Clsd tx pelvic ring fx
|
$497.96 |
$497.96 |
$497.96 |
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$987.07 |
$1,029.00 |
$1,031.90 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$208.51 |
$441.42 |
$476.85 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$120.95 |
$225.12 |
$629.00 |
|
|
Clsd tx radius fracture w/manip 24655
|
$674.95 |
$1,029.00 |
$1,875.14 |
|
|
Clsd tx/scapular fx without manip 23570
|
$405.08 |
$546.14 |
$559.30 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$671.15 |
$1,029.00 |
$1,789.74 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,029.00 |
$1,029.00 |
$1,832.44 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$684.72 |
$1,433.88 |
$2,279.18 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$54.30 |
$191.94 |
$336.60 |
|
|
Clsd tx toe dislocation without anes28660
|
$103.17 |
$237.72 |
$319.03 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$234.23 |
$244.86 |
$787.10 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$737.39 |
$1,152.48 |
$1,668.35 |
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$189.39 |
$474.60 |
$629.00 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$221.43 |
$553.98 |
$732.70 |
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$134.50 |
$134.50 |
$134.50 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$154.56 |
$227.50 |
$787.10 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$259.98 |
$259.98 |
$696.15 |
|
|
Cls tx of heel fracture w/manip 28405
|
$534.66 |
$534.66 |
$751.07 |
|
|
Cltx carpl scphd fx w/mnpj
|
$341.88 |
$341.88 |
$1,163.65 |
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,038.24 |
$1,038.24 |
$2,274.45 |
|
|
Cltx hum epcndylr fx wo mnpj
|
$294.41 |
$294.41 |
$304.39 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$855.22 |
$1,029.00 |
$1,826.05 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$150.78 |
$150.78 |
$837.25 |
|
|
Cltx lunate dislc w/mnpj
|
$144.90 |
$144.90 |
$1,389.45 |
|
|
Cltx mndblr fx w/mnpj
|
$383.00 |
$383.00 |
$383.00 |
|
|
Cltx mndblr/max alv ridge fx
|
$566.35 |
$1,884.96 |
$1,884.96 |
|
|
Cltx palatal/max fx wire fix
|
$2,490.60 |
$3,613.68 |
$3,613.68 |
|
|
Cltx post ankle fx w/mnpj
|
$144.90 |
$144.90 |
$1,053.15 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$158.34 |
$158.34 |
$637.48 |
|
|
Cltx strnclav dislc w/mnpj
|
$204.96 |
$204.96 |
$300.12 |
|
|
Cltx thigh fx w/mnpj
|
$1,823.10 |
$2,285.64 |
$2,285.64 |
|
|
C motor evoked lwr limbs
|
$78.12 |
$78.12 |
$78.12 |
|
|
C motor evoked uppr limbs
|
$117.60 |
$117.60 |
$117.60 |
|
|
Cmptr ophth img optic nerve
|
$79.80 |
$79.80 |
$79.80 |
|
|
#cmvcul-virus inoculation shell
|
$6.50 |
$50.82 |
$142.19 |
|
|
Cmv pcr-sendout
|
$72.82 |
$149.52 |
$473.45 |
|
|
Co2 monitor per day
|
$346.94 |
$597.08 |
$804.10 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$0.72 |
$23,074.80 |
$46,699.00 |
|
|
Coagulation time activated teg
|
$25.76 |
$60.90 |
$75.50 |
|
|
Cocaine 4 % nasal solution
|
$37.76 |
$551.62 |
$1,116.36 |
|
|
Coil axium 3d 14mmx40cm qc
|
$289.28 |
$289.28 |
$937.50 |
|
|
Cold agglutinin titer
|
$23.18 |
$152.04 |
$209.95 |
|
|
Colistimethate sodium inj
|
$12.02 |
$55.97 |
$113.27 |
|
|
Collagenase, clost hist inj
|
$2,407.59 |
$10,991.17 |
$22,244.04 |
|
|
Collagen gel/paste wound fil
|
$88.39 |
$88.39 |
$88.39 |
|
|
Collagen imp urinary 2.5 ml
|
$13,401.08 |
$13,401.08 |
$13,401.08 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$102.58 |
$220.50 |
$306.00 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$247.90 |
$271.51 |
$501.69 |
|
|
Collar cerv adlt perfit ace extric
|
$89.95 |
$89.95 |
$91.02 |
|
|
Collar cerv ascend 172 reg
|
$296.94 |
$325.22 |
$600.94 |
|
|
Collar cerv patriot adlt
|
$106.64 |
$106.64 |
$106.64 |
|
|
Collection blood specimen from completely implantable venous access device
|
$77.74 |
$145.74 |
$181.05 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$8.30 |
$89.46 |
$114.91 |
|
|
Colonoscopy (diagnostic)
|
$622.50 |
$1,975.68 |
$1,999.20 |
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,168.64 |
$1,816.08 |
$1,837.70 |
|
|
Colonoscopy for bleeding 44391
|
$1,550.44 |
$1,569.12 |
$1,587.80 |
|
|
Colonoscopy for foreign body
|
$968.61 |
$980.28 |
$991.95 |
|
|
Colonoscopy & polypectomy 44392
|
$915.49 |
$926.52 |
$937.55 |
|
|
Colonoscopy stoma w/snare 44394
|
$1,048.29 |
$1,060.92 |
$1,073.55 |
|
|
Colonoscopy submucous njx
|
$1,066.55 |
$1,079.40 |
$1,092.25 |
|
|
Colonoscopy thru stoma spx
|
$750.32 |
$759.36 |
$768.40 |
|
|
Colonoscopy w/ablation
|
$6,076.43 |
$6,149.64 |
$6,222.85 |
|
|
Colonoscopy w/balloon dilat
|
$1,483.21 |
$1,501.08 |
$1,518.95 |
|
|
Colonoscopy w/control bleed
|
$1,616.84 |
$1,636.32 |
$1,655.80 |
|
|
Colonoscopy w/endoscope Ultrasound
|
$596.77 |
$603.96 |
$611.15 |
|
|
Colonoscopy w/endoscopic fnb
|
$703.01 |
$711.48 |
$719.95 |
|
|
Colonoscopy/w endoscopic stent 45389
|
$670.64 |
$678.72 |
$686.80 |
|
