|
Clsd tx iphal jnt disl w/manip req anes
|
$681.85 |
$681.85 |
$681.85 |
|
|
Clsd tx mandibular fx without manip 21450
|
$480.70 |
$480.70 |
$480.70 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$704.75 |
$704.75 |
$704.75 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$950.25 |
$950.25 |
$950.25 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$489.35 |
$489.35 |
$489.35 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,844.40 |
$2,844.40 |
$2,844.40 |
|
|
Clsd tx patella disloc without anes 27560
|
$1,233.70 |
$1,233.70 |
$1,233.70 |
|
|
Clsd tx/patellar fx without manip 27520
|
$649.80 |
$649.80 |
$649.80 |
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$3,580.90 |
$3,580.90 |
$3,580.90 |
|
|
Clsd tx radius fracture w/manip 24655
|
$1,557.55 |
$1,557.55 |
$1,557.55 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,159.50 |
$1,159.50 |
$1,159.50 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,764.75 |
$2,764.75 |
$2,764.75 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$473.05 |
$473.05 |
$473.05 |
|
|
Clsd tx toe dislocation without anes28660
|
$422.75 |
$422.75 |
$422.75 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$2,368.45 |
$2,368.45 |
$2,368.45 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,726.45 |
$1,726.45 |
$1,726.45 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$471.00 |
$471.00 |
$471.00 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$750.00 |
$750.00 |
$750.00 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$430.95 |
$430.95 |
$430.95 |
|
|
Cls tx of heel fracture w/manip 28405
|
$899.95 |
$899.95 |
$899.95 |
|
|
Cltx carpl scphd fx w/mnpj
|
$1,248.55 |
$1,248.55 |
$1,248.55 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,698.15 |
$2,698.15 |
$2,698.15 |
|
|
Cltx lunate dislc w/mnpj
|
$3,226.90 |
$3,226.90 |
$3,226.90 |
|
|
Cltx mndblr fx ntrdntl fixj
|
$9,442.45 |
$9,442.45 |
$9,442.45 |
|
|
Cltx mndblr fx w/mnpj
|
$1,664.60 |
$1,664.60 |
$1,664.60 |
|
|
Cltx mndblr/max alv ridge fx
|
$5,193.75 |
$5,193.75 |
$5,193.75 |
|
|
Cltx palatal/max fx wire fix
|
$5,429.35 |
$5,429.35 |
$5,429.35 |
|
|
Cltx post ankle fx w/mnpj
|
$2,844.40 |
$2,844.40 |
$2,844.40 |
|
|
C motor evoked lwr limbs
|
$325.70 |
$325.70 |
$325.70 |
|
|
C motor evoked uppr limbs
|
$325.70 |
$325.70 |
$325.70 |
|
|
C motor evoked upr&lwr limbs
|
$2,062.30 |
$2,062.30 |
$2,062.30 |
|
|
#cmvcul-virus inoculation shell
|
$339.10 |
$339.10 |
$339.10 |
|
|
Cmv pcr-sendout
|
$175.70 |
$175.70 |
$175.70 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$6,567.29 |
$6,567.29 |
$6,567.29 |
|
|
Coagulation time activated teg
|
$114.30 |
$114.30 |
$114.30 |
|
|
Colistimethate sodium inj
|
$285.03 |
$285.03 |
$285.03 |
|
|
Collagenase, clost hist inj
|
$11,005.43 |
$11,005.43 |
$11,005.43 |
|
|
Collagen imp urinary 2.5 ml
|
$349.95 |
$349.95 |
$349.95 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$278.90 |
$278.90 |
$278.90 |
|
|
Collar cerv ascend 172 reg
|
$158.40 |
$158.40 |
$158.40 |
|
|
Collar extrication adult univ
|
$1,735.15 |
$1,735.15 |
$1,735.15 |
|
|
Collection blood specimen from completely implantable venous access device
|
$228.40 |
$228.40 |
$228.40 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$231.15 |
$231.15 |
$231.15 |
|
|
Coll-e-derm 1 sq cm
|
$2,200.00 |
$2,200.00 |
$2,200.00 |
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$5,166.90 |
$5,166.90 |
$5,166.90 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$356.10 |
$356.10 |
$356.10 |
|
|
Colposcopy/cervix/ conization 57461
|
$604.55 |
$604.55 |
$604.55 |
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$264.15 |
$264.15 |
$264.15 |
|
|
Colposcopy vulva 56820
|
$2,117.05 |
$2,117.05 |
$2,117.05 |
|
|
Colposcopy vulva w/biopsy 56821
|
$274.45 |
$274.45 |
$274.45 |
|
|
Colposcopy w/biopsy of cervix 57455
|
$321.90 |
$321.90 |
$321.90 |
|
|
Colpotomy drng of abscess 57010
|
$4,223.10 |
$4,223.10 |
$4,223.10 |
|
|
Compatibility test each unit antiglobulin technique
|
$278.70 |
$278.70 |
$278.70 |
|
|
Compatibility test each unit electronic
|
$410.50 |
$410.50 |
$410.50 |
|
|
Compatibility test each unit immediate spin technique
|
$176.65 |
$176.65 |
$176.65 |
|
|
Complement antigen each component c3
|
$158.60 |
$158.60 |
$158.60 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$887.25 |
$887.25 |
$887.25 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,506.25 |
$1,506.25 |
$1,506.25 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,594.55 |
$1,594.55 |
$1,594.55 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,175.10 |
$2,175.10 |
$2,175.10 |
|
|
Complx repair enel addl 5cm/< 13153
|
$1,563.95 |
$1,563.95 |
$1,563.95 |
|
|
Complx repair fccmnaxghf 13131
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
|
|
Complx repair fccmnaxghf 13132
|
$1,688.45 |
$1,688.45 |
$1,688.45 |
|
|
Complx repair fccmnaxghf 13133
|
$598.15 |
$598.15 |
$598.15 |
|
|
Complx repair sal addl 5 cm/> 13122
|
$485.30 |
$485.30 |
$485.30 |
|
|
Concentration infection agents any type
|
$218.40 |
$218.40 |
$218.40 |
|
|
Condylomata destruction 56420
|
$364.95 |
$364.95 |
$364.95 |
|
|
Conization/cerv/loop electrode exc 57522
|
$494.05 |
$494.05 |
$494.05 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$3,836.42 |
$3,836.42 |
$3,836.42 |
|
|
Connect omega .5mm
|
$555.00 |
$555.00 |
$555.00 |
|
|
Connector tis 2x10mm
|
$2,749.00 |
$2,749.00 |
$2,749.00 |
|
|
Constj trachesophgl fstl
|
$5,037.65 |
$5,037.65 |
$5,037.65 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$178.40 |
$178.40 |
$178.40 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$706.20 |
$706.20 |
$706.20 |
|
|
Consultation/report referred slides prepared elsewhere
|
$577.75 |
$577.75 |
$577.75 |
|
|
Consultation with family
|
$223.35 |
$223.35 |
$223.35 |
|
|
Contact layer >16<= 48 sq in
|
$143.40 |
$143.40 |
$143.40 |
|
|
Contrast baths charges
|
$146.85 |
$146.85 |
$146.85 |
|
|
Contrast exam abdominl aorta 75625-26
|
$7,747.35 |
$7,747.35 |
$7,747.35 |
|
|
Contrast exam thoracic aorta
|
$4,887.20 |
$4,887.20 |
$4,887.20 |
|
|
Contrast exam thoracic aorta 75605-26
|
$9,157.30 |
$9,157.30 |
$9,157.30 |
|
|
Contrast x-ray gallbladder
|
$676.55 |
$676.55 |
$676.55 |
|
|
Contrast x-ray of ankle
|
$775.80 |
$775.80 |
$775.80 |
|
|
Contrast x-ray of brain
|
$1,836.75 |
$1,836.75 |
$1,836.75 |
|
|
Contrast x-ray of elbow
|
$1,108.15 |
$1,108.15 |
$1,108.15 |
|
|
Contrast x-ray of hip
|
$1,118.85 |
$1,118.85 |
$1,118.85 |
|
|
Contrast x-ray of knee joint
|
$1,377.70 |
$1,377.70 |
$1,377.70 |
|
|
Contrast x-ray of wrist
|
$839.95 |
$839.95 |
$839.95 |
|
|
Controller infinity pt dbs
|
$19,495.00 |
$19,495.00 |
$19,495.00 |
|
|
Control nosebleed pack+caut 30905
|
$700.00 |
$700.00 |
$700.00 |
|
|
Control of nosebleed ant comp 30903
|
$563.85 |
$563.85 |
$563.85 |
|
|
Control of nosebleedantersmpl 30901
|
$442.60 |
$442.60 |
$442.60 |
|
|
Control oropharyngeal hemorr/simp 42960
|
$230.00 |
$230.00 |
$230.00 |
|
|
Conversion ext bil drg cath
|
$10,704.30 |
$10,704.30 |
$10,704.30 |
|
|
Convert nephrostomy catheter
|
$2,579.30 |
$2,579.30 |
$2,579.30 |
|
|
Coombs direct
|
$67.80 |
$67.80 |
$67.80 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$40.00 |
$40.00 |
$40.00 |
|
|
Coombs indirect titer reference
|
$179.40 |
$179.40 |
$179.40 |
|
|
Copper cu 64 dotatate diag
|
$2,960.50 |
$2,960.50 |
$2,960.50 |
|