|
Clsd tx metatarsal fracture w/manip 28475
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$446.40
|
|
Clsd tx patella disloc without anes 27560
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$705.60
|
|
Clsd tx/patellar fx without manip 27520
|
$494.00 |
$494.00 |
$494.00 |
$525.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$6,861.00 |
$6,861.00 |
$6,861.00 |
$2,557.07
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$1,094.00 |
$1,094.00 |
$1,094.00 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$3,354.00 |
$3,354.00 |
$3,354.00 |
$1,884.74
|
|
Clsd tx/scapular fx without manip 23570
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$4,533.00 |
$4,533.00 |
$4,533.00 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,938.00 |
$2,938.00 |
$2,938.00 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$7,810.00 |
$7,810.00 |
$7,810.00 |
$2,466.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$1,034.00 |
$1,034.00 |
$1,034.00 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$1,138.00 |
$1,138.00 |
$1,138.00 |
$436.70
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$4,533.00 |
$4,533.00 |
$4,533.00 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$487.80
|
|
Clsd tx wrist carpal fx without manip 25630
|
$494.00 |
$494.00 |
$494.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$437.00 |
$437.00 |
$437.00 |
$543.23
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$494.40
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$5,086.00 |
$5,086.00 |
$5,086.00 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$519.00 |
$519.00 |
$519.00 |
$523.25
|
|
Cltx humrl cndylr fx w/mnpj
|
$3,354.00 |
$3,354.00 |
$3,354.00 |
$1,893.86
|
|
Cltx humrl cndylr fx wo mnpj
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$563.00
|
|
Cltx mndblr fx w/mnpj
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$2,503.20
|
|
Cltx post ankle fx
|
$669.00 |
$669.00 |
$669.00 |
$497.00
|
|
C motor evoked upr&lwr limbs
|
$1,087.00 |
$1,087.00 |
$1,087.00 |
$1,308.00
|
|
Cmptr ophth img optic nerve
|
$347.00 |
$347.00 |
$347.00 |
$97.50
|
|
#cmvcul-virus inoculation shell
|
$44.00 |
$44.00 |
$44.00 |
$102.57
|
|
Cmv pcr-sendout
|
$118.00 |
$118.00 |
$118.00 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$7.86 |
$7.86 |
$7.86 |
$6.36
|
|
Coagulation time activated teg
|
$36.00 |
$36.00 |
$36.00 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$285.06 |
$285.06 |
$285.06 |
$624.58
|
|
Cold agglutinin screen (arc)
|
$213.00 |
$213.00 |
$213.00 |
$47.19
|
|
Cold agglutinin titer
|
$89.00 |
$89.00 |
$89.00 |
$48.57
|
|
Colistimethate sodium inj
|
$45.61 |
$45.61 |
$45.61 |
$90.35
|
|
Collagenase, clost hist inj
|
$23,944.24 |
$23,944.24 |
$23,944.24 |
$16,403.22
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$344.00 |
$344.00 |
$344.00 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$117.00 |
$117.00 |
$117.00 |
$22.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$9,967.00 |
$9,967.00 |
$9,967.00 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$3,096.00 |
$3,096.00 |
$3,096.00 |
$1,030.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$326.30
|
|
Colposcopy w/biopsy of cervix 57455
|
$1,985.00 |
$1,985.00 |
$1,985.00 |
$544.70
|
|
Compatibility test each unit antiglobulin technique
|
$76.00 |
$76.00 |
$76.00 |
$173.25
|
|
Compatibility test each unit electronic
|
$25.00 |
$25.00 |
$25.00 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$78.00 |
$78.00 |
$78.00 |
$169.52
|
|
Compatibility test incubate
|
$62.00 |
$62.00 |
$62.00 |
$143.65
|
|
Complement antigen each component c3
|
$184.00 |
$184.00 |
$184.00 |
$111.15
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$3,934.00 |
$3,934.00 |
$3,934.00 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$3,513.00 |
$3,513.00 |
$3,513.00 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$750.00 |
$750.00 |
$750.00 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$365.00 |
$365.00 |
$365.00 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$305.00 |
$305.00 |
$305.00 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$2,735.00 |
$2,735.00 |
$2,735.00 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$305.00 |
$305.00 |
$305.00 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$8,592.00 |
$8,592.00 |
$8,592.00 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$750.00 |
$750.00 |
$750.00 |
$1,193.40
|
|
Composite graft/pri close/don area 15760
|
$6,119.00 |
$6,119.00 |
$6,119.00 |
$2,692.80
|
|
Compre oph exam est pt 1/>
|
$676.00 |
$676.00 |
$676.00 |
$214.50
|
|
Compre oph exam new pt 1/>
|
$702.00 |
$702.00 |
$702.00 |
$186.00
|
|
Concentration infection agents any type
|
$79.00 |
$79.00 |
$79.00 |
$51.32
|
|
Condylomata destruction 56420
|
$1,218.00 |
$1,218.00 |
$1,218.00 |
$509.81
|
|
Conivaptan hcl
|
$29.17 |
$29.17 |
$29.17 |
$1,611.54
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,204.46 |
$1,204.46 |
$1,204.46 |
$905.72
|
|
Consultation pathology during surgery cytological exam initial site
|
$203.00 |
$203.00 |
$203.00 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$227.00 |
$227.00 |
$227.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$431.00 |
$431.00 |
$431.00 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$309.00 |
$309.00 |
$309.00 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$485.00 |
$485.00 |
$485.00 |
$176.15
|
|
Contrast exam abdominl aorta 75625-26
|
$16,279.00 |
$16,279.00 |
$16,279.00 |
$3,458.54
|
|
Contrast x-ray of ankle
|
$2,154.00 |
$2,154.00 |
$2,154.00 |
$602.40
|
|
Contrast x-ray of brain
|
$1,634.00 |
$1,634.00 |
$1,634.00 |
$479.72
|
|
Contrast x-ray of brain
|
$3,908.00 |
$3,908.00 |
$3,908.00 |
$930.42
|
|
Contrast x-ray of elbow
|
$2,154.00 |
$2,154.00 |
$2,154.00 |
$637.14
|
|
Contrast x-ray of hip
|
$2,154.00 |
$2,154.00 |
$2,154.00 |
$768.00
|
|
Contrast x-ray of knee joint
|
$2,154.00 |
$2,154.00 |
$2,154.00 |
$683.20
|
|
Contrast x-ray of wrist
|
$2,154.00 |
$2,154.00 |
$2,154.00 |
$623.50
|
|
Control nosebleed pack+caut 30905
|
$824.00 |
$824.00 |
$824.00 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$228.00 |
$228.00 |
$228.00 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$837.00 |
$837.00 |
$837.00 |
$385.45
|
|
Coombs direct
|
$33.00 |
$33.00 |
$33.00 |
$73.26
|
|
Coombs indirect titer reference
|
$83.00 |
$83.00 |
$83.00 |
$146.00
|
|
Copper intrauterine device
|
$2,829.75 |
$2,829.75 |
$2,829.75 |
$1,953.00
|
|
Corticorelin ovine triflutal
|
$2,971.01 |
$2,971.01 |
$2,971.01 |
$654.00
|
|
Cortisol total am
|
$415.00 |
$415.00 |
$415.00 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$65.45 |
$65.45 |
$65.45 |
$249.41
|
|
Co-treatment - group 15 mins, st
|
$353.00 |
$353.00 |
$353.00 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$117.00 |
$117.00 |
$117.00 |
$57.85
|
|
Counseling visit to discuss need for ldct g0296
|
$285.00 |
$285.00 |
$285.00 |
$98.14
|
|
Covid-19 administration immunization im inj 1st/only component
|
$141.00 |
$141.00 |
$141.00 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$603.65
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$569.31
|
|
#covid19rsv-rsv
|
$237.00 |
$237.00 |
$237.00 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$49.00 |
$49.00 |
$49.00 |
$65.36
|
|
C-peptide
|
$188.00 |
$188.00 |
$188.00 |
$100.00
|
|
Cptrized corneal topography
|
$347.00 |
$347.00 |
$347.00 |
$111.93
|
|
Cptr ophth dx img post segmt
|
$347.00 |
$347.00 |
$347.00 |
$97.50
|
|
Cr-51 sodium chromate
|
$0.35 |
$0.35 |
$0.35 |
$2,646.78
|
|
Crbrospnl fld flw imag cistern
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$1,466.97
|
|
C-reactive protein
|
$75.00 |
$75.00 |
$75.00 |
$63.00
|
