|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$1,499.46 |
$1,499.46 |
$1,499.46 |
$15,560.16
|
|
Clearance of airways
|
$375.85 |
$375.85 |
$375.85 |
$213.07
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,474.06 |
$1,474.06 |
$1,474.06 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$524.10 |
$524.10 |
$524.10 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$4,743.45 |
$4,743.45 |
$4,743.45 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$610.53 |
$610.53 |
$610.53 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$1,565.21 |
$1,565.21 |
$1,565.21 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$625.90 |
$625.90 |
$625.90 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,424.73 |
$3,424.73 |
$3,424.73 |
$2,569.28
|
|
Closed tx/talus fracture without manip 28430
|
$646.46 |
$646.46 |
$646.46 |
$442.80
|
|
Close tear duct opening
|
$227.18 |
$227.18 |
$227.18 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$3,205.47 |
$3,205.47 |
$3,205.47 |
$2,392.80
|
|
Closure of windpipe lesion 31820
|
$8,876.49 |
$8,876.49 |
$8,876.49 |
$3,837.72
|
|
Clot factor xii hageman
|
$317.04 |
$317.04 |
$317.04 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$22.83 |
$22.83 |
$22.83 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$58.51 |
$58.51 |
$58.51 |
$106.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$652.29 |
$652.29 |
$652.29 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$656.47 |
$656.47 |
$656.47 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$792.02 |
$792.02 |
$792.02 |
$489.60
|
|
Clsd tx/clavicular fx without manip 23500
|
$724.46 |
$724.46 |
$724.46 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$524.10 |
$524.10 |
$524.10 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$753.36 |
$753.36 |
$753.36 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$517.93 |
$517.93 |
$517.93 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$465.21 |
$465.21 |
$465.21 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,814.30 |
$2,814.30 |
$2,814.30 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$466.47 |
$466.47 |
$466.47 |
$442.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$494.27 |
$494.27 |
$494.27 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$618.48 |
$618.48 |
$618.48 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,495.60 |
$2,495.60 |
$2,495.60 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$469.05 |
$469.05 |
$469.05 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,158.18 |
$2,158.18 |
$2,158.18 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$475.14 |
$475.14 |
$475.14 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$524.10 |
$524.10 |
$524.10 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$667.12 |
$667.12 |
$667.12 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$632.37 |
$632.37 |
$632.37 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$882.71 |
$882.71 |
$882.71 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$499.45 |
$499.45 |
$499.45 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$625.90 |
$625.90 |
$625.90 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$618.48 |
$618.48 |
$618.48 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$524.10 |
$524.10 |
$524.10 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$455.18 |
$455.18 |
$455.18 |
$429.00
|
|
Clsd tx patella disloc without anes 27560
|
$672.94 |
$672.94 |
$672.94 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$599.34 |
$599.34 |
$599.34 |
$498.85
|
|
Clsd tx pelvic ring fx
|
$516.78 |
$516.78 |
$516.78 |
$424.50
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$383.36 |
$383.36 |
$383.36 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$792.02 |
$792.02 |
$792.02 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$3,522.06 |
$3,522.06 |
$3,522.06 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$656.57 |
$656.57 |
$656.57 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,209.13 |
$1,209.13 |
$1,209.13 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,697.93 |
$2,697.93 |
$2,697.93 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$463.54 |
$463.54 |
$463.54 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$455.18 |
$455.18 |
$455.18 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$589.65 |
$589.65 |
$589.65 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,344.43 |
$2,344.43 |
$2,344.43 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$524.10 |
$524.10 |
$524.10 |
$473.00
|
|
Clsd tx wrist carpal fx without manip 25630
|
$562.89 |
$562.89 |
$562.89 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$730.22 |
$730.22 |
$730.22 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$643.66 |
$643.66 |
$643.66 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$484.71 |
$484.71 |
$484.71 |
$487.15
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$3,308.37 |
$3,308.37 |
$3,308.37 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$580.26 |
$580.26 |
$580.26 |
$525.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$677.51 |
$677.51 |
$677.51 |
$535.60
|
|
Cltx mndblr fx w/mnpj
|
$3,342.01 |
$3,342.01 |
$3,342.01 |
$2,343.00
|
|
Cmptr ophth img optic nerve
|
$43.43 |
$43.43 |
$43.43 |
$98.00
|
|
Cmv pcr-sendout
|
$468.21 |
$468.21 |
$468.21 |
$175.70
|
|
Cold agglutinin titer
|
$44.31 |
$44.31 |
$44.31 |
$52.00
|
|
Collagenase, clost hist inj
|
$106.10 |
$106.10 |
$106.10 |
$12,906.28
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$468.21 |
$468.21 |
$468.21 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$352.82 |
$352.82 |
$352.82 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$352.82 |
$352.82 |
$352.82 |
$155.40
|
|
Colonoscopy w/balloon dilat
|
$1,422.82 |
$1,422.82 |
$1,422.82 |
$1,681.30
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$1,587.76 |
$1,587.76 |
$1,587.76 |
$1,030.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$131.13 |
$131.13 |
$131.13 |
$314.00
|
|
Colposcopy vulva 56820
|
$431.78 |
$431.78 |
$431.78 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$442.99 |
$442.99 |
$442.99 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$832.58 |
$832.58 |
$832.58 |
$485.50
|
|
Compatibility test each unit antiglobulin technique
|
$314.99 |
$314.99 |
$314.99 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$314.99 |
$314.99 |
$314.99 |
$169.52
|
|
Complement antigen each component c3
|
$130.30 |
$130.30 |
$130.30 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$940.73 |
$940.73 |
$940.73 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,031.48 |
$1,031.48 |
$1,031.48 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,103.14 |
$1,103.14 |
$1,103.14 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,281.20 |
$1,281.20 |
$1,281.20 |
$1,212.00
|
|
Complx repair fccmnaxghf 13131
|
$841.06 |
$841.06 |
$841.06 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,713.10 |
$1,713.10 |
$1,713.10 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$577.13 |
$577.13 |
$577.13 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$303.17 |
$303.17 |
$303.17 |
$508.44
|
|
Comprehensive hearing test
|
$352.85 |
$352.85 |
$352.85 |
$261.46
|
|
Compre oph exam est pt 1/>
|
$157.23 |
$157.23 |
$157.23 |
$207.20
|
|
Compre oph exam new pt 1/>
|
$188.51 |
$188.51 |
$188.51 |
$188.51
|
|
Computed tomographic angiography head and neck with contrast
|
$554.00 |
$554.00 |
$554.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$77.34 |
$77.34 |
$77.34 |
$51.32
|
|
Condylomata destruction 56420
|
$391.72 |
$391.72 |
$391.72 |
$467.35
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,142.95 |
$2,142.95 |
$2,142.95 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$188.09 |
$188.09 |
$188.09 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$393.43 |
$393.43 |
$393.43 |
$226.50
|
|
Contrast baths charges
|
$44.00 |
$44.00 |
$44.00 |
$75.60
|
|
Contrast x-ray of hip
|
$768.18 |
$768.18 |
$768.18 |
$796.38
|
|
Contrast x-ray of knee joint
|
$740.12 |
$740.12 |
$740.12 |
$790.50
|
|
Contrast x-ray of wrist
|
$740.12 |
$740.12 |
$740.12 |
$667.50
|
