|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$363.66 |
$363.66 |
$363.66 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$187.00 |
$187.00 |
$187.00 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$65.78 |
$65.78 |
$65.78 |
$425.76
|
|
Closed tx/talus fracture without manip 28430
|
$561.60 |
$561.60 |
$561.60 |
$442.80
|
|
Closed tx vert fx w/manj
|
$488.40 |
$488.40 |
$488.40 |
$3,839.54
|
|
Close kidney-skin fistula
|
$718.52 |
$718.52 |
$718.52 |
$1,651.38
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$543.66 |
$543.66 |
$543.66 |
$477.00
|
|
Close mastoid fistula
|
$406.56 |
$406.56 |
$406.56 |
$3,299.20
|
|
Close median sternotomy separation 21750
|
$416.46 |
$416.46 |
$416.46 |
$1,660.00
|
|
Close mult vsd
|
$1,196.80 |
$1,196.80 |
$1,196.80 |
$2,794.50
|
|
Close mult vsd w/resection
|
$1,228.70 |
$1,228.70 |
$1,228.70 |
$2,867.10
|
|
Close nephrovisceral fistula
|
$910.58 |
$910.58 |
$910.58 |
$2,085.86
|
|
Close nephrovisceral fistula
|
$975.04 |
$975.04 |
$975.04 |
$2,230.59
|
|
Close tear duct opening
|
$88.88 |
$88.88 |
$88.88 |
$365.00
|
|
Close tear duct opening
|
$70.84 |
$70.84 |
$70.84 |
$353.74
|
|
Close tear system fistula
|
$379.72 |
$379.72 |
$379.72 |
$3,269.14
|
|
Clostridium toxin a w/optic
|
$10.56 |
$10.56 |
$10.56 |
$35.20
|
|
Clos txnose fx without stablz 21315
|
$3,466.32 |
$3,466.32 |
$3,466.32 |
$2,392.80
|
|
Closure enterostomy lg/sm intestine 44620
|
$532.84 |
$532.84 |
$532.84 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$977.68 |
$977.68 |
$977.68 |
$2,781.35
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$621.72 |
$621.72 |
$621.72 |
$1,816.19
|
|
Closure intestinal cutaneous fistula 44640
|
$859.10 |
$859.10 |
$859.10 |
$2,654.40
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,191.84 |
$1,191.84 |
$1,191.84 |
$1,259.62
|
|
Closure of eyelid by suture
|
$58.30 |
$58.30 |
$58.30 |
$1,701.96
|
|
Closure of salivary fistula
|
$221.10 |
$221.10 |
$221.10 |
$3,169.60
|
|
Closure of valve
|
$1,047.64 |
$1,047.64 |
$1,047.64 |
$2,459.77
|
|
Closure of valve
|
$1,017.50 |
$1,017.50 |
$1,017.50 |
$2,390.89
|
|
Closure of windpipe lesion 31820
|
$204.60 |
$204.60 |
$204.60 |
$3,837.72
|
|
Closure ureter/bowel fistula
|
$678.26 |
$678.26 |
$678.26 |
$1,428.89
|
|
Closure ureter/skin fistula
|
$544.50 |
$544.50 |
$544.50 |
$971.00
|
|
Clot factor fletcher fact
|
$12.32 |
$12.32 |
$12.32 |
$119.50
|
|
Clot factor viii reltd antgn
|
$13.64 |
$13.64 |
$13.64 |
$140.42
|
|
Clot factor wght kininogen
|
$12.32 |
$12.32 |
$12.32 |
$157.50
|
|
Clot factor xii hageman
|
$12.76 |
$12.76 |
$12.76 |
$135.72
|
|
Clot factor xiii fibrin scrn
|
$6.16 |
$6.16 |
$6.16 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$11.00 |
$11.00 |
$11.00 |
$106.40
|
|
Clotting assay whole blood
|
$11.66 |
$11.66 |
$11.66 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$561.60 |
$561.60 |
$561.60 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$561.60 |
$561.60 |
$561.60 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$561.60 |
$561.60 |
$561.60 |
$490.00
|
|
Clsd tx clav dislc without manip 23520
|
$153.78 |
$153.78 |
$153.78 |
$1,919.13
|
|
Clsd tx clavicle dislocation without manip 23540
|
$151.36 |
$151.36 |
$151.36 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$1,907.64
|
|
Clsd tx/clavicular fx without manip 23500
|
$561.60 |
$561.60 |
$561.60 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$122.54 |
$122.54 |
$122.54 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$561.60 |
$561.60 |
$561.60 |
$420.50
|
|
Clsd tx dist fib fx w/manip 27788
|
$701.22 |
$701.22 |
$701.22 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$561.60 |
$561.60 |
$561.60 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$561.60 |
$561.60 |
$561.60 |
$474.50
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$470.36 |
$470.36 |
$470.36 |
$2,211.05
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$332.42 |
$332.42 |
$332.42 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$561.60 |
$561.60 |
$561.60 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$561.60 |
$561.60 |
$561.60 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$701.22 |
$701.22 |
$701.22 |
$466.05
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$561.60 |
$561.60 |
$561.60 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$1,728.72
|
|
Clsd tx fx radius/ulna without manip 25560
|
$561.60 |
$561.60 |
$561.60 |
$491.50
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$166.54 |
$166.54 |
$166.54 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$561.60 |
$561.60 |
$561.60 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$561.60 |
$561.60 |
$561.60 |
$574.00
|
|
Clsd tx humerus fract without manip 24500
|
$561.60 |
$561.60 |
$561.60 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$226.38 |
$226.38 |
$226.38 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$290.84 |
$290.84 |
$290.84 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$142.12 |
$142.12 |
$142.12 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$561.60 |
$561.60 |
$561.60 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$561.60 |
$561.60 |
$561.60 |
$620.32
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$315.70 |
$315.70 |
$315.70 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$701.22 |
$701.22 |
$701.22 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$561.60 |
$561.60 |
$561.60 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$7,588.62 |
$7,588.62 |
$7,588.62 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$561.60 |
$561.60 |
$561.60 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$561.60 |
$561.60 |
$561.60 |
$502.28
|
|
Clsd tx pelvic ring fx
|
$81.84 |
$81.84 |
$81.84 |
$424.50
|
|
Clsd tx pelvic ring fx
|
$196.24 |
$196.24 |
$196.24 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$561.60 |
$561.60 |
$561.60 |
$416.65
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$561.60 |
$561.60 |
$561.60 |
$469.20
|
|
Clsd tx radius fracture w/manip 24655
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$156.20 |
$156.20 |
$156.20 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$257.40 |
$257.40 |
$257.40 |
$2,331.50
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$215.60 |
$215.60 |
$215.60 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$561.60 |
$561.60 |
$561.60 |
$439.50
|
|
Clsd tx toe dislocation without anes28660
|
$561.60 |
$561.60 |
$561.60 |
$413.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$561.60 |
$561.60 |
$561.60 |
$491.96
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$561.60 |
$561.60 |
$561.60 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$186.12 |
$186.12 |
$186.12 |
$622.80
|
|
Clsd tx wrist carpal fx without manip 25630
|
$561.60 |
$561.60 |
$561.60 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$561.60 |
$561.60 |
$561.60 |
$535.60
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$335.50 |
$335.50 |
$335.50 |
$482.50
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$561.60 |
$561.60 |
$561.60 |
$617.65
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$561.60 |
$561.60 |
$561.60 |
$487.15
|
|
Clsr 1 vsd w/wo patch w/vlvt
|
$1,147.08 |
$1,147.08 |
$1,147.08 |
$2,679.31
|
|
Clsr 1vsd w/wo ptch rmvl bnd
|
$1,141.80 |
$1,141.80 |
$1,141.80 |
$2,659.32
|
|
Cls tx of heel fracture w/manip 28405
|
$257.84 |
$257.84 |
$257.84 |
$716.95
|
|
Cltx carpl scphd fx w/mnpj
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$1,893.86
|