|
Closed tx/talus fracture without manip 28430
|
$283.86 |
$283.86 |
$2,939.00 |
|
|
Closed tx vert fx w/manj
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$210.60 |
$274.80 |
$806.00 |
|
|
Close mastoid fistula
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
|
|
Close median sternotomy separation 21750
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
|
|
Close tear duct opening
|
$353.74 |
$353.74 |
$353.74 |
|
|
Close tear duct opening
|
$227.18 |
$353.74 |
$950.00 |
|
|
Close tear system fistula
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
|
|
Clostridium toxin a w/optic
|
$16.00 |
$16.00 |
$16.00 |
|
|
Clos txnose fx without stablz 21315
|
$1,752.89 |
$1,752.89 |
$9,416.00 |
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$476.40 |
$602.63 |
$2,715.00 |
|
|
Closure of eyelid by suture
|
$1,146.13 |
$1,146.13 |
$2,693.73 |
|
|
Closure of salivary fistula
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
|
|
Closure of windpipe lesion 31820
|
$3,837.72 |
$3,837.72 |
$8,876.49 |
|
|
Closure paravalvlr leak pq
|
$731.62 |
$731.62 |
$26,510.95 |
|
|
Clot factor fletcher fact
|
$18.93 |
$18.93 |
$148.00 |
|
|
Clot factor viii reltd antgn
|
$20.42 |
$20.42 |
$90.95 |
|
|
Clot factor wght kininogen
|
$18.93 |
$18.93 |
$84.32 |
|
|
Clot factor xii hageman
|
$19.35 |
$19.35 |
$520.00 |
|
|
Clot factor xiii fibrin scrn
|
$9.11 |
$9.11 |
$305.00 |
|
|
Clot factor xiii fibrin stab
|
$16.34 |
$16.34 |
$369.00 |
|
|
Clotting assay whole blood
|
$196.00 |
$196.00 |
$196.00 |
|
|
Clozapine, 25 mg
|
$0.80 |
$0.80 |
$0.80 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$102.00 |
$283.86 |
$2,609.00 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$283.86 |
$283.86 |
$1,767.00 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$102.00 |
$283.86 |
$949.00 |
|
|
Clsd tx clav dislc without manip 23520
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$283.86 |
$283.86 |
$950.00 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,893.86 |
$1,893.86 |
$5,123.00 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$283.86 |
$283.86 |
$2,609.00 |
|
|
Clsd tx coccygeal fracture 27200
|
$283.86 |
$283.86 |
$1,078.00 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$283.86 |
$283.86 |
$2,609.00 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$102.00 |
$283.86 |
$2,378.00 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$283.86 |
$283.86 |
$776.00 |
|
|
Clsd tx elbow dislocation child 24640
|
$102.00 |
$283.86 |
$7,210.00 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,893.86 |
$1,893.86 |
$4,908.52 |
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$1,893.86 |
$1,893.86 |
$4,572.13 |
|
|
Clsd tx fracture of radius 25500
|
$283.86 |
$283.86 |
$3,043.00 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$283.86 |
$283.86 |
$950.00 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$102.00 |
$283.86 |
$3,594.00 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$283.86 |
$283.86 |
$3,651.00 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$388.80 |
$1,893.86 |
$4,908.52 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$283.86 |
$283.86 |
$2,924.00 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$388.80 |
$1,893.86 |
$4,908.52 |
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$283.86 |
$283.86 |
$3,799.00 |
|
|
Clsd tx hip disloc without anes 27265
|
$102.00 |
$283.86 |
$4,150.00 |
|
|
Clsd tx humeral fract without manip 24530
|
$283.86 |
$283.86 |
$1,362.00 |
|
|
Clsd tx humerus fract without manip 24500
|
$283.86 |
$283.86 |
$1,362.00 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$314.28 |
$314.28 |
$4,384.00 |
|
|
Clsd tx mandibular fx without manip 21450
|
$602.63 |
$602.63 |
$1,960.00 |
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$283.86 |
$283.86 |
$1,406.00 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$283.86 |
$283.86 |
$1,362.00 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$102.00 |
$283.86 |
$1,759.00 |
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$894.00 |
$3,839.54 |
$3,839.54 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$102.00 |
$283.86 |
$1,603.00 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$283.86 |
$283.86 |
$1,362.00 |
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,837.72 |
$3,837.72 |
$5,718.87 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
|
|
Clsd tx patella disloc without anes 27560
|
$102.00 |
$283.86 |
$3,280.00 |
|
|
Clsd tx/patellar fx without manip 27520
|
$283.86 |
$283.86 |
$3,493.00 |
|
|
Clsd tx pelvic ring fx
|
$283.86 |
$283.86 |
$609.78 |
|
|
Clsd tx pelvic ring fx
|
$283.86 |
$283.86 |
$283.86 |
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,893.86 |
$1,893.86 |
$6,861.00 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$283.86 |
$283.86 |
$2,609.00 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$283.86 |
$283.86 |
$5,782.00 |
|
|
Clsd tx radius fracture w/manip 24655
|
$388.80 |
$1,893.86 |
$7,866.00 |
|
|
Clsd tx/scapular fx without manip 23570
|
$283.86 |
$283.86 |
$1,079.00 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$388.80 |
$1,893.86 |
$5,204.00 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$773.00 |
$1,893.86 |
$4,908.52 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$982.80 |
$1,893.86 |
$7,810.00 |
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$70.80 |
$283.86 |
$1,034.00 |
|
|
Clsd tx toe dislocation without anes28660
|
$102.00 |
$283.86 |
$2,609.00 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$283.86 |
$283.86 |
$2,939.00 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$388.80 |
$1,893.86 |
$5,195.00 |
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$283.86 |
$283.86 |
$2,924.00 |
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$283.86 |
$283.86 |
$609.78 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$283.86 |
$283.86 |
$873.00 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$283.86 |
$283.86 |
$868.00 |
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$283.86 |
$283.86 |
$2,708.00 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$283.86 |
$283.86 |
$3,280.00 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$283.86 |
$283.86 |
$1,079.00 |
|
|
Cls tx of heel fracture w/manip 28405
|
$283.86 |
$283.86 |
$819.58 |
|
|
Cltx carpl scphd fx w/mnpj
|
$1,141.00 |
$1,893.86 |
$4,908.52 |
|
|
Cltx craniofacial separation
|
$6,048.05 |
$6,048.05 |
$6,048.05 |
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,893.86 |
$1,893.86 |
$5,086.00 |
|
|
Cltx hum epcndylr fx wo mnpj
|
$283.86 |
$283.86 |
$1,974.00 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,398.00 |
$1,893.86 |
$4,572.13 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$283.86 |
$283.86 |
$1,362.00 |
|
|
Cltx lunate dislc w/mnpj
|
$1,893.86 |
$1,893.86 |
$4,572.13 |
|
|
Cltx mndblr fx ntrdntl fixj
|
$7,000.36 |
$7,000.36 |
$14,043.05 |
|
|
Cltx mndblr fx w/mnpj
|
$1,752.89 |
$1,752.89 |
$4,854.00 |
|
|
Cltx mndblr/max alv ridge fx
|
$3,837.72 |
$3,837.72 |
$7,267.74 |
|
|
Cltx palatal/max fx wire fix
|
$3,837.72 |
$3,837.72 |
$5,851.00 |
|
|
Cltx post ankle fx
|
$283.86 |
$283.86 |
$669.00 |
|
|
Cltx post ankle fx w/mnpj
|
$773.00 |
$1,893.86 |
$4,478.53 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,893.86 |
$1,893.86 |
$2,478.00 |
|
|
Cltx strnclav dislc w/mnpj
|
$283.86 |
$283.86 |
$283.86 |
|
|
Cltx thigh fx
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Cltx thigh fx w/mnpj
|
$1,642.82 |
$1,642.82 |
$1,642.82 |
|