|
Clsd tx clavicle fracture w/manip 23505
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$560.80 |
$560.80 |
$560.80 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$615.20 |
$615.20 |
$615.20 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$589.60 |
$589.60 |
$589.60 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$788.80 |
$788.80 |
$788.80 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$603.20 |
$603.20 |
$603.20 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$689.60 |
$689.60 |
$689.60 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,680.80 |
$2,680.80 |
$2,680.80 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$521.60 |
$521.60 |
$521.60 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$537.60 |
$537.60 |
$537.60 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$649.60 |
$649.60 |
$649.60 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$693.60 |
$693.60 |
$693.60 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,110.40 |
$2,110.40 |
$2,110.40 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$693.60 |
$693.60 |
$693.60 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,655.20 |
$1,655.20 |
$1,655.20 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$548.00 |
$548.00 |
$548.00 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$1,038.40 |
$1,038.40 |
$1,038.40 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$651.20 |
$651.20 |
$651.20 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$704.00 |
$704.00 |
$704.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$383.20 |
$383.20 |
$383.20 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$788.00 |
$788.00 |
$788.00 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$557.60 |
$557.60 |
$557.60 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$589.60 |
$589.60 |
$589.60 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$934.40 |
$934.40 |
$934.40 |
$620.32
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$3,224.00 |
$3,224.00 |
$3,224.00 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$924.80 |
$924.80 |
$924.80 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$596.00 |
$596.00 |
$596.00 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,385.60 |
$3,385.60 |
$3,385.60 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$628.00 |
$628.00 |
$628.00 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$687.20 |
$687.20 |
$687.20 |
$498.85
|
|
Clsd tx pelvic ring fx
|
$340.80 |
$340.80 |
$340.80 |
$424.50
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$464.80 |
$464.80 |
$464.80 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$613.60 |
$613.60 |
$613.60 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$1,706.40 |
$1,706.40 |
$1,706.40 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$656.00 |
$656.00 |
$656.00 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,617.60 |
$2,617.60 |
$2,617.60 |
$2,331.50
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$607.20 |
$607.20 |
$607.20 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$587.20 |
$587.20 |
$587.20 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$590.40 |
$590.40 |
$590.40 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,631.20 |
$1,631.20 |
$1,631.20 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$716.80 |
$716.80 |
$716.80 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$881.60 |
$881.60 |
$881.60 |
$648.34
|
|
Clsd tx wrist carpal fx without manip 25630
|
$546.40 |
$546.40 |
$546.40 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$576.00 |
$576.00 |
$576.00 |
$535.60
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$445.60 |
$445.60 |
$445.60 |
$490.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$629.60 |
$629.60 |
$629.60 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$554.40 |
$554.40 |
$554.40 |
$487.15
|
|
Cltx carpl scphd fx w/mnpj
|
$1,861.60 |
$1,861.60 |
$1,861.60 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,274.40 |
$2,274.40 |
$2,274.40 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$564.00 |
$564.00 |
$564.00 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,296.80 |
$2,296.80 |
$2,296.80 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$651.20 |
$651.20 |
$651.20 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$2,384.00
|
|
Cltx mndblr fx w/mnpj
|
$2,790.40 |
$2,790.40 |
$2,790.40 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$4,627.20 |
$4,627.20 |
$4,627.20 |
$3,986.00
|
|
Cltx palatal/max fx wire fix
|
$5,743.20 |
$5,743.20 |
$5,743.20 |
$4,377.24
|
|
Cltx post ankle fx
|
$717.60 |
$717.60 |
$717.60 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$2,400.80 |
$2,400.80 |
$2,400.80 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,611.20 |
$1,611.20 |
$1,611.20 |
$2,021.04
|
|
Cltx thigh fx
|
$3,455.20 |
$3,455.20 |
$3,455.20 |
$3,986.00
|
|
Cmv ig IV
|
$1,825.08 |
$1,825.08 |
$1,825.08 |
$778.40
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$16,819.68 |
$16,819.68 |
$16,819.68 |
$11,888.50
|
|
Cocaine 4 % nasal solution
|
$897.92 |
$897.92 |
$897.92 |
$630.04
|
|
Cocaine hcl nasal (numbrino)
|
$442.37 |
$442.37 |
$442.37 |
$512.30
|
|
Colistimethate sodium inj
|
$90.35 |
$90.35 |
$90.35 |
$82.71
|
|
Collagenase, clost hist inj
|
$10,956.12 |
$10,956.12 |
$10,956.12 |
$12,906.28
|
|
Collagen based wound filler
|
$1,663.20 |
$1,663.20 |
$1,663.20 |
$1,794.78
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$400.80 |
$400.80 |
$400.80 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$213.40 |
$213.40 |
$213.40 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$77.06 |
$77.06 |
$77.06 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$547.20 |
$547.20 |
$547.20 |
$224.11
|
|
Collar extrication adult univ
|
$1,258.86 |
$1,258.86 |
$1,258.86 |
$766.23
|
|
Colonoscopy (diagnostic)
|
$2,662.40 |
$2,662.40 |
$2,662.40 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$2,020.80 |
$2,020.80 |
$2,020.80 |
$2,288.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,661.60 |
$2,661.60 |
$2,661.60 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$2,147.00
|
|
Colonoscopy & polypectomy 44392
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$1,645.43
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$1,517.60 |
$1,517.60 |
$1,517.60 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$2,708.80 |
$2,708.80 |
$2,708.80 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$2,662.40 |
$2,662.40 |
$2,662.40 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$2,311.20 |
$2,311.20 |
$2,311.20 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$2,708.80 |
$2,708.80 |
$2,708.80 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$2,586.40 |
$2,586.40 |
$2,586.40 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$2,661.60 |
$2,661.60 |
$2,661.60 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$1,517.60 |
$1,517.60 |
$1,517.60 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$2,900.80 |
$2,900.80 |
$2,900.80 |
$2,288.00
|
|
Colonoscopy w/endoscopic fnb
|
$3,258.40 |
$3,258.40 |
$3,258.40 |
$2,004.81
|
|
Colonoscopy/w endoscopic stent 45389
|
$5,888.80 |
$5,888.80 |
$5,888.80 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$2,740.00 |
$2,740.00 |
$2,740.00 |
$1,645.43
|
|
Colonoscopy w/injection
|
$1,517.60 |
$1,517.60 |
$1,517.60 |
$2,449.20
|
|
Colonoscopy with ablation
|
$1,517.60 |
$1,517.60 |
$1,517.60 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$2,662.40 |
$2,662.40 |
$2,662.40 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$2,467.20 |
$2,467.20 |
$2,467.20 |
$1,555.20
|