|
Clot factor xii hageman
|
$30.00 |
$30.00 |
$30.00 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$33.60 |
$33.60 |
$33.60 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$181.20 |
$181.20 |
$181.20 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$604.80 |
$604.80 |
$604.80 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$433.80 |
$433.80 |
$433.80 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$604.80 |
$604.80 |
$604.80 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$394.20 |
$394.20 |
$394.20 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$1,893.86
|
|
Clsd tx coccygeal fracture 27200
|
$394.20 |
$394.20 |
$394.20 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$394.20 |
$394.20 |
$394.20 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,107.60 |
$1,107.60 |
$1,107.60 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$383.40 |
$383.40 |
$383.40 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$604.80 |
$604.80 |
$604.80 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$2,184.08
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$1,332.60 |
$1,332.60 |
$1,332.60 |
$2,630.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$604.80 |
$604.80 |
$604.80 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$394.20 |
$394.20 |
$394.20 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$394.20 |
$394.20 |
$394.20 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$394.20 |
$394.20 |
$394.20 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$1,107.60 |
$1,107.60 |
$1,107.60 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$218.40 |
$218.40 |
$218.40 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$394.20 |
$394.20 |
$394.20 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$496.80 |
$496.80 |
$496.80 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$604.80 |
$604.80 |
$604.80 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$476.40 |
$476.40 |
$476.40 |
$520.38
|
|
Clsd tx patella disloc without anes 27560
|
$604.80 |
$604.80 |
$604.80 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$360.00 |
$360.00 |
$360.00 |
$475.68
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,442.60 |
$2,442.60 |
$2,442.60 |
$2,146.20
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$394.20 |
$394.20 |
$394.20 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$3,020.40 |
$3,020.40 |
$3,020.40 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,777.40 |
$2,777.40 |
$2,777.40 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$879.00 |
$879.00 |
$879.00 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$604.80 |
$604.80 |
$604.80 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$1,565.74
|
|
Clsd tx wrist carpal fx without manip 25630
|
$198.00 |
$198.00 |
$198.00 |
$476.00
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$394.20 |
$394.20 |
$394.20 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$394.20 |
$394.20 |
$394.20 |
$600.60
|
|
Cls tx of heel fracture w/manip 28405
|
$496.80 |
$496.80 |
$496.80 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,847.00 |
$2,847.00 |
$2,847.00 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$2,437.00
|
|
Cltx post ankle fx
|
$360.00 |
$360.00 |
$360.00 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$2,667.00 |
$2,667.00 |
$2,667.00 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,724.00 |
$2,724.00 |
$2,724.00 |
$2,021.04
|
|
Cltx thigh fx w/mnpj
|
$4,153.80 |
$4,153.80 |
$4,153.80 |
$3,503.71
|
|
#cmvcul-virus inoculation shell
|
$55.80 |
$55.80 |
$55.80 |
$100.80
|
|
Cmv pcr-sendout
|
$63.00 |
$63.00 |
$63.00 |
$177.50
|
|
Coagulation time activated teg
|
$124.20 |
$124.20 |
$124.20 |
$53.72
|
|
Coch imp ext proc/contr rplc
|
$34,284.79 |
$34,284.79 |
$34,284.79 |
$20,146.35
|
|
Coch implant microphone repl
|
$846.58 |
$846.58 |
$846.58 |
$977.17
|
|
Cold agglutinin screen (arc)
|
$40.20 |
$40.20 |
$40.20 |
$45.00
|
|
Cold agglutinin titer
|
$106.20 |
$106.20 |
$106.20 |
$50.00
|
|
Collagenase, clost hist inj
|
$60.60 |
$60.60 |
$60.60 |
$12,906.28
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$243.93 |
$243.93 |
$243.93 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$163.58 |
$163.58 |
$163.58 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$394.48 |
$394.48 |
$394.48 |
$213.89
|
|
Collar cerv patriot adlt
|
$270.36 |
$270.36 |
$270.36 |
$154.00
|
|
Collection of venous blood by venipuncture
|
$11.40 |
$11.40 |
$11.40 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$9,599.64 |
$9,599.64 |
$9,599.64 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$10,684.68 |
$10,684.68 |
$10,684.68 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$5,783.10 |
$5,783.10 |
$5,783.10 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$9,596.94 |
$9,596.94 |
$9,596.94 |
$2,080.80
|
|
Colonoscopy (with biopsy)
|
$10,591.26 |
$10,591.26 |
$10,591.26 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$10,564.38 |
$10,564.38 |
$10,564.38 |
$2,288.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,705.20 |
$4,705.20 |
$4,705.20 |
$3,762.53
|
|
Colposcopy vulva 56820
|
$1,936.80 |
$1,936.80 |
$1,936.80 |
$295.20
|
|
Combination bilateral ho
|
$5,003.54 |
$5,003.54 |
$5,003.54 |
$4,575.46
|
|
Compatibility test each unit antiglobulin technique
|
$273.60 |
$273.60 |
$273.60 |
$170.05
|
|
Compatibility test each unit electronic
|
$268.80 |
$268.80 |
$268.80 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$218.40 |
$218.40 |
$218.40 |
$169.52
|
|
Compatibility test incubate
|
$273.60 |
$273.60 |
$273.60 |
$155.40
|
|
Complement antigen each component c3
|
$136.80 |
$136.80 |
$136.80 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$900.00 |
$900.00 |
$900.00 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$966.60 |
$966.60 |
$966.60 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$578.40 |
$578.40 |
$578.40 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$578.40 |
$578.40 |
$578.40 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$690.60 |
$690.60 |
$690.60 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,387.62 |
$2,387.62 |
$2,387.62 |
$1,350.27
|
|
Concentration infection agents any type
|
$34.20 |
$34.20 |
$34.20 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$20,073.83 |
$20,073.83 |
$20,073.83 |
$3,322.20
|
|
Condylomata destruction 56420
|
$165.60 |
$165.60 |
$165.60 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$12,530.46 |
$12,530.46 |
$12,530.46 |
$4,840.07
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,492.50 |
$1,492.50 |
$1,492.50 |
$871.08
|
|
Connect omega .5mm
|
$8,391.61 |
$8,391.61 |
$8,391.61 |
$1,260.00
|
|
Connector tis 2x10mm
|
$8,873.24 |
$8,873.24 |
$8,873.24 |
$4,091.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$557.40 |
$557.40 |
$557.40 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$320.40 |
$320.40 |
$320.40 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$792.00 |
$792.00 |
$792.00 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$168.00 |
$168.00 |
$168.00 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$173.40 |
$173.40 |
$173.40 |
$171.65
|
