|
Clsd tx/dis phalan fx without manip/ea 26750
|
$353.25 |
$353.25 |
$353.25 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$451.50 |
$451.50 |
$451.50 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$581.25 |
$581.25 |
$581.25 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$525.75 |
$525.75 |
$525.75 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$2,211.05
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$1,863.75 |
$1,863.75 |
$1,863.75 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$442.50 |
$442.50 |
$442.50 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$322.50 |
$322.50 |
$322.50 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$378.75 |
$378.75 |
$378.75 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$409.50 |
$409.50 |
$409.50 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$448.50 |
$448.50 |
$448.50 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$372.00 |
$372.00 |
$372.00 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$261.75 |
$261.75 |
$261.75 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$374.25 |
$374.25 |
$374.25 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$402.75 |
$402.75 |
$402.75 |
$492.99
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$529.50 |
$529.50 |
$529.50 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$377.25 |
$377.25 |
$377.25 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$427.50 |
$427.50 |
$427.50 |
$620.32
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$3,332.25 |
$3,332.25 |
$3,332.25 |
$3,839.54
|
|
Clsd tx/metatarsal fx without manip 28470
|
$363.75 |
$363.75 |
$363.75 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,600.75 |
$3,600.75 |
$3,600.75 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$261.75 |
$261.75 |
$261.75 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$373.50 |
$373.50 |
$373.50 |
$498.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,863.75 |
$1,863.75 |
$1,863.75 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$327.75 |
$327.75 |
$327.75 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$434.25 |
$434.25 |
$434.25 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$454.50 |
$454.50 |
$454.50 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,863.75 |
$1,863.75 |
$1,863.75 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$261.75 |
$261.75 |
$261.75 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$261.75 |
$261.75 |
$261.75 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$378.75 |
$378.75 |
$378.75 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,362.75 |
$1,362.75 |
$1,362.75 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$344.25 |
$344.25 |
$344.25 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$756.75 |
$756.75 |
$756.75 |
$648.34
|
|
Clsd tx wrist carpal fx without manip 25630
|
$338.25 |
$338.25 |
$338.25 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$411.75 |
$411.75 |
$411.75 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$342.75 |
$342.75 |
$342.75 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$372.00 |
$372.00 |
$372.00 |
$487.15
|
|
Cltx hum epcndylr fx wo mnpj
|
$525.75 |
$525.75 |
$525.75 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$546.75 |
$546.75 |
$546.75 |
$535.60
|
|
Cltx mndblr fx ntrdntl fixj
|
$6,789.75 |
$6,789.75 |
$6,789.75 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$1,756.50 |
$1,756.50 |
$1,756.50 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$3,600.75 |
$3,600.75 |
$3,600.75 |
$3,986.00
|
|
Cltx palatal/max fx wire fix
|
$3,794.25 |
$3,794.25 |
$3,794.25 |
$4,377.24
|
|
Cltx post ankle fx
|
$333.75 |
$333.75 |
$333.75 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$2,021.04
|
|
Cltx strnclav dislc w/mnpj
|
$3,526.50 |
$3,526.50 |
$3,526.50 |
$619.30
|
|
C motor evoked lwr limbs
|
$413.25 |
$413.25 |
$413.25 |
$627.89
|
|
C motor evoked uppr limbs
|
$780.00 |
$780.00 |
$780.00 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$780.00 |
$780.00 |
$780.00 |
$1,333.36
|
|
Cmptr ophth img optic nerve
|
$130.50 |
$130.50 |
$130.50 |
$98.00
|
|
#cms hgb-sulfhemoglobin
|
$132.75 |
$132.75 |
$132.75 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$72.75 |
$72.75 |
$72.75 |
$89.76
|
|
Cmv pcr-sendout
|
$501.75 |
$501.75 |
$501.75 |
$175.70
|
|
Cnbp gene detc abnor allele
|
$2,587.50 |
$2,587.50 |
$2,587.50 |
$313.60
|
|
Co2 monitor per day
|
$337.50 |
$337.50 |
$337.50 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$16,994.46 |
$16,994.46 |
$16,994.46 |
$11,888.50
|
|
Coagulation time activated teg
|
$114.75 |
$114.75 |
$114.75 |
$52.47
|
|
Coch implant tran cable repl
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$193.52
|
|
Cochlear implt f/up exam <7
|
$857.25 |
$857.25 |
$857.25 |
$423.87
|
|
Cochlear implt f/up exam 7/>
|
$857.25 |
$857.25 |
$857.25 |
$386.64
|
|
Cold agglutinin titer
|
$114.75 |
$114.75 |
$114.75 |
$52.00
|
|
Colistimethate sodium inj
|
$39.42 |
$39.42 |
$39.42 |
$82.71
|
|
Collagenase, clost hist inj
|
$26,281.91 |
$26,281.91 |
$26,281.91 |
$12,906.28
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$364.50 |
$364.50 |
$364.50 |
$303.73
|
|
Collar cerv adlt perfit ace extric
|
$29.25 |
$29.25 |
$29.25 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$318.51 |
$318.51 |
$318.51 |
$224.11
|
|
Collection blood specimen from completely implantable venous access device
|
$97.50 |
$97.50 |
$97.50 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$208.50 |
$208.50 |
$208.50 |
$155.40
|
|
Collj & interpj data ea 30 d
|
$175.50 |
$175.50 |
$175.50 |
$172.35
|
|
Colonoscopy (diagnostic)
|
$2,602.50 |
$2,602.50 |
$2,602.50 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$2,495.25 |
$2,495.25 |
$2,495.25 |
$2,288.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,043.50 |
$3,043.50 |
$3,043.50 |
$2,288.00
|
|
Colonoscopy for foreign body
|
$3,104.25 |
$3,104.25 |
$3,104.25 |
$2,288.00
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$2,063.25 |
$2,063.25 |
$2,063.25 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$2,571.00 |
$2,571.00 |
$2,571.00 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$1,413.00 |
$1,413.00 |
$1,413.00 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$2,495.25 |
$2,495.25 |
$2,495.25 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$2,352.75 |
$2,352.75 |
$2,352.75 |
$2,101.71
|
|
Colonoscopy w/dilation
|
$2,495.25 |
$2,495.25 |
$2,495.25 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$3,201.00 |
$3,201.00 |
$3,201.00 |
$2,288.00
|
|
Colonoscopy w/endoscopic fnb
|
$3,201.00 |
$3,201.00 |
$3,201.00 |
$2,004.81
|
|
Colonoscopy/w endoscopic stent 45389
|
$4,379.25 |
$4,379.25 |
$4,379.25 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$3,039.00 |
$3,039.00 |
$3,039.00 |
$1,645.43
|
|
Colonoscopy w/injection
|
$2,495.25 |
$2,495.25 |
$2,495.25 |
$2,449.20
|
|
Colonoscopy with ablation
|
$2,495.25 |
$2,495.25 |
$2,495.25 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$2,538.00 |
$2,538.00 |
$2,538.00 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$2,472.75 |
$2,472.75 |
$2,472.75 |
$2,288.00
|