|
Clsd tx dist fib fx w/manip 27788
|
$673.92 |
$673.92 |
$673.92 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$501.60 |
$501.60 |
$501.60 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$439.20 |
$439.20 |
$439.20 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,736.96 |
$2,736.96 |
$2,736.96 |
$2,184.08
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$843.36 |
$843.36 |
$843.36 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$456.00 |
$456.00 |
$456.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$224.16 |
$224.16 |
$224.16 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$459.84 |
$459.84 |
$459.84 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$541.44 |
$541.44 |
$541.44 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,758.56 |
$2,758.56 |
$2,758.56 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$464.64 |
$464.64 |
$464.64 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,758.56 |
$2,758.56 |
$2,758.56 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$433.44 |
$433.44 |
$433.44 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$656.64 |
$656.64 |
$656.64 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$610.56 |
$610.56 |
$610.56 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$579.36 |
$579.36 |
$579.36 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$629.28 |
$629.28 |
$629.28 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$901.92 |
$901.92 |
$901.92 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$373.92 |
$373.92 |
$373.92 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$481.92 |
$481.92 |
$481.92 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$526.56 |
$526.56 |
$526.56 |
$606.00
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$792.96 |
$792.96 |
$792.96 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$459.84 |
$459.84 |
$459.84 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$344.64 |
$344.64 |
$344.64 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$332.16 |
$332.16 |
$332.16 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$586.08 |
$586.08 |
$586.08 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$594.24 |
$594.24 |
$594.24 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$519.84 |
$519.84 |
$519.84 |
$475.68
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,758.56 |
$2,758.56 |
$2,758.56 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$323.52 |
$323.52 |
$323.52 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$422.88 |
$422.88 |
$422.88 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$715.68 |
$715.68 |
$715.68 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$375.84 |
$375.84 |
$375.84 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,758.56 |
$2,758.56 |
$2,758.56 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,758.56 |
$2,758.56 |
$2,758.56 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$641.28 |
$641.28 |
$641.28 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$216.48 |
$216.48 |
$216.48 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$439.20 |
$439.20 |
$439.20 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$528.48 |
$528.48 |
$528.48 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,758.56 |
$2,758.56 |
$2,758.56 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$424.80 |
$424.80 |
$424.80 |
$452.40
|
|
Clsd tx wrist carpal fx without manip 25630
|
$488.16 |
$488.16 |
$488.16 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$492.48 |
$492.48 |
$492.48 |
$523.53
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$833.28 |
$833.28 |
$833.28 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$526.56 |
$526.56 |
$526.56 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$468.00 |
$468.00 |
$468.00 |
$474.50
|
|
Cltx carpl scphd fx w/mnpj
|
$779.52 |
$779.52 |
$779.52 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$613.92 |
$613.92 |
$613.92 |
$2,317.60
|
|
Cltx hum epcndylr fx wo mnpj
|
$530.88 |
$530.88 |
$530.88 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$878.88 |
$878.88 |
$878.88 |
$1,815.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$563.04 |
$563.04 |
$563.04 |
$535.60
|
|
Cltx scap fx w/mnpj +-tractj
|
$651.84 |
$651.84 |
$651.84 |
$2,021.04
|
|
Cmbn ant pst colprhy
|
$1,194.24 |
$1,194.24 |
$1,194.24 |
$4,928.00
|
|
Cmptr ophth img optic nerve
|
$32.16 |
$32.16 |
$32.16 |
$119.00
|
|
#cmvcul-virus inoculation shell
|
$73.27 |
$73.27 |
$73.27 |
$100.80
|
|
Cmv pcr-sendout
|
$79.88 |
$79.88 |
$79.88 |
$177.50
|
|
Cold agglutinin titer
|
$7.12 |
$7.12 |
$7.12 |
$50.00
|
|
Colectomy/end colost/close dis seg 44143
|
$2,510.88 |
$2,510.88 |
$2,510.88 |
$2,880.80
|
|
Colectomy/ ileostomy without prctect 44150
|
$2,812.80 |
$2,812.80 |
$2,812.80 |
$3,530.40
|
|
Colectomy partial w/anastomosis 44140
|
$2,044.80 |
$2,044.80 |
$2,044.80 |
$2,510.73
|
|
Colectomy prtl w/coloproctostomy 44145
|
$2,504.64 |
$2,504.64 |
$2,504.64 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$3,183.84 |
$3,183.84 |
$3,183.84 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$1,891.68 |
$1,891.68 |
$1,891.68 |
$2,343.60
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$2,756.64 |
$2,756.64 |
$2,756.64 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$2,679.36 |
$2,679.36 |
$2,679.36 |
$3,176.40
|
|
Collection blood specimen from completely implantable venous access device
|
$80.39 |
$80.39 |
$80.39 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$217.26 |
$217.26 |
$217.26 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$13.74 |
$13.74 |
$13.74 |
$21.00
|
|
Collj & interpj data ea 30 d
|
$69.12 |
$69.12 |
$69.12 |
$172.35
|
|
Colonoscopy (diagnostic)
|
$984.00 |
$984.00 |
$984.00 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,261.92 |
$1,261.92 |
$1,261.92 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$1,312.32 |
$1,312.32 |
$1,312.32 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$984.00 |
$984.00 |
$984.00 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$3,688.80 |
$3,688.80 |
$3,688.80 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$926.40 |
$926.40 |
$926.40 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$1,312.32 |
$1,312.32 |
$1,312.32 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$1,913.76 |
$1,913.76 |
$1,913.76 |
$2,030.25
|
|
Colonoscopy w/fb removal
|
$662.40 |
$662.40 |
$662.40 |
$1,395.28
|
|
Colonoscopy w/injection
|
$641.28 |
$641.28 |
$641.28 |
$2,449.20
|
|
Colonoscopy (with biopsy)
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$1,913.76 |
$1,913.76 |
$1,913.76 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$1,261.92 |
$1,261.92 |
$1,261.92 |
$2,288.00
|
|
Colonoscopy w/resection
|
$2,002.56 |
$2,002.56 |
$2,002.56 |
$3,029.60
|
|
Colostomy skin level cecostomy 44320
|
$1,829.28 |
$1,829.28 |
$1,829.28 |
$2,269.80
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$1,498.08 |
$1,498.08 |
$1,498.08 |
$1,746.00
|
|
Colpocleisis (le forte type) 57120
|
$817.44 |
$817.44 |
$817.44 |
$5,419.00
|
|
Colpopexy abdominal approach 57280
|
$1,477.92 |
$1,477.92 |
$1,477.92 |
$1,863.60
|
|
Colpopexy intraperitoneal
|
$1,072.32 |
$1,072.32 |
$1,072.32 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$513.60 |
$513.60 |
$513.60 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$274.08 |
$274.08 |
$274.08 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$536.16 |
$536.16 |
$536.16 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$194.88 |
$194.88 |
$194.88 |
$312.90
|
|
Colposcopy vulva 56820
|
$192.96 |
$192.96 |
$192.96 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$258.72 |
$258.72 |
$258.72 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$249.12 |
$249.12 |
$249.12 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$233.54 |
$233.54 |
$233.54 |
$170.05
|
|
Compatibility test each unit electronic
|
$270.24 |
$270.24 |
$270.24 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$158.24 |
$158.24 |
$158.24 |
$169.52
|