|
Closed tx/talus fracture without manip 28430
|
$524.34 |
$524.34 |
$524.34 |
$421.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$474.12 |
$474.12 |
$474.12 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$233.01 |
$233.01 |
$233.01 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$1,769.31 |
$1,769.31 |
$1,769.31 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$3,433.59 |
$3,433.59 |
$3,433.59 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$2,140.02 |
$2,140.02 |
$2,140.02 |
$1,934.40
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$429.84 |
$429.84 |
$429.84 |
$1,259.62
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$730.62 |
$730.62 |
$730.62 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$739.26 |
$739.26 |
$739.26 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$689.04 |
$689.04 |
$689.04 |
$476.80
|
|
Clsd tx clav dislc without manip 23520
|
$528.12 |
$528.12 |
$528.12 |
$2,021.04
|
|
Clsd tx clavicle dislocation without manip 23540
|
$519.48 |
$519.48 |
$519.48 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$730.08 |
$730.08 |
$730.08 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$505.98 |
$505.98 |
$505.98 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$421.20 |
$421.20 |
$421.20 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$423.90 |
$423.90 |
$423.90 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$833.22 |
$833.22 |
$833.22 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$690.66 |
$690.66 |
$690.66 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$220.32 |
$220.32 |
$220.32 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,580.58 |
$1,580.58 |
$1,580.58 |
$2,184.08
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$1,151.28 |
$1,151.28 |
$1,151.28 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$630.72 |
$630.72 |
$630.72 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$312.12 |
$312.12 |
$312.12 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$359.10 |
$359.10 |
$359.10 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$751.68 |
$751.68 |
$751.68 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,167.48 |
$1,167.48 |
$1,167.48 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$642.60 |
$642.60 |
$642.60 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$999.54 |
$999.54 |
$999.54 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$598.86 |
$598.86 |
$598.86 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$1,296.54 |
$1,296.54 |
$1,296.54 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$841.32 |
$841.32 |
$841.32 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$797.58 |
$797.58 |
$797.58 |
$492.99
|
|
Clsd tx mandibular fx without manip 21450
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$490.32 |
$490.32 |
$490.32 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$667.44 |
$667.44 |
$667.44 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$724.68 |
$724.68 |
$724.68 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$497.88 |
$497.88 |
$497.88 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$476.28 |
$476.28 |
$476.28 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$456.03 |
$456.03 |
$456.03 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$714.42 |
$714.42 |
$714.42 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$740.34 |
$740.34 |
$740.34 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$717.12 |
$717.12 |
$717.12 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$1,076.49 |
$1,076.49 |
$1,076.49 |
$416.35
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$447.66 |
$447.66 |
$447.66 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$586.44 |
$586.44 |
$586.44 |
$445.80
|
|
Clsd tx/scapular fx without manip 23570
|
$536.76 |
$536.76 |
$536.76 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$953.37 |
$953.37 |
$953.37 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,075.68 |
$1,075.68 |
$1,075.68 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$908.28 |
$908.28 |
$908.28 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$78.03 |
$78.03 |
$78.03 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$199.80 |
$199.80 |
$199.80 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$644.76 |
$644.76 |
$644.76 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$947.70 |
$947.70 |
$947.70 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$588.60 |
$588.60 |
$588.60 |
$452.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$632.88 |
$632.88 |
$632.88 |
$674.68
|
|
Clsd tx wrist carpal fx without manip 25630
|
$675.00 |
$675.00 |
$675.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$627.48 |
$627.48 |
$627.48 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$724.14 |
$724.14 |
$724.14 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$646.38 |
$646.38 |
$646.38 |
$474.50
|
|
Cltx hum epcndylr fx wo mnpj
|
$648.00 |
$648.00 |
$648.00 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,098.36 |
$1,098.36 |
$1,098.36 |
$1,815.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$690.12 |
$690.12 |
$690.12 |
$535.60
|
|
Cltx post ankle fx
|
$641.52 |
$641.52 |
$641.52 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$968.76 |
$968.76 |
$968.76 |
$1,893.86
|
|
Cltx strnclav dislc w/mnpj
|
$794.88 |
$794.88 |
$794.88 |
$619.30
|
|
Cltx tmprmand dislc comp
|
$1,626.48 |
$1,626.48 |
$1,626.48 |
$3,986.00
|
|
Cmbn ant pst colprhy
|
$1,791.45 |
$1,791.45 |
$1,791.45 |
$4,928.00
|
|
Colectomy/end colost/close dis seg 44143
|
$3,537.54 |
$3,537.54 |
$3,537.54 |
$2,880.80
|
|
Colectomy partial w/anastomosis 44140
|
$2,852.28 |
$2,852.28 |
$2,852.28 |
$2,510.73
|
|
Colectomy prtl w/coloproctostomy 44145
|
$3,542.94 |
$3,542.94 |
$3,542.94 |
$3,142.80
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$2,643.84 |
$2,643.84 |
$2,643.84 |
$2,343.60
|
|
Colonoscopy (diagnostic)
|
$446.58 |
$446.58 |
$446.58 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$514.08 |
$514.08 |
$514.08 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$547.29 |
$547.29 |
$547.29 |
$2,288.00
|
|
Colonoscopy stoma w/snare 44394
|
$542.43 |
$542.43 |
$542.43 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$498.42 |
$498.42 |
$498.42 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$336.15 |
$336.15 |
$336.15 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$677.16 |
$677.16 |
$677.16 |
$2,708.80
|
|
Colonoscopy w/control bleed
|
$531.09 |
$531.09 |
$531.09 |
$2,030.25
|
|
Colonoscopy w/injection
|
$407.70 |
$407.70 |
$407.70 |
$2,449.20
|
|
Colonoscopy (with biopsy)
|
$526.77 |
$526.77 |
$526.77 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$384.21 |
$384.21 |
$384.21 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$638.55 |
$638.55 |
$638.55 |
$2,288.00
|
|
Colostomy skin level cecostomy 44320
|
$2,549.34 |
$2,549.34 |
$2,549.34 |
$2,269.80
|
|
Colotomy exploration/bx/foreign body removal 44025
|
$2,024.46 |
$2,024.46 |
$2,024.46 |
$1,746.00
|
|
Colpocentesis 57020
|
$191.43 |
$191.43 |
$191.43 |
$4,232.80
|
|
Colpocleisis (le forte type) 57120
|
$1,106.46 |
$1,106.46 |
$1,106.46 |
$5,419.00
|
|
Colpopexy abdominal approach 57280
|
$2,046.06 |
$2,046.06 |
$2,046.06 |
$1,863.60
|
|
Colpopexy extraperitoneal
|
$1,442.34 |
$1,442.34 |
$1,442.34 |
$5,110.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$695.52 |
$695.52 |
$695.52 |
$3,762.53
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$370.44 |
$370.44 |
$370.44 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$719.28 |
$719.28 |
$719.28 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$264.06 |
$264.06 |
$264.06 |
$312.90
|
|
Colposcopy w/biopsy of cervix 57455
|
$336.96 |
$336.96 |
$336.96 |
$502.80
|
|
Colpotomy w/exploration 57000
|
$420.66 |
$420.66 |
$420.66 |
$3,905.53
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$604.26 |
$604.26 |
$604.26 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$825.66 |
$825.66 |
$825.66 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$881.82 |
$881.82 |
$881.82 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,034.10 |
$1,034.10 |
$1,034.10 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$385.56 |
$385.56 |
$385.56 |
$490.50
|