|
Clot factor xii hageman
|
$274.20 |
$274.20 |
$274.20 |
$138.40
|
|
Clot factor xiii fibrin stab
|
$128.40 |
$128.40 |
$128.40 |
$106.40
|
|
Clozapine, 25 mg
|
$7.60 |
$7.60 |
$7.60 |
$5.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,337.60 |
$2,337.60 |
$2,337.60 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$3,021.60 |
$3,021.60 |
$3,021.60 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$289.80 |
$289.80 |
$289.80 |
$489.60
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,131.40 |
$3,131.40 |
$3,131.40 |
$1,893.86
|
|
Clsd tx dist fib fx w/manip 27788
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$407.40 |
$407.40 |
$407.40 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$4,066.80 |
$4,066.80 |
$4,066.80 |
$2,211.05
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$405.00 |
$405.00 |
$405.00 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$539.40 |
$539.40 |
$539.40 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,582.60 |
$3,582.60 |
$3,582.60 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$1,338.00 |
$1,338.00 |
$1,338.00 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,100.80 |
$3,100.80 |
$3,100.80 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$3,096.60 |
$3,096.60 |
$3,096.60 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$2,992.80 |
$2,992.80 |
$2,992.80 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$5,296.20 |
$5,296.20 |
$5,296.20 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$4,639.80 |
$4,639.80 |
$4,639.80 |
$987.60
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$3,124.20 |
$3,124.20 |
$3,124.20 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$3,124.20 |
$3,124.20 |
$3,124.20 |
$522.78
|
|
Clsd tx of ankle fracture w/manip 28435
|
$4,066.80 |
$4,066.80 |
$4,066.80 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$573.52
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$3,162.00 |
$3,162.00 |
$3,162.00 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$543.60 |
$543.60 |
$543.60 |
$414.40
|
|
Clsd tx radius fracture w/manip 24655
|
$2,337.60 |
$2,337.60 |
$2,337.60 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$4,482.00 |
$4,482.00 |
$4,482.00 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,449.40 |
$3,449.40 |
$3,449.40 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$2,337.60 |
$2,337.60 |
$2,337.60 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$541.20 |
$541.20 |
$541.20 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$2,223.60 |
$2,223.60 |
$2,223.60 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,337.60 |
$2,337.60 |
$2,337.60 |
$1,592.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$724.80 |
$724.80 |
$724.80 |
$612.80
|
|
Cls tx of heel fracture w/manip 28405
|
$3,013.20 |
$3,013.20 |
$3,013.20 |
$725.40
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$4,066.80 |
$4,066.80 |
$4,066.80 |
$2,274.40
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,337.60 |
$2,337.60 |
$2,337.60 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$1,666.20 |
$1,666.20 |
$1,666.20 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$3,191.40 |
$3,191.40 |
$3,191.40 |
$2,384.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$4,665.00 |
$4,665.00 |
$4,665.00 |
$6,776.64
|
|
Cltx mndblr/max alv ridge fx
|
$4,856.40 |
$4,856.40 |
$4,856.40 |
$3,986.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$3,332.40 |
$3,332.40 |
$3,332.40 |
$2,021.04
|
|
Cltx thigh fx w/mnpj
|
$4,668.60 |
$4,668.60 |
$4,668.60 |
$3,276.70
|
|
C motor evoked lwr limbs
|
$154.80 |
$154.80 |
$154.80 |
$627.89
|
|
C motor evoked uppr limbs
|
$155.40 |
$155.40 |
$155.40 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$854.40 |
$854.40 |
$854.40 |
$1,333.36
|
|
#cmvcul-virus inoculation shell
|
$84.60 |
$84.60 |
$84.60 |
$89.76
|
|
Cmv pcr-sendout
|
$294.60 |
$294.60 |
$294.60 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$7.40 |
$7.40 |
$7.40 |
$11,888.50
|
|
Coagulation time activated teg
|
$36.00 |
$36.00 |
$36.00 |
$52.47
|
|
Cold agglutinin titer
|
$97.80 |
$97.80 |
$97.80 |
$52.00
|
|
Collagen imp urinary 2.5 ml
|
$2,308.20 |
$2,308.20 |
$2,308.20 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$282.60 |
$282.60 |
$282.60 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$86.40 |
$86.40 |
$86.40 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$464.40 |
$464.40 |
$464.40 |
$224.11
|
|
Collar cerv patriot adlt
|
$306.00 |
$306.00 |
$306.00 |
$134.66
|
|
Collection blood specimen from completely implantable venous access device
|
$158.40 |
$158.40 |
$158.40 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$138.60 |
$138.60 |
$138.60 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,108.60 |
$3,108.60 |
$3,108.60 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$2,914.20 |
$2,914.20 |
$2,914.20 |
$2,147.00
|
|
Colonoscopy stoma w/snare 44394
|
$3,193.20 |
$3,193.20 |
$3,193.20 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$1,927.80 |
$1,927.80 |
$1,927.80 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$2,335.80 |
$2,335.80 |
$2,335.80 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$3,029.00
|
|
Colonoscopy w/balloon dilat
|
$2,437.80 |
$2,437.80 |
$2,437.80 |
$1,681.30
|
|
Colonoscopy w/band ligation
|
$2,953.80 |
$2,953.80 |
$2,953.80 |
$2,288.00
|
|
Colonoscopy w/control bleed
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$2,953.80 |
$2,953.80 |
$2,953.80 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$2,795.40 |
$2,795.40 |
$2,795.40 |
$2,495.25
|
|
Colonoscopy/w endoscopic stent 45389
|
$2,799.00 |
$2,799.00 |
$2,799.00 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$3,045.00 |
$3,045.00 |
$3,045.00 |
$1,645.43
|
|
Colonoscopy w/injection
|
$2,799.00 |
$2,799.00 |
$2,799.00 |
$2,449.20
|
|
Colonoscopy with ablation
|
$2,701.80 |
$2,701.80 |
$2,701.80 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$2,337.60 |
$2,337.60 |
$2,337.60 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$2,288.00
|
|
Compatibility test each unit antiglobulin technique
|
$192.00 |
$192.00 |
$192.00 |
$173.50
|
|
Compatibility test each unit electronic
|
$269.40 |
$269.40 |
$269.40 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$192.00 |
$192.00 |
$192.00 |
$169.52
|
|
Complement antigen each component c3
|
$193.20 |
$193.20 |
$193.20 |
$110.00
|
|
Complement fixation each
|
$110.40 |
$110.40 |
$110.40 |
$29.12
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$3,556.80 |
$3,556.80 |
$3,556.80 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$3,556.80 |
$3,556.80 |
$3,556.80 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$654.00 |
$654.00 |
$654.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$3,123.00 |
$3,123.00 |
$3,123.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$3,582.00 |
$3,582.00 |
$3,582.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$596.40 |
$596.40 |
$596.40 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$498.60 |
$498.60 |
$498.60 |
$508.44
|
|
Composite drsg <= 16 sq in
|
$3.00 |
$3.00 |
$3.00 |
$6.62
|
|
Comprehensive hearing test
|
$354.60 |
$354.60 |
$354.60 |
$261.46
|
|
Concentration infection agents any type
|
$61.80 |
$61.80 |
$61.80 |
$51.32
|
|
Conditioning play audiometry 92582
|
$324.00 |
$324.00 |
$324.00 |
$189.15
|
|
Condylomata destruction 56420
|
$2,335.80 |
$2,335.80 |
$2,335.80 |
$467.35
|
|
Conform band n/s w>=3"<5"/yd
|
$13.80 |
$13.80 |
$13.80 |
$1.04
|
|
Conjugated estrogens 25 mg solution for injection
|
$546.40 |
$546.40 |
$546.40 |
$860.00
|
|
Consultation pathology during surgery
|
$133.80 |
$133.80 |
$133.80 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$93.60 |
$93.60 |
$93.60 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$143.40 |
$143.40 |
$143.40 |
$113.68
|
