|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,678.60 |
$6,678.60 |
$6,678.60 |
$15,560.16
|
|
Clip ligating vesolock lg
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$4,320.00
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,420.80 |
$1,420.80 |
$1,420.80 |
$520.80
|
|
Closed tx/acetabululm without manip 27220
|
$759.00 |
$759.00 |
$759.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$447.60 |
$447.60 |
$447.60 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$520.80 |
$520.80 |
$520.80 |
$386.40
|
|
Closed tx orbit without manipulj
|
$1,663.80 |
$1,663.80 |
$1,663.80 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$3,971.40 |
$3,971.40 |
$3,971.40 |
$3,651.90
|
|
Closed tx sesamoid fx 28530
|
$759.00 |
$759.00 |
$759.00 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$327.60 |
$327.60 |
$327.60 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$777.60 |
$777.60 |
$777.60 |
$472.50
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$2,835.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,663.80 |
$1,663.80 |
$1,663.80 |
$1,259.62
|
|
Closure paravalvlr leak pq
|
$5,734.80 |
$5,734.80 |
$5,734.80 |
$9,434.46
|
|
Clot factor xii hageman
|
$97.80 |
$97.80 |
$97.80 |
$138.40
|
|
Clot factor xiii fibrin stab
|
$82.20 |
$82.20 |
$82.20 |
$106.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$856.20 |
$856.20 |
$856.20 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$327.60 |
$327.60 |
$327.60 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,980.00
|
|
Clsd tx clavicle dislocation without manip 23540
|
$819.60 |
$819.60 |
$819.60 |
$419.40
|
|
Clsd tx/clavicular fx without manip 23500
|
$819.60 |
$819.60 |
$819.60 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$327.60 |
$327.60 |
$327.60 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$370.80 |
$370.80 |
$370.80 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,225.20 |
$1,225.20 |
$1,225.20 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$844.20 |
$844.20 |
$844.20 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$370.80 |
$370.80 |
$370.80 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,319.00 |
$2,319.00 |
$2,319.00 |
$2,211.05
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$3,354.00 |
$3,354.00 |
$3,354.00 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$366.60 |
$366.60 |
$366.60 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$370.80 |
$370.80 |
$370.80 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$370.80 |
$370.80 |
$370.80 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$520.80 |
$520.80 |
$520.80 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$930.00 |
$930.00 |
$930.00 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$993.00 |
$993.00 |
$993.00 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$759.00 |
$759.00 |
$759.00 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$759.00 |
$759.00 |
$759.00 |
$492.99
|
|
Clsd tx mandibular fx without manip 21450
|
$669.60 |
$669.60 |
$669.60 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$370.80 |
$370.80 |
$370.80 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$470.40 |
$470.40 |
$470.40 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$808.20 |
$808.20 |
$808.20 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$759.00 |
$759.00 |
$759.00 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$520.80 |
$520.80 |
$520.80 |
$429.00
|
|
Clsd tx nose fx without manip 21310
|
$819.60 |
$819.60 |
$819.60 |
$323.95
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,440.80 |
$2,440.80 |
$2,440.80 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$1,225.20 |
$1,225.20 |
$1,225.20 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$759.00 |
$759.00 |
$759.00 |
$498.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,322.60 |
$2,322.60 |
$2,322.60 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$366.60 |
$366.60 |
$366.60 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$370.80 |
$370.80 |
$370.80 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$496.20 |
$496.20 |
$496.20 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$1,225.20 |
$1,225.20 |
$1,225.20 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$520.80 |
$520.80 |
$520.80 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$488.40 |
$488.40 |
$488.40 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$445.80 |
$445.80 |
$445.80 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$759.00 |
$759.00 |
$759.00 |
$648.34
|
|
Clsd tx wrist carpal fx without manip 25630
|
$370.80 |
$370.80 |
$370.80 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$520.80 |
$520.80 |
$520.80 |
$535.60
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$597.60 |
$597.60 |
$597.60 |
$490.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$520.80 |
$520.80 |
$520.80 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$494.40 |
$494.40 |
$494.40 |
$487.15
|
|
Cls tx of heel fracture w/manip 28405
|
$759.00 |
$759.00 |
$759.00 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$2,440.80 |
$2,440.80 |
$2,440.80 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$856.20 |
$856.20 |
$856.20 |
$525.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$759.00 |
$759.00 |
$759.00 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$2,384.00
|
|
Cltx post ankle fx
|
$1,642.80 |
$1,642.80 |
$1,642.80 |
$497.00
|
|
C motor evoked lwr limbs
|
$1,258.80 |
$1,258.80 |
$1,258.80 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,258.80 |
$1,258.80 |
$1,258.80 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$2,029.20 |
$2,029.20 |
$2,029.20 |
$1,333.36
|
|
#cmvcul-virus inoculation shell
|
$109.80 |
$109.80 |
$109.80 |
$89.76
|
|
Cmv pcr-sendout
|
$195.60 |
$195.60 |
$195.60 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$8,040.00 |
$8,040.00 |
$8,040.00 |
$11,888.50
|
|
Coagulation time activated teg
|
$13.20 |
$13.20 |
$13.20 |
$52.47
|
|
Cocaine hcl nasal (numbrino)
|
$84.60 |
$84.60 |
$84.60 |
$512.30
|
|
Cold agglutinin screen (arc)
|
$45.00 |
$45.00 |
$45.00 |
$48.10
|
|
Cold agglutinin titer
|
$45.00 |
$45.00 |
$45.00 |
$52.00
|
|
Colectomy/end colost/close dis seg 44143
|
$4,608.00 |
$4,608.00 |
$4,608.00 |
$2,880.80
|
|
Colectomy partial w/anastomosis 44140
|
$5,395.80 |
$5,395.80 |
$5,395.80 |
$2,510.73
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$3,279.60 |
$3,279.60 |
$3,279.60 |
$2,136.00
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$4,815.60 |
$4,815.60 |
$4,815.60 |
$3,270.00
|
|
Colistimethate sodium inj
|
$16.80 |
$16.80 |
$16.80 |
$82.71
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$188.40 |
$188.40 |
$188.40 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$155.40 |
$155.40 |
$155.40 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$537.00 |
$537.00 |
$537.00 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$1,330.80 |
$1,330.80 |
$1,330.80 |
$1,899.00
|
|
Colonoscopy w/control bleed
|
$2,019.60 |
$2,019.60 |
$2,019.60 |
$2,101.71
|
|
Colonoscopy (with polyp removal)
|
$1,666.80 |
$1,666.80 |
$1,666.80 |
$2,288.00
|
