|
Closed tx humerus fx w/manip 24505
|
$1,112.00 |
$1,112.00 |
$1,112.00 |
$1,540.50
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$685.60 |
$685.60 |
$685.60 |
$386.40
|
|
Closed tx/talus fracture without manip 28430
|
$806.40 |
$806.40 |
$806.40 |
$439.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$595.20 |
$595.20 |
$595.20 |
$657.28
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$1,907.20 |
$1,907.20 |
$1,907.20 |
$528.50
|
|
Clsd tx/clavicular fx without manip 23500
|
$452.00 |
$452.00 |
$452.00 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$824.00 |
$824.00 |
$824.00 |
$416.16
|
|
Clsd tx elbow dislocation child 24640
|
$405.60 |
$405.60 |
$405.60 |
$462.80
|
|
Clsd tx fracture of radius 25500
|
$824.00 |
$824.00 |
$824.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$1,374.40 |
$1,374.40 |
$1,374.40 |
$373.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$544.80 |
$544.80 |
$544.80 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$664.80 |
$664.80 |
$664.80 |
$529.65
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$1,680.00
|
|
Clsd tx fx radius/ulna without manip 25560
|
$668.80 |
$668.80 |
$668.80 |
$487.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$974.40 |
$974.40 |
$974.40 |
$1,548.40
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$450.10
|
|
Clsd tx hip disloc without anes 27265
|
$3,321.60 |
$3,321.60 |
$3,321.60 |
$631.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,408.00 |
$1,408.00 |
$1,408.00 |
$613.14
|
|
Clsd tx/metatarsal fx without manip 28470
|
$1,834.40 |
$1,834.40 |
$1,834.40 |
$429.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$744.80 |
$744.80 |
$744.80 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$532.00 |
$532.00 |
$532.00 |
$577.20
|
|
Clsd tx/patellar fx without manip 27520
|
$885.60 |
$885.60 |
$885.60 |
$495.80
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$775.20 |
$775.20 |
$775.20 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$440.00 |
$440.00 |
$440.00 |
$451.68
|
|
Clsd tx radius fracture w/manip 24655
|
$1,056.80 |
$1,056.80 |
$1,056.80 |
$1,772.97
|
|
Clsd tx temporomandibular dislocat 21480
|
$423.20 |
$423.20 |
$423.20 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$610.40 |
$610.40 |
$610.40 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$470.40 |
$470.40 |
$470.40 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$709.60 |
$709.60 |
$709.60 |
$1,565.74
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$1,369.60 |
$1,369.60 |
$1,369.60 |
$535.60
|
|
Cmv pcr-sendout
|
$145.60 |
$145.60 |
$145.60 |
$177.50
|
|
Coagulation time activated teg
|
$28.80 |
$28.80 |
$28.80 |
$53.55
|
|
Cold agglutinin titer
|
$33.60 |
$33.60 |
$33.60 |
$51.60
|
|
Collar cerv patriot adlt
|
$164.00 |
$164.00 |
$164.00 |
$134.66
|
|
Collection blood specimen from completely implantable venous access device
|
$100.00 |
$100.00 |
$100.00 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$100.00 |
$100.00 |
$100.00 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$5.00 |
$5.00 |
$5.00 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$653.60 |
$653.60 |
$653.60 |
$172.00
|
|
Compatibility test each unit electronic
|
$653.60 |
$653.60 |
$653.60 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$653.60 |
$653.60 |
$653.60 |
$167.17
|
|
Complement antigen each component c3
|
$49.60 |
$49.60 |
$49.60 |
$110.00
|
|
Complx repair fccmnaxghf 13131
|
$877.60 |
$877.60 |
$877.60 |
$789.60
|
|
Comprehensive hearing test
|
$256.80 |
$256.80 |
$256.80 |
$260.40
|
|
Concentration infection agents any type
|
$27.20 |
$27.20 |
$27.20 |
$51.32
|
|
Conditioning play audiometry 92582
|
$112.80 |
$112.80 |
$112.80 |
$189.15
|
|
Condylomata destruction 56420
|
$632.00 |
$632.00 |
$632.00 |
$463.98
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,712.60 |
$2,712.60 |
$2,712.60 |
$839.07
|
|
Consultation pathology during surgery cytological exam initial site
|
$261.60 |
$261.60 |
$261.60 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$312.80 |
$312.80 |
$312.80 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$567.20 |
$567.20 |
$567.20 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$211.20 |
$211.20 |
$211.20 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$143.20 |
$143.20 |
$143.20 |
$176.15
|
|
Contrast baths charges
|
$118.40 |
$118.40 |
$118.40 |
$74.25
|
|
Contrast exam abdominl aorta 75625-26
|
$6,960.00 |
$6,960.00 |
$6,960.00 |
$3,480.00
|
|
Control nosebleed pack+caut 30905
|
$649.60 |
$649.60 |
$649.60 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$575.20 |
$575.20 |
$575.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$575.20 |
$575.20 |
$575.20 |
$352.80
|
|
Convert nephrostomy catheter
|
$3,669.60 |
$3,669.60 |
$3,669.60 |
$2,777.60
|
|
Coombs direct
|
$238.40 |
$238.40 |
$238.40 |
$76.44
|
|
Coombs indirect qualitative each reagent red cell reference
|
$653.60 |
$653.60 |
$653.60 |
$102.90
|
|
Copper intrauterine device
|
$7,249.00 |
$7,249.00 |
$7,249.00 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,955.20 |
$2,955.20 |
$2,955.20 |
$2,862.11
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$13,621.60 |
$13,621.60 |
$13,621.60 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$13,615.20 |
$13,615.20 |
$13,615.20 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$14,824.80 |
$14,824.80 |
$14,824.80 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$13,621.60 |
$13,621.60 |
$13,621.60 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$13,621.60 |
$13,621.60 |
$13,621.60 |
$7,950.49
|
|
Cortisol acth stimulation test - sendout
|
$136.00 |
$136.00 |
$136.00 |
$146.25
|
|
Cortisol total am
|
$68.00 |
$68.00 |
$68.00 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$215.20 |
$215.20 |
$215.20 |
$189.02
|
|
Co-treatment - group 15 mins, st
|
$108.00 |
$108.00 |
$108.00 |
$114.00
|
|
C-peptide
|
$86.40 |
$86.40 |
$86.40 |
$93.60
|
|
C-reactive protein
|
$20.00 |
$20.00 |
$20.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$54.40 |
$54.40 |
$54.40 |
$85.00
|
|
Creatine kinase
|
$27.20 |
$27.20 |
$27.20 |
$65.60
|
|
Creatine kinase mb
|
$48.00 |
$48.00 |
$48.00 |
$113.63
|
|
Creatinine
|
$15.00 |
$15.00 |
$15.00 |
$45.65
|
|
Creatinine 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$57.60
|
|
Creatinine clearance urine
|
$39.20 |
$39.20 |
$39.20 |
$89.28
|
|
#creutz-prot.,western blot
|
$121.60 |
$121.60 |
$121.60 |
$163.50
|
|
Critical care 30-74 minutes
|
$2,227.20 |
$2,227.20 |
$2,227.20 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$567.20 |
$567.20 |
$567.20 |
$686.86
|
|
Cryofibrinogen qualitative - sendout
|
$59.20 |
$59.20 |
$59.20 |
$52.50
|
|
Cryoprecipitate each unit
|
$328.80 |
$328.80 |
$328.80 |
$144.78
|
|
Crystal identification light microscopy
|
$30.40 |
$30.40 |
$30.40 |
$65.50
|
|
CT 3d report other modality w/workstation
|
$691.20 |
$691.20 |
$691.20 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$532.50 |
$532.50 |
$532.50 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$397.50 |
$397.50 |
$397.50 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$528.50 |
$528.50 |
$528.50 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$538.00 |
$538.00 |
$538.00 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$517.50 |
$517.50 |
$517.50 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$531.50 |
$531.50 |
$531.50 |
$1,912.50
|
|
CT Angiogram of the Head
|
$538.00 |
$538.00 |
$538.00 |
$1,946.10
|
|
CT angio hrt w/3d image
|
$407.00 |
$407.00 |
$407.00 |
$1,424.40
|
|
CT angio pelvis
|
$534.00 |
$534.00 |
$534.00 |
$1,795.97
|
|
Cta upper extremity w &/or without contrast left
|
$535.50 |
$535.50 |
$535.50 |
$1,681.50
|
|
CT guidance for needle placement
|
$1,810.40 |
$1,810.40 |
$1,810.40 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,862.40 |
$1,862.40 |
$1,862.40 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$85.50 |
$85.50 |
$85.50 |
$156.00
|