|
Closed carpo/metacarpal disl thumb w/manip
|
$428.50 |
$428.50 |
$428.50 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,853.50 |
$1,853.50 |
$1,853.50 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$222.50 |
$222.50 |
$222.50 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$3,777.00 |
$3,777.00 |
$3,777.00 |
$2,269.80
|
|
Closed tx humerus fx without manip 23600
|
$222.50 |
$222.50 |
$222.50 |
$494.49
|
|
Closed tx humerus fx w/manip 24505
|
$2,481.50 |
$2,481.50 |
$2,481.50 |
$1,540.50
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$351.00 |
$351.00 |
$351.00 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,425.50 |
$2,425.50 |
$2,425.50 |
$2,562.40
|
|
Closed tx septal&nose fx
|
$3,014.50 |
$3,014.50 |
$3,014.50 |
$3,624.40
|
|
Closed tx/talus fracture without manip 28430
|
$351.00 |
$351.00 |
$351.00 |
$439.95
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$767.00 |
$767.00 |
$767.00 |
$472.50
|
|
Close tear duct opening
|
$238.00 |
$238.00 |
$238.00 |
$436.44
|
|
Close tear duct opening
|
$227.00 |
$227.00 |
$227.00 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$2,603.00 |
$2,603.00 |
$2,603.00 |
$2,377.50
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$803.00 |
$803.00 |
$803.00 |
$1,244.64
|
|
Closure of eyelid by suture
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$1,599.00
|
|
Closure paravalvlr leak pq
|
$16,510.00 |
$16,510.00 |
$16,510.00 |
$8,455.19
|
|
Clot factor xii hageman
|
$138.50 |
$138.50 |
$138.50 |
$135.01
|
|
Clot factor xiii fibrin scrn
|
$87.50 |
$87.50 |
$87.50 |
$57.75
|
|
Clot factor xiii fibrin stab
|
$199.50 |
$199.50 |
$199.50 |
$106.26
|
|
Clotting assay whole blood
|
$188.50 |
$188.50 |
$188.50 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$302.00 |
$302.00 |
$302.00 |
$657.28
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$302.00 |
$302.00 |
$302.00 |
$528.50
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$384.50 |
$384.50 |
$384.50 |
$484.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$222.50 |
$222.50 |
$222.50 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,112.50 |
$2,112.50 |
$2,112.50 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$206.50 |
$206.50 |
$206.50 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$365.50 |
$365.50 |
$365.50 |
$416.16
|
|
Clsd tx dist fib fx w/manip 27788
|
$365.00 |
$365.00 |
$365.00 |
$676.20
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$441.50 |
$441.50 |
$441.50 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$302.00 |
$302.00 |
$302.00 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$354.50 |
$354.50 |
$354.50 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$222.50 |
$222.50 |
$222.50 |
$373.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$302.00 |
$302.00 |
$302.00 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$302.00 |
$302.00 |
$302.00 |
$529.65
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,680.00
|
|
Clsd tx fx radius/ulna without manip 25560
|
$351.00 |
$351.00 |
$351.00 |
$487.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,548.40
|
|
Clsd tx hip disloc without anes 27265
|
$365.00 |
$365.00 |
$365.00 |
$631.00
|
|
Clsd tx humeral fract without manip 24530
|
$488.50 |
$488.50 |
$488.50 |
$574.00
|
|
Clsd tx humerus fract without manip 24500
|
$408.00 |
$408.00 |
$408.00 |
$491.50
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$246.50 |
$246.50 |
$246.50 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$782.00 |
$782.00 |
$782.00 |
$987.60
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$266.50 |
$266.50 |
$266.50 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$302.00 |
$302.00 |
$302.00 |
$613.14
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$488.50 |
$488.50 |
$488.50 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$488.50 |
$488.50 |
$488.50 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$2,999.00 |
$2,999.00 |
$2,999.00 |
$3,678.17
|
|
Clsd tx patella disloc without anes 27560
|
$266.50 |
$266.50 |
$266.50 |
$577.20
|
|
Clsd tx/patellar fx without manip 27520
|
$222.50 |
$222.50 |
$222.50 |
$495.80
|
|
Clsd tx pelvic ring fx
|
$206.50 |
$206.50 |
$206.50 |
$419.21
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,622.00 |
$1,622.00 |
$1,622.00 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$266.50 |
$266.50 |
$266.50 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$428.50 |
$428.50 |
$428.50 |
$451.68
|
|
Clsd tx radius fracture w/manip 24655
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,772.97
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,233.50 |
$2,233.50 |
$2,233.50 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$194.50 |
$194.50 |
$194.50 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$384.50 |
$384.50 |
$384.50 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$527.00 |
$527.00 |
$527.00 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,028.50 |
$1,028.50 |
$1,028.50 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$357.50 |
$357.50 |
$357.50 |
$463.20
|
|
Clsd tx wrist carpal fx without manip 25630
|
$351.00 |
$351.00 |
$351.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$224.50 |
$224.50 |
$224.50 |
$535.60
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$482.50 |
$482.50 |
$482.50 |
$490.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$526.50 |
$526.50 |
$526.50 |
$611.10
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$222.50 |
$222.50 |
$222.50 |
$487.15
|
|
Cls tx of heel fracture w/manip 28405
|
$1,622.00 |
$1,622.00 |
$1,622.00 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$1,762.50 |
$1,762.50 |
$1,762.50 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$452.50 |
$452.50 |
$452.50 |
$535.60
|
|
Cltx mndblr fx ntrdntl fixj
|
$9,179.50 |
$9,179.50 |
$9,179.50 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$3,293.00 |
$3,293.00 |
$3,293.00 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$4,358.50 |
$4,358.50 |
$4,358.50 |
$3,837.72
|
|
Cltx palatal/max fx wire fix
|
$8,036.50 |
$8,036.50 |
$8,036.50 |
$4,377.24
|
|
Cltx post ankle fx w/mnpj
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$1,985.60
|
|
Cltx thigh fx
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$3,986.00
|
|
C motor evoked lwr limbs
|
$1,699.50 |
$1,699.50 |
$1,699.50 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,699.50 |
$1,699.50 |
$1,699.50 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$1,699.50 |
$1,699.50 |
$1,699.50 |
$1,308.00
|
|
Cmptr ophth dx img ant segmt
|
$58.00 |
$58.00 |
$58.00 |
$83.20
|
|
Cmptr ophth img optic nerve
|
$58.00 |
$58.00 |
$58.00 |
$98.00
|
|
#cmvcul-virus inoculation shell
|
$32.50 |
$32.50 |
$32.50 |
$87.75
|
|
Cmv pcr-sendout
|
$556.50 |
$556.50 |
$556.50 |
$177.50
|
|
Co2 monitor per day
|
$353.50 |
$353.50 |
$353.50 |
$459.20
|
|
Coagulation time activated teg
|
$55.50 |
$55.50 |
$55.50 |
$53.55
|
|
Coch implant microphone repl
|
$421.00 |
$421.00 |
$421.00 |
$890.83
|
|
Cochlear implt f/up exam <7
|
$353.00 |
$353.00 |
$353.00 |
$423.87
|
|
Cochlear implt f/up exam 7/>
|
$307.00 |
$307.00 |
$307.00 |
$423.87
|
|
Coil axium 3d 14mmx40cm qc
|
$3,610.00 |
$3,610.00 |
$3,610.00 |
$308.00
|
|
Cold agglutinin titer
|
$65.50 |
$65.50 |
$65.50 |
$51.60
|
|
Collagen based wound filler
|
$5,972.00 |
$5,972.00 |
$5,972.00 |
$1,823.25
|
|
Collagen drsg>16<=48 sq in
|
$4,368.00 |
$4,368.00 |
$4,368.00 |
$25.75
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$68.50 |
$68.50 |
$68.50 |
$62.40
|
|
Collar cerv ascend 172 reg
|
$338.50 |
$338.50 |
$338.50 |
$213.89
|
|
Collar cerv patriot adlt
|
$14.50 |
$14.50 |
$14.50 |
$134.66
|
|
Collar extrication adult univ
|
$908.00 |
$908.00 |
$908.00 |
$800.32
|