|
Closed carpo/metacarpal fx disl thumb w/manip
|
$2,327.55 |
$2,327.55 |
$2,327.55 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$1,650.90 |
$1,650.90 |
$1,650.90 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$279.90 |
$279.90 |
$279.90 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$2,327.55 |
$2,327.55 |
$2,327.55 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$211.95 |
$211.95 |
$211.95 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,921.85 |
$2,921.85 |
$2,921.85 |
$2,520.60
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$286.50 |
$286.50 |
$286.50 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$2,326.08
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,409.40 |
$1,409.40 |
$1,409.40 |
$1,259.62
|
|
Clot factor xii hageman
|
$264.15 |
$264.15 |
$264.15 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$82.35 |
$82.35 |
$82.35 |
$55.44
|
|
Clsd ostomy pouch without barr
|
$1.33 |
$1.33 |
$1.33 |
$1.33
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$211.95 |
$211.95 |
$211.95 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$279.90 |
$279.90 |
$279.90 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$279.90 |
$279.90 |
$279.90 |
$476.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,650.90 |
$1,650.90 |
$1,650.90 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$211.95 |
$211.95 |
$211.95 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$211.95 |
$211.95 |
$211.95 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$279.90 |
$279.90 |
$279.90 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$279.90 |
$279.90 |
$279.90 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,650.90 |
$1,650.90 |
$1,650.90 |
$2,184.08
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$194.40 |
$194.40 |
$194.40 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$211.95 |
$211.95 |
$211.95 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$279.90 |
$279.90 |
$279.90 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,163.85 |
$1,163.85 |
$1,163.85 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$279.90 |
$279.90 |
$279.90 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,396.80 |
$1,396.80 |
$1,396.80 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$424.50 |
$424.50 |
$424.50 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$256.95 |
$256.95 |
$256.95 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$279.90 |
$279.90 |
$279.90 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$389.40 |
$389.40 |
$389.40 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$523.95 |
$523.95 |
$523.95 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$424.50 |
$424.50 |
$424.50 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$279.90 |
$279.90 |
$279.90 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$279.90 |
$279.90 |
$279.90 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$429.45 |
$429.45 |
$429.45 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$279.90 |
$279.90 |
$279.90 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$4,616.10 |
$4,616.10 |
$4,616.10 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,327.55 |
$2,327.55 |
$2,327.55 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$279.90 |
$279.90 |
$279.90 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$256.95 |
$256.95 |
$256.95 |
$475.68
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,650.90 |
$1,650.90 |
$1,650.90 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$211.95 |
$211.95 |
$211.95 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$279.90 |
$279.90 |
$279.90 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$2,327.55 |
$2,327.55 |
$2,327.55 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,396.80 |
$1,396.80 |
$1,396.80 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,327.55 |
$2,327.55 |
$2,327.55 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,408.80 |
$1,408.80 |
$1,408.80 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$217.20 |
$217.20 |
$217.20 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$211.95 |
$211.95 |
$211.95 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$279.90 |
$279.90 |
$279.90 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,163.85 |
$1,163.85 |
$1,163.85 |
$1,565.74
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$256.95 |
$256.95 |
$256.95 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$279.90 |
$279.90 |
$279.90 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$256.95 |
$256.95 |
$256.95 |
$474.50
|
|
Cltx carpl scphd fx w/mnpj
|
$1,023.90 |
$1,023.90 |
$1,023.90 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,327.55 |
$2,327.55 |
$2,327.55 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$1,650.90 |
$1,650.90 |
$1,650.90 |
$2,437.00
|
|
Cltx post ankle fx
|
$294.15 |
$294.15 |
$294.15 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$2,327.55 |
$2,327.55 |
$2,327.55 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,327.55 |
$2,327.55 |
$2,327.55 |
$2,021.04
|
|
Cltx tmprmand dislc comp
|
$2,247.45 |
$2,247.45 |
$2,247.45 |
$3,986.00
|
|
#cmvcul-virus inoculation shell
|
$162.36 |
$162.36 |
$162.36 |
$100.80
|
|
Cmv pcr-sendout
|
$226.05 |
$226.05 |
$226.05 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$7,332.48 |
$7,332.48 |
$7,332.48 |
$8,980.00
|
|
Coagulation time activated teg
|
$97.05 |
$97.05 |
$97.05 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$529.20 |
$529.20 |
$529.20 |
$629.41
|
|
Cold agglutinin screen (arc)
|
$156.90 |
$156.90 |
$156.90 |
$45.00
|
|
Cold agglutinin titer
|
$209.85 |
$209.85 |
$209.85 |
$50.00
|
|
Colistimethate sodium inj
|
$35.27 |
$35.27 |
$35.27 |
$68.47
|
|
Collagen based wound filler
|
$3,108.00 |
$3,108.00 |
$3,108.00 |
$1,823.25
|
|
Collagen dressing <=16 sq in
|
$56.02 |
$56.02 |
$56.02 |
$42.50
|
|
Collagen drsg>16<=48 sq in
|
$3,348.00 |
$3,348.00 |
$3,348.00 |
$24.71
|
|
Collagen gel/paste wound fil
|
$9.65 |
$9.65 |
$9.65 |
$9.65
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$86.48 |
$86.48 |
$86.48 |
$60.84
|
|
Collar cerv ascend 172 reg
|
$136.56 |
$136.56 |
$136.56 |
$213.89
|
|
Collar cerv patriot adlt
|
$16.50 |
$16.50 |
$16.50 |
$154.00
|
|
Collar extrication adult univ
|
$1,370.20 |
$1,370.20 |
$1,370.20 |
$764.15
|
|
Collection blood specimen from completely implantable venous access device
|
$77.40 |
$77.40 |
$77.40 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$94.50 |
$94.50 |
$94.50 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$23.85 |
$23.85 |
$23.85 |
$21.00
|
|
Coll-e-derm 1 sq cm
|
$342.21 |
$342.21 |
$342.21 |
$171.12
|
|
Colonoscopy (diagnostic)
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$760.95 |
$760.95 |
$760.95 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$760.95 |
$760.95 |
$760.95 |
$2,288.00
|
|
Colonoscopy stoma w/snare 44394
|
$760.95 |
$760.95 |
$760.95 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$760.95 |
$760.95 |
$760.95 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$760.95 |
$760.95 |
$760.95 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$760.95 |
$760.95 |
$760.95 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$760.95 |
$760.95 |
$760.95 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$760.95 |
$760.95 |
$760.95 |
$2,030.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$760.95 |
$760.95 |
$760.95 |
$1,645.43
|
|
Colonoscopy w/endoscopic fnb
|
$760.95 |
$760.95 |
$760.95 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$760.95 |
$760.95 |
$760.95 |
$1,395.28
|
|
Colonoscopy (with biopsy)
|
$760.95 |
$760.95 |
$760.95 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$760.95 |
$760.95 |
$760.95 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$760.95 |
$760.95 |
$760.95 |
$2,288.00
|
|
Colonoscopy w/resection
|
$1,671.30 |
$1,671.30 |
$1,671.30 |
$3,029.60
|