|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,797.83 |
$1,797.83 |
$1,797.83 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,062.63 |
$3,062.63 |
$3,062.63 |
$2,331.50
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$3,848.69 |
$3,848.69 |
$3,848.69 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$512.40 |
$512.40 |
$512.40 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$598.58 |
$598.58 |
$598.58 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$713.23 |
$713.23 |
$713.23 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,565.74 |
$1,565.74 |
$1,565.74 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$593.29 |
$593.29 |
$593.29 |
$473.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$543.23 |
$543.23 |
$543.23 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$705.55 |
$705.55 |
$705.55 |
$612.80
|
|
Cls tx of heel fracture w/manip 28405
|
$5,766.26 |
$5,766.26 |
$5,766.26 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$2,128.12 |
$2,128.12 |
$2,128.12 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,534.94 |
$1,534.94 |
$1,534.94 |
$1,851.78
|
|
Cltx lunate dislc w/mnpj
|
$2,952.64 |
$2,952.64 |
$2,952.64 |
$2,384.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$5,807.49 |
$5,807.49 |
$5,807.49 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$3,847.80 |
$3,847.80 |
$3,847.80 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$4,811.92 |
$4,811.92 |
$4,811.92 |
$3,986.00
|
|
Cltx palatal/max fx wire fix
|
$4,377.24 |
$4,377.24 |
$4,377.24 |
$4,377.24
|
|
Cltx post ankle fx w/mnpj
|
$2,621.81 |
$2,621.81 |
$2,621.81 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,050.29 |
$2,050.29 |
$2,050.29 |
$2,021.04
|
|
Cltx strnclav dislc w/mnpj
|
$722.16 |
$722.16 |
$722.16 |
$619.30
|
|
Cltx thigh fx w/mnpj
|
$3,503.71 |
$3,503.71 |
$3,503.71 |
$3,276.70
|
|
Cltx tmprmand dislc comp
|
$3,445.34 |
$3,445.34 |
$3,445.34 |
$3,740.85
|
|
C motor evoked lwr limbs
|
$621.00 |
$621.00 |
$621.00 |
$627.89
|
|
C motor evoked uppr limbs
|
$649.09 |
$649.09 |
$649.09 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$1,568.20 |
$1,568.20 |
$1,568.20 |
$1,333.36
|
|
Cmptr ophth dx img ant segmt
|
$130.41 |
$130.41 |
$130.41 |
$83.20
|
|
Cmptr ophth img optic nerve
|
$207.29 |
$207.29 |
$207.29 |
$98.00
|
|
#cms hgb-sulfhemoglobin
|
$75.58 |
$75.58 |
$75.58 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$133.00 |
$133.00 |
$133.00 |
$89.76
|
|
Cmv pcr-sendout
|
$786.79 |
$786.79 |
$786.79 |
$175.70
|
|
Cnbp gene detc abnor allele
|
$7,487.95 |
$7,487.95 |
$7,487.95 |
$313.60
|
|
Co2 monitor per day
|
$483.66 |
$483.66 |
$483.66 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$26.45 |
$26.45 |
$26.45 |
$11,888.50
|
|
Coagulation time activated teg
|
$99.66 |
$99.66 |
$99.66 |
$52.47
|
|
Cocm by rhc/fqhc 60 min mo
|
$87.13 |
$87.13 |
$87.13 |
$87.13
|
|
Cogenex amnio memb per sq cm
|
$0.01 |
$0.01 |
$0.01 |
$1.00
|
|
Cold agglutinin screen (arc)
|
$128.26 |
$128.26 |
$128.26 |
$48.10
|
|
Cold agglutinin titer
|
$83.66 |
$83.66 |
$83.66 |
$52.00
|
|
Colistimethate sodium inj
|
$103.76 |
$103.76 |
$103.76 |
$82.71
|
|
Collagen based wound filler
|
$1,096.43 |
$1,096.43 |
$1,096.43 |
$1,794.78
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$236.29 |
$236.29 |
$236.29 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$482.43 |
$482.43 |
$482.43 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$286.37 |
$286.37 |
$286.37 |
$224.11
|
|
Collar extrication adult univ
|
$907.63 |
$907.63 |
$907.63 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$202.31 |
$202.31 |
$202.31 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$192.03 |
$192.03 |
$192.03 |
$155.40
|
|
Collj & interpj data ea 30 d
|
$174.20 |
$174.20 |
$174.20 |
$172.35
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,907.93 |
$3,907.93 |
$3,907.93 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$139.80 |
$139.80 |
$139.80 |
$314.00
|
|
Colposcopy vulva 56820
|
$90.00 |
$90.00 |
$90.00 |
$333.20
|
|
Colpotomy w/exploration 57000
|
$2,788.64 |
$2,788.64 |
$2,788.64 |
$4,075.20
|
|
Compatibility test each unit antiglobulin technique
|
$182.86 |
$182.86 |
$182.86 |
$173.50
|
|
Compatibility test each unit electronic
|
$188.22 |
$188.22 |
$188.22 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$169.52 |
$169.52 |
$169.52 |
$169.52
|
|
Complement antigen each component c3
|
$542.33 |
$542.33 |
$542.33 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,109.03 |
$1,109.03 |
$1,109.03 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,612.19 |
$1,612.19 |
$1,612.19 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,278.25 |
$1,278.25 |
$1,278.25 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,622.55 |
$1,622.55 |
$1,622.55 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$680.92 |
$680.92 |
$680.92 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,065.98 |
$1,065.98 |
$1,065.98 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,528.04 |
$1,528.04 |
$1,528.04 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$896.48 |
$896.48 |
$896.48 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$592.69 |
$592.69 |
$592.69 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,427.85 |
$1,427.85 |
$1,427.85 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,267.55 |
$1,267.55 |
$1,267.55 |
$537.00
|
|
Computed tomographic angiography head and neck with contrast
|
$7,050.71 |
$7,050.71 |
$7,050.71 |
$2,247.00
|
|
Concentration infection agents any type
|
$51.32 |
$51.32 |
$51.32 |
$51.32
|
|
Condylomata destruction 56420
|
$509.81 |
$509.81 |
$509.81 |
$467.35
|
|
Conivaptan hcl
|
$1,611.54 |
$1,611.54 |
$1,611.54 |
$1,625.08
|
|
Conjugated estrogens 25 mg solution for injection
|
$993.74 |
$993.74 |
$993.74 |
$860.00
|
|
Connect omega .5mm
|
$1,447.28 |
$1,447.28 |
$1,447.28 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,862.15 |
$3,862.15 |
$3,862.15 |
$4,024.34
|
|
Consultation pathology during surgery
|
$134.66 |
$134.66 |
$134.66 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$461.95 |
$461.95 |
$461.95 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$154.18 |
$154.18 |
$154.18 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$297.87 |
$297.87 |
$297.87 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$275.42 |
$275.42 |
$275.42 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$171.65 |
$171.65 |
$171.65 |
$176.28
|
|
Consultation with family
|
$135.79 |
$135.79 |
$135.79 |
$135.79
|
|
Consult comp w/report rfrd material
|
$425.93 |
$425.93 |
$425.93 |
$374.40
|
|
Contrast baths charges
|
$87.17 |
$87.17 |
$87.17 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$3,389.09 |
$3,389.09 |
$3,389.09 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$3,570.00 |
$3,570.00 |
$3,570.00 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$3,167.26 |
$3,167.26 |
$3,167.26 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$186.25 |
$186.25 |
$186.25 |
$341.00
|
|
Contrast x-ray of ankle
|
$495.58 |
$495.58 |
$495.58 |
$684.00
|
|
Contrast x-ray of brain
|
$1,336.32 |
$1,336.32 |
$1,336.32 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$495.60 |
$495.60 |
$495.60 |
$708.00
|
|
Contrast x-ray of hip
|
$520.38 |
$520.38 |
$520.38 |
$796.38
|
|
Contrast x-ray of knee joint
|
$495.60 |
$495.60 |
$495.60 |
$790.50
|
|
Contrast x-ray of wrist
|
$495.58 |
$495.58 |
$495.58 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$16,559.40 |
$16,559.40 |
$16,559.40 |
$12,355.20
|
|
Controller infinity pt dbs
|
$35,689.50 |
$35,689.50 |
$35,689.50 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$460.17 |
$460.17 |
$460.17 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$410.06 |
$410.06 |
$410.06 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$461.69 |
$461.69 |
$461.69 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$682.33 |
$682.33 |
$682.33 |
$620.00
|
|
Contrst x-ray uppr gi tract
|
$762.93 |
$762.93 |
$762.93 |
$762.93
|
