|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,621.64 |
$2,621.64 |
$2,621.64 |
$2,557.07
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$275.52 |
$275.52 |
$275.52 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$275.52 |
$275.52 |
$275.52 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$1,884.74
|
|
Clsd tx/scapular fx without manip 23570
|
$275.52 |
$275.52 |
$275.52 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,752.68 |
$2,752.68 |
$2,752.68 |
$2,466.40
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,842.58
|
|
Clsd tx temporomandibular dislocat 21480
|
$245.28 |
$245.28 |
$245.28 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$275.52 |
$275.52 |
$275.52 |
$436.70
|
|
Clsd tx trimall ankle fx without manip 27816
|
$275.52 |
$275.52 |
$275.52 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,621.64 |
$2,621.64 |
$2,621.64 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$275.52 |
$275.52 |
$275.52 |
$487.80
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$275.52 |
$275.52 |
$275.52 |
$705.60
|
|
Clsd tx wrist carpal fx without manip 25630
|
$371.70 |
$371.70 |
$371.70 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$359.94 |
$359.94 |
$359.94 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$275.52 |
$275.52 |
$275.52 |
$579.88
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$275.52 |
$275.52 |
$275.52 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$347.34 |
$347.34 |
$347.34 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$275.52 |
$275.52 |
$275.52 |
$857.50
|
|
Cltx carpl scphd fx w/mnpj
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,316.80
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$275.52 |
$275.52 |
$275.52 |
$523.25
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$1,893.86
|
|
Cltx humrl cndylr fx wo mnpj
|
$275.52 |
$275.52 |
$275.52 |
$563.00
|
|
Cltx lunate dislc w/mnpj
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,893.80
|
|
Cltx mndblr fx ntrdntl fixj
|
$7,101.36 |
$7,101.36 |
$7,101.36 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$1,845.90 |
$1,845.90 |
$1,845.90 |
$2,503.20
|
|
Cltx mndblr/max alv ridge fx
|
$3,783.78 |
$3,783.78 |
$3,783.78 |
$3,990.33
|
|
Cltx palatal/max fx wire fix
|
$3,783.78 |
$3,783.78 |
$3,783.78 |
$4,199.49
|
|
Cltx post ankle fx
|
$275.52 |
$275.52 |
$275.52 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$2,621.64 |
$2,621.64 |
$2,621.64 |
$2,621.64
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,320.50
|
|
Cltx strnclav dislc w/mnpj
|
$275.52 |
$275.52 |
$275.52 |
$722.16
|
|
Cltx thigh fx
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$3,881.76
|
|
#cmvcul-virus inoculation shell
|
$36.12 |
$36.12 |
$36.12 |
$102.57
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$154.14 |
$154.14 |
$154.14 |
$66.69
|
|
Collar cerv adlt perfit ace extric
|
$49.90 |
$49.90 |
$49.90 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$543.09 |
$543.09 |
$543.09 |
$241.88
|
|
Collar cerv patriot adlt
|
$268.74 |
$268.74 |
$268.74 |
$153.57
|
|
Collar extrication adult univ
|
$279.95 |
$279.95 |
$279.95 |
$567.53
|
|
Collection blood specimen from completely implantable venous access device
|
$154.56 |
$154.56 |
$154.56 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$154.56 |
$154.56 |
$154.56 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$13.44 |
$13.44 |
$13.44 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$960.96 |
$960.96 |
$960.96 |
$1,612.62
|
|
Colonoscopy w/control bleed
|
$1,252.44 |
$1,252.44 |
$1,252.44 |
$2,101.71
|
|
Colpocentesis 57020
|
$6,164.34 |
$6,164.34 |
$6,164.34 |
$5,419.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,766.14 |
$3,766.14 |
$3,766.14 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$205.80 |
$205.80 |
$205.80 |
$326.30
|
|
Colposcopy vulva 56820
|
$236.88 |
$236.88 |
$236.88 |
$295.20
|
|
Colposcopy w/biopsy of cervix 57455
|
$183.54 |
$183.54 |
$183.54 |
$544.70
|
|
Colpotomy drng of abscess 57010
|
$3,760.68 |
$3,760.68 |
$3,760.68 |
$3,744.41
|
|
Colpotomy w/exploration 57000
|
$3,760.68 |
$3,760.68 |
$3,760.68 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$155.40 |
$155.40 |
$155.40 |
$173.25
|
|
Compatibility test each unit electronic
|
$155.40 |
$155.40 |
$155.40 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$155.40 |
$155.40 |
$155.40 |
$169.52
|
|
Complement antigen each component c3
|
$91.56 |
$91.56 |
$91.56 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,111.74 |
$1,111.74 |
$1,111.74 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$962.22 |
$962.22 |
$962.22 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$962.22 |
$962.22 |
$962.22 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$386.40 |
$386.40 |
$386.40 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$708.12 |
$708.12 |
$708.12 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$341.88 |
$341.88 |
$341.88 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$576.66 |
$576.66 |
$576.66 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$772.80 |
$772.80 |
$772.80 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$386.40 |
$386.40 |
$386.40 |
$683.25
|
|
Composite graft/pri close/don area 15760
|
$2,295.30 |
$2,295.30 |
$2,295.30 |
$2,692.80
|
|
Condylomata destruction 56420
|
$328.44 |
$328.44 |
$328.44 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,728.54 |
$2,728.54 |
$2,728.54 |
$986.92
|
|
Connect omega .5mm
|
$2,063.25 |
$2,063.25 |
$2,063.25 |
$1,069.43
|
|
Connector tis 2x10mm
|
$4,727.06 |
$4,727.06 |
$4,727.06 |
$3,934.53
|
|
Consultation pathology during surgery cytological exam initial site
|
$3,362.10 |
$3,362.10 |
$3,362.10 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$157.08 |
$157.08 |
$157.08 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$764.40 |
$764.40 |
$764.40 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$254.94 |
$254.94 |
$254.94 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$173.46 |
$173.46 |
$173.46 |
$176.15
|
|
Cont gluc mntr analysis i&r 95251
|
$21.00 |
$21.00 |
$21.00 |
$80.00
|
|
Contrast x-ray of elbow
|
$431.34 |
$431.34 |
$431.34 |
$637.14
|
|
Controler lvad heartmate 3 includes ebb
|
$11,451.13 |
$11,451.13 |
$11,451.13 |
$11,518.85
|
|
Controller infinity pt dbs
|
$6,148.80 |
$6,148.80 |
$6,148.80 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$374.64 |
$374.64 |
$374.64 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$193.62 |
$193.62 |
$193.62 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$352.80 |
$352.80 |
$352.80 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$855.12 |
$855.12 |
$855.12 |
$618.80
|
|
Control throat bleeding
|
$3,783.78 |
$3,783.78 |
$3,783.78 |
$4,122.30
|
|
Conversion ext bil drg cath
|
$4,710.72 |
$4,710.72 |
$4,710.72 |
$4,661.80
|
|
Coombs direct
|
$58.38 |
$58.38 |
$58.38 |
$73.26
|
|
Coombs indirect titer reference
|
$155.40 |
$155.40 |
$155.40 |
$146.00
|
|
Copper intrauterine device
|
$2,643.05 |
$2,643.05 |
$2,643.05 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$2,963.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$4,499.12
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$9,928.17 |
$9,928.17 |
$9,928.17 |
$9,900.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$384.72 |
$384.72 |
$384.72 |
$489.00
|
|
Correct finger deformity
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$4,108.00
|
|
Correction hallux valgus sesamoidectomy;prox meta osteotomy
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$4,108.00
|
|
Correct rectal prolapse
|
$3,417.12 |
$3,417.12 |
$3,417.12 |
$3,722.88
|
|
Cortisol total am
|
$87.78 |
$87.78 |
$87.78 |
$122.20
|
