|
Clot factor wght kininogen
|
$188.63 |
$188.63 |
$1,167.87 |
$157.50
|
|
Clot factor xii hageman
|
$225.00 |
$225.00 |
$2,667.72 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$114.06 |
$114.06 |
$1,246.19 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$146.47 |
$146.47 |
$1,246.19 |
$106.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$909.08 |
$909.08 |
$909.08 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$719.35 |
$719.35 |
$719.35 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$610.55 |
$610.55 |
$610.55 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$1,725.70 |
$1,725.70 |
$1,725.70 |
$1,980.00
|
|
Clsd tx clavicle dislocation without manip 23540
|
$417.82 |
$417.82 |
$417.82 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,642.32 |
$2,642.32 |
$2,642.32 |
$1,893.86
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$426.82 |
$426.82 |
$426.82 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$971.32 |
$971.32 |
$971.32 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$627.36 |
$627.36 |
$627.36 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$3,136.82 |
$3,136.82 |
$3,136.82 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$537.73 |
$537.73 |
$537.73 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$439.01 |
$439.01 |
$439.01 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$798.36 |
$798.36 |
$798.36 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$674.18 |
$674.18 |
$674.18 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,053.56 |
$2,053.56 |
$2,053.56 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$715.30 |
$715.30 |
$715.30 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,827.71 |
$1,827.71 |
$1,827.71 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$889.94 |
$889.94 |
$889.94 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$623.93 |
$623.93 |
$623.93 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$466.10 |
$466.10 |
$466.10 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$2,226.22 |
$2,226.22 |
$2,226.22 |
$883.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$519.12 |
$519.12 |
$519.12 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$908.24 |
$908.24 |
$908.24 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$580.30 |
$580.30 |
$580.30 |
$522.78
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,678.17 |
$3,678.17 |
$3,678.17 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,843.91 |
$1,843.91 |
$1,843.91 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$814.21 |
$814.21 |
$814.21 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$600.60 |
$600.60 |
$600.60 |
$498.85
|
|
Clsd tx pelvic ring fx
|
$241.88 |
$241.88 |
$241.88 |
$424.50
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$3,028.68 |
$3,028.68 |
$3,028.68 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$491.88 |
$491.88 |
$491.88 |
$414.40
|
|
Clsd tx radius fracture w/manip 24655
|
$1,782.86 |
$1,782.86 |
$1,782.86 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$658.00 |
$658.00 |
$658.00 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,066.17 |
$2,066.17 |
$2,066.17 |
$1,828.80
|
|
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 |
$498.82 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$133.00 |
$133.00 |
$133.00 |
$89.76
|
|
Cmv pcr-sendout
|
$786.79 |
$786.79 |
$1,988.44 |
$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
|
|
Coagulation time lee & white
|
$771.21 |
$771.21 |
$771.21 |
$11.20
|
|
Cocaine 4 % nasal solution
|
$1,750.24 |
$1,750.24 |
$1,750.24 |
$630.04
|
|
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 |
$296.22 |
$48.10
|
|
Cold agglutinin titer
|
$83.66 |
$83.66 |
$1,092.96 |
$52.00
|
|
Colistimethate sodium inj
|
$103.76 |
$103.76 |
$163.30 |
$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 |
$28,075.49 |
$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
|
