|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$249.03 |
$249.03 |
$249.03 |
$1,828.80
|
|
Clsd tx temporomandibular dislocat 21480
|
$70.35 |
$70.35 |
$70.35 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$43.40 |
$43.40 |
$43.40 |
$436.70
|
|
Clsd tx trimall ankle fx without manip 27816
|
$72.10 |
$72.10 |
$72.10 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$754.95 |
$754.95 |
$754.95 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$57.75 |
$57.75 |
$57.75 |
$487.80
|
|
Clsd tx wrist carpal fx without manip 25630
|
$104.65 |
$104.65 |
$104.65 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$86.45 |
$86.45 |
$86.45 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$43.40 |
$43.40 |
$43.40 |
$579.88
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$74.90 |
$74.90 |
$74.90 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$50.93 |
$50.93 |
$50.93 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$462.70 |
$462.70 |
$462.70 |
$857.50
|
|
Cltx carpl scphd fx w/mnpj
|
$157.68 |
$157.68 |
$157.68 |
$2,316.80
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$502.08 |
$502.08 |
$502.08 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$52.68 |
$52.68 |
$52.68 |
$523.25
|
|
Cltx humrl cndylr fx w/mnpj
|
$545.30 |
$545.30 |
$545.30 |
$1,893.86
|
|
Cltx humrl cndylr fx wo mnpj
|
$48.48 |
$48.48 |
$48.48 |
$563.00
|
|
Cltx lunate dislc w/mnpj
|
$610.58 |
$610.58 |
$610.58 |
$2,893.80
|
|
Cltx post ankle fx
|
$111.48 |
$111.48 |
$111.48 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$94.68 |
$94.68 |
$94.68 |
$2,621.64
|
|
Cltx scap fx w/mnpj +-tractj
|
$94.68 |
$94.68 |
$94.68 |
$2,320.50
|
|
Cltx strnclav dislc w/mnpj
|
$94.68 |
$94.68 |
$94.68 |
$722.16
|
|
Cltx thigh fx
|
$110.60 |
$110.60 |
$110.60 |
$3,881.76
|
|
#cms hgb-sulfhemoglobin
|
$21.53 |
$21.53 |
$21.53 |
$53.30
|
|
Cmv pcr-sendout
|
$173.25 |
$173.25 |
$173.25 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$764.40 |
$764.40 |
$764.40 |
$2,950.68
|
|
Coagulation time activated teg
|
$40.95 |
$40.95 |
$40.95 |
$50.05
|
|
Colistimethate sodium inj
|
$1.69 |
$1.69 |
$1.69 |
$84.60
|
|
Collagenase, clost hist inj
|
$1,027.33 |
$1,027.33 |
$1,027.33 |
$71.16
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$232.75 |
$232.75 |
$232.75 |
$66.69
|
|
Collar cerv ascend 172 reg
|
$114.63 |
$114.63 |
$114.63 |
$241.88
|
|
Collar extrication adult univ
|
$567.53 |
$567.53 |
$567.53 |
$567.53
|
|
Collection blood specimen from completely implantable venous access device
|
$81.90 |
$81.90 |
$81.90 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$88.55 |
$88.55 |
$88.55 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$10.15 |
$10.15 |
$10.15 |
$22.00
|
|
Colonoscopy (with biopsy)
|
$97.30 |
$97.30 |
$97.30 |
$2,512.42
|
|
Colpocentesis 57020
|
$240.80 |
$240.80 |
$240.80 |
$5,419.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$950.60 |
$950.60 |
$950.60 |
$3,907.93
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$125.48 |
$125.48 |
$125.48 |
$326.30
|
|
Colpotomy drng of abscess 57010
|
$1,375.50 |
$1,375.50 |
$1,375.50 |
$3,744.41
|
|
Compatibility test each unit antiglobulin technique
|
$104.48 |
$104.48 |
$104.48 |
$173.25
|
|
Compatibility test each unit immediate spin technique
|
$96.95 |
$96.95 |
$96.95 |
$169.52
|
|
Compatibility test incubate
|
$100.45 |
$100.45 |
$100.45 |
$143.65
|
|
Comp cystometrogram/void presssure 51728
|
$78.05 |
$78.05 |
$78.05 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$84.35 |
$84.35 |
$84.35 |
$1,099.00
|
|
Complement antigen each component c3
|
$47.95 |
$47.95 |
$47.95 |
$111.15
|
|
Complex cystometrogram 51726
|
$58.28 |
$58.28 |
$58.28 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$243.25 |
$243.25 |
$243.25 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$243.25 |
$243.25 |
$243.25 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$4.90 |
$4.90 |
$4.90 |
$353.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$148.05 |
$148.05 |
$148.05 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$163.28 |
$163.28 |
$163.28 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$144.90 |
$144.90 |
$144.90 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$100.45 |
$100.45 |
$100.45 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$105.70 |
$105.70 |
$105.70 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$187.08 |
$187.08 |
$187.08 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$43.23 |
$43.23 |
$43.23 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$328.83 |
$328.83 |
$328.83 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$92.75 |
$92.75 |
$92.75 |
$683.25
|
|
Comprehensive hearing test
|
$12.08 |
$12.08 |
$12.08 |
$224.40
|
|
Concentration infection agents any type
|
$21.00 |
$21.00 |
$21.00 |
$51.32
|
|
Condylomata destruction 56420
|
$149.28 |
$149.28 |
$149.28 |
$509.81
|
|
Conivaptan hcl
|
$97.77 |
$97.77 |
$97.77 |
$438.57
|
|
Conjugated estrogens 25 mg solution for injection
|
$50.79 |
$50.79 |
$50.79 |
$986.92
|
|
Connect omega .5mm
|
$1,069.43 |
$1,069.43 |
$1,069.43 |
$1,069.43
|
|
Connector tis 2x10mm
|
$3,934.53 |
$3,934.53 |
$3,934.53 |
$3,934.53
|
|
Consultation pathology during surgery
|
$25.73 |
$25.73 |
$25.73 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$461.30 |
$461.30 |
$461.30 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$58.28 |
$58.28 |
$58.28 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$179.03 |
$179.03 |
$179.03 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$130.03 |
$130.03 |
$130.03 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$91.35 |
$91.35 |
$91.35 |
$176.15
|
|
Consult comp w/report rfrd material
|
$494.03 |
$494.03 |
$494.03 |
$359.87
|
|
Contrast exam abdominl aorta 75625-26
|
$1,543.15 |
$1,543.15 |
$1,543.15 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$851.20 |
$851.20 |
$851.20 |
$4,178.00
|
|
Contrast x-ray gallbladder
|
$178.85 |
$178.85 |
$178.85 |
$312.00
|
|
Controller infinity pt dbs
|
$3,101.00 |
$3,101.00 |
$3,101.00 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$83.48 |
$83.48 |
$83.48 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$136.15 |
$136.15 |
$136.15 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$100.80 |
$100.80 |
$100.80 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$94.68 |
$94.68 |
$94.68 |
$618.80
|
|
Conversion ext bil drg cath
|
$850.85 |
$850.85 |
$850.85 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$2,066.93 |
$2,066.93 |
$2,066.93 |
$3,569.60
|
|
Coombs direct
|
$37.80 |
$37.80 |
$37.80 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$7.35 |
$7.35 |
$7.35 |
$94.90
|
|
Coombs indirect titer reference
|
$40.25 |
$40.25 |
$40.25 |
$146.00
|
|
Core ndl bx lng/med perq
|
$720.13 |
$720.13 |
$720.13 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$5,326.65 |
$5,326.65 |
$5,326.65 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$4,932.03 |
$4,932.03 |
$4,932.03 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$5,869.15 |
$5,869.15 |
$5,869.15 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$3,513.65 |
$3,513.65 |
$3,513.65 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,977.63 |
$2,977.63 |
$2,977.63 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$595.70 |
$595.70 |
$595.70 |
$489.00
|
|
Correction eyelid w/implant
|
$193.20 |
$193.20 |
$193.20 |
$3,269.14
|
|
Cortisol acth stimulation test - sendout
|
$123.73 |
$123.73 |
$123.73 |
$123.73
|
|
Cosyntropin 0.25 mg solution for injection
|
$10.71 |
$10.71 |
$10.71 |
$222.48
|
|
Counseling smoke cess interm >10mins
|
$18.73 |
$18.73 |
$18.73 |
$57.85
|
|
Counseling visit to discuss need for ldct g0296
|
$6.48 |
$6.48 |
$6.48 |
$109.46
|
|
Coveredge 32 lead kit 40cm 48
|
$5,162.33 |
$5,162.33 |
$5,162.33 |
$3,151.80
|
|
Cover wrist
|
$33.25 |
$33.25 |
$33.25 |
$308.82
|
