|
Clsd tx of ankle fracture w/manip 28435
|
$472.19 |
$472.19 |
$472.19 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$228.69 |
$228.69 |
$228.69 |
$665.50
|
|
Clsd tx/patellar fx without manip 27520
|
$128.21 |
$128.21 |
$128.21 |
$544.80
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$461.16 |
$461.16 |
$461.16 |
$2,370.40
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$79.70 |
$79.70 |
$79.70 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$132.93 |
$132.93 |
$132.93 |
$501.80
|
|
Clsd tx radius fracture w/manip 24655
|
$465.57 |
$465.57 |
$465.57 |
$1,868.38
|
|
Clsd tx shoulder dislc/fx 23665
|
$311.22 |
$311.22 |
$311.22 |
$2,055.00
|
|
Clsd tx temporomandibular dislocat 21480
|
$115.92 |
$115.92 |
$115.92 |
$506.40
|
|
Clsd tx toe dislocation without anes28660
|
$80.01 |
$80.01 |
$80.01 |
$415.20
|
|
Clsd tx trimall ankle fx without manip 27816
|
$131.67 |
$131.67 |
$131.67 |
$597.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$465.57 |
$465.57 |
$465.57 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$74.97 |
$74.97 |
$74.97 |
$510.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$120.02 |
$120.02 |
$120.02 |
$730.08
|
|
Clsd tx wrist carpal fx without manip 25630
|
$126.95 |
$126.95 |
$126.95 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$131.67 |
$131.67 |
$131.67 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$79.07 |
$79.07 |
$79.07 |
$682.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$124.74 |
$124.74 |
$124.74 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$82.85 |
$82.85 |
$82.85 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$852.08 |
$852.08 |
$852.08 |
$1,232.40
|
|
Cltx carpl scphd fx w/mnpj
|
$272.16 |
$272.16 |
$272.16 |
$2,368.00
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$917.60 |
$917.60 |
$917.60 |
$2,558.00
|
|
Cltx hum epcndylr fx wo mnpj
|
$74.66 |
$74.66 |
$74.66 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$74.66 |
$74.66 |
$74.66 |
$1,877.71
|
|
Cltx humrl cndylr fx wo mnpj
|
$74.66 |
$74.66 |
$74.66 |
$579.20
|
|
C motor evoked lwr limbs
|
$572.67 |
$572.67 |
$572.67 |
$621.00
|
|
C motor evoked uppr limbs
|
$525.11 |
$525.11 |
$525.11 |
$780.00
|
|
#cmvcul-virus inoculation shell
|
$18.27 |
$18.27 |
$18.27 |
$102.57
|
|
Cmv pcr-sendout
|
$1,128.37 |
$1,128.37 |
$1,128.37 |
$172.25
|
|
Coagulation time activated teg
|
$108.05 |
$108.05 |
$730.66 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$444.98 |
$444.98 |
$444.98 |
$781.82
|
|
Cold agglutinin titer
|
$52.92 |
$52.92 |
$1,016.78 |
$49.40
|
|
Colistimethate sodium inj
|
$21.77 |
$21.77 |
$21.77 |
$84.22
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$177.00 |
$177.00 |
$177.00 |
$46.88
|
|
Collection blood specimen from completely implantable venous access device
|
$1,469.58 |
$1,469.58 |
$1,469.58 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$1,469.58 |
$1,469.58 |
$1,469.58 |
$163.07
|
|
Collection of venous blood by venipuncture
|
$24.85 |
$24.85 |
$24.85 |
$21.66
|
|
Colonoscopy (diagnostic)
|
$1,375.92 |
$1,375.92 |
$1,375.92 |
$1,620.84
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,462.29 |
$1,462.29 |
$1,462.29 |
$2,423.20
|
|
Colonoscopy for bleeding 44391
|
$771.12 |
$771.12 |
$771.12 |
$1,658.40
|
|
Colonoscopy submucous njx
|
$1,154.30 |
$1,154.30 |
$1,154.30 |
$2,353.00
|
|
Colonoscopy w/ablation
|
$1,548.75 |
$1,548.75 |
$1,548.75 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$1,212.75 |
$1,212.75 |
$1,212.75 |
$1,631.37
|
|
Colonoscopy w/control bleed
|
$1,475.60 |
$1,475.60 |
$1,475.60 |
$2,262.00
|
|
Colonoscopy w/dilation
|
$286.34 |
$286.34 |
$286.34 |
$2,448.60
|
|
Colonoscopy w/fb removal
|
$1,358.70 |
$1,358.70 |
$1,358.70 |
$1,645.43
|
|
Colonoscopy (with biopsy)
|
$1,521.45 |
$1,521.45 |
$1,521.45 |
$2,538.00
|
|
Colonoscopy (with polyp removal)
|
$1,460.82 |
$1,460.82 |
$1,460.82 |
$2,472.75
|
|
Colpocentesis 57020
|
$547.47 |
$547.47 |
$547.47 |
$4,350.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,058.09 |
$1,058.09 |
$1,058.09 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$249.62 |
$249.62 |
$1,676.68 |
$165.00
|
|
Compatibility test each unit electronic
|
$51.03 |
$51.03 |
$51.03 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$249.62 |
$249.62 |
$1,275.19 |
$159.95
|
|
Compatibility test incubate
|
$48.83 |
$48.83 |
$1,199.83 |
$143.64
|
|
Complement antigen each component c3
|
$133.00 |
$133.00 |
$133.00 |
$113.13
|
|
Complx repair fccmnaxghf 13132
|
$179.24 |
$179.24 |
$179.24 |
$1,212.00
|
|
Concentration infection agents any type
|
$31.82 |
$31.82 |
$31.82 |
$50.70
|
|
Condylomata destruction 56420
|
$74.34 |
$74.34 |
$74.34 |
$503.67
|
|
Conivaptan hcl
|
$1,415.20 |
$1,415.20 |
$1,415.20 |
$438.57
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,306.52 |
$2,306.52 |
$2,306.52 |
$792.24
|
|
Connector tis 2x10mm
|
$4,193.55 |
$4,193.55 |
$4,193.55 |
$2,988.26
|
|
Consultation pathology during surgery
|
$58.16 |
$58.16 |
$1,198.14 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$499.56 |
$499.56 |
$1,092.76 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$163.27 |
$163.27 |
$163.27 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$292.25 |
$292.25 |
$1,894.32 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$1,844.48 |
$1,844.48 |
$1,844.48 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$678.08 |
$678.08 |
$678.08 |
$176.15
|
|
Contrast baths charges
|
$40.01 |
$40.01 |
$40.01 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$3,162.03 |
$3,162.03 |
$3,162.03 |
$3,389.09
|
|
Contrast exam thoracic aorta
|
$1,415.93 |
$1,415.93 |
$19,132.28 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$5,244.26 |
$5,244.26 |
$5,244.26 |
$3,780.00
|
|
Contrast x-ray of ankle
|
$372.65 |
$372.65 |
$372.65 |
$566.28
|
|
Contrast x-ray of brain
|
$5,042.11 |
$5,042.11 |
$5,042.11 |
$900.00
|
|
Contrast x-ray of elbow
|
$261.10 |
$261.10 |
$261.10 |
$609.40
|
|
Contrast x-ray of knee joint
|
$643.86 |
$643.86 |
$643.86 |
$655.05
|
|
Contrast x-ray of wrist
|
$275.31 |
$275.31 |
$275.31 |
$558.71
|
|
Controller infinity pt dbs
|
$4,566.19 |
$4,566.19 |
$4,566.19 |
$3,101.00
|
|
Control nosebleed pack+caut 30905
|
$106.75 |
$106.75 |
$106.75 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$148.05 |
$148.05 |
$148.05 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$73.08 |
$73.08 |
$73.08 |
$385.45
|
|
Conversion ext bil drg cath
|
$2,877.21 |
$2,877.21 |
$2,877.21 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$4,045.30 |
$4,045.30 |
$4,045.30 |
$3,927.00
|
|
Coombs direct
|
$73.50 |
$73.50 |
$73.50 |
$71.74
|
|
Coombs indirect titer reference
|
$76.23 |
$76.23 |
$76.23 |
$143.40
|
|
Core ndl bx lng/med perq
|
$760.10 |
$760.10 |
$760.10 |
$2,963.00
|
|
Cor hlx vlgs double osteot
|
$1,853.15 |
$1,853.15 |
$1,853.15 |
$5,110.00
|
|
Cor hlx vlgs dstl mtar osteo
|
$1,795.50 |
$1,795.50 |
$1,795.50 |
$4,499.12
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$8,176.35 |
$8,176.35 |
$8,176.35 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$7,570.50 |
$7,570.50 |
$7,570.50 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$9,084.60 |
$9,084.60 |
$9,084.60 |
$11,240.08
|
|
Coronary art/grft angio s&i
|
$4,672.15 |
$4,672.15 |
$4,672.15 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,027.52 |
$4,027.52 |
$4,027.52 |
$7,697.25
|
|
Coronary thrombolysis/iv infusion 92977
|
$436.59 |
$436.59 |
$12,577.60 |
$484.37
|
|
Corrj halux rigdus w/implt
|
$2,529.77 |
$2,529.77 |
$2,529.77 |
$6,280.06
|
|
Cortisol total am
|
$180.95 |
$180.95 |
$180.95 |
$122.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$2,069.74 |
$2,069.74 |
$2,069.74 |
$258.83
|
|
Counseling smoke cess interm >10mins
|
$24.57 |
$24.57 |
$24.57 |
$57.60
|
|
Coveredge 32 lead kit 40cm 48
|
$1,157.63 |
$1,157.63 |
$1,157.63 |
$2,981.93
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$826.36 |
$826.36 |
$826.36 |
$569.31
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$826.36 |
$826.36 |
$826.36 |
$533.10
|