|
Clos txnose fx without stablz 21315
|
$614.60 |
$614.60 |
$614.60 |
$2,587.20
|
|
Closure paravalvlr leak pq
|
$15,888.25 |
$15,888.25 |
$15,888.25 |
$7,723.17
|
|
Clot factor viii reltd antgn
|
$166.60 |
$166.60 |
$1,813.37 |
$95.72
|
|
Clot factor xii hageman
|
$123.20 |
$123.20 |
$1,564.90 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$22.75 |
$22.75 |
$22.75 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$1,348.41 |
$1,348.41 |
$1,348.41 |
$84.27
|
|
Clotting assay whole blood
|
$224.00 |
$224.00 |
$224.00 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$294.35 |
$294.35 |
$294.35 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$128.10 |
$128.10 |
$128.10 |
$625.13
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$93.10 |
$93.10 |
$93.10 |
$543.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,325.10 |
$1,325.10 |
$1,325.10 |
$1,913.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$80.15 |
$80.15 |
$80.15 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$80.15 |
$80.15 |
$80.15 |
$336.00
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$87.50 |
$87.50 |
$87.50 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$203.35 |
$203.35 |
$203.35 |
$728.00
|
|
Clsd tx elbow dislocation child 24640
|
$124.60 |
$124.60 |
$124.60 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,325.10 |
$1,325.10 |
$1,325.10 |
$2,587.60
|
|
Clsd tx fracture of radius 25500
|
$80.15 |
$80.15 |
$80.15 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$252.35 |
$252.35 |
$252.35 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$87.15 |
$87.15 |
$87.15 |
$469.10
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$162.05 |
$162.05 |
$162.05 |
$597.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$806.75 |
$806.75 |
$806.75 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$80.15 |
$80.15 |
$80.15 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,325.10 |
$1,325.10 |
$1,325.10 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$158.90 |
$158.90 |
$158.90 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$86.45 |
$86.45 |
$86.45 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$133.35 |
$133.35 |
$133.35 |
$546.86
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$86.45 |
$86.45 |
$86.45 |
$519.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$130.20 |
$130.20 |
$130.20 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$93.45 |
$93.45 |
$93.45 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$279.30 |
$279.30 |
$279.30 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$252.35 |
$252.35 |
$252.35 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$2,168.60 |
$2,168.60 |
$2,168.60 |
$3,600.75
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,325.10 |
$1,325.10 |
$1,325.10 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$294.70 |
$294.70 |
$294.70 |
$665.50
|
|
Clsd tx/patellar fx without manip 27520
|
$128.10 |
$128.10 |
$128.10 |
$544.80
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,325.10 |
$1,325.10 |
$1,325.10 |
$2,370.40
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$75.60 |
$75.60 |
$75.60 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$133.00 |
$133.00 |
$133.00 |
$501.80
|
|
Clsd tx radius fracture w/manip 24655
|
$561.05 |
$561.05 |
$561.05 |
$1,868.38
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,223.60 |
$1,223.60 |
$1,223.60 |
$2,055.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,259.65 |
$1,259.65 |
$1,259.65 |
$2,423.85
|
|
Clsd tx temporomandibular dislocat 21480
|
$134.40 |
$134.40 |
$134.40 |
$506.40
|
|
Clsd tx toe dislocation without anes28660
|
$194.60 |
$194.60 |
$194.60 |
$415.20
|
|
Clsd tx trimall ankle fx without manip 27816
|
$133.00 |
$133.00 |
$133.00 |
$597.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$740.95 |
$740.95 |
$740.95 |
$1,707.42
|
|
Clsd tx wrist carpal fx without manip 25630
|
$128.10 |
$128.10 |
$128.10 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$133.00 |
$133.00 |
$133.00 |
$543.23
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$80.15 |
$80.15 |
$80.15 |
$682.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$153.30 |
$153.30 |
$153.30 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$83.65 |
$83.65 |
$83.65 |
$494.40
|
|
Cls tx of heel fracture w/manip 28405
|
$859.95 |
$859.95 |
$859.95 |
$1,232.40
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$926.45 |
$926.45 |
$926.45 |
$2,558.00
|
|
Cltx post ankle fx w/mnpj
|
$1,325.10 |
$1,325.10 |
$1,325.10 |
$2,316.80
|
|
C motor evoked lwr limbs
|
$571.20 |
$571.20 |
$571.20 |
$621.00
|
|
C motor evoked uppr limbs
|
$525.00 |
$525.00 |
$525.00 |
$780.00
|
|
C motor evoked upr&lwr limbs
|
$446.25 |
$446.25 |
$446.25 |
$1,273.61
|
|
#cmvcul-virus inoculation shell
|
$17.50 |
$17.50 |
$3,912.00 |
$102.57
|
|
Cmv pcr-sendout
|
$256.55 |
$256.55 |
$897.96 |
$172.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$27,822.92 |
$27,822.92 |
$27,822.92 |
$4.22
|
|
Coagulation time activated teg
|
$155.40 |
$155.40 |
$155.40 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$88.14 |
$88.14 |
$88.14 |
$781.82
|
|
Cold agglutinin screen (arc)
|
$55.65 |
$55.65 |
$579.76 |
$47.19
|
|
Cold agglutinin titer
|
$52.50 |
$52.50 |
$1,757.08 |
$49.40
|
|
Colistimethate sodium inj
|
$31.96 |
$31.96 |
$2,329.77 |
$84.22
|
|
Collection blood specimen from completely implantable venous access device
|
$140.35 |
$140.35 |
$140.35 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$149.10 |
$149.10 |
$149.10 |
$163.07
|
|
Collection of venous blood by venipuncture
|
$22.05 |
$22.05 |
$22.05 |
$21.66
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$528.50 |
$528.50 |
$528.50 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$2,068.15 |
$2,068.15 |
$2,068.15 |
$3,519.29
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$79.10 |
$79.10 |
$79.10 |
$314.00
|
|
Colposcopy vulva 56820
|
$74.20 |
$74.20 |
$74.20 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$264.60 |
$264.60 |
$264.60 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$264.60 |
$264.60 |
$264.60 |
$534.30
|
|
Compatibility test each unit antiglobulin technique
|
$249.55 |
$249.55 |
$978.82 |
$165.00
|
|
Compatibility test each unit electronic
|
$249.55 |
$249.55 |
$978.82 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$249.55 |
$249.55 |
$651.82 |
$159.95
|
|
Compatibility test incubate
|
$133.70 |
$133.70 |
$869.82 |
$143.64
|
|
Comp cystometrogram/void presssure 51728
|
$339.50 |
$339.50 |
$339.50 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$1,099.00
|
|
Complement antigen each component c3
|
$121.45 |
$121.45 |
$121.45 |
$113.13
|
|
Complex cystometrogram 51726
|
$474.95 |
$474.95 |
$474.95 |
$710.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$643.65 |
$643.65 |
$643.65 |
$913.68
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$518.00 |
$518.00 |
$518.00 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$266.35 |
$266.35 |
$266.35 |
$353.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$534.45 |
$534.45 |
$534.45 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$643.65 |
$643.65 |
$643.65 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$163.10 |
$163.10 |
$163.10 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$518.00 |
$518.00 |
$518.00 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$67.90 |
$67.90 |
$67.90 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$66.85 |
$66.85 |
$66.85 |
$590.20
|
|
Complx repair trunk addl 5cm/< 13102
|
$170.80 |
$170.80 |
$170.80 |
$741.60
|
|
Comprehensive hearing test
|
$126.70 |
$126.70 |
$126.70 |
$220.23
|
|
Concentration infection agents any type
|
$64.75 |
$64.75 |
$64.75 |
$50.70
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$1,663.76 |
$1,663.76 |
$3,982.05 |
$2,242.57
|
|
Condylomata destruction 56420
|
$98.35 |
$98.35 |
$98.35 |
$503.67
|
|
Conization/cerv/loop electrode exc 57522
|
$2,068.15 |
$2,068.15 |
$2,068.15 |
$4,198.50
|
|
Conization of cervix
|
$2,068.15 |
$2,068.15 |
$2,068.15 |
$3,577.50
|
|
Conjugated estrogens 25 mg solution for injection
|
$515.34 |
$515.34 |
$2,437.64 |
$792.24
|
|
Connect omega .5mm
|
$1,854.12 |
$1,854.12 |
$1,854.12 |
$747.50
|
