|
Clos txnose fx without stablz 21315
|
$1,023.90 |
$1,023.90 |
$1,023.90 |
$2,326.08
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$86.40 |
$86.40 |
$86.40 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$86.40 |
$86.40 |
$86.40 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$86.40 |
$86.40 |
$86.40 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$86.40 |
$86.40 |
$86.40 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$597.90 |
$597.90 |
$597.90 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$238.20 |
$238.20 |
$238.20 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$86.40 |
$86.40 |
$86.40 |
$388.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$86.40 |
$86.40 |
$86.40 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$86.40 |
$86.40 |
$86.40 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$597.90 |
$597.90 |
$597.90 |
$2,184.08
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$86.40 |
$86.40 |
$86.40 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$86.40 |
$86.40 |
$86.40 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$597.90 |
$597.90 |
$597.90 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$86.40 |
$86.40 |
$86.40 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$597.90 |
$597.90 |
$597.90 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$86.40 |
$86.40 |
$86.40 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$86.40 |
$86.40 |
$86.40 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$226.80 |
$226.80 |
$226.80 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$86.40 |
$86.40 |
$86.40 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$86.40 |
$86.40 |
$86.40 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$86.40 |
$86.40 |
$86.40 |
$520.38
|
|
Clsd tx of ankle fracture w/manip 28435
|
$597.90 |
$597.90 |
$597.90 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$86.40 |
$86.40 |
$86.40 |
$566.72
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$597.90 |
$597.90 |
$597.90 |
$2,146.20
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$86.40 |
$86.40 |
$86.40 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$597.90 |
$597.90 |
$597.90 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$215.70 |
$215.70 |
$215.70 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$597.90 |
$597.90 |
$597.90 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$597.90 |
$597.90 |
$597.90 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$597.90 |
$597.90 |
$597.90 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$86.40 |
$86.40 |
$86.40 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$86.40 |
$86.40 |
$86.40 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$597.90 |
$597.90 |
$597.90 |
$1,565.74
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$86.40 |
$86.40 |
$86.40 |
$496.61
|
|
Cls tx of heel fracture w/manip 28405
|
$86.40 |
$86.40 |
$86.40 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$597.90 |
$597.90 |
$597.90 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,023.90 |
$1,023.90 |
$1,023.90 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$597.90 |
$597.90 |
$597.90 |
$2,437.00
|
|
Cltx post ankle fx w/mnpj
|
$597.90 |
$597.90 |
$597.90 |
$1,893.86
|
|
Cmv pcr-sendout
|
$174.60 |
$174.60 |
$174.60 |
$177.50
|
|
Coagulation time activated teg
|
$57.60 |
$57.60 |
$57.60 |
$53.72
|
|
Coch imp ext proc/contr rplc
|
$31,808.89 |
$31,808.89 |
$31,808.89 |
$20,146.35
|
|
Coch implant microphone repl
|
$785.44 |
$785.44 |
$785.44 |
$977.17
|
|
Cold agglutinin screen (arc)
|
$36.00 |
$36.00 |
$36.00 |
$45.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$226.31 |
$226.31 |
$226.31 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$151.76 |
$151.76 |
$151.76 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$365.99 |
$365.99 |
$365.99 |
$213.89
|
|
Collar cerv patriot adlt
|
$250.83 |
$250.83 |
$250.83 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$78.90 |
$78.90 |
$78.90 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$72.60 |
$72.60 |
$72.60 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$27.60 |
$27.60 |
$27.60 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$5,372.37 |
$5,372.37 |
$5,372.37 |
$1,899.00
|
|
Colonoscopy submucous njx
|
$8,941.07 |
$8,941.07 |
$8,941.07 |
$2,080.00
|
|
Colonoscopy (with biopsy)
|
$8,941.07 |
$8,941.07 |
$8,941.07 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$8,941.07 |
$8,941.07 |
$8,941.07 |
$2,288.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$3,762.53
|
|
Combination bilateral ho
|
$4,642.20 |
$4,642.20 |
$4,642.20 |
$4,575.46
|
|
Compatibility test each unit antiglobulin technique
|
$196.20 |
$196.20 |
$196.20 |
$170.05
|
|
Compatibility test each unit electronic
|
$105.30 |
$105.30 |
$105.30 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$275.40 |
$275.40 |
$275.40 |
$169.52
|
|
Compatibility test incubate
|
$289.80 |
$289.80 |
$289.80 |
$155.40
|
|
Complement antigen each component c3
|
$369.90 |
$369.90 |
$369.90 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$960.90 |
$960.90 |
$960.90 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$960.90 |
$960.90 |
$960.90 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$960.90 |
$960.90 |
$960.90 |
$1,049.60
|
|
Complx repair fccmnaxghf 13131
|
$388.80 |
$388.80 |
$388.80 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$605.40 |
$605.40 |
$605.40 |
$1,107.60
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$960.90 |
$960.90 |
$960.90 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$960.90 |
$960.90 |
$960.90 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,215.20 |
$2,215.20 |
$2,215.20 |
$1,350.27
|
|
Concentration infection agents any type
|
$249.30 |
$249.30 |
$249.30 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$18,624.19 |
$18,624.19 |
$18,624.19 |
$3,322.20
|
|
Condylomata destruction 56420
|
$74.40 |
$74.40 |
$74.40 |
$469.00
|
|
Connect omega .5mm
|
$7,785.60 |
$7,785.60 |
$7,785.60 |
$1,260.00
|
|
Connector tis 2x10mm
|
$8,232.45 |
$8,232.45 |
$8,232.45 |
$4,091.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$674.10 |
$674.10 |
$674.10 |
$441.95
|
|
Contrast baths charges
|
$163.50 |
$163.50 |
$163.50 |
$70.50
|
|
Controler lvad heartmate 3 includes ebb
|
$19,036.87 |
$19,036.87 |
$19,036.87 |
$13,218.75
|
|
Controller infinity pt dbs
|
$4,906.99 |
$4,906.99 |
$4,906.99 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$126.00 |
$126.00 |
$126.00 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$48.60 |
$48.60 |
$48.60 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$104.10 |
$104.10 |
$104.10 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$190.50 |
$190.50 |
$190.50 |
$634.80
|
|
Control throat bleeding
|
$1,185.90 |
$1,185.90 |
$1,185.90 |
$3,984.00
|
|
Coombs direct
|
$109.20 |
$109.20 |
$109.20 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$164.10 |
$164.10 |
$164.10 |
$102.90
|
|
Coombs indirect titer reference
|
$164.10 |
$164.10 |
$164.10 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$11,502.00 |
$11,502.00 |
$11,502.00 |
$2,417.86
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$13,312.50 |
$13,312.50 |
$13,312.50 |
$8,272.50
|
|
Cortisol acth stimulation test - sendout
|
$56.70 |
$56.70 |
$56.70 |
$146.25
|
|
Cortisol total am
|
$282.60 |
$282.60 |
$282.60 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,089.92 |
$1,089.92 |
$1,089.92 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$8,480.06 |
$8,480.06 |
$8,480.06 |
$3,908.16
|
|
Covers for upright each
|
$91.30 |
$91.30 |
$91.30 |
$89.98
|
|
Cover wrist
|
$89.46 |
$89.46 |
$89.46 |
$225.00
|
|
#covid19rsv-rsv
|
$121.80 |
$121.80 |
$121.80 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$22.80 |
$22.80 |
$22.80 |
$60.00
|
|
C-peptide
|
$291.30 |
$291.30 |
$291.30 |
$97.30
|
|
Cranial cervical orthosis
|
$16,640.62 |
$16,640.62 |
$16,640.62 |
$11,130.00
|