|
Clsd tx finger tendon w/wo perq pin 26432
|
$2,630.50 |
$2,630.50 |
$2,630.50 |
$2,630.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$566.00 |
$566.00 |
$566.00 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$760.00 |
$760.00 |
$760.00 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,361.00 |
$3,361.00 |
$3,361.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$760.00 |
$760.00 |
$760.00 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$1,282.00 |
$1,282.00 |
$1,282.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$760.00 |
$760.00 |
$760.00 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$809.00 |
$809.00 |
$809.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$501.50 |
$501.50 |
$501.50 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$768.50 |
$768.50 |
$768.50 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$380.00 |
$380.00 |
$380.00 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$380.00 |
$380.00 |
$380.00 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$5,094.50 |
$5,094.50 |
$5,094.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$5,261.00 |
$5,261.00 |
$5,261.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$760.00 |
$760.00 |
$760.00 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$809.00 |
$809.00 |
$809.00 |
$498.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$5,261.00 |
$5,261.00 |
$5,261.00 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$380.00 |
$380.00 |
$380.00 |
$414.40
|
|
Clsd tx radius fracture w/manip 24655
|
$2,192.00 |
$2,192.00 |
$2,192.00 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$5,261.00 |
$5,261.00 |
$5,261.00 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$5,261.00 |
$5,261.00 |
$5,261.00 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$5,480.00 |
$5,480.00 |
$5,480.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$760.00 |
$760.00 |
$760.00 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$380.00 |
$380.00 |
$380.00 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$3,794.00 |
$3,794.00 |
$3,794.00 |
$1,592.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$782.00 |
$782.00 |
$782.00 |
$648.34
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$760.00 |
$760.00 |
$760.00 |
$612.80
|
|
Cls tx of heel fracture w/manip 28405
|
$912.00 |
$912.00 |
$912.00 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$9,527.00 |
$9,527.00 |
$9,527.00 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$6,617.00 |
$6,617.00 |
$6,617.00 |
$2,274.40
|
|
Cltx humrl cndylr fx w/mnpj
|
$5,261.00 |
$5,261.00 |
$5,261.00 |
$1,851.78
|
|
Cltx lunate dislc w/mnpj
|
$5,067.00 |
$5,067.00 |
$5,067.00 |
$2,384.00
|
|
Cltx mndblr/max alv ridge fx
|
$4,643.00 |
$4,643.00 |
$4,643.00 |
$3,986.00
|
|
Cltx palatal/max fx wire fix
|
$4,902.50 |
$4,902.50 |
$4,902.50 |
$4,377.24
|
|
Cltx post ankle fx w/mnpj
|
$6,313.00 |
$6,313.00 |
$6,313.00 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$5,261.00 |
$5,261.00 |
$5,261.00 |
$2,021.04
|
|
C motor evoked lwr limbs
|
$455.50 |
$455.50 |
$455.50 |
$627.89
|
|
C motor evoked uppr limbs
|
$437.00 |
$437.00 |
$437.00 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$1,333.36
|
|
Cmptr ophth img optic nerve
|
$119.00 |
$119.00 |
$119.00 |
$98.00
|
|
#cms hgb-sulfhemoglobin
|
$111.00 |
$111.00 |
$111.00 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$147.00 |
$147.00 |
$147.00 |
$89.76
|
|
Cmv pcr-sendout
|
$212.50 |
$212.50 |
$212.50 |
$175.70
|
|
Co2 monitor per day
|
$277.50 |
$277.50 |
$277.50 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$9.00 |
$9.00 |
$9.00 |
$11,888.50
|
|
Coagulation time activated teg
|
$28.50 |
$28.50 |
$28.50 |
$52.47
|
|
Cocaine 4 % nasal solution
|
$2.89 |
$2.89 |
$2.89 |
$630.04
|
|
Cochlear implt f/up exam <7
|
$234.00 |
$234.00 |
$234.00 |
$423.87
|
|
Cochlear implt f/up exam 7/>
|
$234.00 |
$234.00 |
$234.00 |
$386.64
|
|
Coil axium 3d 14mmx40cm qc
|
$509.50 |
$509.50 |
$509.50 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$56.00 |
$56.00 |
$56.00 |
$48.10
|
|
Cold agglutinin titer
|
$153.50 |
$153.50 |
$153.50 |
$52.00
|
|
Colistimethate sodium inj
|
$41.39 |
$41.39 |
$41.39 |
$82.71
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$277.00 |
$277.00 |
$277.00 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$32.50 |
$32.50 |
$32.50 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$140.50 |
$140.50 |
$140.50 |
$224.11
|
|
Collar extrication adult univ
|
$293.00 |
$293.00 |
$293.00 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$100.00 |
$100.00 |
$100.00 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$103.00 |
$103.00 |
$103.00 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$1,443.50 |
$1,443.50 |
$1,443.50 |
$1,899.00
|
|
Colpocentesis 57020
|
$4,344.50 |
$4,344.50 |
$4,344.50 |
$4,232.80
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,614.00 |
$4,614.00 |
$4,614.00 |
$3,907.93
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$5,215.50 |
$5,215.50 |
$5,215.50 |
$3,762.53
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$314.00 |
$314.00 |
$314.00 |
$314.00
|
|
Colposcopy vulva 56820
|
$311.00 |
$311.00 |
$311.00 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$535.00 |
$535.00 |
$535.00 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$515.50 |
$515.50 |
$515.50 |
$485.50
|
|
Compatibility test each unit antiglobulin technique
|
$262.50 |
$262.50 |
$262.50 |
$173.50
|
|
Compatibility test each unit electronic
|
$262.50 |
$262.50 |
$262.50 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$262.50 |
$262.50 |
$262.50 |
$169.52
|
|
Compatibility test incubate
|
$158.00 |
$158.00 |
$158.00 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$985.00 |
$985.00 |
$985.00 |
$985.00
|
|
Complement antigen each component c3
|
$180.50 |
$180.50 |
$180.50 |
$110.00
|
|
Complement fixation each
|
$62.50 |
$62.50 |
$62.50 |
$29.12
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,844.50 |
$1,844.50 |
$1,844.50 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$353.50 |
$353.50 |
$353.50 |
$344.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$514.50 |
$514.50 |
$514.50 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$527.00 |
$527.00 |
$527.00 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$386.00 |
$386.00 |
$386.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$564.00 |
$564.00 |
$564.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$874.50 |
$874.50 |
$874.50 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$858.00 |
$858.00 |
$858.00 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,421.00 |
$1,421.00 |
$1,421.00 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,356.50 |
$1,356.50 |
$1,356.50 |
$537.00
|
|
Composite graft/pri close/don area 15760
|
$2,816.50 |
$2,816.50 |
$2,816.50 |
$2,816.50
|
|
Comprehensive hearing test
|
$274.50 |
$274.50 |
$274.50 |
$261.46
|
|
Computed tomographic angiography head and neck with contrast
|
$2,088.00 |
$2,088.00 |
$2,088.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$65.50 |
$65.50 |
$65.50 |
$51.32
|
|
Conditioning play audiometry 92582
|
$146.00 |
$146.00 |
$146.00 |
$189.15
|
|
Condylomata destruction 56420
|
$825.00 |
$825.00 |
$825.00 |
$467.35
|
|
Conization/cerv/loop electrode exc 57522
|
$6,221.00 |
$6,221.00 |
$6,221.00 |
$4,840.07
|
|
Conjugated estrogens 25 mg solution for injection
|
$473.14 |
$473.14 |
$473.14 |
$860.00
|
|
Connector tis 2x10mm
|
$2,321.26 |
$2,321.26 |
$2,321.26 |
$4,024.34
|
|
Consultation pathology during surgery cytological exam initial site
|
$71.00 |
$71.00 |
$71.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$63.50 |
$63.50 |
$63.50 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$136.00 |
$136.00 |
$136.00 |
$226.50
|
