|
Clsd tx fx radius/ulna without manip 25560
|
$222.90 |
$222.90 |
$222.90 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$996.90 |
$996.90 |
$996.90 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$222.90 |
$222.90 |
$222.90 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$222.90 |
$222.90 |
$222.90 |
$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
|
$222.90 |
$222.90 |
$222.90 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$222.90 |
$222.90 |
$222.90 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$222.90 |
$222.90 |
$222.90 |
$520.38
|
|
Clsd tx of ankle fracture w/manip 28435
|
$996.90 |
$996.90 |
$996.90 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$222.90 |
$222.90 |
$222.90 |
$566.72
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$996.90 |
$996.90 |
$996.90 |
$2,146.20
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$222.90 |
$222.90 |
$222.90 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$996.90 |
$996.90 |
$996.90 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$996.90 |
$996.90 |
$996.90 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$996.90 |
$996.90 |
$996.90 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,635.90 |
$1,635.90 |
$1,635.90 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$222.90 |
$222.90 |
$222.90 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$222.90 |
$222.90 |
$222.90 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$996.90 |
$996.90 |
$996.90 |
$1,565.74
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$222.90 |
$222.90 |
$222.90 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$226.80 |
$226.80 |
$226.80 |
$600.60
|
|
Cls tx of heel fracture w/manip 28405
|
$222.90 |
$222.90 |
$222.90 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$996.90 |
$996.90 |
$996.90 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$996.90 |
$996.90 |
$996.90 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$996.90 |
$996.90 |
$996.90 |
$2,437.00
|
|
Cltx post ankle fx w/mnpj
|
$996.90 |
$996.90 |
$996.90 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,494.60 |
$1,494.60 |
$1,494.60 |
$2,021.04
|
|
Cltx thigh fx w/mnpj
|
$2,709.60 |
$2,709.60 |
$2,709.60 |
$3,503.71
|
|
Cmv pcr-sendout
|
$206.40 |
$206.40 |
$206.40 |
$177.50
|
|
Cocaine 4 % nasal solution
|
$462.70 |
$462.70 |
$462.70 |
$629.41
|
|
Coch imp ext proc/contr rplc
|
$19,766.31 |
$19,766.31 |
$19,766.31 |
$20,146.35
|
|
Coch implant microphone repl
|
$488.08 |
$488.08 |
$488.08 |
$977.17
|
|
Cold agglutinin screen (arc)
|
$42.60 |
$42.60 |
$42.60 |
$45.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$140.63 |
$140.63 |
$140.63 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$94.31 |
$94.31 |
$94.31 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$227.43 |
$227.43 |
$227.43 |
$213.89
|
|
Collar cerv patriot adlt
|
$155.87 |
$155.87 |
$155.87 |
$154.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$63.60 |
$63.60 |
$63.60 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$12.30 |
$12.30 |
$12.30 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$6,179.70 |
$6,179.70 |
$6,179.70 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$4,418.28 |
$4,418.28 |
$4,418.28 |
$2,288.00
|
|
Colonoscopy submucous njx
|
$12,099.58 |
$12,099.58 |
$12,099.58 |
$2,080.00
|
|
Colonoscopy w/ablation
|
$7,620.02 |
$7,620.02 |
$7,620.02 |
$2,708.80
|
|
Colonoscopy (with biopsy)
|
$7,262.04 |
$7,262.04 |
$7,262.04 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$7,620.02 |
$7,620.02 |
$7,620.02 |
$2,288.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,964.10 |
$1,964.10 |
$1,964.10 |
$3,762.53
|
|
Combination bilateral ho
|
$2,884.70 |
$2,884.70 |
$2,884.70 |
$4,575.46
|
|
Compatibility test each unit antiglobulin technique
|
$105.00 |
$105.00 |
$105.00 |
$170.05
|
|
Compatibility test each unit electronic
|
$164.70 |
$164.70 |
$164.70 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$99.90 |
$99.90 |
$99.90 |
$169.52
|
|
Complement antigen each component c3
|
$143.10 |
$143.10 |
$143.10 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$717.30 |
$717.30 |
$717.30 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$717.30 |
$717.30 |
$717.30 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$717.30 |
$717.30 |
$717.30 |
$1,049.60
|
|
Complx repair fccmnaxghf 13131
|
$717.30 |
$717.30 |
$717.30 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$717.30 |
$717.30 |
$717.30 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$717.30 |
$717.30 |
$717.30 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$717.30 |
$717.30 |
$717.30 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$717.30 |
$717.30 |
$717.30 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$717.30 |
$717.30 |
$717.30 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,376.54 |
$1,376.54 |
$1,376.54 |
$1,350.27
|
|
Concentration infection agents any type
|
$27.30 |
$27.30 |
$27.30 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$11,573.23 |
$11,573.23 |
$11,573.23 |
$3,322.20
|
|
Condylomata destruction 56420
|
$234.90 |
$234.90 |
$234.90 |
$469.00
|
|
Connect omega .5mm
|
$4,838.04 |
$4,838.04 |
$4,838.04 |
$1,260.00
|
|
Connector tis 2x10mm
|
$5,115.71 |
$5,115.71 |
$5,115.71 |
$4,091.00
|
|
Contrast x-ray of hip
|
$320.40 |
$320.40 |
$320.40 |
$771.12
|
|
Controler lvad heartmate 3 includes ebb
|
$11,829.67 |
$11,829.67 |
$11,829.67 |
$13,218.75
|
|
Controller infinity pt dbs
|
$3,049.24 |
$3,049.24 |
$3,049.24 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$126.30 |
$126.30 |
$126.30 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$81.00 |
$81.00 |
$81.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$81.00 |
$81.00 |
$81.00 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$317.40 |
$317.40 |
$317.40 |
$634.80
|
|
Control throat bleeding
|
$1,976.70 |
$1,976.70 |
$1,976.70 |
$3,984.00
|
|
Coombs direct
|
$79.20 |
$79.20 |
$79.20 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$164.10 |
$164.10 |
$164.10 |
$102.90
|
|
Coombs indirect titer reference
|
$74.10 |
$74.10 |
$74.10 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$36,960.00 |
$36,960.00 |
$36,960.00 |
$2,417.86
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$8,272.50 |
$8,272.50 |
$8,272.50 |
$8,272.50
|
|
Cortisol acth stimulation test - sendout
|
$54.00 |
$54.00 |
$54.00 |
$146.25
|
|
Cortisol total am
|
$96.00 |
$96.00 |
$96.00 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$170.02 |
$170.02 |
$170.02 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$5,269.58 |
$5,269.58 |
$5,269.58 |
$3,908.16
|
|
Covers for upright each
|
$56.73 |
$56.73 |
$56.73 |
$89.98
|
|
Cover wrist
|
$55.59 |
$55.59 |
$55.59 |
$225.00
|
|
#covid19rsv-rsv
|
$121.80 |
$121.80 |
$121.80 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$41.40 |
$41.40 |
$41.40 |
$60.00
|
|
C-peptide
|
$79.20 |
$79.20 |
$79.20 |
$97.30
|
|
Cptr-asst dir ms px
|
$36,356.77 |
$36,356.77 |
$36,356.77 |
$7,972.25
|
|
Cranial cervical orthosis
|
$10,340.62 |
$10,340.62 |
$10,340.62 |
$11,130.00
|
|
C-reactive protein
|
$109.80 |
$109.80 |
$109.80 |
$68.38
|
|
C-reactive protein high sensitivity
|
$192.90 |
$192.90 |
$192.90 |
$85.00
|
|
Creatine kinase
|
$57.90 |
$57.90 |
$57.90 |
$66.30
|
|
Creatine kinase mb
|
$96.30 |
$96.30 |
$96.30 |
$114.00
|
|
Creatinine
|
$70.50 |
$70.50 |
$70.50 |
$44.72
|
|
Creatinine 24 hour urine
|
$67.50 |
$67.50 |
$67.50 |
$58.85
|
|
Creatinine clearance urine
|
$136.20 |
$136.20 |
$136.20 |
$89.50
|
|
#creutz-prot.,western blot
|
$204.00 |
$204.00 |
$204.00 |
$166.20
|
|
Critical care 30-74 minutes
|
$2,954.70 |
$2,954.70 |
$2,954.70 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$562.80 |
$562.80 |
$562.80 |
$731.40
|
