|
Chronic urticaria - sendout
|
$53.00 |
$53.00 |
$53.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$21.00 |
$21.00 |
$21.00 |
$122.85
|
|
Ciliary transsleral therapy
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$2,760.73
|
|
Circum 28 days or older
|
$1,495.50 |
$1,495.50 |
$1,495.50 |
$3,986.00
|
|
Circumcise/surg/28 days or < 54160
|
$1,270.50 |
$1,270.50 |
$1,270.50 |
$1,510.50
|
|
Circumcision (newborn)
|
$1,623.50 |
$1,623.50 |
$1,623.50 |
$1,422.04
|
|
C-kit mutation liquid tumor - sendout
|
$601.00 |
$601.00 |
$601.00 |
$659.20
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$5,029.06 |
$5,029.06 |
$5,029.06 |
$15,050.75
|
|
Clearance of airways
|
$250.00 |
$250.00 |
$250.00 |
$206.80
|
|
Clip ligating vesolock lg
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$4,404.05
|
|
Cllr miami j sm
|
$210.62 |
$210.62 |
$210.62 |
$552.23
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$427.50 |
$427.50 |
$427.50 |
$535.76
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$783.50 |
$783.50 |
$783.50 |
$1,815.75
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$434.50 |
$434.50 |
$434.50 |
$1,642.82
|
|
Closed tx/acetabululm without manip 27220
|
$106.00 |
$106.00 |
$106.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$741.00 |
$741.00 |
$741.00 |
$2,274.40
|
|
Closed tx humerus fx without manip 23600
|
$367.50 |
$367.50 |
$367.50 |
$487.48
|
|
Closed tx humerus fx w/manip 24505
|
$783.50 |
$783.50 |
$783.50 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$332.50 |
$332.50 |
$332.50 |
$388.00
|
|
Closed tx orbit without manipulj
|
$833.00 |
$833.00 |
$833.00 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,808.50 |
$1,808.50 |
$1,808.50 |
$2,562.40
|
|
Closed tx septal&nose fx
|
$1,875.50 |
$1,875.50 |
$1,875.50 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$416.50 |
$416.50 |
$416.50 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$106.50 |
$106.50 |
$106.50 |
$439.95
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$360.00 |
$360.00 |
$360.00 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$2,403.33
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$1,208.93
|
|
Clot factor fletcher fact
|
$96.50 |
$96.50 |
$96.50 |
$116.82
|
|
Clot factor viii reltd antgn
|
$47.50 |
$47.50 |
$47.50 |
$140.42
|
|
Clot factor wght kininogen
|
$96.50 |
$96.50 |
$96.50 |
$157.50
|
|
Clot factor xii hageman
|
$26.00 |
$26.00 |
$26.00 |
$125.28
|
|
Clot factor xiii fibrin scrn
|
$28.50 |
$28.50 |
$28.50 |
$51.91
|
|
Clot factor xiii fibrin stab
|
$65.50 |
$65.50 |
$65.50 |
$98.34
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$353.50 |
$353.50 |
$353.50 |
$686.40
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$336.50 |
$336.50 |
$336.50 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$252.50 |
$252.50 |
$252.50 |
$503.40
|
|
Clsd tx clavicle dislocation without manip 23540
|
$367.50 |
$367.50 |
$367.50 |
$419.73
|
|
Clsd tx clavicle fracture w/manip 23505
|
$741.00 |
$741.00 |
$741.00 |
$1,916.00
|
|
Clsd tx/clavicular fx without manip 23500
|
$106.50 |
$106.50 |
$106.50 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$185.00 |
$185.00 |
$185.00 |
$394.20
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$374.50 |
$374.50 |
$374.50 |
$413.40
|
|
Clsd tx dist fib fx w/manip 27788
|
$409.00 |
$409.00 |
$409.00 |
$691.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$349.50 |
$349.50 |
$349.50 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$440.50 |
$440.50 |
$440.50 |
$494.90
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$737.00 |
$737.00 |
$737.00 |
$2,319.00
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$2,464.50 |
$2,464.50 |
$2,464.50 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$185.00 |
$185.00 |
$185.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$106.50 |
$106.50 |
$106.50 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$353.50 |
$353.50 |
$353.50 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$440.50 |
$440.50 |
$440.50 |
$546.00
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,049.00 |
$1,049.00 |
$1,049.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$374.50 |
$374.50 |
$374.50 |
$510.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,349.50 |
$2,349.50 |
$2,349.50 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$106.50 |
$106.50 |
$106.50 |
$450.10
|
|
Clsd tx hip disloc without anes 27265
|
$427.50 |
$427.50 |
$427.50 |
$665.60
|
|
Clsd tx humeral fract without manip 24530
|
$106.50 |
$106.50 |
$106.50 |
$542.52
|
|
Clsd tx humerus fract without manip 24500
|
$321.00 |
$321.00 |
$321.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$2,224.00 |
$2,224.00 |
$2,224.00 |
$944.80
|
|
Clsd tx mandibular fx without manip 21450
|
$375.00 |
$375.00 |
$375.00 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$336.50 |
$336.50 |
$336.50 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$198.50 |
$198.50 |
$198.50 |
$519.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$409.00 |
$409.00 |
$409.00 |
$670.40
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$406.50 |
$406.50 |
$406.50 |
$533.60
|
|
Clsd tx/metatarsal fx without manip 28470
|
$271.50 |
$271.50 |
$271.50 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$2,781.00 |
$2,781.00 |
$2,781.00 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$783.50 |
$783.50 |
$783.50 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$440.50 |
$440.50 |
$440.50 |
$577.20
|
|
Clsd tx/patellar fx without manip 27520
|
$106.50 |
$106.50 |
$106.50 |
$478.40
|
|
Clsd tx pelvic ring fx
|
$185.00 |
$185.00 |
$185.00 |
$424.50
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$741.00 |
$741.00 |
$741.00 |
$2,275.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$262.50 |
$262.50 |
$262.50 |
$408.85
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$106.50 |
$106.50 |
$106.50 |
$459.90
|
|
Clsd tx radius fracture w/manip 24655
|
$783.50 |
$783.50 |
$783.50 |
$1,806.10
|
|
Clsd tx/scapular fx without manip 23570
|
$106.50 |
$106.50 |
$106.50 |
$452.00
|
|
Clsd tx shoulder dislc/fx 23665
|
$741.00 |
$741.00 |
$741.00 |
$1,851.78
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$741.00 |
$741.00 |
$741.00 |
$1,771.43
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,434.50 |
$1,434.50 |
$1,434.50 |
$2,287.20
|
|
Clsd tx temporomandibular dislocat 21480
|
$351.00 |
$351.00 |
$351.00 |
$445.15
|
|
Clsd tx toe dislocation without anes28660
|
$332.50 |
$332.50 |
$332.50 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$245.50 |
$245.50 |
$245.50 |
$501.20
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,166.50 |
$1,166.50 |
$1,166.50 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$106.50 |
$106.50 |
$106.50 |
$456.88
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$510.00 |
$510.00 |
$510.00 |
$674.68
|
|
Clsd tx wrist carpal fx without manip 25630
|
$106.50 |
$106.50 |
$106.50 |
$471.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$336.50 |
$336.50 |
$336.50 |
$523.25
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$336.50 |
$336.50 |
$336.50 |
$618.72
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$185.00 |
$185.00 |
$185.00 |
$478.40
|
|
Cls tx of heel fracture w/manip 28405
|
$529.00 |
$529.00 |
$529.00 |
$759.00
|
|
Cltx carpl scphd fx w/mnpj
|
$1,264.00 |
$1,264.00 |
$1,264.00 |
$2,064.40
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,294.00 |
$1,294.00 |
$1,294.00 |
$2,211.05
|
|
Cltx hum epcndylr fx wo mnpj
|
$241.00 |
$241.00 |
$241.00 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,349.50 |
$2,349.50 |
$2,349.50 |
$1,858.00
|
|
Cltx humrl cndylr fx wo mnpj
|
$374.50 |
$374.50 |
$374.50 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$741.00 |
$741.00 |
$741.00 |
$2,464.50
|
|
Cltx mndblr fx ntrdntl fixj
|
$5,007.00 |
$5,007.00 |
$5,007.00 |
$6,553.49
|
|
Cltx mndblr/max alv ridge fx
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$3,990.33
|
|
Cltx post ankle fx w/mnpj
|
$2,397.00 |
$2,397.00 |
$2,397.00 |
$2,172.80
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,278.50 |
$1,278.50 |
$1,278.50 |
$2,035.80
|
|
Cltx strnclav dislc w/mnpj
|
$729.50 |
$729.50 |
$729.50 |
$705.60
|
|
Cltx thigh fx
|
$4,760.00 |
$4,760.00 |
$4,760.00 |
$3,986.00
|