|
Closed tx metatarsophalangeal jnt disl without anes
|
$389.50 |
$389.50 |
$389.50 |
$372.35
|
|
Closed tx orbit without manipulj
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,528.50 |
$2,528.50 |
$2,528.50 |
$2,527.50
|
|
Closed tx septal&nose fx
|
$2,622.00 |
$2,622.00 |
$2,622.00 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$445.50 |
$445.50 |
$445.50 |
$416.50
|
|
Closed tx/talus fracture without manip 28430
|
$298.50 |
$298.50 |
$298.50 |
$414.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$651.00 |
$651.00 |
$651.00 |
$470.73
|
|
Clos txnose fx without stablz 21315
|
$2,960.50 |
$2,960.50 |
$2,960.50 |
$2,266.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$2,328.00 |
$2,328.00 |
$2,328.00 |
$1,244.64
|
|
Clot factor fletcher fact
|
$75.50 |
$75.50 |
$75.50 |
$117.66
|
|
Clot factor viii reltd antgn
|
$47.50 |
$47.50 |
$47.50 |
$140.42
|
|
Clot factor wght kininogen
|
$75.50 |
$75.50 |
$75.50 |
$157.50
|
|
Clot factor xii hageman
|
$23.00 |
$23.00 |
$23.00 |
$129.45
|
|
Clot factor xiii fibrin scrn
|
$28.50 |
$28.50 |
$28.50 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$51.50 |
$51.50 |
$51.50 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$609.50 |
$609.50 |
$609.50 |
$630.40
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$342.50 |
$342.50 |
$342.50 |
$525.26
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$609.50 |
$609.50 |
$609.50 |
$450.48
|
|
Clsd tx clavicle dislocation without manip 23540
|
$513.50 |
$513.50 |
$513.50 |
$417.82
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,807.50 |
$2,807.50 |
$2,807.50 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$393.50 |
$393.50 |
$393.50 |
$438.90
|
|
Clsd tx coccygeal fracture 27200
|
$258.00 |
$258.00 |
$258.00 |
$339.18
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$523.00 |
$523.00 |
$523.00 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$609.50 |
$609.50 |
$609.50 |
$652.69
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$487.50 |
$487.50 |
$487.50 |
$449.81
|
|
Clsd tx elbow dislocation child 24640
|
$609.50 |
$609.50 |
$609.50 |
$450.72
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$3,128.50 |
$3,128.50 |
$3,128.50 |
$2,184.08
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$2,637.00 |
$2,637.00 |
$2,637.00 |
$2,464.50
|
|
Clsd tx fracture of radius 25500
|
$258.00 |
$258.00 |
$258.00 |
$436.80
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$264.00 |
$264.00 |
$264.00 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$495.50 |
$495.50 |
$495.50 |
$404.00
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$441.50 |
$441.50 |
$441.50 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$523.00 |
$523.00 |
$523.00 |
$456.55
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,284.50 |
$3,284.50 |
$3,284.50 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$382.50 |
$382.50 |
$382.50 |
$425.76
|
|
Clsd tx hip disloc without anes 27265
|
$425.50 |
$425.50 |
$425.50 |
$609.60
|
|
Clsd tx humeral fract without manip 24530
|
$198.00 |
$198.00 |
$198.00 |
$534.00
|
|
Clsd tx humerus fract without manip 24500
|
$448.00 |
$448.00 |
$448.00 |
$478.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$3,145.00 |
$3,145.00 |
$3,145.00 |
$896.35
|
|
Clsd tx mandibular fx without manip 21450
|
$525.00 |
$525.00 |
$525.00 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$483.00 |
$483.00 |
$483.00 |
$494.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$277.00 |
$277.00 |
$277.00 |
$495.20
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$783.00 |
$783.00 |
$783.00 |
$603.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$609.50 |
$609.50 |
$609.50 |
$497.88
|
|
Clsd tx/metatarsal fx without manip 28470
|
$379.50 |
$379.50 |
$379.50 |
$414.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,404.50 |
$3,404.50 |
$3,404.50 |
$3,648.50
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,006.00 |
$1,006.00 |
$1,006.00 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$609.50 |
$609.50 |
$609.50 |
$551.20
|
|
Clsd tx/patellar fx without manip 27520
|
$380.00 |
$380.00 |
$380.00 |
$466.14
|
|
Clsd tx pelvic ring fx
|
$198.00 |
$198.00 |
$198.00 |
$414.00
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$3,741.00 |
$3,741.00 |
$3,741.00 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$367.00 |
$367.00 |
$367.00 |
$404.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$375.00 |
$375.00 |
$375.00 |
$434.25
|
|
Clsd tx radius fracture w/manip 24655
|
$1,006.00 |
$1,006.00 |
$1,006.00 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$382.50 |
$382.50 |
$382.50 |
$447.70
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,528.50 |
$2,528.50 |
$2,528.50 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$951.50 |
$951.50 |
$951.50 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,145.00 |
$3,145.00 |
$3,145.00 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$194.00 |
$194.00 |
$194.00 |
$362.50
|
|
Clsd tx toe dislocation without anes28660
|
$609.50 |
$609.50 |
$609.50 |
$392.50
|
|
Clsd tx trimall ankle fx without manip 27816
|
$342.50 |
$342.50 |
$342.50 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,252.50 |
$1,252.50 |
$1,252.50 |
$1,576.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$376.00 |
$376.00 |
$376.00 |
$452.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$451.00 |
$451.00 |
$451.00 |
$648.34
|
|
Clsd tx wrist carpal fx without manip 25630
|
$344.50 |
$344.50 |
$344.50 |
$466.20
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$258.00 |
$258.00 |
$258.00 |
$520.80
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$609.50 |
$609.50 |
$609.50 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$258.00 |
$258.00 |
$258.00 |
$468.00
|
|
Cls tx of heel fracture w/manip 28405
|
$739.50 |
$739.50 |
$739.50 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$1,767.00 |
$1,767.00 |
$1,767.00 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$2,211.05
|
|
Cltx hum epcndylr fx wo mnpj
|
$257.50 |
$257.50 |
$257.50 |
$497.00
|
|
Cltx humrl cndylr fx w/mnpj
|
$3,284.50 |
$3,284.50 |
$3,284.50 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$401.00 |
$401.00 |
$401.00 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$3,295.00 |
$3,295.00 |
$3,295.00 |
$2,384.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$7,000.00 |
$7,000.00 |
$7,000.00 |
$6,553.49
|
|
Cltx mndblr/max alv ridge fx
|
$2,417.00 |
$2,417.00 |
$2,417.00 |
$3,837.72
|
|
Cltx post ankle fx w/mnpj
|
$3,350.00 |
$3,350.00 |
$3,350.00 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,787.50 |
$1,787.50 |
$1,787.50 |
$2,030.33
|
|
Cltx strnclav dislc w/mnpj
|
$1,019.00 |
$1,019.00 |
$1,019.00 |
$617.25
|
|
Cltx thigh fx
|
$4,202.50 |
$4,202.50 |
$4,202.50 |
$3,958.50
|
|
C motor evoked lwr limbs
|
$606.50 |
$606.50 |
$606.50 |
$627.89
|
|
C motor evoked uppr limbs
|
$606.50 |
$606.50 |
$606.50 |
$809.01
|
|
C motor evoked upr&lwr limbs
|
$1,008.50 |
$1,008.50 |
$1,008.50 |
$1,294.20
|
|
#cmvcul-virus inoculation shell
|
$141.50 |
$141.50 |
$141.50 |
$97.50
|
|
Cmv pcr-sendout
|
$83.00 |
$83.00 |
$83.00 |
$172.25
|
|
Co2 monitor per day
|
$289.00 |
$289.00 |
$289.00 |
$409.50
|
|
Coagulation time activated teg
|
$25.50 |
$25.50 |
$25.50 |
$53.72
|
|
Coil axium 3d 14mmx40cm qc
|
$294.98 |
$294.98 |
$294.98 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$39.00 |
$39.00 |
$39.00 |
$45.00
|
|
Cold agglutinin titer
|
$83.00 |
$83.00 |
$83.00 |
$50.00
|
|
Collagen dressing <=16 sq in
|
$23.29 |
$23.29 |
$23.29 |
$42.50
|
|
Collagen drsg>16<=48 sq in
|
$23.29 |
$23.29 |
$23.29 |
$24.71
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$30.54 |
$30.54 |
$30.54 |
$62.40
|
|
Collar cerv ascend 172 reg
|
$109.71 |
$109.71 |
$109.71 |
$222.48
|
|
Collar extrication adult univ
|
$297.56 |
$297.56 |
$297.56 |
$764.15
|
|
Collection blood specimen from completely implantable venous access device
|
$219.50 |
$219.50 |
$219.50 |
$156.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$219.50 |
$219.50 |
$219.50 |
$152.54
|
|
Collection of venous blood by venipuncture
|
$20.00 |
$20.00 |
$20.00 |
$20.90
|