|
Clos txnose fx without stablz 21315
|
$1,929.00 |
$1,929.00 |
$2,266.00 |
$2,266.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,781.50 |
$1,781.50 |
$1,781.50 |
$1,244.64
|
|
Closure of eyelid by suture
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$1,370.74
|
|
Clot factor fletcher fact
|
$119.50 |
$119.50 |
$119.50 |
$117.66
|
|
Clot factor viii reltd antgn
|
$47.50 |
$47.50 |
$47.50 |
$140.42
|
|
Clot factor wght kininogen
|
$119.50 |
$119.50 |
$119.50 |
$157.50
|
|
Clot factor xii hageman
|
$26.00 |
$26.00 |
$26.00 |
$130.65
|
|
Clot factor xiii fibrin scrn
|
$28.50 |
$28.50 |
$28.50 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$81.50 |
$81.50 |
$81.50 |
$102.70
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$445.80 |
$445.80 |
$1,485.00 |
$632.40
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$263.00 |
$263.00 |
$445.80 |
$525.26
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$270.00 |
$270.00 |
$445.80 |
$450.48
|
|
Clsd tx clavicle dislocation without manip 23540
|
$393.50 |
$393.50 |
$445.80 |
$417.82
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,507.80 |
$1,507.80 |
$2,149.50 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$393.50 |
$393.50 |
$393.50 |
$438.90
|
|
Clsd tx coccygeal fracture 27200
|
$198.00 |
$198.00 |
$445.80 |
$339.18
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$401.00 |
$401.00 |
$401.00 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$239.00 |
$239.00 |
$445.80 |
$655.20
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$374.00 |
$374.00 |
$374.00 |
$449.81
|
|
Clsd tx elbow dislocation child 24640
|
$202.00 |
$202.00 |
$445.80 |
$447.60
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,507.80 |
$1,507.80 |
$2,571.00 |
$2,184.00
|
|
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
|
$198.00 |
$198.00 |
$198.00 |
$436.80
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$264.00 |
$264.00 |
$264.00 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$379.00 |
$379.00 |
$445.80 |
$404.00
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$338.00 |
$338.00 |
$445.80 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,104.00 |
$1,104.00 |
$1,507.80 |
$1,684.00
|
|
Clsd tx fx radius/ulna without manip 25560
|
$401.00 |
$401.00 |
$445.80 |
$456.55
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,507.80 |
$1,507.80 |
$2,514.00 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$382.50 |
$382.50 |
$445.80 |
$424.50
|
|
Clsd tx hip disloc without anes 27265
|
$325.50 |
$325.50 |
$445.80 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$198.00 |
$198.00 |
$198.00 |
$534.00
|
|
Clsd tx humerus fract without manip 24500
|
$343.50 |
$343.50 |
$453.60 |
$478.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$2,379.50 |
$2,379.50 |
$2,379.50 |
$896.35
|
|
Clsd tx mandibular fx without manip 21450
|
$401.50 |
$401.50 |
$401.50 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$369.50 |
$369.50 |
$369.50 |
$490.80
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$212.00 |
$212.00 |
$445.80 |
$495.20
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$445.80 |
$445.80 |
$599.00 |
$603.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$445.80 |
$445.80 |
$633.50 |
$497.88
|
|
Clsd tx/metatarsal fx without manip 28470
|
$290.50 |
$290.50 |
$290.50 |
$414.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,606.50 |
$3,606.50 |
$3,606.50 |
$3,648.50
|
|
Clsd tx of ankle fracture w/manip 28435
|
$838.50 |
$838.50 |
$1,507.80 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$215.00 |
$215.00 |
$445.80 |
$553.15
|
|
Clsd tx/patellar fx without manip 27520
|
$380.00 |
$380.00 |
$380.00 |
$465.28
|
|
Clsd tx pelvic ring fx
|
$198.00 |
$198.00 |
$198.00 |
$414.00
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,507.80 |
$1,507.80 |
$2,863.50 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$280.50 |
$280.50 |
$280.50 |
$397.60
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$375.00 |
$375.00 |
$445.80 |
$434.25
|
|
Clsd tx radius fracture w/manip 24655
|
$838.50 |
$838.50 |
$1,507.80 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$382.50 |
$382.50 |
$382.50 |
$447.70
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,507.80 |
$1,507.80 |
$1,935.00 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,507.80 |
$1,507.80 |
$1,687.50 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,507.80 |
$1,507.80 |
$1,534.50 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$148.50 |
$148.50 |
$445.80 |
$353.60
|
|
Clsd tx toe dislocation without anes28660
|
$221.50 |
$221.50 |
$445.80 |
$392.50
|
|
Clsd tx trimall ankle fx without manip 27816
|
$263.00 |
$263.00 |
$263.00 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,252.50 |
$1,252.50 |
$1,507.80 |
$1,565.74
|
|
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
|
$493.50 |
$493.50 |
$493.50 |
$674.68
|
|
Clsd tx wrist carpal fx without manip 25630
|
$344.50 |
$344.50 |
$344.50 |
$466.20
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$198.00 |
$198.00 |
$198.00 |
$520.80
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$445.80 |
$445.80 |
$445.80 |
$475.68
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$360.00 |
$360.00 |
$360.00 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$198.00 |
$198.00 |
$198.00 |
$461.60
|
|
Cls tx of heel fracture w/manip 28405
|
$445.80 |
$445.80 |
$566.00 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$1,352.50 |
$1,352.50 |
$1,507.80 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,384.50 |
$1,384.50 |
$1,384.50 |
$2,211.05
|
|
Cltx hum epcndylr fx wo mnpj
|
$257.50 |
$257.50 |
$257.50 |
$496.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,507.80 |
$1,507.80 |
$2,514.00 |
$1,815.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$401.00 |
$401.00 |
$401.00 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$1,507.80 |
$1,507.80 |
$2,437.00 |
$2,384.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$5,357.50 |
$5,357.50 |
$5,357.50 |
$6,553.49
|
|
Cltx mndblr/max alv ridge fx
|
$1,986.00 |
$1,986.00 |
$1,986.00 |
$3,837.72
|
|
Cltx post ankle fx w/mnpj
|
$1,507.80 |
$1,507.80 |
$2,564.50 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$2,030.33
|
|
Cltx strnclav dislc w/mnpj
|
$780.50 |
$780.50 |
$780.50 |
$617.25
|
|
Cltx thigh fx
|
$4,598.50 |
$4,598.50 |
$4,598.50 |
$3,958.50
|
|
Cltx thigh fx w/mnpj
|
$5,419.20 |
$5,419.20 |
$5,419.20 |
$3,503.71
|
|
C motor evoked lwr limbs
|
$859.50 |
$859.50 |
$859.50 |
$627.89
|
|
C motor evoked uppr limbs
|
$859.50 |
$859.50 |
$859.50 |
$780.00
|
|
C motor evoked upr&lwr limbs
|
$1,429.50 |
$1,429.50 |
$1,429.50 |
$1,273.61
|
|
Cmptr ophth dx img ant segmt
|
$243.00 |
$243.00 |
$243.00 |
$81.12
|
|
Cmptr ophth img optic nerve
|
$93.00 |
$93.00 |
$93.00 |
$97.50
|
|
#cmvcul-virus inoculation shell
|
$102.50 |
$102.50 |
$102.50 |
$89.76
|
|
Cmv pcr-sendout
|
$79.50 |
$79.50 |
$204.00 |
$172.25
|
|
Co2 monitor per day
|
$409.50 |
$409.50 |
$409.50 |
$409.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$52,687.50 |
$52,687.50 |
$52,687.50 |
$6,482.92
|
|
Coagulation time activated teg
|
$51.60 |
$51.60 |
$69.50 |
$52.25
|
|
Coch imp ext proc/contr rplc
|
$51,575.20 |
$51,575.20 |
$51,575.20 |
$20,146.35
|
|
Coch implant microphone repl
|
$1,273.52 |
$1,273.52 |
$1,273.52 |
$977.17
|
|
Coil axium 3d 14mmx40cm qc
|
$294.98 |
$294.98 |
$294.98 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$37.50 |
$37.50 |
$37.50 |
$44.94
|
|
Cold agglutinin titer
|
$78.60 |
$78.60 |
$80.00 |
$50.00
|
|
Colistimethate sodium inj
|
$179.70 |
$179.70 |
$179.70 |
$68.47
|
|
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
|
|
Collagen imp urinary 2.5 ml
|
$1,097.68 |
$1,097.68 |
$1,097.68 |
$1,876.55
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$30.54 |
$30.54 |
$366.95 |
$62.40
|
|
Collar cerv adlt perfit ace extric
|
$246.07 |
$246.07 |
$246.07 |
$60.00
|
|
Collar cerv ascend 172 reg
|
$109.71 |
$109.71 |
$593.41 |
$224.11
|
