|
Clsd tx hip disloc without anes 27265
|
$392.80 |
$392.80 |
$392.80 |
$631.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$433.60 |
$433.60 |
$433.60 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$392.80 |
$392.80 |
$392.80 |
$613.14
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$354.40 |
$354.40 |
$354.40 |
$522.78
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$4,424.00 |
$4,424.00 |
$4,424.00 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$392.80 |
$392.80 |
$392.80 |
$577.20
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,495.20 |
$2,495.20 |
$2,495.20 |
$2,211.05
|
|
Clsd tx radius fracture w/manip 24655
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$1,772.97
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,963.60 |
$1,963.60 |
$1,963.60 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$392.80 |
$392.80 |
$392.80 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$392.80 |
$392.80 |
$392.80 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$1,565.74
|
|
Cltx hum epcndylr fx wo mnpj
|
$419.60 |
$419.60 |
$419.60 |
$525.75
|
|
Cltx lunate dislc w/mnpj
|
$2,051.20 |
$2,051.20 |
$2,051.20 |
$2,384.00
|
|
Cltx mndblr/max alv ridge fx
|
$4,351.20 |
$4,351.20 |
$4,351.20 |
$3,837.72
|
|
Cltx post ankle fx w/mnpj
|
$2,175.20 |
$2,175.20 |
$2,175.20 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$1,985.60
|
|
#cms hgb-sulfhemoglobin
|
$26.00 |
$26.00 |
$26.00 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$86.80 |
$86.80 |
$86.80 |
$87.75
|
|
Cmv pcr-sendout
|
$155.20 |
$155.20 |
$155.20 |
$177.50
|
|
Coagulation time activated teg
|
$18.80 |
$18.80 |
$18.80 |
$53.55
|
|
Cold agglutinin titer
|
$36.00 |
$36.00 |
$36.00 |
$51.60
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$27.20 |
$27.20 |
$27.20 |
$62.40
|
|
Collar cerv adlt perfit ace extric
|
$50.00 |
$50.00 |
$50.00 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$339.20 |
$339.20 |
$339.20 |
$213.89
|
|
Collar cerv patriot adlt
|
$66.40 |
$66.40 |
$66.40 |
$134.66
|
|
Collar extrication adult univ
|
$378.40 |
$378.40 |
$378.40 |
$800.32
|
|
Collection blood specimen from completely implantable venous access device
|
$113.20 |
$113.20 |
$113.20 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$279.20 |
$279.20 |
$279.20 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$14.40 |
$14.40 |
$14.40 |
$21.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,316.80 |
$4,316.80 |
$4,316.80 |
$3,762.53
|
|
Combination bilateral ho
|
$1,182.40 |
$1,182.40 |
$1,182.40 |
$4,015.50
|
|
Combo ankle/foot prosthesis
|
$284.00 |
$284.00 |
$284.00 |
$512.40
|
|
Compatibility test each unit antiglobulin technique
|
$261.60 |
$261.60 |
$261.60 |
$172.00
|
|
Compatibility test each unit electronic
|
$261.60 |
$261.60 |
$261.60 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$261.60 |
$261.60 |
$261.60 |
$167.17
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,264.80 |
$1,264.80 |
$1,264.80 |
$1,111.03
|
|
Complement antigen each component c3
|
$52.80 |
$52.80 |
$52.80 |
$110.00
|
|
Complement fixation each
|
$44.80 |
$44.80 |
$44.80 |
$29.12
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$792.80 |
$792.80 |
$792.80 |
$876.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$891.20 |
$891.20 |
$891.20 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$891.20 |
$891.20 |
$891.20 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$187.60 |
$187.60 |
$187.60 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$567.60 |
$567.60 |
$567.60 |
$789.60
|
|
Complx repair fccmnaxghf 13132
|
$891.20 |
$891.20 |
$891.20 |
$1,066.92
|
|
Complx repair fccmnaxghf 13133
|
$285.60 |
$285.60 |
$285.60 |
$493.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$224.40 |
$224.40 |
$224.40 |
$494.34
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$433.20 |
$433.20 |
$433.20 |
$1,350.27
|
|
Compression stocking bk18-30
|
$32.00 |
$32.00 |
$32.00 |
$62.88
|
|
Computed tomographic angiography head and neck with contrast
|
$2,685.60 |
$2,685.60 |
$2,685.60 |
$2,237.25
|
|
Concentration infection agents any type
|
$29.20 |
$29.20 |
$29.20 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$4,638.40 |
$4,638.40 |
$4,638.40 |
$3,352.21
|
|
Condylomata destruction 56420
|
$293.60 |
$293.60 |
$293.60 |
$463.98
|
|
Connect omega .5mm
|
$1,413.20 |
$1,413.20 |
$1,413.20 |
$1,260.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,202.00 |
$1,202.00 |
$1,202.00 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$36.00 |
$36.00 |
$36.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$261.60 |
$261.60 |
$261.60 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$208.40 |
$208.40 |
$208.40 |
$224.80
|
|
Contrast exam abdominl aorta 75625-26
|
$4,999.20 |
$4,999.20 |
$4,999.20 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$4,999.20 |
$4,999.20 |
$4,999.20 |
$3,570.00
|
|
Contrast exam thoracic aorta 75605-26
|
$15,108.00 |
$15,108.00 |
$15,108.00 |
$3,663.60
|
|
Contrast x-ray of hip
|
$1,616.40 |
$1,616.40 |
$1,616.40 |
$781.13
|
|
Contrast x-ray of knee joint
|
$1,616.40 |
$1,616.40 |
$1,616.40 |
$777.00
|
|
Contrast x-ray of wrist
|
$959.20 |
$959.20 |
$959.20 |
$655.00
|
|
Controler lvad heartmate 3 includes ebb
|
$10,508.80 |
$10,508.80 |
$10,508.80 |
$13,218.75
|
|
Controller infinity pt dbs
|
$4,444.00 |
$4,444.00 |
$4,444.00 |
$5,123.14
|
|
Control nosebleed pack+caut 30905
|
$192.00 |
$192.00 |
$192.00 |
$383.52
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$326.00 |
$326.00 |
$326.00 |
$644.80
|
|
Control of nosebleed ant comp 30903
|
$192.00 |
$192.00 |
$192.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$200.00 |
$200.00 |
$200.00 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$839.20 |
$839.20 |
$839.20 |
$618.80
|
|
Conversion ext bil drg cath
|
$5,723.60 |
$5,723.60 |
$5,723.60 |
$4,099.56
|
|
Convert nephrostomy catheter
|
$3,198.80 |
$3,198.80 |
$3,198.80 |
$2,777.60
|
|
Coombs direct
|
$74.00 |
$74.00 |
$74.00 |
$76.44
|
|
Coombs indirect titer reference
|
$261.60 |
$261.60 |
$261.60 |
$155.40
|
|
Core ndl bx lng/med perq
|
$2,896.80 |
$2,896.80 |
$2,896.80 |
$2,862.11
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$7,123.60 |
$7,123.60 |
$7,123.60 |
$8,244.87
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$6,265.60 |
$6,265.60 |
$6,265.60 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$6,265.60 |
$6,265.60 |
$6,265.60 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$6,265.60 |
$6,265.60 |
$6,265.60 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$6,265.60 |
$6,265.60 |
$6,265.60 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$6,265.60 |
$6,265.60 |
$6,265.60 |
$7,950.49
|
|
Correct finger deformity
|
$4,307.20 |
$4,307.20 |
$4,307.20 |
$3,981.06
|
|
Cortisol total am
|
$71.60 |
$71.60 |
$71.60 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$86.42 |
$86.42 |
$86.42 |
$189.02
|
|
Counseling smoke cess interm >10mins
|
$53.60 |
$53.60 |
$53.60 |
$54.12
|
|
Counseling visit to discuss need for ldct g0296
|
$141.60 |
$141.60 |
$141.60 |
$102.38
|
|
Coveredge 32 lead kit 40cm 48
|
$7,256.00 |
$7,256.00 |
$7,256.00 |
$4,395.30
|
|
Cover wrist
|
$206.00 |
$206.00 |
$206.00 |
$225.00
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$954.40 |
$954.40 |
$954.40 |
$588.08
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$954.40 |
$954.40 |
$954.40 |
$540.00
|
|
Covid-19 lab test non-cdc
|
$69.20 |
$69.20 |
$69.20 |
$81.00
|
|
#covid19rsv-rsv
|
$48.00 |
$48.00 |
$48.00 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$57.20 |
$57.20 |
$57.20 |
$60.00
|
|
C-peptide
|
$91.60 |
$91.60 |
$91.60 |
$93.60
|
|
Cranial cervical orthosis
|
$856.00 |
$856.00 |
$856.00 |
$2,672.33
|
|
Cranial cervical torticollis
|
$181.20 |
$181.20 |
$181.20 |
$483.65
|
