|
Clsd tx fx radius/ulna without manip 25560
|
$270.40 |
$270.40 |
$270.40 |
$487.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,768.80 |
$1,768.80 |
$1,768.80 |
$1,548.40
|
|
Clsd tx hip disloc without anes 27265
|
$351.60 |
$351.60 |
$351.60 |
$631.00
|
|
Clsd tx humerus fract without manip 24500
|
$270.40 |
$270.40 |
$270.40 |
$491.50
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$406.80 |
$406.80 |
$406.80 |
$883.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$351.60 |
$351.60 |
$351.60 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$270.40 |
$270.40 |
$270.40 |
$613.14
|
|
Clsd tx/metatarsal fx without manip 28470
|
$349.60 |
$349.60 |
$349.60 |
$429.00
|
|
Clsd tx patella disloc without anes 27560
|
$270.40 |
$270.40 |
$270.40 |
$577.20
|
|
Clsd tx/patellar fx without manip 27520
|
$270.40 |
$270.40 |
$270.40 |
$495.80
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,768.80 |
$1,768.80 |
$1,768.80 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$271.60 |
$271.60 |
$271.60 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$308.80 |
$308.80 |
$308.80 |
$451.68
|
|
Clsd tx temporomandibular dislocat 21480
|
$270.40 |
$270.40 |
$270.40 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$270.40 |
$270.40 |
$270.40 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$270.40 |
$270.40 |
$270.40 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,768.80 |
$1,768.80 |
$1,768.80 |
$1,565.74
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$704.00 |
$704.00 |
$704.00 |
$648.34
|
|
Clsd tx wrist carpal fx without manip 25630
|
$270.40 |
$270.40 |
$270.40 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$270.40 |
$270.40 |
$270.40 |
$535.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$270.40 |
$270.40 |
$270.40 |
$487.15
|
|
Cls tx of heel fracture w/manip 28405
|
$270.40 |
$270.40 |
$270.40 |
$725.40
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,768.80 |
$1,768.80 |
$1,768.80 |
$2,274.40
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,768.80 |
$1,768.80 |
$1,768.80 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$270.40 |
$270.40 |
$270.40 |
$535.60
|
|
#cms hgb-sulfhemoglobin
|
$17.20 |
$17.20 |
$17.20 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$40.80 |
$40.80 |
$40.80 |
$87.75
|
|
Cmv pcr-sendout
|
$55.20 |
$55.20 |
$55.20 |
$177.50
|
|
Co2 monitor per day
|
$335.60 |
$335.60 |
$335.60 |
$459.20
|
|
Coagulation time activated teg
|
$20.00 |
$20.00 |
$20.00 |
$53.55
|
|
Cold agglutinin titer
|
$72.00 |
$72.00 |
$72.00 |
$51.60
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$16.40 |
$16.40 |
$16.40 |
$62.40
|
|
Collar cerv adlt perfit ace extric
|
$50.00 |
$50.00 |
$50.00 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$225.20 |
$225.20 |
$225.20 |
$213.89
|
|
Collar cerv patriot adlt
|
$66.40 |
$66.40 |
$66.40 |
$134.66
|
|
Collar extrication adult univ
|
$387.20 |
$387.20 |
$387.20 |
$800.32
|
|
Collection blood specimen from completely implantable venous access device
|
$142.00 |
$142.00 |
$142.00 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$143.60 |
$143.60 |
$143.60 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$21.20 |
$21.20 |
$21.20 |
$21.00
|
|
Comm hlth intg svs sdoh 60mn
|
$124.40 |
$124.40 |
$124.40 |
$109.46
|
|
Compatibility test each unit antiglobulin technique
|
$198.80 |
$198.80 |
$198.80 |
$172.00
|
|
Compatibility test each unit electronic
|
$190.40 |
$190.40 |
$190.40 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$328.80 |
$328.80 |
$328.80 |
$167.17
|
|
Complement antigen each component c3
|
$29.60 |
$29.60 |
$29.60 |
$110.00
|
|
Complement fixation each
|
$24.00 |
$24.00 |
$24.00 |
$29.12
|
|
Complex cystometrogram 51726
|
$631.20 |
$631.20 |
$631.20 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$665.60 |
$665.60 |
$665.60 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$686.80 |
$686.80 |
$686.80 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$180.00 |
$180.00 |
$180.00 |
$344.68
|
|
Complx repair fccmnaxghf 13132
|
$665.60 |
$665.60 |
$665.60 |
$1,066.92
|
|
Complx repair fccmnaxghf 13133
|
$190.40 |
$190.40 |
$190.40 |
$493.50
|
|
Complx repair trunk addl 5cm/< 13102
|
$190.40 |
$190.40 |
$190.40 |
$502.00
|
|
Computed tomographic angiography head and neck with contrast
|
$2,247.60 |
$2,247.60 |
$2,247.60 |
$2,237.25
|
|
Concentration infection agents any type
|
$14.40 |
$14.40 |
$14.40 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$2,244.40 |
$2,244.40 |
$2,244.40 |
$3,352.21
|
|
Condylomata destruction 56420
|
$216.40 |
$216.40 |
$216.40 |
$463.98
|
|
Connect omega .5mm
|
$921.60 |
$921.60 |
$921.60 |
$1,260.00
|
|
Connector tis 2x10mm
|
$1,717.20 |
$1,717.20 |
$1,717.20 |
$4,055.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$407.20 |
$407.20 |
$407.20 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$36.80 |
$36.80 |
$36.80 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$202.00 |
$202.00 |
$202.00 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$224.80 |
$224.80 |
$224.80 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$205.20 |
$205.20 |
$205.20 |
$176.15
|
|
Contrast exam abdominl aorta 75625-26
|
$2,733.60 |
$2,733.60 |
$2,733.60 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,207.20 |
$2,207.20 |
$2,207.20 |
$3,663.60
|
|
Contrast x-ray gallbladder
|
$240.80 |
$240.80 |
$240.80 |
$341.00
|
|
Contrast x-ray of elbow
|
$522.80 |
$522.80 |
$522.80 |
$686.95
|
|
Contrast x-ray of hip
|
$516.40 |
$516.40 |
$516.40 |
$781.13
|
|
Contrast x-ray of knee joint
|
$516.40 |
$516.40 |
$516.40 |
$777.00
|
|
Contrast x-ray of wrist
|
$522.80 |
$522.80 |
$522.80 |
$655.00
|
|
Controler lvad heartmate 3 includes ebb
|
$6,415.20 |
$6,415.20 |
$6,415.20 |
$13,218.75
|
|
Controller infinity pt dbs
|
$25,380.00 |
$25,380.00 |
$25,380.00 |
$5,123.14
|
|
Control nosebleed pack+caut 30905
|
$158.80 |
$158.80 |
$158.80 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$345.60 |
$345.60 |
$345.60 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$252.00 |
$252.00 |
$252.00 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$584.80 |
$584.80 |
$584.80 |
$618.80
|
|
Convert nephrostomy catheter
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$2,777.60
|
|
Coombs direct
|
$179.20 |
$179.20 |
$179.20 |
$76.44
|
|
Coombs indirect qualitative each reagent red cell reference
|
$172.80 |
$172.80 |
$172.80 |
$102.90
|
|
Coombs indirect titer reference
|
$202.00 |
$202.00 |
$202.00 |
$155.40
|
|
Copper cu 64 dotatate diag
|
$1,604.00 |
$1,604.00 |
$1,604.00 |
$2,293.68
|
|
Core ndl bx lng/med perq
|
$1,374.00 |
$1,374.00 |
$1,374.00 |
$2,862.11
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$8,906.40 |
$8,906.40 |
$8,906.40 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$8,170.80 |
$8,170.80 |
$8,170.80 |
$10,263.12
|
|
Coronary angio/lv gram/rt< heart
|
$9,805.20 |
$9,805.20 |
$9,805.20 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$6,108.00 |
$6,108.00 |
$6,108.00 |
$8,200.40
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,311.20 |
$5,311.20 |
$5,311.20 |
$7,950.49
|
|
Cortisol acth stimulation test - sendout
|
$88.40 |
$88.40 |
$88.40 |
$146.25
|
|
Cortisol total am
|
$90.00 |
$90.00 |
$90.00 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$56.30 |
$56.30 |
$56.30 |
$189.02
|
|
Co-treatment - group 15 mins, st
|
$36.40 |
$36.40 |
$36.40 |
$114.00
|
|
Counseling smoke cess interm >10mins
|
$78.80 |
$78.80 |
$78.80 |
$54.12
|
|
Coveredge 32 lead kit 40cm 48
|
$4,104.00 |
$4,104.00 |
$4,104.00 |
$4,395.30
|
|
Cover wrist
|
$206.00 |
$206.00 |
$206.00 |
$225.00
|
|
#coxa-coxsackie a serotype a16
|
$44.80 |
$44.80 |
$44.80 |
$60.00
|
|
C-peptide
|
$43.20 |
$43.20 |
$43.20 |
$93.60
|
|
Crbrospnl fld flw imag cistern
|
$656.40 |
$656.40 |
$656.40 |
$1,281.00
|
|
C-reactive protein
|
$13.20 |
$13.20 |
$13.20 |
$68.38
|
|
C-reactive protein high sensitivity
|
$39.20 |
$39.20 |
$39.20 |
$85.00
|
|
Creatine kinase
|
$50.80 |
$50.80 |
$50.80 |
$65.60
|
