|
Closure of windpipe lesion 31820
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,837.72
|
|
Clot factor xii hageman
|
$248.50 |
$248.50 |
$248.50 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$63.50 |
$63.50 |
$63.50 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$64.50 |
$64.50 |
$64.50 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$410.00 |
$410.00 |
$410.00 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$284.00 |
$284.00 |
$284.00 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$284.00 |
$284.00 |
$284.00 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$321.00 |
$321.00 |
$321.00 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$286.50 |
$286.50 |
$286.50 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$284.00 |
$284.00 |
$284.00 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$286.50 |
$286.50 |
$286.50 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$333.00 |
$333.00 |
$333.00 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$284.00 |
$284.00 |
$284.00 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$338.50 |
$338.50 |
$338.50 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,867.50 |
$1,867.50 |
$1,867.50 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$284.00 |
$284.00 |
$284.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$284.00 |
$284.00 |
$284.00 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$338.50 |
$338.50 |
$338.50 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$307.00 |
$307.00 |
$307.00 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,462.00 |
$2,462.00 |
$2,462.00 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$284.00 |
$284.00 |
$284.00 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,176.50 |
$2,176.50 |
$2,176.50 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$284.00 |
$284.00 |
$284.00 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$510.50 |
$510.50 |
$510.50 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$394.00 |
$394.00 |
$394.00 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$394.00 |
$394.00 |
$394.00 |
$492.99
|
|
Clsd tx mandibular fx without manip 21450
|
$620.00 |
$620.00 |
$620.00 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$284.00 |
$284.00 |
$284.00 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$338.00 |
$338.00 |
$338.00 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$338.50 |
$338.50 |
$338.50 |
$606.00
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$284.00 |
$284.00 |
$284.00 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$284.00 |
$284.00 |
$284.00 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,988.50 |
$3,988.50 |
$3,988.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$338.50 |
$338.50 |
$338.50 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$338.50 |
$338.50 |
$338.50 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$284.00 |
$284.00 |
$284.00 |
$416.35
|
|
Clsd tx pelvic ring fx
|
$284.00 |
$284.00 |
$284.00 |
$660.40
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$338.00 |
$338.00 |
$338.00 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$284.00 |
$284.00 |
$284.00 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,991.00 |
$1,991.00 |
$1,991.00 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$286.50 |
$286.50 |
$286.50 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,952.50 |
$1,952.50 |
$1,952.50 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,991.00 |
$1,991.00 |
$1,991.00 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$338.50 |
$338.50 |
$338.50 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$387.00 |
$387.00 |
$387.00 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$284.00 |
$284.00 |
$284.00 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,267.00 |
$2,267.00 |
$2,267.00 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$286.50 |
$286.50 |
$286.50 |
$452.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$284.00 |
$284.00 |
$284.00 |
$674.68
|
|
Clsd tx wrist carpal fx without manip 25630
|
$284.00 |
$284.00 |
$284.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$284.00 |
$284.00 |
$284.00 |
$523.53
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$284.00 |
$284.00 |
$284.00 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$284.00 |
$284.00 |
$284.00 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$284.00 |
$284.00 |
$284.00 |
$474.50
|
|
Cls tx of heel fracture w/manip 28405
|
$284.00 |
$284.00 |
$284.00 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,893.86
|
|
Cltx hum epcndylr fx wo mnpj
|
$284.00 |
$284.00 |
$284.00 |
$520.80
|
|
Cltx humrl cndylr fx wo mnpj
|
$284.00 |
$284.00 |
$284.00 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$2,437.00
|
|
Cltx palatal/max fx wire fix
|
$3,827.50 |
$3,827.50 |
$3,827.50 |
$4,350.00
|
|
Cltx post ankle fx
|
$284.00 |
$284.00 |
$284.00 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,267.00 |
$2,267.00 |
$2,267.00 |
$2,021.04
|
|
Cltx thigh fx
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$4,008.00
|
|
Cltx thigh fx w/mnpj
|
$1,960.50 |
$1,960.50 |
$1,960.50 |
$3,503.71
|
|
C motor evoked lwr limbs
|
$137.50 |
$137.50 |
$137.50 |
$627.89
|
|
C motor evoked uppr limbs
|
$593.00 |
$593.00 |
$593.00 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$593.00 |
$593.00 |
$593.00 |
$1,308.00
|
|
Cmptr ophth img optic nerve
|
$98.00 |
$98.00 |
$98.00 |
$119.00
|
|
#cms hgb-sulfhemoglobin
|
$74.00 |
$74.00 |
$74.00 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$180.00 |
$180.00 |
$180.00 |
$100.80
|
|
Cmv pcr-sendout
|
$126.00 |
$126.00 |
$126.00 |
$177.50
|
|
Coagulation time activated teg
|
$30.00 |
$30.00 |
$30.00 |
$53.72
|
|
Cold agglutinin screen (arc)
|
$29.00 |
$29.00 |
$29.00 |
$45.00
|
|
Cold agglutinin titer
|
$3.00 |
$3.00 |
$3.00 |
$50.00
|
|
Collagenase, clost hist inj
|
$185.00 |
$185.00 |
$185.00 |
$12,906.28
|
|
Collagen imp urinary 2.5 ml
|
$764.50 |
$764.50 |
$764.50 |
$1,949.63
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$11.50 |
$11.50 |
$11.50 |
$60.84
|
|
Collar cerv ascend 172 reg
|
$83.00 |
$83.00 |
$83.00 |
$213.89
|
|
Collar cerv patriot adlt
|
$80.50 |
$80.50 |
$80.50 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$237.50 |
$237.50 |
$237.50 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$241.50 |
$241.50 |
$241.50 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$18.00 |
$18.00 |
$18.00 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$1,356.00 |
$1,356.00 |
$1,356.00 |
$1,899.00
|
|
Colonoscopy (with biopsy)
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$1,766.00 |
$1,766.00 |
$1,766.00 |
$2,288.00
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$1,255.50 |
$1,255.50 |
$1,255.50 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$232.50 |
$232.50 |
$232.50 |
$312.90
|
|
Colposcopy vulva 56820
|
$232.50 |
$232.50 |
$232.50 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$350.00 |
$350.00 |
$350.00 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$350.50 |
$350.50 |
$350.50 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$61.50 |
$61.50 |
$61.50 |
$170.05
|
|
Compatibility test each unit electronic
|
$42.50 |
$42.50 |
$42.50 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$56.00 |
$56.00 |
$56.00 |
$169.52
|
|
Compatibility test incubate
|
$38.50 |
$38.50 |
$38.50 |
$155.40
|
