|
Clsd tx bimalleol ank fx without manip 27808
|
$383.50 |
$383.50 |
$383.50 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$594.50 |
$594.50 |
$594.50 |
$476.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,891.00 |
$1,891.00 |
$1,891.00 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$679.00 |
$679.00 |
$679.00 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$319.00 |
$319.00 |
$319.00 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$494.50 |
$494.50 |
$494.50 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$540.50 |
$540.50 |
$540.50 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$494.50 |
$494.50 |
$494.50 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$261.50 |
$261.50 |
$261.50 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$3,381.50 |
$3,381.50 |
$3,381.50 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$679.00 |
$679.00 |
$679.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$308.00 |
$308.00 |
$308.00 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$548.50 |
$548.50 |
$548.50 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$494.50 |
$494.50 |
$494.50 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,063.50 |
$2,063.50 |
$2,063.50 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$494.50 |
$494.50 |
$494.50 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,642.00 |
$2,642.00 |
$2,642.00 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$383.50 |
$383.50 |
$383.50 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$289.00 |
$289.00 |
$289.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$425.00 |
$425.00 |
$425.00 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$547.00 |
$547.00 |
$547.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$308.50 |
$308.50 |
$308.50 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$863.50 |
$863.50 |
$863.50 |
$987.60
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$547.00 |
$547.00 |
$547.00 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$547.00 |
$547.00 |
$547.00 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$383.50 |
$383.50 |
$383.50 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$679.50 |
$679.50 |
$679.50 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$5,480.50 |
$5,480.50 |
$5,480.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$399.50 |
$399.50 |
$399.50 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$547.00 |
$547.00 |
$547.00 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$416.35
|
|
Clsd tx pelvic ring fx
|
$266.00 |
$266.00 |
$266.00 |
$660.40
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$438.00 |
$438.00 |
$438.00 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$616.50 |
$616.50 |
$616.50 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$927.50 |
$927.50 |
$927.50 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$494.50 |
$494.50 |
$494.50 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,302.50 |
$2,302.50 |
$2,302.50 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$399.50 |
$399.50 |
$399.50 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$503.50 |
$503.50 |
$503.50 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$409.50 |
$409.50 |
$409.50 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$927.50 |
$927.50 |
$927.50 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$1,017.50 |
$1,017.50 |
$1,017.50 |
$452.40
|
|
Clsd tx wrist carpal fx without manip 25630
|
$494.50 |
$494.50 |
$494.50 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$494.50 |
$494.50 |
$494.50 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$494.50 |
$494.50 |
$494.50 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$327.00 |
$327.00 |
$327.00 |
$474.50
|
|
Cltx hum epcndylr fx wo mnpj
|
$494.50 |
$494.50 |
$494.50 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,182.00 |
$2,182.00 |
$2,182.00 |
$1,815.75
|
|
Cltx palatal/max fx wire fix
|
$5,480.50 |
$5,480.50 |
$5,480.50 |
$4,350.00
|
|
Cltx post ankle fx
|
$2,156.75 |
$2,156.75 |
$2,156.75 |
$483.60
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,458.00 |
$2,458.00 |
$2,458.00 |
$2,021.04
|
|
Cltx thigh fx w/mnpj
|
$6,304.00 |
$6,304.00 |
$6,304.00 |
$3,503.71
|
|
Cmbn ant pst colprhy
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$4,928.00
|
|
#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
|
$100.00 |
$100.00 |
$100.00 |
$177.50
|
|
Coagulation time activated teg
|
$32.50 |
$32.50 |
$32.50 |
$53.72
|
|
Cocaine hcl nasal (numbrino)
|
$742.08 |
$742.08 |
$742.08 |
$512.30
|
|
Cold agglutinin screen (arc)
|
$42.50 |
$42.50 |
$42.50 |
$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 based wound filler
|
$725.50 |
$725.50 |
$725.50 |
$1,823.25
|
|
Collagen dressing <=16 sq in
|
$234.00 |
$234.00 |
$234.00 |
$42.50
|
|
Collagen imp urinary 2.5 ml
|
$748.00 |
$748.00 |
$748.00 |
$1,949.63
|
|
Collar cerv patriot adlt
|
$83.50 |
$83.50 |
$83.50 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$246.50 |
$246.50 |
$246.50 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$251.50 |
$251.50 |
$251.50 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$24.00 |
$24.00 |
$24.00 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$1,571.50 |
$1,571.50 |
$1,571.50 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$457.38 |
$457.38 |
$457.38 |
$2,288.00
|
|
Colonoscopy submucous njx
|
$811.00 |
$811.00 |
$811.00 |
$2,080.00
|
|
Colonoscopy w/ablation
|
$874.67 |
$874.67 |
$874.67 |
$2,708.80
|
|
Colonoscopy w/band ligation
|
$2,524.00 |
$2,524.00 |
$2,524.00 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$760.00 |
$760.00 |
$760.00 |
$2,030.25
|
|
Colonoscopy (with biopsy)
|
$1,967.50 |
$1,967.50 |
$1,967.50 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$2,046.50 |
$2,046.50 |
$2,046.50 |
$2,288.00
|
|
Colpocleisis (le forte type) 57120
|
$1,402.00 |
$1,402.00 |
$1,402.00 |
$5,419.00
|
|
Colpopexy extraperitoneal
|
$6,715.00 |
$6,715.00 |
$6,715.00 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$5,034.00 |
$5,034.00 |
$5,034.00 |
$6,906.50
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$1,103.00 |
$1,103.00 |
$1,103.00 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$4,858.50 |
$4,858.50 |
$4,858.50 |
$3,744.41
|
|
Colposcopy vulva w/biopsy 56821
|
$359.50 |
$359.50 |
$359.50 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$485.50 |
$485.50 |
$485.50 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$432.00 |
$432.00 |
$432.00 |
$170.05
|
|
Compatibility test each unit electronic
|
$126.00 |
$126.00 |
$126.00 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$126.00 |
$126.00 |
$126.00 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,704.50 |
$1,704.50 |
$1,704.50 |
$1,111.03
|
|
Complement antigen each component c3
|
$114.00 |
$114.00 |
$114.00 |
$108.55
|
|
Complex cystometrogram 51726
|
$528.50 |
$528.50 |
$528.50 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$901.50 |
$901.50 |
$901.50 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$287.00 |
$287.00 |
$287.00 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,097.50 |
$1,097.50 |
$1,097.50 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$594.00 |
$594.00 |
$594.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$707.50 |
$707.50 |
$707.50 |
$810.40
|