|
Clsd tx pelvic ring fx
|
$382.50 |
$382.50 |
$382.50 |
$416.35
|
|
Clsd tx pelvic ring fx
|
$315.50 |
$315.50 |
$315.50 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$9,593.00 |
$9,593.00 |
$9,593.00 |
$2,120.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$454.00 |
$454.00 |
$454.00 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$2,931.00 |
$2,931.00 |
$2,931.00 |
$453.00
|
|
Clsd tx radius fracture w/manip 24655
|
$14,567.00 |
$14,567.00 |
$14,567.00 |
$1,772.97
|
|
Clsd tx/scapular fx without manip 23570
|
$410.50 |
$410.50 |
$410.50 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,245.00 |
$2,245.00 |
$2,245.00 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,075.00 |
$2,075.00 |
$2,075.00 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$5,011.00 |
$5,011.00 |
$5,011.00 |
$2,272.50
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$4,360.50 |
$4,360.50 |
$4,360.50 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$674.00 |
$674.00 |
$674.00 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$450.50 |
$450.50 |
$450.50 |
$408.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$409.50 |
$409.50 |
$409.50 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$6,859.90 |
$6,859.90 |
$6,859.90 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$901.50 |
$901.50 |
$901.50 |
$463.20
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$315.00 |
$315.00 |
$315.00 |
$674.68
|
|
Clsd tx wrist carpal fx without manip 25630
|
$337.00 |
$337.00 |
$337.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$422.00 |
$422.00 |
$422.00 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$490.50 |
$490.50 |
$490.50 |
$606.40
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$393.00 |
$393.00 |
$393.00 |
$478.40
|
|
Cltx carpl scphd fx w/mnpj
|
$2,197.50 |
$2,197.50 |
$2,197.50 |
$1,912.68
|
|
Cltx hum epcndylr fx wo mnpj
|
$519.50 |
$519.50 |
$519.50 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$1,858.00
|
|
Cltx humrl cndylr fx wo mnpj
|
$315.50 |
$315.50 |
$315.50 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$2,384.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$14,546.50 |
$14,546.50 |
$14,546.50 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$2,226.50 |
$2,226.50 |
$2,226.50 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$4,699.00 |
$4,699.00 |
$4,699.00 |
$3,892.20
|
|
Cltx palatal/max fx wire fix
|
$4,969.00 |
$4,969.00 |
$4,969.00 |
$4,377.24
|
|
Cltx post ankle fx
|
$422.00 |
$422.00 |
$422.00 |
$483.60
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$1,985.60
|
|
Cltx strnclav dislc w/mnpj
|
$2,661.25 |
$2,661.25 |
$2,661.25 |
$619.30
|
|
Cltx thigh fx w/mnpj
|
$6,228.50 |
$6,228.50 |
$6,228.50 |
$3,503.71
|
|
Cmbn ant pst colprhy
|
$21,717.00 |
$21,717.00 |
$21,717.00 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$1,202.50 |
$1,202.50 |
$1,202.50 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,274.00 |
$1,274.00 |
$1,274.00 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$2,500.50 |
$2,500.50 |
$2,500.50 |
$1,308.00
|
|
Cmptr ophth dx img ant segmt
|
$141.50 |
$141.50 |
$141.50 |
$115.95
|
|
Cmptr ophth img optic nerve
|
$688.00 |
$688.00 |
$688.00 |
$119.00
|
|
#cms hgb-sulfhemoglobin
|
$131.79 |
$131.79 |
$131.79 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$212.00 |
$212.00 |
$212.00 |
$100.20
|
|
Cmv pcr-sendout
|
$255.00 |
$255.00 |
$255.00 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$1.00 |
$1.00 |
$1.00 |
$8,798.60
|
|
Coagulation time activated teg
|
$42.50 |
$42.50 |
$42.50 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$562.77 |
$562.77 |
$562.77 |
$629.41
|
|
Cochlear implt f/up exam <7
|
$216.50 |
$216.50 |
$216.50 |
$423.87
|
|
Cochlear implt f/up exam 7/>
|
$201.00 |
$201.00 |
$201.00 |
$423.87
|
|
Coil axium 3d 14mmx40cm qc
|
$3,546.54 |
$3,546.54 |
$3,546.54 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$29.00 |
$29.00 |
$29.00 |
$47.19
|
|
Cold agglutinin titer
|
$64.50 |
$64.50 |
$64.50 |
$51.00
|
|
Collagenase, clost hist inj
|
$185.00 |
$185.00 |
$185.00 |
$12,906.28
|
|
Collagen based wound filler
|
$543.50 |
$543.50 |
$543.50 |
$1,823.25
|
|
Collagen imp urinary 2.5 ml
|
$761.00 |
$761.00 |
$761.00 |
$1,949.63
|
|
Collar cerv ascend 172 reg
|
$84.31 |
$84.31 |
$84.31 |
$213.89
|
|
Collar cerv patriot adlt
|
$63.00 |
$63.00 |
$63.00 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$170.50 |
$170.50 |
$170.50 |
$159.84
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$170.50 |
$170.50 |
$170.50 |
$154.56
|
|
Collection of venous blood by venipuncture
|
$52.00 |
$52.00 |
$52.00 |
$21.66
|
|
Collj & interpj data ea 30 d
|
$37.00 |
$37.00 |
$37.00 |
$172.35
|
|
Colonoscopy (diagnostic)
|
$2,114.50 |
$2,114.50 |
$2,114.50 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,954.50 |
$2,954.50 |
$2,954.50 |
$1,846.40
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$802.67 |
$802.67 |
$802.67 |
$1,430.00
|
|
Colonoscopy stoma w/snare 44394
|
$1,093.34 |
$1,093.34 |
$1,093.34 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$2,791.00 |
$2,791.00 |
$2,791.00 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$1,249.50 |
$1,249.50 |
$1,249.50 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$916.00 |
$916.00 |
$916.00 |
$1,497.60
|
|
Colonoscopy w/band ligation
|
$1,551.00 |
$1,551.00 |
$1,551.00 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$2,731.50 |
$2,731.50 |
$2,731.50 |
$2,019.60
|
|
Colonoscopy w/endoscope Ultrasound
|
$1,846.00 |
$1,846.00 |
$1,846.00 |
$1,395.28
|
|
Colonoscopy w/endoscopic fnb
|
$4,926.00 |
$4,926.00 |
$4,926.00 |
$1,430.00
|
|
Colonoscopy w/fb removal
|
$1,652.50 |
$1,652.50 |
$1,652.50 |
$1,395.28
|
|
Colonoscopy w/injection
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$2,358.72
|
|
Colonoscopy (with biopsy)
|
$2,472.00 |
$2,472.00 |
$2,472.00 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$2,057.50 |
$2,057.50 |
$2,057.50 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$2,696.00 |
$2,696.00 |
$2,696.00 |
$2,288.00
|
|
Colonoscopy w/resection
|
$4,392.00 |
$4,392.00 |
$4,392.00 |
$3,029.60
|
|
Colpocleisis (le forte type) 57120
|
$6,244.76 |
$6,244.76 |
$6,244.76 |
$5,419.00
|
|
Colpopexy extraperitoneal
|
$6,001.67 |
$6,001.67 |
$6,001.67 |
$5,110.00
|
|
Colpopexy intraperitoneal
|
$10,767.50 |
$10,767.50 |
$10,767.50 |
$6,906.50
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$3,786.00
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$1,869.17 |
$1,869.17 |
$1,869.17 |
$1,030.40
|
|
Colposcopy/cervix/ conization 57461
|
$4,860.00 |
$4,860.00 |
$4,860.00 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$1,772.67 |
$1,772.67 |
$1,772.67 |
$312.90
|
|
Colposcopy vulva 56820
|
$302.00 |
$302.00 |
$302.00 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$1,402.17 |
$1,402.17 |
$1,402.17 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$1,119.50 |
$1,119.50 |
$1,119.50 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$300.00 |
$300.00 |
$300.00 |
$172.26
|
|
Compatibility test each unit electronic
|
$180.00 |
$180.00 |
$180.00 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$146.00 |
$146.00 |
$146.00 |
$167.65
|
|
Comp cystometrogram/void presssure 51728
|
$2,389.50 |
$2,389.50 |
$2,389.50 |
$977.55
|
|
Comp cystometrogram/void/uret pres 51729
|
$3,045.00 |
$3,045.00 |
$3,045.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$231.00 |
$231.00 |
$231.00 |
$110.00
|
|
Complement fixation each
|
$55.50 |
$55.50 |
$55.50 |
$29.12
|
|
Complete removal of vulva
|
$12,929.50 |
$12,929.50 |
$12,929.50 |
$3,786.00
|
|
Complex cystometrogram 51726
|
$828.50 |
$828.50 |
$828.50 |
$791.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$17,847.50 |
$17,847.50 |
$17,847.50 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$4,867.50 |
$4,867.50 |
$4,867.50 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$284.50 |
$284.50 |
$284.50 |
$346.71
|
