|
Clsd tx/patellar fx without manip 27520
|
$189.00 |
$189.00 |
$189.00 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$185.50 |
$185.50 |
$185.50 |
$416.35
|
|
Clsd tx pelvic ring fx
|
$266.00 |
$266.00 |
$266.00 |
$660.40
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$189.00 |
$189.00 |
$189.00 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$185.50 |
$185.50 |
$185.50 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,430.00 |
$2,430.00 |
$2,430.00 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$277.50 |
$277.50 |
$277.50 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$765.50 |
$765.50 |
$765.50 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$185.50 |
$185.50 |
$185.50 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,061.50 |
$2,061.50 |
$2,061.50 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$185.50 |
$185.50 |
$185.50 |
$452.40
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$185.50 |
$185.50 |
$185.50 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$185.50 |
$185.50 |
$185.50 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$185.50 |
$185.50 |
$185.50 |
$474.50
|
|
Cltx hum epcndylr fx wo mnpj
|
$358.50 |
$358.50 |
$358.50 |
$520.80
|
|
Cltx humrl cndylr fx wo mnpj
|
$186.50 |
$186.50 |
$186.50 |
$535.60
|
|
Cltx palatal/max fx wire fix
|
$3,805.50 |
$3,805.50 |
$3,805.50 |
$4,350.00
|
|
Cltx post ankle fx
|
$308.50 |
$308.50 |
$308.50 |
$483.60
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,048.00 |
$2,048.00 |
$2,048.00 |
$2,021.04
|
|
Cltx thigh fx w/mnpj
|
$5,611.00 |
$5,611.00 |
$5,611.00 |
$3,503.71
|
|
#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
|
$328.00 |
$328.00 |
$328.00 |
$177.50
|
|
Cold agglutinin screen (arc)
|
$64.00 |
$64.00 |
$64.00 |
$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 dressing <=16 sq in
|
$5.29 |
$5.29 |
$5.29 |
$42.50
|
|
Collagen imp urinary 2.5 ml
|
$845.00 |
$845.00 |
$845.00 |
$1,949.63
|
|
Collar cerv patriot adlt
|
$82.50 |
$82.50 |
$82.50 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$160.00 |
$160.00 |
$160.00 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$73.50 |
$73.50 |
$73.50 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$21.00 |
$21.00 |
$21.00 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$5,251.00 |
$5,251.00 |
$5,251.00 |
$1,899.00
|
|
Colonoscopy submucous njx
|
$2,634.00 |
$2,634.00 |
$2,634.00 |
$2,080.00
|
|
Colonoscopy w/band ligation
|
$6,869.00 |
$6,869.00 |
$6,869.00 |
$2,080.80
|
|
Colonoscopy (with biopsy)
|
$7,818.00 |
$7,818.00 |
$7,818.00 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$8,422.00 |
$8,422.00 |
$8,422.00 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$5,402.00 |
$5,402.00 |
$5,402.00 |
$2,288.00
|
|
Colposcopy/cervix/ conization 57461
|
$3,925.00 |
$3,925.00 |
$3,925.00 |
$3,744.41
|
|
Compatibility test each unit antiglobulin technique
|
$248.00 |
$248.00 |
$248.00 |
$170.05
|
|
Compatibility test each unit electronic
|
$19.50 |
$19.50 |
$19.50 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$164.00 |
$164.00 |
$164.00 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$821.00 |
$821.00 |
$821.00 |
$958.81
|
|
Complement antigen each component c3
|
$161.00 |
$161.00 |
$161.00 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$785.50 |
$785.50 |
$785.50 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$2,707.88 |
$2,707.88 |
$2,707.88 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$209.00 |
$209.00 |
$209.00 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$777.00 |
$777.00 |
$777.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$720.50 |
$720.50 |
$720.50 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$400.00 |
$400.00 |
$400.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$640.50 |
$640.50 |
$640.50 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$751.50 |
$751.50 |
$751.50 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$376.00 |
$376.00 |
$376.00 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$408.00 |
$408.00 |
$408.00 |
$502.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$784.00 |
$784.00 |
$784.00 |
$1,000.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$2,707.88 |
$2,707.88 |
$2,707.88 |
$537.00
|
|
Composite graft/pri close/don area 15760
|
$2,265.50 |
$2,265.50 |
$2,265.50 |
$2,765.76
|
|
Comprehensive hearing test
|
$288.50 |
$288.50 |
$288.50 |
$255.00
|
|
Concentration infection agents any type
|
$52.00 |
$52.00 |
$52.00 |
$49.95
|
|
Condylomata destruction 56420
|
$474.50 |
$474.50 |
$474.50 |
$469.00
|
|
Connect omega .5mm
|
$772.50 |
$772.50 |
$772.50 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,095.50 |
$3,095.50 |
$3,095.50 |
$4,091.00
|
|
Consultation pathology during surgery
|
$51.00 |
$51.00 |
$51.00 |
$100.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$195.50 |
$195.50 |
$195.50 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$389.50 |
$389.50 |
$389.50 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$115.00 |
$115.00 |
$115.00 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$495.50 |
$495.50 |
$495.50 |
$171.65
|
|
Contact lens fitg aphakia 1
|
$471.50 |
$471.50 |
$471.50 |
$472.21
|
|
Contact lens fitg aphakia ou
|
$152.50 |
$152.50 |
$152.50 |
$170.00
|
|
Cont gluc mntr analysis i&r 95251
|
$36.50 |
$36.50 |
$36.50 |
$65.70
|
|
Contrast baths charges
|
$37.00 |
$37.00 |
$37.00 |
$70.50
|
|
Contrast x-ray of hip
|
$875.00 |
$875.00 |
$875.00 |
$771.12
|
|
Contrast x-ray of knee joint
|
$748.00 |
$748.00 |
$748.00 |
$769.88
|
|
Contrast x-ray of wrist
|
$920.00 |
$920.00 |
$920.00 |
$637.00
|
|
Controller infinity pt dbs
|
$2,137.50 |
$2,137.50 |
$2,137.50 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$396.00 |
$396.00 |
$396.00 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$396.00 |
$396.00 |
$396.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$740.00 |
$740.00 |
$740.00 |
$355.50
|
|
Control oropharyngeal hemorr/simp 42960
|
$600.00 |
$600.00 |
$600.00 |
$634.80
|
|
Coombs direct
|
$294.00 |
$294.00 |
$294.00 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$165.50 |
$165.50 |
$165.50 |
$102.90
|
|
Copper intrauterine device
|
$2,345.00 |
$2,345.00 |
$2,345.00 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,068.50 |
$2,068.50 |
$2,068.50 |
$2,678.00
|
|
Correction eyelid w/implant
|
$2,996.50 |
$2,996.50 |
$2,996.50 |
$3,269.14
|
|
Correction of everted punctum 68705
|
$368.50 |
$368.50 |
$368.50 |
$878.80
|
|
Correction trichiasis epilation forcep 67820
|
$167.50 |
$167.50 |
$167.50 |
$176.00
|
|
Correct rectal prolapse
|
$3,437.00 |
$3,437.00 |
$3,437.00 |
$3,861.00
|
|
Cortisol acth stimulation test - sendout
|
$777.00 |
$777.00 |
$777.00 |
$146.25
|
|
Cortisol total am
|
$241.50 |
$241.50 |
$241.50 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$67.50 |
$67.50 |
$67.50 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$70.00 |
$70.00 |
$70.00 |
$55.90
|
|
Counseling visit to discuss need for ldct g0296
|
$25.50 |
$25.50 |
$25.50 |
$98.14
|
|
Coveredge 32 lead kit 40cm 48
|
$1,995.00 |
$1,995.00 |
$1,995.00 |
$3,908.16
|
|
Cover eye w/membrane
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$2,550.48
|
|
Cover eye w/membrane suture
|
$4,588.00 |
$4,588.00 |
$4,588.00 |
$4,350.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$63.50 |
$63.50 |
$63.50 |
$49.13
|
|
Covid-19 lab test non-cdc
|
$144.50 |
$144.50 |
$144.50 |
$80.50
|
