|
Close tear duct opening
|
$221.60 |
$221.60 |
$221.60 |
$436.44
|
|
Close tear duct opening
|
$178.40 |
$178.40 |
$178.40 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$2,444.00 |
$2,444.00 |
$2,444.00 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$2,750.40 |
$2,750.40 |
$2,750.40 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,740.80 |
$1,740.80 |
$1,740.80 |
$1,934.40
|
|
Closure of eyelid by suture
|
$143.20 |
$143.20 |
$143.20 |
$1,613.00
|
|
Closure ureter/skin fistula
|
$1,456.80 |
$1,456.80 |
$1,456.80 |
$1,149.29
|
|
Clot factor xii hageman
|
$157.60 |
$157.60 |
$157.60 |
$134.39
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$641.60 |
$641.60 |
$641.60 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$552.80 |
$552.80 |
$552.80 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$628.80 |
$628.80 |
$628.80 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$444.00 |
$444.00 |
$444.00 |
$419.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$423.20 |
$423.20 |
$423.20 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$378.40 |
$378.40 |
$378.40 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$730.40 |
$730.40 |
$730.40 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$553.60 |
$553.60 |
$553.60 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$501.60 |
$501.60 |
$501.60 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,373.60 |
$1,373.60 |
$1,373.60 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$472.00 |
$472.00 |
$472.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$378.40 |
$378.40 |
$378.40 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$249.60 |
$249.60 |
$249.60 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$584.80 |
$584.80 |
$584.80 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,869.60 |
$2,869.60 |
$2,869.60 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$473.60 |
$473.60 |
$473.60 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,472.80 |
$3,472.80 |
$3,472.80 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$469.60 |
$469.60 |
$469.60 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$868.80 |
$868.80 |
$868.80 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$627.20 |
$627.20 |
$627.20 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$605.60 |
$605.60 |
$605.60 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$625.60 |
$625.60 |
$625.60 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$390.40 |
$390.40 |
$390.40 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$516.00 |
$516.00 |
$516.00 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$541.60 |
$541.60 |
$541.60 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$394.40 |
$394.40 |
$394.40 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$378.40 |
$378.40 |
$378.40 |
$418.20
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$696.80 |
$696.80 |
$696.80 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$540.00 |
$540.00 |
$540.00 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$219.20 |
$219.20 |
$219.20 |
$416.35
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$378.40 |
$378.40 |
$378.40 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$444.80 |
$444.80 |
$444.80 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$775.20 |
$775.20 |
$775.20 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$436.80 |
$436.80 |
$436.80 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,747.20 |
$1,747.20 |
$1,747.20 |
$2,211.05
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$596.80 |
$596.80 |
$596.80 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$57.60 |
$57.60 |
$57.60 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$670.40 |
$670.40 |
$670.40 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$544.80 |
$544.80 |
$544.80 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$3,706.40 |
$3,706.40 |
$3,706.40 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$437.60 |
$437.60 |
$437.60 |
$452.40
|
|
Clsd tx wrist carpal fx without manip 25630
|
$506.40 |
$506.40 |
$506.40 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$511.20 |
$511.20 |
$511.20 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$565.60 |
$565.60 |
$565.60 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$488.00 |
$488.00 |
$488.00 |
$474.50
|
|
Cltx carpl scphd fx w/mnpj
|
$782.40 |
$782.40 |
$782.40 |
$1,893.86
|
|
Cltx hum epcndylr fx wo mnpj
|
$554.40 |
$554.40 |
$554.40 |
$520.80
|
|
Cltx humrl cndylr fx wo mnpj
|
$583.20 |
$583.20 |
$583.20 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$853.60 |
$853.60 |
$853.60 |
$2,437.00
|
|
Cltx post ankle fx
|
$516.00 |
$516.00 |
$516.00 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$780.80 |
$780.80 |
$780.80 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
$2,021.04
|
|
Cltx thigh fx w/mnpj
|
$928.00 |
$928.00 |
$928.00 |
$3,503.71
|
|
Cmbn ant pst colprhy
|
$2,359.73 |
$2,359.73 |
$2,359.73 |
$4,928.00
|
|
Cmptr ophth dx img ant segmt
|
$27.20 |
$27.20 |
$27.20 |
$115.95
|
|
Cmptr ophth img optic nerve
|
$28.80 |
$28.80 |
$28.80 |
$119.00
|
|
#cms hgb-sulfhemoglobin
|
$118.40 |
$118.40 |
$118.40 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$385.60 |
$385.60 |
$385.60 |
$100.80
|
|
Cmv pcr-sendout
|
$128.00 |
$128.00 |
$128.00 |
$177.50
|
|
Cnbp gene detc abnor allele
|
$496.00 |
$496.00 |
$496.00 |
$313.60
|
|
Colectomy/end colost/close dis seg 44143
|
$2,880.80 |
$2,880.80 |
$2,880.80 |
$2,880.80
|
|
Colectomy partial w/anastomosis 44140
|
$2,352.80 |
$2,352.80 |
$2,352.80 |
$2,510.73
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$3,316.80 |
$3,316.80 |
$3,316.80 |
$3,652.20
|
|
Colectomy prtl w/coloproctostomy 44145
|
$2,848.00 |
$2,848.00 |
$2,848.00 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$3,639.20 |
$3,639.20 |
$3,639.20 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$2,174.40 |
$2,174.40 |
$2,174.40 |
$2,343.60
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$3,170.40 |
$3,170.40 |
$3,170.40 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$3,076.80 |
$3,076.80 |
$3,076.80 |
$3,176.40
|
|
Colectomy w/ileoanal anast
|
$3,851.20 |
$3,851.20 |
$3,851.20 |
$5,367.20
|
|
Collagenase, clost hist inj
|
$197.60 |
$197.60 |
$197.60 |
$12,906.28
|
|
Collection blood specimen from completely implantable venous access device
|
$224.00 |
$224.00 |
$224.00 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$224.00 |
$224.00 |
$224.00 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$9.60 |
$9.60 |
$9.60 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$403.20 |
$403.20 |
$403.20 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$376.80 |
$376.80 |
$376.80 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$333.60 |
$333.60 |
$333.60 |
$1,645.43
|
|
Colonoscopy stoma w/snare 44394
|
$367.20 |
$367.20 |
$367.20 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$851.20 |
$851.20 |
$851.20 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$260.00 |
$260.00 |
$260.00 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$438.40 |
$438.40 |
$438.40 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$343.20 |
$343.20 |
$343.20 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$387.20 |
$387.20 |
$387.20 |
$2,080.80
|
|
Colonoscopy w/control bleed
|
$414.40 |
$414.40 |
$414.40 |
$2,030.25
|
|
Colonoscopy w/dilation
|
$296.80 |
$296.80 |
$296.80 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$412.80 |
$412.80 |
$412.80 |
$1,645.43
|
|
Colonoscopy/w endoscopic stent 45389
|
$464.00 |
$464.00 |
$464.00 |
$3,571.80
|
|
Colonoscopy w/fb removal
|
$384.80 |
$384.80 |
$384.80 |
$1,395.28
|
