|
Circumcision (newborn)
|
$367.40 |
$367.40 |
$367.40 |
$1,549.50
|
|
C-kit mutation liquid tumor - sendout
|
$2,401.30 |
$2,401.30 |
$2,401.30 |
$606.06
|
|
Clearance of airways
|
$266.20 |
$266.20 |
$266.20 |
$234.60
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$400.40 |
$400.40 |
$400.40 |
$619.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,125.85 |
$1,125.85 |
$1,125.85 |
$1,884.74
|
|
Closed tx humerus fx with manip 23605
|
$1,303.50 |
$1,303.50 |
$1,303.50 |
$2,460.00
|
|
Closed tx humerus fx w/manip 24505
|
$1,580.15 |
$1,580.15 |
$1,580.15 |
$1,610.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$300.85 |
$300.85 |
$300.85 |
$432.80
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,382.50 |
$3,382.50 |
$3,382.50 |
$2,864.00
|
|
Closed tx/talus fracture without manip 28430
|
$381.70 |
$381.70 |
$381.70 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$617.65 |
$617.65 |
$617.65 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$1,274.35 |
$1,274.35 |
$1,274.35 |
$2,596.00
|
|
Clot factor xii hageman
|
$96.25 |
$96.25 |
$96.25 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$47.30 |
$47.30 |
$47.30 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$258.50 |
$258.50 |
$258.50 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$270.05 |
$270.05 |
$270.05 |
$716.95
|
|
Clsd tx/clavicular fx without manip 23500
|
$300.85 |
$300.85 |
$300.85 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$311.30 |
$311.30 |
$311.30 |
$339.18
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$300.85 |
$300.85 |
$300.85 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$376.20 |
$376.20 |
$376.20 |
$731.04
|
|
Clsd tx elbow dislocation child 24640
|
$355.30 |
$355.30 |
$355.30 |
$525.28
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$269.50 |
$269.50 |
$269.50 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$300.85 |
$300.85 |
$300.85 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$420.20 |
$420.20 |
$420.20 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,837.55 |
$1,837.55 |
$1,837.55 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$381.70 |
$381.70 |
$381.70 |
$716.95
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,812.80 |
$1,812.80 |
$1,812.80 |
$1,014.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$400.40 |
$400.40 |
$400.40 |
$716.95
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$381.70 |
$381.70 |
$381.70 |
$705.60
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,164.35 |
$1,164.35 |
$1,164.35 |
$2,557.07
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$261.80 |
$261.80 |
$261.80 |
$484.00
|
|
Clsd tx radius fracture w/manip 24655
|
$1,597.20 |
$1,597.20 |
$1,597.20 |
$1,884.74
|
|
Clsd tx/scapular fx without manip 23570
|
$311.30 |
$311.30 |
$311.30 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,043.80 |
$2,043.80 |
$2,043.80 |
$2,055.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,098.80 |
$2,098.80 |
$2,098.80 |
$2,466.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$440.00 |
$440.00 |
$440.00 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$312.40 |
$312.40 |
$312.40 |
$436.70
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,125.85 |
$1,125.85 |
$1,125.85 |
$1,707.42
|
|
Cltx carpl scphd fx w/mnpj
|
$2,957.90 |
$2,957.90 |
$2,957.90 |
$2,316.80
|
|
#cmvcul-virus inoculation shell
|
$123.75 |
$123.75 |
$123.75 |
$102.57
|
|
Cmv pcr-sendout
|
$169.95 |
$169.95 |
$169.95 |
$173.25
|
|
Coagulation time activated teg
|
$31.90 |
$31.90 |
$31.90 |
$50.05
|
|
Cold agglutinin screen (arc)
|
$42.35 |
$42.35 |
$42.35 |
$47.19
|
|
Cold agglutinin titer
|
$113.85 |
$113.85 |
$113.85 |
$48.57
|
|
Collection blood specimen from completely implantable venous access device
|
$114.95 |
$114.95 |
$114.95 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$114.95 |
$114.95 |
$114.95 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$46.20 |
$46.20 |
$46.20 |
$22.00
|
|
Colonoscopy w/control bleed
|
$2,071.85 |
$2,071.85 |
$2,071.85 |
$2,101.71
|
|
Compatibility test each unit antiglobulin technique
|
$112.75 |
$112.75 |
$112.75 |
$173.25
|
|
Compatibility test each unit electronic
|
$81.95 |
$81.95 |
$81.95 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$107.25 |
$107.25 |
$107.25 |
$169.52
|
|
Complement antigen each component c3
|
$243.65 |
$243.65 |
$243.65 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$2,135.65 |
$2,135.65 |
$2,135.65 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$719.95 |
$719.95 |
$719.95 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$812.35 |
$812.35 |
$812.35 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,068.10 |
$1,068.10 |
$1,068.10 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$708.95 |
$708.95 |
$708.95 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$614.35 |
$614.35 |
$614.35 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$614.35 |
$614.35 |
$614.35 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$4,272.40 |
$4,272.40 |
$4,272.40 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$616.55 |
$616.55 |
$616.55 |
$576.66
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$694.10 |
$694.10 |
$694.10 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,068.10 |
$1,068.10 |
$1,068.10 |
$683.25
|
|
Comprehensive hearing test
|
$147.40 |
$147.40 |
$147.40 |
$224.40
|
|
Concentration infection agents any type
|
$32.45 |
$32.45 |
$32.45 |
$51.32
|
|
Conditioning play audiometry 92582
|
$81.40 |
$81.40 |
$81.40 |
$185.15
|
|
Condylomata destruction 56420
|
$431.75 |
$431.75 |
$431.75 |
$509.81
|
|
Consultation pathology during surgery cytological exam initial site
|
$676.50 |
$676.50 |
$676.50 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$55.00 |
$55.00 |
$55.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$228.80 |
$228.80 |
$228.80 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$235.95 |
$235.95 |
$235.95 |
$239.85
|
|
Contrast x-ray of ankle
|
$426.80 |
$426.80 |
$426.80 |
$602.40
|
|
Contrast x-ray of elbow
|
$609.40 |
$609.40 |
$609.40 |
$637.14
|
|
Contrast x-ray of hip
|
$591.25 |
$591.25 |
$591.25 |
$768.00
|
|
Contrast x-ray of knee joint
|
$452.65 |
$452.65 |
$452.65 |
$683.20
|
|
Contrast x-ray of wrist
|
$439.45 |
$439.45 |
$439.45 |
$623.50
|
|
Control nosebleed pack+caut 30905
|
$400.40 |
$400.40 |
$400.40 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$419.65 |
$419.65 |
$419.65 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$419.65 |
$419.65 |
$419.65 |
$385.45
|
|
Coombs direct
|
$85.80 |
$85.80 |
$85.80 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$68.20 |
$68.20 |
$68.20 |
$94.90
|
|
Coombs indirect titer reference
|
$215.05 |
$215.05 |
$215.05 |
$146.00
|
|
Core ndl bx lng/med perq
|
$1,686.85 |
$1,686.85 |
$1,686.85 |
$2,963.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$296.45 |
$296.45 |
$296.45 |
$489.00
|
|
Cortisol total am
|
$179.85 |
$179.85 |
$179.85 |
$122.20
|
|
Counseling smoke cess interm >10mins
|
$41.80 |
$41.80 |
$41.80 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$63.25 |
$63.25 |
$63.25 |
$58.61
|
|
#covid19rsv-rsv
|
$117.70 |
$117.70 |
$117.70 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$85.25 |
$85.25 |
$85.25 |
$65.36
|
|
C-peptide
|
$11.00 |
$11.00 |
$11.00 |
$100.00
|
|
C-reactive protein
|
$148.50 |
$148.50 |
$148.50 |
$63.00
|
|
C-reactive protein high sensitivity
|
$108.90 |
$108.90 |
$108.90 |
$91.65
|
|
C-reactive protein, quantitative
|
$272.80 |
$272.80 |
$272.80 |
$62.50
|
|
Creatine kinase
|
$37.40 |
$37.40 |
$37.40 |
$59.78
|
|
Creatine kinase isoenzymes
|
$13.75 |
$13.75 |
$13.75 |
$46.34
|
|
Creatine kinase mb
|
$149.05 |
$149.05 |
$149.05 |
$111.00
|
|
Creatine - sendout
|
$71.50 |
$71.50 |
$71.50 |
$39.00
|
|
Creatinine
|
$37.40 |
$37.40 |
$37.40 |
$44.10
|
