|
Clsd tx fracture of radius 25500
|
$1,715.20 |
$1,715.20 |
$1,715.20 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$608.30 |
$608.30 |
$738.40 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$897.05 |
$897.05 |
$1,167.82 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$1,004.85 |
$1,004.85 |
$1,981.60 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,225.40 |
$1,225.40 |
$3,895.60 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$1,875.20 |
$1,875.20 |
$1,875.20 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,884.85 |
$1,884.85 |
$3,748.00 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$858.00 |
$858.00 |
$3,066.40 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$2,762.40 |
$2,762.40 |
$2,762.40 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$2,762.40 |
$2,762.40 |
$2,762.40 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$923.45 |
$923.45 |
$1,796.80 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$1,202.40 |
$1,202.40 |
$1,202.40 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,557.60 |
$1,557.60 |
$2,036.10 |
$620.32
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$3,345.60 |
$3,345.60 |
$3,345.60 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$1,200.80 |
$1,200.80 |
$1,200.80 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$872.80 |
$872.80 |
$872.80 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$2,209.60 |
$2,209.60 |
$2,209.60 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,225.40 |
$1,225.40 |
$3,498.85 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$665.50 |
$665.50 |
$1,226.40 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$1,738.40 |
$1,738.40 |
$1,738.40 |
$498.85
|
|
Clsd tx pelvic ring fx
|
$700.00 |
$700.00 |
$700.00 |
$424.50
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,409.10 |
$1,409.10 |
$4,190.24 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$897.05 |
$897.05 |
$1,112.20 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$2,117.60 |
$2,117.60 |
$2,117.60 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$2,263.25 |
$2,263.25 |
$3,143.20 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$1,004.85 |
$1,004.85 |
$1,836.00 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,221.45 |
$2,221.45 |
$4,071.20 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,690.70 |
$1,690.70 |
$4,366.40 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,297.25 |
$3,297.25 |
$5,984.64 |
$2,331.50
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$1,962.40 |
$1,962.40 |
$1,962.40 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$696.85 |
$696.85 |
$886.40 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$712.80 |
$712.80 |
$923.41 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$1,993.60 |
$1,993.60 |
$1,993.60 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,086.25 |
$1,086.25 |
$4,101.60 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$1,718.40 |
$1,718.40 |
$1,718.40 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$1,693.60 |
$1,693.60 |
$1,693.60 |
$648.34
|
|
Clsd tx wrist carpal fx without manip 25630
|
$1,875.20 |
$1,875.20 |
$1,875.20 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$535.60
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$2,916.80 |
$2,916.80 |
$2,916.80 |
$490.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$2,187.20 |
$2,187.20 |
$2,187.20 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$2,609.60 |
$2,609.60 |
$2,609.60 |
$487.15
|
|
Cls tx of heel fracture w/manip 28405
|
$2,834.40 |
$2,834.40 |
$2,834.40 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$2,858.90 |
$2,858.90 |
$2,916.80 |
$1,893.86
|
|
Cltx craniofacial separation
|
$3,540.80 |
$3,540.80 |
$3,540.80 |
$8,139.99
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$3,216.80 |
$3,216.80 |
$3,216.80 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$2,685.60 |
$2,685.60 |
$2,685.60 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$5,363.20 |
$5,363.20 |
$5,363.20 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$1,903.00 |
$1,903.00 |
$4,577.48 |
$2,384.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$4,496.00 |
$4,496.00 |
$4,496.00 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$1,773.60 |
$1,773.60 |
$1,773.60 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$3,254.40 |
$3,254.40 |
$3,254.40 |
$3,986.00
|
|
Cltx palatal/max fx wire fix
|
$2,764.80 |
$2,764.80 |
$2,764.80 |
$4,377.24
|
|
Cltx post ankle fx
|
$1,762.40 |
$1,762.40 |
$1,762.40 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$5,009.85 |
$5,009.85 |
$5,009.85 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$3,056.00 |
$3,056.00 |
$3,056.00 |
$2,021.04
|
|
Cltx strnclav dislc w/mnpj
|
$2,912.80 |
$2,912.80 |
$2,912.80 |
$619.30
|
|
Cltx thigh fx
|
$3,796.80 |
$3,796.80 |
$3,796.80 |
$3,986.00
|
|
Cltx thigh fx w/mnpj
|
$4,904.80 |
$4,904.80 |
$4,904.80 |
$3,276.70
|
|
Cltx tmprmand dislc comp
|
$3,452.80 |
$3,452.80 |
$3,452.80 |
$3,740.85
|
|
C motor evoked lwr limbs
|
$227.21 |
$227.21 |
$599.50 |
$627.89
|
|
C motor evoked uppr limbs
|
$599.50 |
$599.50 |
$977.78 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$599.50 |
$599.50 |
$977.78 |
$1,333.36
|
|
#cms hgb-sulfhemoglobin
|
$59.20 |
$59.20 |
$59.20 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$88.00 |
$88.00 |
$197.84 |
$89.76
|
|
Cmv pcr-sendout
|
$119.90 |
$119.90 |
$370.76 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$4.32 |
$4.32 |
$4.32 |
$11,888.50
|
|
Coagulation time activated teg
|
$67.58 |
$67.58 |
$78.10 |
$52.47
|
|
Cocaine hcl nasal (numbrino)
|
$1.48 |
$1.48 |
$1.48 |
$512.30
|
|
Cochlear implt f/up exam <7
|
$714.40 |
$714.40 |
$714.40 |
$423.87
|
|
Cochlear implt f/up exam 7/>
|
$508.00 |
$508.00 |
$508.00 |
$386.64
|
|
Cold agglutinin screen (arc)
|
$31.35 |
$31.35 |
$44.80 |
$48.10
|
|
Cold agglutinin titer
|
$85.80 |
$85.80 |
$190.80 |
$52.00
|
|
Colectomy/end colost/close dis seg 44143
|
$5,620.00 |
$5,620.00 |
$5,620.00 |
$2,880.80
|
|
Colectomy/ ileostomy without prctect 44150
|
$6,665.60 |
$6,665.60 |
$6,665.60 |
$3,530.40
|
|
Colectomy/ ileostomy w/prctect 44155
|
$10,324.00 |
$10,324.00 |
$10,324.00 |
$4,562.58
|
|
Colectomy partial w/anastomosis 44140
|
$6,571.20 |
$6,571.20 |
$6,571.20 |
$2,510.73
|
|
Colectomy prtl w/coloproctostomy 44145
|
$6,366.40 |
$6,366.40 |
$6,366.40 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$7,415.20 |
$7,415.20 |
$7,415.20 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$5,993.60 |
$5,993.60 |
$5,993.60 |
$2,136.00
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$5,354.40 |
$5,354.40 |
$5,354.40 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$5,062.40 |
$5,062.40 |
$5,062.40 |
$3,176.40
|
|
Colectomy w/neo-rectum pouch
|
$7,768.80 |
$7,768.80 |
$7,768.80 |
$5,500.80
|
|
Collagen dressing <=16 sq in
|
$102.77 |
$102.77 |
$102.77 |
$42.50
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$309.10 |
$309.10 |
$601.04 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$58.40 |
$58.40 |
$58.40 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$95.02 |
$95.02 |
$572.00 |
$224.11
|
|
Collar extrication adult univ
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$121.55 |
$121.55 |
$128.19 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$121.55 |
$121.55 |
$248.48 |
$155.40
|
|
Collj & interpj data ea 30 d
|
$186.40 |
$186.40 |
$186.40 |
$172.35
|
|
Colonoscopy (diagnostic)
|
$1,615.20 |
$1,615.20 |
$1,615.20 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$2,776.80 |
$2,776.80 |
$2,776.80 |
$2,288.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$2,288.00
|
|
Colonoscopy for bleeding 44391
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$2,147.00
|
|
Colonoscopy for foreign body
|
$1,898.40 |
$1,898.40 |
$1,898.40 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$1,784.80 |
$1,784.80 |
$1,784.80 |
$1,645.43
|