|
Closed carpo/metacarpal disl thumb w/manip
|
$662.04 |
$662.04 |
$662.04 |
$520.80
|
|
Closed tx humerus fx w/manip 24505
|
$858.81 |
$858.81 |
$858.81 |
$1,549.52
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,115.05 |
$1,115.05 |
$1,115.05 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$372.70 |
$372.70 |
$372.70 |
$3,651.90
|
|
Clot factor xii hageman
|
$52.21 |
$52.21 |
$52.21 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$19.24 |
$19.24 |
$19.24 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$67.33 |
$67.33 |
$67.33 |
$106.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$555.38 |
$555.38 |
$555.38 |
$648.96
|
|
Clsd tx clavicle fracture w/manip 23505
|
$638.13 |
$638.13 |
$638.13 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$428.49 |
$428.49 |
$428.49 |
$452.40
|
|
Clsd tx dist fib fx w/manip 27788
|
$736.83 |
$736.83 |
$736.83 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$150.18 |
$150.18 |
$150.18 |
$465.21
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$180.84 |
$180.84 |
$180.84 |
$464.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$977.74 |
$977.74 |
$977.74 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$888.24 |
$888.24 |
$888.24 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$774.22 |
$774.22 |
$774.22 |
$630.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$440.75 |
$440.75 |
$440.75 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$373.93 |
$373.93 |
$373.93 |
$620.32
|
|
Clsd tx of ankle fracture w/manip 28435
|
$617.90 |
$617.90 |
$617.90 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$655.91 |
$655.91 |
$655.91 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$567.02 |
$567.02 |
$567.02 |
$498.85
|
|
Clsd tx radius fracture w/manip 24655
|
$761.96 |
$761.96 |
$761.96 |
$1,782.86
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$772.99 |
$772.99 |
$772.99 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$61.30 |
$61.30 |
$61.30 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$116.47 |
$116.47 |
$116.47 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$555.38 |
$555.38 |
$555.38 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$832.45 |
$832.45 |
$832.45 |
$1,592.00
|
|
Cltx mndblr/max alv ridge fx
|
$639.36 |
$639.36 |
$639.36 |
$3,986.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$719.66 |
$719.66 |
$719.66 |
$2,021.04
|
|
#cmvcul-virus inoculation shell
|
$74.41 |
$74.41 |
$74.41 |
$89.76
|
|
Cmv pcr-sendout
|
$74.41 |
$74.41 |
$74.41 |
$175.70
|
|
Coil axium 3d 14mmx40cm qc
|
$434.81 |
$434.81 |
$434.81 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$18.90 |
$18.90 |
$18.90 |
$48.10
|
|
Cold agglutinin titer
|
$43.85 |
$43.85 |
$43.85 |
$52.00
|
|
Collagen imp urinary 2.5 ml
|
$20,051.24 |
$20,051.24 |
$20,051.24 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$267.98 |
$267.98 |
$267.98 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$199.78 |
$199.78 |
$199.78 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$141.48 |
$141.48 |
$141.48 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$224.63 |
$224.63 |
$224.63 |
$173.50
|
|
Compatibility test each unit electronic
|
$224.63 |
$224.63 |
$224.63 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$224.63 |
$224.63 |
$224.63 |
$169.52
|
|
Complement antigen each component c3
|
$220.75 |
$220.75 |
$220.75 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$296.08 |
$296.08 |
$296.08 |
$893.41
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$357.99 |
$357.99 |
$357.99 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$431.55 |
$431.55 |
$431.55 |
$1,212.00
|
|
Complx repair fccmnaxghf 13131
|
$312.02 |
$312.02 |
$312.02 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$389.87 |
$389.87 |
$389.87 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$163.67 |
$163.67 |
$163.67 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$107.27 |
$107.27 |
$107.27 |
$508.44
|
|
Concentration infection agents any type
|
$89.86 |
$89.86 |
$89.86 |
$51.32
|
|
Condylomata destruction 56420
|
$131.79 |
$131.79 |
$131.79 |
$467.35
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,181.45 |
$1,181.45 |
$1,181.45 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$52.73 |
$52.73 |
$52.73 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$274.86 |
$274.86 |
$274.86 |
$226.50
|
|
Consultation/report referred slides prepared elsewhere
|
$63.12 |
$63.12 |
$63.12 |
$176.28
|
|
Contrast baths charges
|
$43.92 |
$43.92 |
$43.92 |
$75.60
|
|
Contrast x-ray of hip
|
$825.52 |
$825.52 |
$825.52 |
$796.38
|
|
Contrast x-ray of knee joint
|
$476.36 |
$476.36 |
$476.36 |
$790.50
|
|
Contrast x-ray of wrist
|
$583.92 |
$583.92 |
$583.92 |
$667.50
|
|
Controller infinity pt dbs
|
$13,825.52 |
$13,825.52 |
$13,825.52 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$136.09 |
$136.09 |
$136.09 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$151.41 |
$151.41 |
$151.41 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$109.11 |
$109.11 |
$109.11 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$209.65 |
$209.65 |
$209.65 |
$620.00
|
|
Coombs direct
|
$90.72 |
$90.72 |
$90.72 |
$76.80
|
|
Cortisol total am
|
$214.80 |
$214.80 |
$214.80 |
$121.20
|
|
#covid19rsv-rsv
|
$148.12 |
$148.12 |
$148.12 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$40.07 |
$40.07 |
$40.07 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$522.15 |
$522.15 |
$522.15 |
$584.50
|
|
C-peptide
|
$41.90 |
$41.90 |
$41.90 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$543.12 |
$543.12 |
$543.12 |
$777.71
|
|
C-reactive protein
|
$54.43 |
$54.43 |
$54.43 |
$69.36
|
|
C-reactive protein high sensitivity
|
$43.09 |
$43.09 |
$43.09 |
$85.50
|
|
C-reactive protein, quantitative
|
$61.24 |
$61.24 |
$61.24 |
$65.16
|
|
Creatine kinase
|
$13.30 |
$13.30 |
$13.30 |
$66.30
|
|
Creatine kinase isoenzymes
|
$39.24 |
$39.24 |
$39.24 |
$56.20
|
|
Creatine kinase mb
|
$23.28 |
$23.28 |
$23.28 |
$113.63
|
|
Creatinine
|
$29.92 |
$29.92 |
$29.92 |
$46.20
|
|
Creatinine 24 hour urine
|
$53.20 |
$53.20 |
$53.20 |
$57.85
|
|
Creatinine clearance urine
|
$19.28 |
$19.28 |
$19.28 |
$90.26
|
|
#creutz-prot.,western blot
|
$103.08 |
$103.08 |
$103.08 |
$163.50
|
|
Critical care each additional 30 minutes
|
$600.00 |
$600.00 |
$600.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$56.43 |
$56.43 |
$56.43 |
$144.78
|
|
Cryptosporidium antigen
|
$77.92 |
$77.92 |
$77.92 |
$52.08
|
|
Crystal identification light microscopy
|
$14.37 |
$14.37 |
$14.37 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$788.84 |
$788.84 |
$788.84 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,773.83 |
$1,773.83 |
$1,773.83 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,298.70 |
$2,298.70 |
$2,298.70 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,475.68 |
$1,475.68 |
$1,475.68 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,926.62 |
$1,926.62 |
$1,926.62 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,643.99 |
$1,643.99 |
$1,643.99 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,523.49 |
$1,523.49 |
$1,523.49 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,673.78 |
$1,673.78 |
$1,673.78 |
$1,881.75
|
|
CT angio pelvis
|
$3,228.21 |
$3,228.21 |
$3,228.21 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,449.84 |
$2,449.84 |
$2,449.84 |
$1,691.30
|
|
CT bone density axial
|
$446.55 |
$446.55 |
$446.55 |
$385.15
|
|
CT guidance for needle placement
|
$875.91 |
$875.91 |
$875.91 |
$1,494.00
|
|
CT limited or localized follow-up study
|
$640.48 |
$640.48 |
$640.48 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$1,689.33 |
$1,689.33 |
$1,689.33 |
$1,818.96
|
