|
Closed tx humerus fx with manip 23605
|
$795.47 |
$795.47 |
$795.47 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$578.63 |
$578.63 |
$578.63 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$839.20 |
$839.20 |
$839.20 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$138.37 |
$138.37 |
$138.37 |
$386.40
|
|
Closed tx septal&nose fx
|
$364.19 |
$364.19 |
$364.19 |
$3,651.90
|
|
Clos txnose fx without stablz 21315
|
$186.89 |
$186.89 |
$186.89 |
$2,392.80
|
|
Clot factor xii hageman
|
$48.41 |
$48.41 |
$48.41 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$17.84 |
$17.84 |
$17.84 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$62.43 |
$62.43 |
$62.43 |
$106.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$542.69 |
$542.69 |
$542.69 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$564.26 |
$564.26 |
$564.26 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$383.96 |
$383.96 |
$383.96 |
$489.60
|
|
Clsd tx clavicle fracture w/manip 23505
|
$623.56 |
$623.56 |
$623.56 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$418.70 |
$418.70 |
$418.70 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$231.81 |
$231.81 |
$231.81 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$720.00 |
$720.00 |
$720.00 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$146.76 |
$146.76 |
$146.76 |
$465.21
|
|
Clsd tx fracture of radius 25500
|
$470.21 |
$470.21 |
$470.21 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$230.61 |
$230.61 |
$230.61 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$176.70 |
$176.70 |
$176.70 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$587.62 |
$587.62 |
$587.62 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$955.40 |
$955.40 |
$955.40 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$474.41 |
$474.41 |
$474.41 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$867.95 |
$867.95 |
$867.95 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$756.54 |
$756.54 |
$756.54 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$646.32 |
$646.32 |
$646.32 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$613.98 |
$613.98 |
$613.98 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$430.68 |
$430.68 |
$430.68 |
$883.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$348.62 |
$348.62 |
$348.62 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$365.39 |
$365.39 |
$365.39 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$282.13 |
$282.13 |
$282.13 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$253.38 |
$253.38 |
$253.38 |
$429.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$603.79 |
$603.79 |
$603.79 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$640.93 |
$640.93 |
$640.93 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$554.07 |
$554.07 |
$554.07 |
$498.85
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$230.02 |
$230.02 |
$230.02 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$451.65 |
$451.65 |
$451.65 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$744.56 |
$744.56 |
$744.56 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$446.85 |
$446.85 |
$446.85 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$740.36 |
$740.36 |
$740.36 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$755.34 |
$755.34 |
$755.34 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$59.90 |
$59.90 |
$59.90 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$113.81 |
$113.81 |
$113.81 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$542.69 |
$542.69 |
$542.69 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$813.44 |
$813.44 |
$813.44 |
$1,592.00
|
|
Clsd tx wrist carpal fx without manip 25630
|
$351.61 |
$351.61 |
$351.61 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$523.53 |
$523.53 |
$523.53 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$564.26 |
$564.26 |
$564.26 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$494.77 |
$494.77 |
$494.77 |
$487.15
|
|
Cltx humrl cndylr fx w/mnpj
|
$943.42 |
$943.42 |
$943.42 |
$1,851.78
|
|
Cltx mndblr/max alv ridge fx
|
$624.76 |
$624.76 |
$624.76 |
$3,986.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$703.23 |
$703.23 |
$703.23 |
$2,021.04
|
|
#cmvcul-virus inoculation shell
|
$75.05 |
$75.05 |
$75.05 |
$89.76
|
|
Cmv pcr-sendout
|
$75.05 |
$75.05 |
$75.05 |
$175.70
|
|
Cold agglutinin screen (arc)
|
$29.58 |
$29.58 |
$29.58 |
$48.10
|
|
Cold agglutinin titer
|
$68.61 |
$68.61 |
$68.61 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$271.16 |
$271.16 |
$271.16 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$170.80 |
$170.80 |
$170.80 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$120.96 |
$120.96 |
$120.96 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$229.45 |
$229.45 |
$229.45 |
$173.50
|
|
Compatibility test each unit electronic
|
$229.45 |
$229.45 |
$229.45 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$229.45 |
$229.45 |
$229.45 |
$169.52
|
|
Complement antigen each component c3
|
$345.44 |
$345.44 |
$345.44 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$289.32 |
$289.32 |
$289.32 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$309.08 |
$309.08 |
$309.08 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$349.82 |
$349.82 |
$349.82 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$421.70 |
$421.70 |
$421.70 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$174.31 |
$174.31 |
$174.31 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$304.89 |
$304.89 |
$304.89 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$380.96 |
$380.96 |
$380.96 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$159.93 |
$159.93 |
$159.93 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$104.83 |
$104.83 |
$104.83 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$251.58 |
$251.58 |
$251.58 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$91.05 |
$91.05 |
$91.05 |
$537.00
|
|
Concentration infection agents any type
|
$90.62 |
$90.62 |
$90.62 |
$51.32
|
|
Condylomata destruction 56420
|
$128.78 |
$128.78 |
$128.78 |
$467.35
|
|
Consultation pathology during surgery cytological exam initial site
|
$684.34 |
$684.34 |
$684.34 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$37.42 |
$37.42 |
$37.42 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$195.05 |
$195.05 |
$195.05 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$67.47 |
$67.47 |
$67.47 |
$224.83
|
|
Contrast baths charges
|
$47.89 |
$47.89 |
$47.89 |
$75.60
|
|
Contrast x-ray of hip
|
$781.13 |
$781.13 |
$781.13 |
$796.38
|
|
Contrast x-ray of knee joint
|
$450.75 |
$450.75 |
$450.75 |
$790.50
|
|
Contrast x-ray of wrist
|
$552.53 |
$552.53 |
$552.53 |
$667.50
|
|
Controller infinity pt dbs
|
$3,697.95 |
$3,697.95 |
$3,697.95 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$132.98 |
$132.98 |
$132.98 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$147.95 |
$147.95 |
$147.95 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$106.62 |
$106.62 |
$106.62 |
$352.80
|
|
Coombs direct
|
$141.96 |
$141.96 |
$141.96 |
$76.80
|
|
Core ndl bx lng/med perq
|
$1,745.93 |
$1,745.93 |
$1,745.93 |
$2,904.48
|
|
Cortisol total am
|
$207.37 |
$207.37 |
$207.37 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$60.58 |
$60.58 |
$60.58 |
$112.00
|
|
#covid19rsv-rsv
|
$149.39 |
$149.39 |
$149.39 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$62.70 |
$62.70 |
$62.70 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$508.87 |
$508.87 |
$508.87 |
$584.50
|
|
C-peptide
|
$40.45 |
$40.45 |
$40.45 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$521.40 |
$521.40 |
$521.40 |
$777.71
|
|
C-reactive protein
|
$85.18 |
$85.18 |
$85.18 |
$69.36
|
|
C-reactive protein high sensitivity
|
$67.43 |
$67.43 |
$67.43 |
$85.50
|
|
C-reactive protein, quantitative
|
$95.82 |
$95.82 |
$95.82 |
$65.16
|