|
Cisplatin 1 mg/ml desensitization
|
$208.15 |
$208.15 |
$208.15 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$166.95 |
$166.95 |
$166.95 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$145.71 |
$145.71 |
$145.71 |
$572.12
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$1,282.50 |
$1,282.50 |
$1,282.50 |
$15,050.75
|
|
Clearance of airways
|
$84.60 |
$84.60 |
$84.60 |
$214.40
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$23.96 |
$23.96 |
$23.96 |
$55.20
|
|
Clofarabine 1 mg/ml intravenous solution
|
$1,054.40 |
$1,054.40 |
$1,054.40 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$43.73 |
$43.73 |
$43.73 |
$79.35
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$47.10 |
$47.10 |
$47.10 |
$501.48
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$301.95 |
$301.95 |
$301.95 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$47.25 |
$47.25 |
$47.25 |
$470.00
|
|
Closed tx humerus fx with manip 23605
|
$375.60 |
$375.60 |
$375.60 |
$2,132.35
|
|
Closed tx humerus fx without manip 23600
|
$47.10 |
$47.10 |
$47.10 |
$487.48
|
|
Closed tx humerus fx w/manip 24505
|
$301.95 |
$301.95 |
$301.95 |
$1,520.36
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$47.10 |
$47.10 |
$47.10 |
$372.35
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$345.60 |
$345.60 |
$345.60 |
$2,527.50
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$80.10 |
$80.10 |
$80.10 |
$470.73
|
|
Clos txnose fx without stablz 21315
|
$428.40 |
$428.40 |
$428.40 |
$2,266.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$142.05 |
$142.05 |
$142.05 |
$1,244.64
|
|
Closure paravalvlr leak pq
|
$7,008.45 |
$7,008.45 |
$7,008.45 |
$7,723.17
|
|
Clot factor fletcher fact
|
$238.95 |
$238.95 |
$238.95 |
$117.66
|
|
Clot factor xii hageman
|
$117.90 |
$117.90 |
$117.90 |
$129.45
|
|
Clot factor xiii fibrin scrn
|
$82.05 |
$82.05 |
$82.05 |
$55.44
|
|
Clotting assay whole blood
|
$29.70 |
$29.70 |
$29.70 |
$101.52
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$47.10 |
$47.10 |
$47.10 |
$630.40
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$65.25 |
$65.25 |
$65.25 |
$450.48
|
|
Clsd tx/clavicular fx without manip 23500
|
$53.10 |
$53.10 |
$53.10 |
$438.90
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$53.10 |
$53.10 |
$53.10 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$47.10 |
$47.10 |
$47.10 |
$652.69
|
|
Clsd tx elbow dislocation child 24640
|
$65.25 |
$65.25 |
$65.25 |
$450.72
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$288.15 |
$288.15 |
$288.15 |
$2,184.08
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$47.10 |
$47.10 |
$47.10 |
$404.00
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$47.10 |
$47.10 |
$47.10 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$301.95 |
$301.95 |
$301.95 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$301.95 |
$301.95 |
$301.95 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$47.10 |
$47.10 |
$47.10 |
$609.60
|
|
Clsd tx humerus fract without manip 24500
|
$47.10 |
$47.10 |
$47.10 |
$478.40
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$47.10 |
$47.10 |
$47.10 |
$495.20
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$47.10 |
$47.10 |
$47.10 |
$603.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$47.10 |
$47.10 |
$47.10 |
$497.88
|
|
Clsd tx of ankle fracture w/manip 28435
|
$288.15 |
$288.15 |
$288.15 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$53.10 |
$53.10 |
$53.10 |
$551.20
|
|
Clsd tx/patellar fx without manip 27520
|
$47.10 |
$47.10 |
$47.10 |
$466.14
|
|
Clsd tx pelvic ring fx
|
$53.10 |
$53.10 |
$53.10 |
$414.00
|
|
Clsd tx pelvic ring fx
|
$53.10 |
$53.10 |
$53.10 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$301.95 |
$301.95 |
$301.95 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$53.10 |
$53.10 |
$53.10 |
$404.40
|
|
Clsd tx radius fracture w/manip 24655
|
$301.95 |
$301.95 |
$301.95 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$301.95 |
$301.95 |
$301.95 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$301.95 |
$301.95 |
$301.95 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$669.75 |
$669.75 |
$669.75 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$45.75 |
$45.75 |
$45.75 |
$362.50
|
|
Clsd tx toe dislocation without anes28660
|
$53.10 |
$53.10 |
$53.10 |
$392.50
|
|
Clsd tx trimall ankle fx without manip 27816
|
$47.10 |
$47.10 |
$47.10 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$301.95 |
$301.95 |
$301.95 |
$1,576.00
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$47.25 |
$47.25 |
$47.25 |
$478.40
|
|
Cls tx of heel fracture w/manip 28405
|
$65.25 |
$65.25 |
$65.25 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$671.40 |
$671.40 |
$671.40 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$288.15 |
$288.15 |
$288.15 |
$2,211.05
|
|
Cltx humrl cndylr fx w/mnpj
|
$301.95 |
$301.95 |
$301.95 |
$1,851.78
|
|
Cltx lunate dislc w/mnpj
|
$698.25 |
$698.25 |
$698.25 |
$2,384.00
|
|
Cltx post ankle fx w/mnpj
|
$301.95 |
$301.95 |
$301.95 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$301.95 |
$301.95 |
$301.95 |
$2,030.33
|
|
C motor evoked lwr limbs
|
$294.90 |
$294.90 |
$294.90 |
$627.89
|
|
C motor evoked uppr limbs
|
$294.90 |
$294.90 |
$294.90 |
$809.01
|
|
C motor evoked upr&lwr limbs
|
$294.90 |
$294.90 |
$294.90 |
$1,294.20
|
|
#cmvcul-virus inoculation shell
|
$20.25 |
$20.25 |
$20.25 |
$97.50
|
|
Cmv pcr-sendout
|
$238.80 |
$238.80 |
$238.80 |
$172.25
|
|
Co2 monitor per day
|
$228.00 |
$228.00 |
$228.00 |
$409.50
|
|
Coagulation time activated teg
|
$35.25 |
$35.25 |
$35.25 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$866.72 |
$866.72 |
$866.72 |
$624.55
|
|
Cochlear implt f/up exam <7
|
$115.50 |
$115.50 |
$115.50 |
$423.87
|
|
Cochlear implt f/up exam 7/>
|
$115.50 |
$115.50 |
$115.50 |
$423.87
|
|
Cold agglutinin titer
|
$39.30 |
$39.30 |
$39.30 |
$50.00
|
|
Colistimethate sodium inj
|
$29.14 |
$29.14 |
$29.14 |
$68.47
|
|
Collection blood specimen from completely implantable venous access device
|
$85.80 |
$85.80 |
$85.80 |
$156.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$85.80 |
$85.80 |
$85.80 |
$152.54
|
|
Collection of venous blood by venipuncture
|
$5.70 |
$5.70 |
$5.70 |
$20.90
|
|
Colonoscopy w/control bleed
|
$193.80 |
$193.80 |
$193.80 |
$2,019.60
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,376.10 |
$1,376.10 |
$1,376.10 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$87.30 |
$87.30 |
$87.30 |
$167.17
|
|
Compatibility test each unit electronic
|
$53.10 |
$53.10 |
$53.10 |
$171.25
|
|
Compatibility test each unit immediate spin technique
|
$53.10 |
$53.10 |
$53.10 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$325.95 |
$325.95 |
$325.95 |
$933.75
|
|
Comp cystometrogram/void/uret pres 51729
|
$478.65 |
$478.65 |
$478.65 |
$1,099.00
|
|
Complement antigen each component c3
|
$149.10 |
$149.10 |
$149.10 |
$110.40
|
|
Complex cystometrogram 51726
|
$152.55 |
$152.55 |
$152.55 |
$727.35
|
|
Complex uroflowmetry (electronic) 51741
|
$60.30 |
$60.30 |
$60.30 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$99.90 |
$99.90 |
$99.90 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$114.60 |
$114.60 |
$114.60 |
$1,193.40
|
|
Complx repair enel addl 5cm/< 13153
|
$95.70 |
$95.70 |
$95.70 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$118.05 |
$118.05 |
$118.05 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$94.50 |
$94.50 |
$94.50 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$82.50 |
$82.50 |
$82.50 |
$527.52
|
|
Complx repair sal addl 5 cm/> 13122
|
$65.10 |
$65.10 |
$65.10 |
$498.60
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$120.00 |
$120.00 |
$120.00 |
$1,000.00
|
|
Comprehensive hearing test
|
$81.60 |
$81.60 |
$81.60 |
$220.23
|
|
Concentration infection agents any type
|
$9.45 |
$9.45 |
$9.45 |
$49.40
|
|
Conditioning play audiometry 92582
|
$65.55 |
$65.55 |
$65.55 |
$185.15
|
|
Condylomata destruction 56420
|
$47.70 |
$47.70 |
$47.70 |
$469.00
|