|
Chloride
|
$138.72 |
$138.72 |
$138.72 |
$39.05
|
|
Chloride 24 hour urine
|
$5.49 |
$5.49 |
$5.49 |
$46.13
|
|
Chloroprocaine hcl injection
|
$84.15 |
$84.15 |
$84.15 |
$70.66
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$333.70 |
$333.70 |
$333.70 |
$313.25
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$141.28 |
$141.28 |
$141.28 |
$91.92
|
|
Cholangiogram percutaneous compl
|
$3,547.05 |
$3,547.05 |
$3,547.05 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$990.93 |
$990.93 |
$990.93 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,587.56 |
$5,587.56 |
$5,587.56 |
$3,913.80
|
|
Cholesterol
|
$153.00 |
$153.00 |
$153.00 |
$46.15
|
|
Cholesterol body fluid
|
$36.36 |
$36.36 |
$36.36 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$325.38 |
$325.38 |
$325.38 |
$115.70
|
|
Chromatography
|
$4.75 |
$4.75 |
$4.75 |
$77.00
|
|
Chromosome analysis 15-20 cell count
|
$161.93 |
$161.93 |
$161.93 |
$433.01
|
|
Cilastatin sodium injection
|
$84.15 |
$84.15 |
$84.15 |
$79.29
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$145.35 |
$145.35 |
$145.35 |
$60.00
|
|
Circum 28 days or older
|
$3,765.84 |
$3,765.84 |
$3,765.84 |
$4,074.80
|
|
Circumcision (newborn)
|
$3,145.68 |
$3,145.68 |
$3,145.68 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$283.72 |
$283.72 |
$283.72 |
$148.77
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$40,177.80 |
$40,177.80 |
$40,177.80 |
$16,786.53
|
|
Clearance of airways
|
$425.85 |
$425.85 |
$425.85 |
$234.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$145.35 |
$145.35 |
$145.35 |
$66.73
|
|
Clip ligating vesolock lg
|
$6,434.67 |
$6,434.67 |
$6,434.67 |
$1,690.58
|
|
Cllr miami j sm
|
$928.84 |
$928.84 |
$928.84 |
$610.38
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$104.31 |
$104.31 |
$104.31 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,446.87 |
$1,446.87 |
$1,446.87 |
$619.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$3,102.84 |
$3,102.84 |
$3,102.84 |
$1,884.74
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$3,066.12 |
$3,066.12 |
$3,066.12 |
$1,966.30
|
|
Closed tx/acetabululm without manip 27220
|
$451.35 |
$451.35 |
$451.35 |
$527.80
|
|
Closed tx humerus fx with manip 23605
|
$5,397.33 |
$5,397.33 |
$5,397.33 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$448.80 |
$448.80 |
$448.80 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$2,437.29 |
$2,437.29 |
$2,437.29 |
$1,610.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$836.40 |
$836.40 |
$836.40 |
$432.80
|
|
Closed tx orbit without manipulj
|
$989.91 |
$989.91 |
$989.91 |
$1,132.50
|
|
Closed tx orbit w/manipulj
|
$3,006.96 |
$3,006.96 |
$3,006.96 |
$2,528.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$6,161.82 |
$6,161.82 |
$6,161.82 |
$3,805.11
|
|
Closed tx sesamoid fx 28530
|
$448.80 |
$448.80 |
$448.80 |
$404.04
|
|
Closed tx/talus fracture without manip 28430
|
$448.80 |
$448.80 |
$448.80 |
$442.80
|
|
Closed tx vert fx w/manj
|
$6,486.18 |
$6,486.18 |
$6,486.18 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$894.54 |
$894.54 |
$894.54 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$3,369.57 |
$3,369.57 |
$3,369.57 |
$2,596.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,063.86 |
$1,063.86 |
$1,063.86 |
$1,181.99
|
|
Closure of eyelid by suture
|
$1,890.57 |
$1,890.57 |
$1,890.57 |
$1,306.20
|
|
Closure paravalvlr leak pq
|
$24,176.55 |
$24,176.55 |
$24,176.55 |
$10,497.50
|
|
Clot factor viii reltd antgn
|
$91.80 |
$91.80 |
$91.80 |
$95.72
|
|
Clot factor xiii fibrin stab
|
$59.62 |
$59.62 |
$59.62 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,066.92 |
$1,066.92 |
$1,066.92 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$568.14 |
$568.14 |
$568.14 |
$611.10
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,066.92 |
$1,066.92 |
$1,066.92 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$3,107.43 |
$3,107.43 |
$3,107.43 |
$1,893.86
|
|
Clsd tx clavicle dislocation without manip 23540
|
$448.80 |
$448.80 |
$448.80 |
$477.10
|
|
Clsd tx clavicle fracture w/manip 23505
|
$6,597.36 |
$6,597.36 |
$6,597.36 |
$2,211.05
|
|
Clsd tx/clavicular fx without manip 23500
|
$448.80 |
$448.80 |
$448.80 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$448.80 |
$448.80 |
$448.80 |
$339.18
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$847.62 |
$847.62 |
$847.62 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,022.04 |
$1,022.04 |
$1,022.04 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$448.80 |
$448.80 |
$448.80 |
$490.00
|
|
Clsd tx elbow dislocation child 24640
|
$1,066.92 |
$1,066.92 |
$1,066.92 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$3,017.67 |
$3,017.67 |
$3,017.67 |
$2,748.90
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$3,107.43 |
$3,107.43 |
$3,107.43 |
$2,021.04
|
|
Clsd tx fracture of radius 25500
|
$448.80 |
$448.80 |
$448.80 |
$445.40
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$448.80 |
$448.80 |
$448.80 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$625.26 |
$625.26 |
$625.26 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$771.12 |
$771.12 |
$771.12 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,350.59 |
$2,350.59 |
$2,350.59 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$448.80 |
$448.80 |
$448.80 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$448.80 |
$448.80 |
$448.80 |
$473.20
|
|
Clsd tx hip disloc without anes 27265
|
$1,611.09 |
$1,611.09 |
$1,611.09 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$448.29 |
$448.29 |
$448.29 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$448.80 |
$448.80 |
$448.80 |
$558.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,066.92 |
$1,066.92 |
$1,066.92 |
$1,014.00
|
|
Clsd tx mandibular fx without manip 21450
|
$989.91 |
$989.91 |
$989.91 |
$995.40
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$448.80 |
$448.80 |
$448.80 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$448.80 |
$448.80 |
$448.80 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$847.62 |
$847.62 |
$847.62 |
$716.95
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$625.26 |
$625.26 |
$625.26 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$455.94 |
$455.94 |
$455.94 |
$446.40
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$4,769.52 |
$4,769.52 |
$4,769.52 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,734.11 |
$2,734.11 |
$2,734.11 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$1,096.50 |
$1,096.50 |
$1,096.50 |
$705.60
|
|
Clsd tx/patellar fx without manip 27520
|
$448.80 |
$448.80 |
$448.80 |
$525.85
|
|
Clsd tx pelvic ring fx
|
$448.80 |
$448.80 |
$448.80 |
$448.80
|
|
Clsd tx pelvic ring fx
|
$483.48 |
$483.48 |
$483.48 |
$705.60
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,734.11 |
$2,734.11 |
$2,734.11 |
$2,557.07
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$724.20 |
$724.20 |
$724.20 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$448.80 |
$448.80 |
$448.80 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$1,884.74
|
|
Clsd tx/scapular fx without manip 23570
|
$564.57 |
$564.57 |
$564.57 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,734.11 |
$2,734.11 |
$2,734.11 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,469.53 |
$3,469.53 |
$3,469.53 |
$2,466.40
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$6,447.42 |
$6,447.42 |
$6,447.42 |
$3,842.58
|
|
Clsd tx temporomandibular dislocat 21480
|
$1,066.92 |
$1,066.92 |
$1,066.92 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$659.94 |
$659.94 |
$659.94 |
$436.70
|
|
Clsd tx trimall ankle fx without manip 27816
|
$448.80 |
$448.80 |
$448.80 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$448.80 |
$448.80 |
$448.80 |
$487.80
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$451.35 |
$451.35 |
$451.35 |
$705.60
|