|
Cholinesterase
|
$13.65 |
$13.65 |
$14.00 |
$39.48
|
|
Cholinesterase challenge
|
$1,745.90 |
$1,745.90 |
$1,745.90 |
$366.72
|
|
Chorion biopsy
|
$572.00 |
$572.00 |
$572.00 |
$1,392.05
|
|
Chorionic gonadotropin/1000u
|
$730.67 |
$730.67 |
$730.67 |
$548.36
|
|
Chrnc care mgmt phys 1st 30
|
$390.00 |
$390.00 |
$390.00 |
$156.00
|
|
Chrom analysis
|
$89.05 |
$89.05 |
$89.05 |
$156.00
|
|
Chromatography
|
$12.53 |
$12.53 |
$41.60 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$247.59 |
$247.59 |
$476.45 |
$250.00
|
|
Chromosome analys amniotic
|
$602.00 |
$602.00 |
$731.90 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$629.85 |
$629.85 |
$629.85 |
$517.11
|
|
Chromosome analysis 45
|
$561.60 |
$561.60 |
$561.60 |
$382.85
|
|
Chromosome analysis 5
|
$423.00 |
$423.00 |
$1,113.45 |
$644.80
|
|
Chromosome analysis 50-100
|
$828.00 |
$828.00 |
$828.00 |
$434.40
|
|
Chromosome analys placenta
|
$264.00 |
$264.00 |
$858.00 |
$572.99
|
|
Chromosome count additional
|
$40.95 |
$40.95 |
$85.00 |
$96.50
|
|
Chromosome karyotype study
|
$86.45 |
$86.45 |
$116.00 |
$120.00
|
|
Chromosome study additional
|
$85.80 |
$85.80 |
$135.00 |
$151.09
|
|
Chronic urticaria - sendout
|
$120.25 |
$120.25 |
$120.25 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$229.45 |
$229.45 |
$229.45 |
$136.09
|
|
Cidofovir injection
|
$462.72 |
$462.72 |
$462.72 |
$1,352.09
|
|
Cilastatin sodium injection
|
$76.40 |
$76.40 |
$271.00 |
$77.40
|
|
Ciliary transsleral therapy
|
$8,719.75 |
$8,719.75 |
$8,719.75 |
$3,269.14
|
|
Ciltacabtagene car-pos t
|
$1,732,568.58 |
$1,732,568.58 |
$1,732,568.58 |
$1,573,072.37
|
|
Cine/video x-rays
|
$98.80 |
$98.80 |
$98.80 |
$321.64
|
|
Cine/video x-rays add-on
|
$428.35 |
$428.35 |
$428.35 |
$293.05
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$18.85 |
$18.85 |
$18.85 |
$35.65
|
|
Circum 28 days or older
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$1,219.20
|
|
Circumcision (newborn)
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$107.90 |
$107.90 |
$1,034.00 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$716.95 |
$716.95 |
$716.95 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$135.72 |
$135.72 |
$5,346.00 |
$576.60
|
|
C-laminoplasty w/graft/plate
|
$7,295.60 |
$7,295.60 |
$7,295.60 |
$4,108.00
|
|
Clamp neck artery
|
$4,888.00 |
$4,888.00 |
$4,888.00 |
$2,085.35
|
|
Claviculectomy partial
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$3,839.54
|
|
Clearance of airways
|
$760.50 |
$760.50 |
$760.50 |
$213.07
|
|
Clearance of tear duct
|
$1,117.35 |
$1,117.35 |
$1,117.35 |
$795.53
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$7.44 |
$7.44 |
$7.44 |
$55.20
|
|
Clofarabine 1 mg/ml intravenous solution
|
$457.81 |
$457.81 |
$457.81 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$135.85 |
$135.85 |
$135.85 |
$85.37
|
|
Close bronchial fistula 32815
|
$13,007.80 |
$13,007.80 |
$13,007.80 |
$6,816.80
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,073.80 |
$1,073.80 |
$1,073.80 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,806.01
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$3,959.15 |
$3,959.15 |
$3,959.15 |
$1,642.82
|
|
Closed tx/acetabululm without manip 27220
|
$1,573.00 |
$1,573.00 |
$1,573.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$896.35 |
$896.35 |
$896.35 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$896.35 |
$896.35 |
$896.35 |
$386.40
|
|
Closed tx orbit without manipulj
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$12,121.20 |
$12,121.20 |
$12,121.20 |
$3,651.90
|
|
Closed tx sesamoid fx 28530
|
$896.35 |
$896.35 |
$896.35 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$896.35 |
$896.35 |
$896.35 |
$442.80
|
|
Closed tx vert fx w/manj
|
$2,628.60 |
$2,628.60 |
$2,628.60 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$867.75 |
$867.75 |
$867.75 |
$472.50
|
|
Close median sternotomy separation 21750
|
$2,964.00 |
$2,964.00 |
$2,964.00 |
$1,660.00
|
|
Close tear duct opening
|
$1,117.35 |
$1,117.35 |
$1,117.35 |
$436.44
|
|
Close tear duct opening
|
$1,117.35 |
$1,117.35 |
$1,117.35 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$2,392.80
|
|
Closure enterostomy lg/sm intestine 44620
|
$4,126.85 |
$4,126.85 |
$4,126.85 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$7,254.00 |
$7,254.00 |
$7,254.00 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$4,492.80 |
$4,492.80 |
$4,492.80 |
$1,934.40
|
|
Closure intestinal cutaneous fistula 44640
|
$6,292.00 |
$6,292.00 |
$6,292.00 |
$3,443.20
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$1,259.62
|
|
Closure of eyelid by suture
|
$3,619.85 |
$3,619.85 |
$3,619.85 |
$1,701.96
|
|
Closure of valve
|
$7,880.60 |
$7,880.60 |
$7,880.60 |
$2,459.77
|
|
Closure paravalvlr leak pq
|
$28,410.20 |
$28,410.20 |
$28,410.20 |
$9,434.46
|
|
Clot factor fletcher fact
|
$423.80 |
$423.80 |
$423.80 |
$119.50
|
|
Clot factor wght kininogen
|
$198.90 |
$198.90 |
$198.90 |
$157.50
|
|
Clot factor xii hageman
|
$50.05 |
$50.05 |
$84.00 |
$138.40
|
|
Clot factor xiii fibrin stab
|
$102.05 |
$102.05 |
$126.00 |
$106.40
|
|
Clotting assay whole blood
|
$47.45 |
$47.45 |
$47.45 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,009.45 |
$1,009.45 |
$1,009.45 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$896.35 |
$896.35 |
$896.35 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$995.80 |
$995.80 |
$995.80 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,980.00
|
|
Clsd tx clavicle dislocation without manip 23540
|
$896.35 |
$896.35 |
$896.35 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$896.35 |
$896.35 |
$896.35 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$896.35 |
$896.35 |
$896.35 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$896.35 |
$896.35 |
$896.35 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,206.40 |
$1,206.40 |
$1,206.40 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$896.35 |
$896.35 |
$896.35 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$896.35 |
$896.35 |
$896.35 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$896.35 |
$896.35 |
$896.35 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$896.35 |
$896.35 |
$896.35 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$896.35 |
$896.35 |
$896.35 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$896.35 |
$896.35 |
$896.35 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$896.35 |
$896.35 |
$896.35 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$896.35 |
$896.35 |
$896.35 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$1,362.40 |
$1,362.40 |
$1,362.40 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$959.40 |
$959.40 |
$959.40 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$975.00 |
$975.00 |
$975.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$896.35 |
$896.35 |
$896.35 |
$506.10
|
