|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$712.50 |
$712.50 |
$13,520.00 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$21.32 |
$21.32 |
$54.90 |
|
|
Clip ligating vesolock lg
|
$748.11 |
$748.11 |
$2,332.80 |
|
|
Clip phn wireless f/baha4 proc
|
$60.48 |
$60.48 |
$253.13 |
|
|
Clofarabine 1 mg/ml intravenous solution
|
$6,901.03 |
$6,901.03 |
$6,901.03 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$413.25 |
$413.25 |
$413.25 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$862.50 |
$862.50 |
$862.50 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$337.28 |
$337.28 |
$4,853.25 |
|
|
Closed tx humerus fx with manip 23605
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
|
|
Closed tx humerus fx w/manip 24505
|
$383.36 |
$383.36 |
$4,028.25 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$772.50 |
$772.50 |
$772.50 |
|
|
Closed tx nose/jaw fx
|
$4,092.00 |
$4,092.00 |
$4,092.00 |
|
|
Closed tx orbit w/manipulj
|
$3,906.00 |
$3,906.00 |
$3,906.00 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
|
|
Closed tx septal&nose fx
|
$5,270.25 |
$5,270.25 |
$5,270.25 |
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$653.25 |
$653.25 |
$653.25 |
|
|
Close median sternotomy separation 21750
|
$247.04 |
$247.04 |
$247.04 |
|
|
Clostridium toxin a w/optic
|
$79.50 |
$79.50 |
$79.50 |
|
|
Clos txnose fx without stablz 21315
|
$70.72 |
$70.72 |
$3,637.50 |
|
|
Closure enterostomy lg/sm intestine 44620
|
$670.72 |
$670.72 |
$670.72 |
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$1,222.08 |
$1,222.08 |
$1,222.08 |
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$787.20 |
$787.20 |
$787.20 |
|
|
Closure intestinal cutaneous fistula 44640
|
$1,068.80 |
$1,068.80 |
$1,068.80 |
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,654.50 |
$1,654.50 |
$1,654.50 |
|
|
Closure of eyelid by suture
|
$980.25 |
$980.25 |
$980.25 |
|
|
Closure paravalvlr leak pq
|
$4,634.25 |
$4,634.25 |
$4,634.25 |
|
|
Clot factor fletcher fact
|
$118.50 |
$118.50 |
$118.50 |
|
|
Clot factor viii reltd antgn
|
$124.50 |
$124.50 |
$124.50 |
|
|
Clot factor wght kininogen
|
$118.50 |
$118.50 |
$118.50 |
|
|
Clot factor xii hageman
|
$16.32 |
$16.32 |
$121.50 |
|
|
Clot factor xiii fibrin scrn
|
$8.96 |
$8.96 |
$54.00 |
|
|
Clot factor xiii fibrin stab
|
$102.00 |
$102.00 |
$102.00 |
|
|
Clotting assay whole blood
|
$108.75 |
$108.75 |
$108.75 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$257.92 |
$257.92 |
$772.50 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$834.75 |
$834.75 |
$834.75 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$847.50 |
$847.50 |
$847.50 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
|
|
Clsd tx elbow dislocation child 24640
|
$136.64 |
$136.64 |
$383.25 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$772.50 |
$772.50 |
$772.50 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$432.00 |
$432.00 |
$2,058.00 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,571.25 |
$1,571.25 |
$1,571.25 |
|
|
Clsd tx hip disloc without anes 27265
|
$862.50 |
$862.50 |
$862.50 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$957.75 |
$957.75 |
$957.75 |
|
|
Clsd tx mandibular fx without manip 21450
|
$1,461.00 |
$1,461.00 |
$1,461.00 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$812.25 |
$812.25 |
$812.25 |
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$75.52 |
$75.52 |
$5,270.25 |
|
|
Clsd tx patella disloc without anes 27560
|
$829.50 |
$829.50 |
$829.50 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$167.36 |
$167.36 |
$167.36 |
|
|
Clsd tx radius fracture w/manip 24655
|
$1,421.25 |
$1,421.25 |
$1,421.25 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$6,339.00 |
$6,339.00 |
$6,339.00 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$439.50 |
$439.50 |
$439.50 |
|
|
Clsd tx toe dislocation without anes28660
|
$772.50 |
$772.50 |
$772.50 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,553.25 |
$1,553.25 |
$1,553.25 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$809.25 |
$809.25 |
$809.25 |
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
|
|
Cltx lunate dislc w/mnpj
|
$2,464.50 |
$2,464.50 |
$2,464.50 |
|
|
Cltx mndblr/max alv ridge fx
|
$5,270.25 |
$5,270.25 |
$5,270.25 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$4,116.00 |
$4,116.00 |
$4,116.00 |
|
|
Cltx strnclav dislc w/mnpj
|
$862.50 |
$862.50 |
$862.50 |
|
|
Cmbn ant pst colprhy
|
$621.44 |
$621.44 |
$621.44 |
|
|
C motor evoked lwr limbs
|
$220.48 |
$220.48 |
$1,415.25 |
|
|
C motor evoked uppr limbs
|
$402.88 |
$402.88 |
$2,749.50 |
|
|
C motor evoked upr&lwr limbs
|
$402.88 |
$402.88 |
$2,749.50 |
|
|
Cmptr ophth dx img ant segmt
|
$63.75 |
$63.75 |
$63.75 |
|
|
Cmptr ophth img optic nerve
|
$63.75 |
$63.75 |
$63.75 |
|
|
#cms hgb-carboxyhemoglobin
|
$69.75 |
$69.75 |
$69.75 |
|
|
#cms hgb-sulfhemoglobin
|
$51.75 |
$51.75 |
$51.75 |
|
|
#cmvcul-virus inoculation shell
|
$133.44 |
$133.44 |
$135.00 |
|
|
Cmv pcr-sendout
|
$64.32 |
$64.32 |
$332.25 |
|
|
Cnbp gene detc abnor allele
|
$803.20 |
$803.20 |
$803.20 |
|
|
Co2 monitor per day
|
$156.16 |
$156.16 |
$819.75 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$12.35 |
$12.35 |
$12.35 |
|
|
Coagulation time activated teg
|
$37.50 |
$37.50 |
$39.68 |
|
|
Coagulation time lee & white
|
$27.00 |
$27.00 |
$27.00 |
|
|
Coagulation time otr method
|
$22.50 |
$22.50 |
$22.50 |
|
|
Cocaine 4 % nasal solution
|
$843.81 |
$843.81 |
$843.81 |
|
|
Coch imp ext proc/contr rplc
|
$12.00 |
$12.00 |
$12.00 |
|
|
Coch implant headset replace
|
$712.50 |
$712.50 |
$712.50 |
|
|
Coil axium 3d 14mmx40cm qc
|
$202.50 |
$202.50 |
$202.50 |
|
|
Cold agglutinin screen (arc)
|
$40.50 |
$40.50 |
$59.52 |
|
|
Cold agglutinin titer
|
$31.68 |
$31.68 |
$51.00 |
|
|
Colectomy/end colost/close dis seg 44143
|
$1,275.84 |
$1,275.84 |
$1,275.84 |
|
|
Colectomy/ ileostomy without prctect 44150
|
$1,432.64 |
$1,432.64 |
$1,432.64 |
|
|
Colectomy partial w/anastomosis 44140
|
$1,038.72 |
$1,038.72 |
$1,038.72 |
|
|
Colectomy prtl w/coloproctostomy 44145
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$1,626.24 |
$1,626.24 |
$1,626.24 |
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$962.56 |
$962.56 |
$962.56 |
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$1,392.96 |
$1,392.96 |
$1,392.96 |
|
|
Colectomy/w colostomy or ileostomy 44144
|
$1,361.28 |
$1,361.28 |
$1,361.28 |
|
|
Colectomy w/neo-rectum pouch
|
$1,714.88 |
$1,714.88 |
$1,714.88 |
|
|
Colistimethate sodium inj
|
$89.43 |
$89.43 |
$89.43 |
|
|
Collagenase, clost hist inj
|
$17,285.19 |
$17,285.19 |
$17,285.19 |
|
|
Collagen imp urinary 2.5 ml
|
$637.50 |
$637.50 |
$637.50 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$10.73 |
$10.73 |
$10.73 |
|
|
Collar cerv ascend 172 reg
|
$45.75 |
$45.75 |
$45.75 |
|
|
Collection blood specimen from completely implantable venous access device
|
$85.76 |
$85.76 |
$169.50 |
|
