|
Chylomicron screen, bf - sendout
|
$171.50 |
$171.50 |
$171.50 |
$135.10
|
|
Cidofovir injection
|
$1,801.97 |
$1,801.97 |
$1,801.97 |
$1,447.81
|
|
Ciliary transsleral therapy
|
$5,567.80 |
$5,567.80 |
$5,567.80 |
$3,078.36
|
|
Cine/video x-rays
|
$440.30 |
$440.30 |
$440.30 |
$327.75
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$26.77 |
$26.77 |
$26.77 |
$36.23
|
|
Circum 28 days or older
|
$19,729.32 |
$19,729.32 |
$19,729.32 |
$3,786.00
|
|
Circumcise/surg/28 days or < 54160
|
$4,342.10 |
$4,342.10 |
$4,342.10 |
$1,219.20
|
|
Circumcision (newborn)
|
$954.80 |
$954.80 |
$954.80 |
$1,358.70
|
|
Cisplatin 1 mg/ml desensitization
|
$262.15 |
$262.15 |
$262.15 |
$198.28
|
|
C-kit mutation liquid tumor - sendout
|
$739.20 |
$739.20 |
$739.20 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$413.00 |
$413.00 |
$413.00 |
$586.54
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$14,441.48 |
$14,441.48 |
$14,441.48 |
$15,779.40
|
|
Clearance of airways
|
$397.60 |
$397.60 |
$397.60 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$41.47 |
$41.47 |
$41.47 |
$55.20
|
|
Clip ligating vesolock lg
|
$410.75 |
$410.75 |
$410.75 |
$4,194.00
|
|
Cllr miami j sm
|
$60.20 |
$60.20 |
$60.20 |
$552.23
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$935.20 |
$935.20 |
$935.20 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,339.80 |
$1,339.80 |
$1,339.80 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$3,556.00 |
$3,556.00 |
$3,556.00 |
$2,269.80
|
|
Closed tx humerus fx w/manip 24505
|
$1,967.70 |
$1,967.70 |
$1,967.70 |
$1,540.50
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$533.40 |
$533.40 |
$533.40 |
$386.40
|
|
Closed tx septal&nose fx
|
$4,728.50 |
$4,728.50 |
$4,728.50 |
$3,624.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$445.20 |
$445.20 |
$445.20 |
$472.50
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,115.10 |
$1,115.10 |
$1,115.10 |
$1,244.64
|
|
Closure paravalvlr leak pq
|
$41,293.70 |
$41,293.70 |
$41,293.70 |
$8,455.19
|
|
Clot factor fletcher fact
|
$242.90 |
$242.90 |
$242.90 |
$116.82
|
|
Clot factor viii reltd antgn
|
$377.30 |
$377.30 |
$377.30 |
$159.06
|
|
Clot factor wght kininogen
|
$262.50 |
$262.50 |
$262.50 |
$157.50
|
|
Clot factor xii hageman
|
$254.80 |
$254.80 |
$254.80 |
$135.01
|
|
Clot factor xiii fibrin scrn
|
$86.10 |
$86.10 |
$86.10 |
$57.75
|
|
Clot factor xiii fibrin stab
|
$341.60 |
$341.60 |
$341.60 |
$106.26
|
|
Clotting assay whole blood
|
$161.00 |
$161.00 |
$161.00 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$854.00 |
$854.00 |
$854.00 |
$657.28
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$849.10 |
$849.10 |
$849.10 |
$484.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,256.40 |
$3,256.40 |
$3,256.40 |
$1,893.86
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$586.60 |
$586.60 |
$586.60 |
$416.16
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$676.20
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$808.50 |
$808.50 |
$808.50 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$653.80 |
$653.80 |
$653.80 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,651.30 |
$1,651.30 |
$1,651.30 |
$2,211.05
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$336.70 |
$336.70 |
$336.70 |
$373.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$1,522.50 |
$1,522.50 |
$1,522.50 |
$448.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$1,680.00
|
|
Clsd tx fx radius/ulna without manip 25560
|
$930.30 |
$930.30 |
$930.30 |
$487.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,378.30 |
$1,378.30 |
$1,378.30 |
$1,548.40
|
|
Clsd tx hip disloc without anes 27265
|
$991.20 |
$991.20 |
$991.20 |
$631.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,141.70 |
$1,141.70 |
$1,141.70 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,150.80 |
$1,150.80 |
$1,150.80 |
$613.14
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$829.50 |
$829.50 |
$829.50 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$829.50 |
$829.50 |
$829.50 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,790.50 |
$3,790.50 |
$3,790.50 |
$3,678.17
|
|
Clsd tx patella disloc without anes 27560
|
$735.70 |
$735.70 |
$735.70 |
$577.20
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$5,644.80 |
$5,644.80 |
$5,644.80 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$609.00 |
$609.00 |
$609.00 |
$414.40
|
|
Clsd tx radius fracture w/manip 24655
|
$2,157.40 |
$2,157.40 |
$2,157.40 |
$1,772.97
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$1,815.75
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,084.20 |
$3,084.20 |
$3,084.20 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$693.00 |
$693.00 |
$693.00 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$495.60 |
$495.60 |
$495.60 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,489.60 |
$1,489.60 |
$1,489.60 |
$1,565.74
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$1,519.00 |
$1,519.00 |
$1,519.00 |
$611.10
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$760.90 |
$760.90 |
$760.90 |
$487.15
|
|
Cltx carpl scphd fx w/mnpj
|
$829.50 |
$829.50 |
$829.50 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,967.30 |
$2,967.30 |
$2,967.30 |
$1,851.78
|
|
Cltx post ankle fx
|
$525.00 |
$525.00 |
$525.00 |
$483.60
|
|
Cltx thigh fx w/mnpj
|
$2,366.70 |
$2,366.70 |
$2,366.70 |
$3,276.70
|
|
Cmbn ant pst colprhy
|
$45,028.74 |
$45,028.74 |
$45,028.74 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$1,332.10 |
$1,332.10 |
$1,332.10 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,332.10 |
$1,332.10 |
$1,332.10 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$2,631.30 |
$2,631.30 |
$2,631.30 |
$1,308.00
|
|
#cms hgb-sulfhemoglobin
|
$16.10 |
$16.10 |
$16.10 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$191.80 |
$191.80 |
$191.80 |
$87.75
|
|
Cmv pcr-sendout
|
$257.60 |
$257.60 |
$257.60 |
$177.50
|
|
Cnbp gene detc abnor allele
|
$434.00 |
$434.00 |
$434.00 |
$313.60
|
|
Co2 monitor per day
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$11,517.45 |
$11,517.45 |
$11,517.45 |
$12,560.76
|
|
Coagulation time activated teg
|
$39.20 |
$39.20 |
$39.20 |
$53.55
|
|
Cold agglutinin screen (arc)
|
$81.90 |
$81.90 |
$81.90 |
$45.00
|
|
Cold agglutinin titer
|
$70.00 |
$70.00 |
$70.00 |
$51.60
|
|
Colistimethate sodium inj
|
$108.50 |
$108.50 |
$108.50 |
$71.09
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$16.10 |
$16.10 |
$16.10 |
$62.40
|
|
Collar cerv ascend 172 reg
|
$67.90 |
$67.90 |
$67.90 |
$213.89
|
|
Collection blood specimen from completely implantable venous access device
|
$731.50 |
$731.50 |
$731.50 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$921.20 |
$921.20 |
$921.20 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$653.80 |
$653.80 |
$653.80 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$4,111.88 |
$4,111.88 |
$4,111.88 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$3,290.70 |
$3,290.70 |
$3,290.70 |
$1,679.48
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$6,436.93 |
$6,436.93 |
$6,436.93 |
$2,004.81
|
|
Colonoscopy for bleeding 44391
|
$2,580.90 |
$2,580.90 |
$2,580.90 |
$2,083.12
|
|
Colonoscopy & polypectomy 44392
|
$6,458.43 |
$6,458.43 |
$6,458.43 |
$1,486.80
|
|
Colonoscopy stoma w/snare 44394
|
$4,469.49 |
$4,469.49 |
$4,469.49 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$15,716.17 |
$15,716.17 |
$15,716.17 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$4,862.03 |
$4,862.03 |
$4,862.03 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$3,633.70 |
$3,633.70 |
$3,633.70 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$7,961.77 |
$7,961.77 |
$7,961.77 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$5,759.33 |
$5,759.33 |
$5,759.33 |
$2,030.00
|
|
Colonoscopy w/control bleed
|
$10,364.62 |
$10,364.62 |
$10,364.62 |
$2,030.25
|
|
Colonoscopy w/decompression
|
$1,572.20 |
$1,572.20 |
$1,572.20 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$1,415.40 |
$1,415.40 |
$1,415.40 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$6,267.60 |
$6,267.60 |
$6,267.60 |
$1,645.43
|
