|
Cholera vaccine live oral
|
$264.80 |
$264.80 |
$264.80 |
|
|
Cholesterol
|
$20.00 |
$66.96 |
$156.24 |
|
|
Cholesterol body fluid
|
$7.20 |
$201.60 |
$1,131.20 |
|
|
Cholesterol (Lipid) Test
|
$53.40 |
$169.92 |
$317.60 |
|
|
Cholinesterase
|
$22.44 |
$105.00 |
$339.20 |
|
|
Cholinesterase challenge
|
$120.00 |
$385.20 |
$519.20 |
|
|
Chorion biopsy
|
$347.50 |
$1,399.30 |
$6,650.70 |
|
|
Chorionic gonadotropin/1000u
|
$25.60 |
$247.10 |
$893.20 |
|
|
Chrnc care mgmt phys 1st 30
|
$156.00 |
$191.40 |
$255.60 |
|
|
Chrom analysis
|
$21.25 |
$255.00 |
$568.80 |
|
|
Chromatogram assay sugars
|
$86.42 |
$280.80 |
$337.80 |
|
|
Chromatography
|
$40.00 |
$136.80 |
$949.60 |
|
|
Chromogenic substrate assay
|
$33.57 |
$480.20 |
$1,189.60 |
|
|
Chromo high res and frag x - sendout
|
$62.50 |
$620.64 |
$1,605.60 |
|
|
Chromosome analys amniotic
|
$218.79 |
$825.00 |
$1,143.10 |
|
|
Chromosome analysis 100
|
$107.50 |
$326.20 |
$983.52 |
|
|
Chromosome analysis 15-20 cell count
|
$100.00 |
$618.60 |
$1,643.60 |
|
|
Chromosome analysis 20-25
|
$434.40 |
$434.40 |
$434.40 |
|
|
Chromosome analysis 45
|
$315.70 |
$315.70 |
$852.60 |
|
|
Chromosome analysis 5
|
$182.16 |
$850.00 |
$1,045.10 |
|
|
Chromosome analysis 50-100
|
$201.96 |
$1,129.10 |
$1,129.10 |
|
|
Chromosome analys placenta
|
$206.91 |
$473.60 |
$785.00 |
|
|
Chromosome banding study
|
$172.80 |
$262.50 |
$454.40 |
|
|
Chromosome count additional
|
$55.44 |
$149.80 |
$582.00 |
|
|
Chromosome karyotype study
|
$22.44 |
$188.30 |
$621.00 |
|
|
Chromosome study additional
|
$82.50 |
$272.00 |
$1,660.32 |
|
|
Chronic urticaria - sendout
|
$15.18 |
$259.00 |
$659.20 |
|
|
Chylomicron screen, bf - sendout
|
$50.00 |
$145.00 |
$261.60 |
|
|
Cidofovir injection
|
$198.45 |
$2,064.12 |
$3,739.22 |
|
|
Cilastatin sodium injection
|
$46.90 |
$76.82 |
$536.72 |
|
|
Ciliary transsleral therapy
|
$2,196.80 |
$5,567.80 |
$13,486.27 |
|
|
Ciltacabtagene car-pos t
|
$318,456.66 |
$318,456.66 |
$2,969,637.00 |
|
|
Cinacalcet 30 mg tablet
|
$1.10 |
$1.10 |
$1.10 |
|
|
Cine/video x-rays
|
$114.51 |
$440.30 |
$440.30 |
|
|
Cine/video x-rays add-on
|
$91.20 |
$465.84 |
$606.96 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$3.08 |
$35.52 |
$329.70 |
|
|
Ciprofloxacin otic susp 6 mg
|
$417.50 |
$417.50 |
$417.50 |
|
|
Circum 28 days or older
|
$388.80 |
$14,156.57 |
$20,683.82 |
|
|
Circumcise/surg/28 days or < 54160
|
$435.60 |
$2,812.80 |
$6,240.60 |
|
|
Circumcision (newborn)
|
$120.00 |
$2,295.70 |
$17,566.43 |
|
|
Cisplatin 1 mg/ml desensitization
|
$22.16 |
$395.67 |
$3,258.85 |
|
|
C-kit mutation liquid tumor - sendout
|
$352.11 |
$1,145.20 |
$2,767.80 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$81.20 |
$484.20 |
$1,748.70 |
|
|
C-laminoplasty w/graft/plate
|
$4,108.00 |
$4,108.00 |
$93,713.61 |
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$2,376.00 |
$16,815.50 |
$70,779.48 |
|
|
Claviculectomy partial
|
$1,008.60 |
$1,008.60 |
$2,875.20 |
|
|
Claviculectomy total
|
$3,488.00 |
$3,488.00 |
$3,488.00 |
|
|
Clean out mastoid cavity
|
$714.45 |
$714.45 |
$9,967.68 |
|
|
Clearance of airways
|
$64.80 |
$219.60 |
$439.20 |
|
|
Clearance of airways
|
$201.60 |
$201.60 |
$201.60 |
|
|
Clearance of tear duct
|
$2,134.40 |
$2,134.40 |
$2,253.00 |
|
|
C-lens fitg corneosclrl lens
|
$203.20 |
$203.20 |
$203.20 |
|
|
C-lens fitg tech aphakia 1
|
$160.80 |
$160.80 |
$160.80 |
|
|
C-lens fitg tech aphakia ou
|
$200.80 |
$200.80 |
$200.80 |
|
|
C-lens fitg tech corneosclrl
|
$168.00 |
$168.00 |
$168.00 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.64 |
$41.47 |
$509.95 |
|
|
Clip ligating vesolock lg
|
$410.75 |
$821.54 |
$11,287.82 |
|
|
Clip phn wireless f/baha4 proc
|
$149.42 |
$149.42 |
$149.42 |
|
|
Clitoroplasty intersex state
|
$2,900.00 |
$2,900.00 |
$2,900.00 |
|
|
Cllr miami j sm
|
$60.20 |
$307.80 |
$2,372.30 |
|
|
Clofarabine 1 mg/ml intravenous solution
|
$233.25 |
$233.25 |
$4,163.69 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$31.20 |
$171.32 |
$1,402.75 |
|
|
Close bladder-uterus fistula
|
$1,926.40 |
$1,926.40 |
$1,926.40 |
|
|
Close bronchial fistula 32815
|
$5,377.80 |
$5,377.80 |
$6,816.80 |
|
|
Close chest after drainage
|
$2,191.20 |
$2,191.20 |
$2,191.20 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$255.00 |
$484.25 |
$10,228.80 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$793.20 |
$1,339.80 |
$8,863.20 |
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,311.00 |
$1,535.00 |
$3,680.00 |
|
|
Closed tx/acetabululm without manip 27220
|
$151.20 |
$999.60 |
$11,099.20 |
|
|
Closed tx humerus fx with manip 23605
|
$871.80 |
$1,823.50 |
$3,856.80 |
|
|
Closed tx humerus fx without manip 23600
|
$265.00 |
$687.40 |
$9,784.80 |
|
|
Closed tx humerus fx w/manip 24505
|
$934.20 |
$1,790.00 |
$3,456.72 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$131.25 |
$322.40 |
$2,831.20 |
|
|
Closed tx nose/jaw fx
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
|
|
Closed tx orbit without manipulj
|
$321.00 |
$321.00 |
$1,199.46 |
|
|
Closed tx orbit w/manipulj
|
$2,528.00 |
$2,528.00 |
$2,528.00 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,008.00 |
$1,531.75 |
$6,035.76 |
|
|
Closed tx septal&nose fx
|
$781.20 |
$4,728.50 |
$7,004.88 |
|
|
Closed tx sesamoid fx 28530
|
$217.20 |
$547.40 |
$4,940.00 |
|
|
Closed tx/talus fracture without manip 28430
|
$262.20 |
$442.80 |
$1,333.44 |
|
|
Closed tx vert fx w/manj
|
$2,044.20 |
$2,140.80 |
$7,008.48 |
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$130.00 |
$445.20 |
$1,216.00 |
|
|
Close mastoid fistula
|
$3,299.20 |
$3,299.20 |
$3,299.20 |
|
|
Close median sternotomy separation 21750
|
$1,331.40 |
$1,331.40 |
$1,660.00 |
|
|
Close tear duct opening
|
$1,054.40 |
$1,054.40 |
$32,518.18 |
|
|
Close tear duct opening
|
$732.80 |
$732.80 |
$732.80 |
|
|
Close tear system fistula
|
$3,116.80 |
$3,116.80 |
$19,902.37 |
|
|
Clostridium toxin a w/optic
|
$35.20 |
$35.20 |
$35.20 |
|
|
Clos txnose fx without stablz 21315
|
$537.00 |
$2,167.80 |
$6,515.20 |
|
|
Closure enterostomy lg/sm intestine 44620
|
$1,641.60 |
$2,134.40 |
$43,260.55 |
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$2,457.00 |
$3,936.80 |
$92,056.12 |
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,934.40 |
$2,504.80 |
$47,534.02 |
|
|
Closure intestinal cutaneous fistula 44640
|
$2,654.40 |
$2,654.40 |
$3,443.20 |
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$300.00 |
$820.60 |
$3,022.40 |
|
|
Closure of eyelid by suture
|
$868.80 |
$16,139.94 |
$28,834.51 |
|
|
Closure of salivary fistula
|
$1,256.00 |
$1,256.00 |
$23,558.56 |
|
|
Closure of windpipe lesion 31820
|
$849.00 |
$849.00 |
$22,836.41 |
|
|
Closure paravalvlr leak pq
|
$652.20 |
$14,800.00 |
$42,402.24 |
|
|
Clot factor fletcher fact
|
$39.20 |
$242.90 |
$539.40 |
|
|
Clot factor viii reltd antgn
|
$95.72 |
$377.30 |
$377.30 |
|
