|
Cine/video x-rays
|
$164.40 |
$206.40 |
$285.35 |
|
|
Cine/video x-rays add-on
|
$91.20 |
$91.20 |
$91.20 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$37.00 |
$37.00 |
$101.31 |
|
|
Circum 28 days or older
|
$370.20 |
$496.00 |
$31,044.70 |
|
|
Circumcise/surg/28 days or < 54160
|
$414.60 |
$545.60 |
$2,431.50 |
|
|
Circumcision (newborn)
|
$387.60 |
$3,653.90 |
$27,716.65 |
|
|
Cisplatin 1 mg/ml desensitization
|
$4.00 |
$379.00 |
$1,120.39 |
|
|
C-kit mutation liquid tumor - sendout
|
$462.60 |
$659.20 |
$2,171.00 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$81.20 |
$496.70 |
$1,149.75 |
|
|
C-laminoplasty w/graft/plate
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$2,837.40 |
$15,050.75 |
$23,155.00 |
|
|
Claviculectomy partial
|
$960.60 |
$2,875.20 |
$61,503.24 |
|
|
Claviculectomy total
|
$3,488.00 |
$3,488.00 |
$3,488.00 |
|
|
Clean out mastoid cavity
|
$487.00 |
$1,033.60 |
$2,691.65 |
|
|
Clearance of airways
|
$140.00 |
$182.44 |
$597.24 |
|
|
Clearance of airways
|
$201.60 |
$201.60 |
$201.60 |
|
|
Clearance of tear duct
|
$2,134.40 |
$2,134.40 |
$2,134.40 |
|
|
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 |
$40.80 |
$121.43 |
|
|
Clip ligating vesolock lg
|
$389.55 |
$857.78 |
$88,212.69 |
|
|
Clip phn wireless f/baha4 proc
|
$538.82 |
$538.82 |
$828.95 |
|
|
Clitoroplasty intersex state
|
$2,900.00 |
$2,900.00 |
$2,900.00 |
|
|
Cllr miami j sm
|
$173.17 |
$607.31 |
$934.33 |
|
|
Clofarabine 1 mg/ml intravenous solution
|
$4,163.69 |
$17,608.50 |
$17,608.50 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$31.20 |
$79.35 |
$581.40 |
|
|
Close bladder-uterus fistula
|
$1,926.40 |
$1,926.40 |
$1,926.40 |
|
|
Close bronchial fistula 32815
|
$5,121.60 |
$6,816.80 |
$6,816.80 |
|
|
Close chest after drainage
|
$2,191.20 |
$2,191.20 |
$2,191.20 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$420.80 |
$1,876.80 |
$1,876.80 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$579.84 |
$2,110.40 |
$2,110.40 |
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,427.40 |
$3,680.00 |
$3,680.00 |
|
|
Closed tx/acetabululm without manip 27220
|
$421.60 |
$2,113.60 |
$8,639.80 |
|
|
Closed tx humerus fx with manip 23605
|
$627.84 |
$2,291.20 |
$5,129.00 |
|
|
Closed tx humerus fx without manip 23600
|
$305.50 |
$1,612.80 |
$5,177.25 |
|
|
Closed tx humerus fx w/manip 24505
|
$672.96 |
$2,444.80 |
$2,901.50 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$205.44 |
$386.40 |
$797.42 |
|
|
Closed tx nose/jaw fx
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
|
|
Closed tx orbit without manipulj
|
$985.60 |
$1,197.07 |
$2,462.39 |
|
|
Closed tx orbit w/manipulj
|
$2,528.00 |
$2,528.00 |
$2,528.00 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$855.84 |
$2,864.00 |
$3,082.56 |
|
|
Closed tx septal&nose fx
|
$744.00 |
$1,004.80 |
$5,782.80 |
|
|
Closed tx sesamoid fx 28530
|
$207.00 |
$572.80 |
$664.98 |
|
|
Closed tx/talus fracture without manip 28430
|
$324.00 |
$1,176.00 |
$1,176.00 |
|
|
Closed tx vert fx w/manj
|
$2,140.80 |
$2,140.80 |
$2,140.80 |
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$319.20 |
$682.40 |
$769.00 |
|
|
Close mastoid fistula
|
$3,299.20 |
$3,299.20 |
$3,299.20 |
|
|
Close median sternotomy separation 21750
|
$1,267.80 |
$1,660.00 |
$2,274.00 |
|
|
Close tear duct opening
|
$1,054.40 |
$1,054.40 |
$1,054.40 |
|
|
Close tear duct opening
|
$192.96 |
$732.80 |
$732.80 |
|
|
Close tear system fistula
|
$3,116.80 |
$3,116.80 |
$3,116.80 |
|
|
Clostridium toxin a w/optic
|
$35.20 |
$35.20 |
$35.20 |
|
|
Clos txnose fx without stablz 21315
|
$204.00 |
$934.92 |
$4,702.91 |
|
|
Closure enterostomy lg/sm intestine 44620
|
$1,563.60 |
$2,134.40 |
$3,108.00 |
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$2,340.00 |
$3,936.80 |
$5,689.00 |
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,842.00 |
$2,504.80 |
$3,637.00 |
|
|
Closure intestinal cutaneous fistula 44640
|
$2,527.80 |
$3,443.20 |
$4,987.00 |
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$610.80 |
$970.24 |
$1,864.63 |
|
|
Closure of eyelid by suture
|
$868.80 |
$868.80 |
$868.80 |
|
|
Closure of salivary fistula
|
$1,256.00 |
$1,256.00 |
$1,256.00 |
|
|
Closure of windpipe lesion 31820
|
$808.80 |
$1,069.60 |
$1,069.60 |
|
|
Closure paravalvlr leak pq
|
$1,125.00 |
$2,884.00 |
$34,395.53 |
|
|
Clot factor fletcher fact
|
$39.20 |
$39.20 |
$254.94 |
|
|
Clot factor viii reltd antgn
|
$95.72 |
$95.72 |
$95.72 |
|
|
Clot factor wght kininogen
|
$38.40 |
$38.40 |
$38.40 |
|
|
Clot factor xii hageman
|
$61.75 |
$95.72 |
$326.34 |
|
|
Clot factor xiii fibrin scrn
|
$32.85 |
$32.85 |
$217.80 |
|
|
Clot factor xiii fibrin stab
|
$39.20 |
$39.20 |
$271.95 |
|
|
Clotting assay whole blood
|
$95.72 |
$95.72 |
$133.56 |
|
|
Clozapine, 25 mg
|
$0.88 |
$0.88 |
$1.52 |
|
|
Clsd ostomy pouch without barr
|
$12.75 |
$12.75 |
$12.75 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$381.36 |
$1,138.15 |
$1,566.40 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$309.54 |
$1,078.00 |
$1,635.20 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$348.60 |
$842.40 |
$964.33 |
|
|
Clsd tx clav dislc without manip 23520
|
$323.52 |
$1,158.40 |
$1,524.80 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$175.56 |
$1,137.60 |
$1,137.60 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$455.28 |
$1,747.20 |
$3,336.60 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$104.16 |
$1,078.40 |
$3,707.00 |
|
|
Clsd tx coccygeal fracture 27200
|
$320.40 |
$453.60 |
$797.42 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$159.25 |
$454.40 |
$797.42 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$160.44 |
$2,084.80 |
$2,084.80 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$227.50 |
$1,556.80 |
$1,556.80 |
|
|
Clsd tx elbow dislocation child 24640
|
$149.28 |
$507.20 |
$664.98 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$996.48 |
$3,737.60 |
$3,737.60 |
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$891.00 |
$1,256.00 |
$1,256.00 |
|
|
Clsd tx fracture of radius 25500
|
$239.82 |
$1,363.20 |
$1,363.20 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$239.20 |
$700.80 |
$797.42 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$162.54 |
$404.00 |
$1,270.45 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$280.14 |
$1,624.00 |
$4,464.85 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$720.48 |
$2,654.40 |
$18,637.26 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$390.24 |
$1,392.00 |
$4,098.90 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$693.60 |
$2,532.80 |
$19,203.70 |
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$234.00 |
$1,315.20 |
$1,785.92 |
|
|
Clsd tx hip disloc without anes 27265
|
$285.18 |
$1,985.60 |
$1,985.60 |
|
|
Clsd tx humeral fract without manip 24530
|
$234.00 |
$1,860.80 |
$5,835.70 |
|
|
Clsd tx humerus fract without manip 24500
|
$350.35 |
$1,755.20 |
$1,755.20 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$187.74 |
$944.80 |
$78,534.85 |
|
|
Clsd tx mandibular fx without manip 21450
|
$308.80 |
$1,420.00 |
$1,420.00 |
|
