|
Circumcision (newborn)
|
$11,956.07 |
$11,956.07 |
$11,956.07 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$716.67 |
$716.67 |
$716.67 |
$148.77
|
|
C-kit mutation liquid tumor - sendout
|
$3,093.57 |
$3,093.57 |
$3,093.57 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$6,868.35 |
$6,868.35 |
$6,868.35 |
$572.12
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$228.48 |
$228.48 |
$228.48 |
$66.73
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$62.94 |
$62.94 |
$62.94 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,538.48 |
$1,538.48 |
$1,538.48 |
$619.45
|
|
Closed tx humerus fx with manip 23605
|
$10,050.30 |
$10,050.30 |
$10,050.30 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$1,538.48 |
$1,538.48 |
$1,538.48 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$9,956.38 |
$9,956.38 |
$9,956.38 |
$1,610.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$439.14 |
$439.14 |
$439.14 |
$432.80
|
|
Closed tx septal&nose fx
|
$19,145.81 |
$19,145.81 |
$19,145.81 |
$3,805.11
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$1,543.19 |
$1,543.19 |
$1,543.19 |
$487.69
|
|
Clot factor xii hageman
|
$481.44 |
$481.44 |
$481.44 |
$125.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,628.95 |
$2,628.95 |
$2,628.95 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,538.48 |
$1,538.48 |
$1,538.48 |
$543.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$3,044.05 |
$3,044.05 |
$3,044.05 |
$731.04
|
|
Clsd tx elbow dislocation child 24640
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$10,019.82 |
$10,019.82 |
$10,019.82 |
$2,748.90
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$634.31 |
$634.31 |
$634.31 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$3,044.05 |
$3,044.05 |
$3,044.05 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$9,956.38 |
$9,956.38 |
$9,956.38 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$10,050.30 |
$10,050.30 |
$10,050.30 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$2,628.95 |
$2,628.95 |
$2,628.95 |
$716.95
|
|
Clsd tx humerus fract without manip 24500
|
$1,673.45 |
$1,673.45 |
$1,673.45 |
$558.40
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$1,651.49 |
$1,651.49 |
$1,651.49 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,651.49 |
$1,651.49 |
$1,651.49 |
$716.95
|
|
Clsd tx/metatarsal fx without manip 28470
|
$1,538.48 |
$1,538.48 |
$1,538.48 |
$446.40
|
|
Clsd tx patella disloc without anes 27560
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$705.60
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$1,538.48 |
$1,538.48 |
$1,538.48 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$1,538.48 |
$1,538.48 |
$1,538.48 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$9,956.38 |
$9,956.38 |
$9,956.38 |
$1,884.74
|
|
Clsd tx shoulder dislc/fx 23665
|
$9,956.38 |
$9,956.38 |
$9,956.38 |
$2,055.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$12,407.60 |
$12,407.60 |
$12,407.60 |
$2,466.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$4,070.08 |
$4,070.08 |
$4,070.08 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$439.14 |
$439.14 |
$439.14 |
$436.70
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$10,050.30 |
$10,050.30 |
$10,050.30 |
$1,707.42
|
|
Clsd tx wrist carpal fx without manip 25630
|
$1,571.17 |
$1,571.17 |
$1,571.17 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$1,586.62 |
$1,586.62 |
$1,586.62 |
$543.23
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$1,538.48 |
$1,538.48 |
$1,538.48 |
$692.03
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$10,050.30 |
$10,050.30 |
$10,050.30 |
$2,558.00
|
|
Cltx post ankle fx w/mnpj
|
$10,050.30 |
$10,050.30 |
$10,050.30 |
$2,621.64
|
|
Cltx tmprmand dislc comp
|
$9,603.22 |
$9,603.22 |
$9,603.22 |
$3,986.00
|
|
#cmvcul-virus inoculation shell
|
$114.73 |
$114.73 |
$114.73 |
$102.57
|
|
Cmv pcr-sendout
|
$792.24 |
$792.24 |
$792.24 |
$173.25
|
|
Coagulation time activated teg
|
$244.97 |
$244.97 |
$244.97 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$2,967.99 |
$2,967.99 |
$2,967.99 |
$807.71
|
|
Cold agglutinin screen (arc)
|
$588.56 |
$588.56 |
$588.56 |
$47.19
|
|
Cold agglutinin titer
|
$195.93 |
$195.93 |
$195.93 |
$48.57
|
|
Collection blood specimen from completely implantable venous access device
|
$231.47 |
$231.47 |
$231.47 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$479.75 |
$479.75 |
$479.75 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$50.79 |
$50.79 |
$50.79 |
$22.00
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$2,317.58 |
$2,317.58 |
$2,317.58 |
$1,030.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$1,178.33 |
$1,178.33 |
$1,178.33 |
$326.30
|
|
Colposcopy vulva 56820
|
$1,414.00 |
$1,414.00 |
$1,414.00 |
$295.20
|
|
Colposcopy vulva w/biopsy 56821
|
$2,317.58 |
$2,317.58 |
$2,317.58 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$1,931.32 |
$1,931.32 |
$1,931.32 |
$544.70
|
|
Compatibility test each unit antiglobulin technique
|
$747.87 |
$747.87 |
$747.87 |
$173.25
|
|
Compatibility test each unit electronic
|
$382.99 |
$382.99 |
$382.99 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$747.87 |
$747.87 |
$747.87 |
$169.52
|
|
Complement antigen each component c3
|
$462.39 |
$462.39 |
$462.39 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$3,668.70 |
$3,668.70 |
$3,668.70 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$11,480.77 |
$11,480.77 |
$11,480.77 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$4,060.31 |
$4,060.31 |
$4,060.31 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$4,060.31 |
$4,060.31 |
$4,060.31 |
$1,388.40
|
|
Complx repair fccmnaxghf 13131
|
$1,367.57 |
$1,367.57 |
$1,367.57 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$1,707.10 |
$1,707.10 |
$1,707.10 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$2,085.35 |
$2,085.35 |
$2,085.35 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,428.97 |
$2,428.97 |
$2,428.97 |
$576.66
|
|
Concentration infection agents any type
|
$124.04 |
$124.04 |
$124.04 |
$51.32
|
|
Condylomata destruction 56420
|
$1,795.04 |
$1,795.04 |
$1,795.04 |
$509.81
|
|
Consultation pathology during surgery
|
$435.91 |
$435.91 |
$435.91 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$441.95 |
$441.95 |
$441.95 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$441.95 |
$441.95 |
$441.95 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,404.57 |
$1,404.57 |
$1,404.57 |
$214.00
|
|
Consultation/report referred slides prepared elsewhere
|
$1,689.98 |
$1,689.98 |
$1,689.98 |
$176.15
|
|
Consult comp w/report rfrd material
|
$1,569.11 |
$1,569.11 |
$1,569.11 |
$359.87
|
|
Contrast exam abdominl aorta 75625-26
|
$5,653.93 |
$5,653.93 |
$5,653.93 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$6,020.76 |
$6,020.76 |
$6,020.76 |
$4,178.00
|
|
Contrast x-ray of elbow
|
$1,433.85 |
$1,433.85 |
$1,433.85 |
$637.14
|
|
Contrast x-ray of hip
|
$1,277.05 |
$1,277.05 |
$1,277.05 |
$768.00
|
|
Contrast x-ray of knee joint
|
$2,438.47 |
$2,438.47 |
$2,438.47 |
$683.20
|
|
Contrast x-ray of wrist
|
$1,849.42 |
$1,849.42 |
$1,849.42 |
$623.50
|
|
Control nosebleed pack+caut 30905
|
$1,035.86 |
$1,035.86 |
$1,035.86 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,037.12 |
$1,037.12 |
$1,037.12 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$1,074.92 |
$1,074.92 |
$1,074.92 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,744.03 |
$1,744.03 |
$1,744.03 |
$618.80
|
|
Convert nephrostomy catheter
|
$5,147.12 |
$5,147.12 |
$5,147.12 |
$3,569.60
|
|
Coombs direct
|
$268.20 |
$268.20 |
$268.20 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$144.47 |
$144.47 |
$144.47 |
$94.90
|
|
Coombs indirect titer reference
|
$571.54 |
$571.54 |
$571.54 |
$146.00
|
|
Core ndl bx lng/med perq
|
$5,601.19 |
$5,601.19 |
$5,601.19 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$35,277.52 |
$35,277.52 |
$35,277.52 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$30,370.90 |
$30,370.90 |
$30,370.90 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$31,848.75 |
$31,848.75 |
$31,848.75 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$15,893.17 |
$15,893.17 |
$15,893.17 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,985.30 |
$10,985.30 |
$10,985.30 |
$7,769.30
|
|
Cortisol total am
|
$357.18 |
$357.18 |
$357.18 |
$122.20
|
|
Co-treatment - group 15 mins, st
|
$179.32 |
$179.32 |
$179.32 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$82.51 |
$82.51 |
$82.51 |
$57.85
|