|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$56.25 |
$56.25 |
$56.25 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$67.27 |
$67.27 |
$67.27 |
$64.49
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,913.60 |
$2,913.60 |
$2,913.60 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$319.20 |
$319.20 |
$319.20 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$294.40 |
$294.40 |
$294.40 |
$204.54
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,792.00 |
$1,792.00 |
$1,792.00 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$140.80 |
$140.80 |
$140.80 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$70.40 |
$70.40 |
$70.40 |
$51.52
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$1,024.32
|
|
Caspofungin acetate
|
$395.81 |
$395.81 |
$395.81 |
$633.91
|
|
Cath cv dl inj 7fx16cm
|
$481.28 |
$481.28 |
$481.28 |
$4,488.99
|
|
Cath groshong MRI 8fr plstc port
|
$611.20 |
$611.20 |
$611.20 |
$1,690.71
|
|
Cath malecot 28fr 4-wing ltx
|
$652.16 |
$652.16 |
$652.16 |
$2,549.50
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$52.25 |
$52.25 |
$52.25 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$52.40 |
$52.40 |
$52.40 |
$45.47
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$223.40 |
$223.40 |
$223.40 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$58.03 |
$58.03 |
$58.03 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$54.56 |
$54.56 |
$54.56 |
$83.39
|
|
Chest 2 vws w oblique
|
$584.80 |
$584.80 |
$584.80 |
$375.60
|
|
Chest apical lordotic proj
|
$457.60 |
$457.60 |
$457.60 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,296.80 |
$2,296.80 |
$2,296.80 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,964.80 |
$1,964.80 |
$1,964.80 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$100.80 |
$100.80 |
$100.80 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$88.80 |
$88.80 |
$88.80 |
$134.50
|
|
Chest Ultrasound
|
$393.60 |
$393.60 |
$393.60 |
$463.88
|
|
Chest X-ray
|
$386.40 |
$386.40 |
$386.40 |
$294.06
|
|
Chest X-ray (single view)
|
$307.20 |
$307.20 |
$307.20 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$165.60 |
$165.60 |
$165.60 |
$150.40
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$876.80 |
$876.80 |
$876.80 |
$602.40
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$49.64 |
$49.64 |
$49.64 |
$55.20
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$649.60 |
$649.60 |
$649.60 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$697.60 |
$697.60 |
$697.60 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$583.20 |
$583.20 |
$583.20 |
$478.53
|
|
Closed tx humerus fx without manip 23600
|
$588.80 |
$588.80 |
$588.80 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$1,402.40 |
$1,402.40 |
$1,402.40 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$611.20 |
$611.20 |
$611.20 |
$386.40
|
|
Closed tx sesamoid fx 28530
|
$681.60 |
$681.60 |
$681.60 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$494.40 |
$494.40 |
$494.40 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$677.60 |
$677.60 |
$677.60 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$3,264.80 |
$3,264.80 |
$3,264.80 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,660.80 |
$1,660.80 |
$1,660.80 |
$1,259.62
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$808.00 |
$808.00 |
$808.00 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$484.00 |
$484.00 |
$484.00 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$606.40 |
$606.40 |
$606.40 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$1,450.40 |
$1,450.40 |
$1,450.40 |
$1,980.00
|
|
Clsd tx clavicle dislocation without manip 23540
|
$583.20 |
$583.20 |
$583.20 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,841.60 |
$1,841.60 |
$1,841.60 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$488.00 |
$488.00 |
$488.00 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$405.60 |
$405.60 |
$405.60 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$457.60 |
$457.60 |
$457.60 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$728.00 |
$728.00 |
$728.00 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$497.60 |
$497.60 |
$497.60 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$673.60 |
$673.60 |
$673.60 |
$465.21
|
|
Clsd tx fracture of radius 25500
|
$570.40 |
$570.40 |
$570.40 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$415.20 |
$415.20 |
$415.20 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$626.40 |
$626.40 |
$626.40 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$492.80 |
$492.80 |
$492.80 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,526.40 |
$1,526.40 |
$1,526.40 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$557.60 |
$557.60 |
$557.60 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$514.40 |
$514.40 |
$514.40 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$735.20 |
$735.20 |
$735.20 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$634.40 |
$634.40 |
$634.40 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$558.40 |
$558.40 |
$558.40 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$941.60 |
$941.60 |
$941.60 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$1,384.00 |
$1,384.00 |
$1,384.00 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$475.20 |
$475.20 |
$475.20 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$496.00 |
$496.00 |
$496.00 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$756.00 |
$756.00 |
$756.00 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$489.60 |
$489.60 |
$489.60 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$4,570.40 |
$4,570.40 |
$4,570.40 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,588.80 |
$1,588.80 |
$1,588.80 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$524.80 |
$524.80 |
$524.80 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$496.80 |
$496.80 |
$496.80 |
$498.85
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$515.20 |
$515.20 |
$515.20 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$527.20 |
$527.20 |
$527.20 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$492.00 |
$492.00 |
$492.00 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,495.20 |
$1,495.20 |
$1,495.20 |
$1,687.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$607.20 |
$607.20 |
$607.20 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$590.40 |
$590.40 |
$590.40 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$567.20 |
$567.20 |
$567.20 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$531.20 |
$531.20 |
$531.20 |
$473.00
|
|
Clsd tx wrist carpal fx without manip 25630
|
$578.40 |
$578.40 |
$578.40 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$500.00 |
$500.00 |
$500.00 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$766.40 |
$766.40 |
$766.40 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$556.80 |
$556.80 |
$556.80 |
$487.15
|
|
Cls tx of heel fracture w/manip 28405
|
$498.40 |
$498.40 |
$498.40 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$2,316.80 |
$2,316.80 |
$2,316.80 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,724.00 |
$2,724.00 |
$2,724.00 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$457.60 |
$457.60 |
$457.60 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,188.80 |
$1,188.80 |
$1,188.80 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$579.20 |
$579.20 |
$579.20 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$2,717.60 |
$2,717.60 |
$2,717.60 |
$2,384.00
|
|
Cltx strnclav dislc w/mnpj
|
$340.80 |
$340.80 |
$340.80 |
$619.30
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$365.60 |
$365.60 |
$365.60 |
$303.73
|