|
Cath acuity innr ic130 6f 63cm
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$9,931.73
|
|
Cath adherent clot 10mm 6f 10
|
$164.00 |
$164.00 |
$164.00 |
$19,800.55
|
|
Cath cv dl inj 7fx16cm
|
$888.00 |
$888.00 |
$888.00 |
$4,488.99
|
|
Cath groshong MRI 8fr plstc port
|
$912.00 |
$912.00 |
$912.00 |
$1,690.71
|
|
Cath malecot 28fr 4-wing ltx
|
$1,586.40 |
$1,586.40 |
$1,586.40 |
$2,549.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$260.80 |
$260.80 |
$260.80 |
$462.80
|
|
Cath uret open tp 6fx70cm
|
$49.60 |
$49.60 |
$49.60 |
$573.88
|
|
Cauterization chemical granulation tissue
|
$327.20 |
$327.20 |
$327.20 |
$340.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$133.50 |
$133.50 |
$133.50 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$64.24 |
$64.24 |
$64.24 |
$45.47
|
|
Cefoxitin 1 gram intravenous solution
|
$175.33 |
$175.33 |
$175.33 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$62.38 |
$62.38 |
$62.38 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$163.19 |
$163.19 |
$163.19 |
$83.39
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$62.99 |
$62.99 |
$62.99 |
$30.66
|
|
Cell marker study
|
$414.40 |
$414.40 |
$414.40 |
$239.85
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$12,454.33 |
$12,454.33 |
$12,454.33 |
$21,625.43
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$3,701.62 |
$3,701.62 |
$3,701.62 |
$10,638.62
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$3,923.20 |
$3,923.20 |
$3,923.20 |
$3,011.40
|
|
Change cystostomy tube simple
|
$540.80 |
$540.80 |
$540.80 |
$477.60
|
|
Change ureter stent percut
|
$2,256.80 |
$2,256.80 |
$2,256.80 |
$3,886.89
|
|
Chest 2 vws w oblique
|
$356.80 |
$356.80 |
$356.80 |
$375.60
|
|
Chest apical lordotic proj
|
$280.00 |
$280.00 |
$280.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,056.00 |
$3,056.00 |
$3,056.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,778.40 |
$2,778.40 |
$2,778.40 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,372.80 |
$2,372.80 |
$2,372.80 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$188.80 |
$188.80 |
$188.80 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$116.80 |
$116.80 |
$116.80 |
$134.50
|
|
Chest Ultrasound
|
$412.80 |
$412.80 |
$412.80 |
$463.88
|
|
Chest X-ray
|
$300.08 |
$300.08 |
$300.08 |
$294.06
|
|
Chest X-ray (single view)
|
$265.60 |
$265.60 |
$265.60 |
$236.60
|
|
Chg radiologic exam esophagus double contrast
|
$199.20 |
$199.20 |
$199.20 |
$520.80
|
|
Chloroprocaine hcl injection
|
$74.88 |
$74.88 |
$74.88 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$91.54 |
$91.54 |
$91.54 |
$406.36
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$800.00 |
$800.00 |
$800.00 |
$602.40
|
|
Cilastatin sodium injection
|
$67.97 |
$67.97 |
$67.97 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$182.43 |
$182.43 |
$182.43 |
$35.65
|
|
Cisplatin 1 mg/ml desensitization
|
$356.80 |
$356.80 |
$356.80 |
$205.56
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$661.60 |
$661.60 |
$661.60 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$133.22 |
$133.22 |
$133.22 |
$55.20
|
|
Closed tx humerus fx with manip 23605
|
$2,456.80 |
$2,456.80 |
$2,456.80 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$408.00 |
$408.00 |
$408.00 |
$498.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$390.40 |
$390.40 |
$390.40 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,320.00 |
$2,320.00 |
$2,320.00 |
$2,569.28
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$570.40 |
$570.40 |
$570.40 |
$648.96
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$345.60 |
$345.60 |
$345.60 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$600.00 |
$600.00 |
$600.00 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$548.80 |
$548.80 |
$548.80 |
$465.21
|
|
Clsd tx fracture of radius 25500
|
$364.80 |
$364.80 |
$364.80 |
$442.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$494.40 |
$494.40 |
$494.40 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$411.20 |
$411.20 |
$411.20 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,117.60 |
$1,117.60 |
$1,117.60 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,183.20 |
$1,183.20 |
$1,183.20 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$570.40 |
$570.40 |
$570.40 |
$630.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$518.40 |
$518.40 |
$518.40 |
$620.32
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$419.20 |
$419.20 |
$419.20 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$594.40 |
$594.40 |
$594.40 |
$522.78
|
|
Clsd tx patella disloc without anes 27560
|
$492.00 |
$492.00 |
$492.00 |
$573.52
|
|
Clsd tx radius fracture w/manip 24655
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$442.40 |
$442.40 |
$442.40 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$404.00 |
$404.00 |
$404.00 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,098.40 |
$1,098.40 |
$1,098.40 |
$1,592.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$385.60 |
$385.60 |
$385.60 |
$612.80
|
|
Cocaine 4 % nasal solution
|
$281.84 |
$281.84 |
$281.84 |
$630.04
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$328.80 |
$328.80 |
$328.80 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$18.40 |
$18.40 |
$18.40 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$212.00 |
$212.00 |
$212.00 |
$224.11
|
|
Collection blood specimen from completely implantable venous access device
|
$188.00 |
$188.00 |
$188.00 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$194.40 |
$194.40 |
$194.40 |
$155.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$954.40 |
$954.40 |
$954.40 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$2,456.80 |
$2,456.80 |
$2,456.80 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,040.80 |
$1,040.80 |
$1,040.80 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,247.20 |
$1,247.20 |
$1,247.20 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$768.00 |
$768.00 |
$768.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$789.60 |
$789.60 |
$789.60 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,219.20 |
$1,219.20 |
$1,219.20 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$706.40 |
$706.40 |
$706.40 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$639.20 |
$639.20 |
$639.20 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,634.40 |
$1,634.40 |
$1,634.40 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,199.20 |
$1,199.20 |
$1,199.20 |
$537.00
|
|
Comprehensive hearing test
|
$184.00 |
$184.00 |
$184.00 |
$261.46
|
|
Condylomata destruction 56420
|
$378.40 |
$378.40 |
$378.40 |
$467.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$606.24 |
$606.24 |
$606.24 |
$860.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$164.00 |
$164.00 |
$164.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$296.80 |
$296.80 |
$296.80 |
$226.50
|
|
Contrast baths charges
|
$101.60 |
$101.60 |
$101.60 |
$75.60
|
|
Contrast x-ray of hip
|
$1,032.80 |
$1,032.80 |
$1,032.80 |
$796.38
|
|
Contrast x-ray of knee joint
|
$1,074.40 |
$1,074.40 |
$1,074.40 |
$790.50
|
|
Contrast x-ray of wrist
|
$775.20 |
$775.20 |
$775.20 |
$667.50
|
|
Control nosebleed pack+caut 30905
|
$326.40 |
$326.40 |
$326.40 |
$383.52
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$413.60 |
$413.60 |
$413.60 |
$644.80
|
|
Control of nosebleed ant comp 30903
|
$310.40 |
$310.40 |
$310.40 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$276.80 |
$276.80 |
$276.80 |
$352.80
|
|
Copper intrauterine device
|
$2,848.80 |
$2,848.80 |
$2,848.80 |
$1,953.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$74.84 |
$74.84 |
$74.84 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$57.60 |
$57.60 |
$57.60 |
$54.60
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
$49.13
|
|
Covid-19 convalescent plasma
|
$900.80 |
$900.80 |
$900.80 |
$590.80
|