|
Cisplatin 1 mg/ml desensitization
|
$346.91 |
$346.91 |
$346.91 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$130.25 |
$130.25 |
$130.25 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$242.84 |
$242.84 |
$242.84 |
$576.60
|
|
Clearance of airways
|
$141.00 |
$141.00 |
$141.00 |
$207.70
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$39.94 |
$39.94 |
$39.94 |
$55.20
|
|
Clofarabine 1 mg/ml intravenous solution
|
$1,757.33 |
$1,757.33 |
$1,757.33 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$72.88 |
$72.88 |
$72.88 |
$80.66
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$78.50 |
$78.50 |
$78.50 |
$535.76
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$478.25 |
$478.25 |
$478.25 |
$1,815.75
|
|
Closed tx/acetabululm without manip 27220
|
$78.75 |
$78.75 |
$78.75 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$626.00 |
$626.00 |
$626.00 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$78.50 |
$78.50 |
$78.50 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$478.25 |
$478.25 |
$478.25 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$78.50 |
$78.50 |
$78.50 |
$400.80
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$531.50 |
$531.50 |
$531.50 |
$2,712.00
|
|
Closed tx septal&nose fx
|
$853.00 |
$853.00 |
$853.00 |
$3,672.06
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$133.50 |
$133.50 |
$133.50 |
$498.00
|
|
Clos txnose fx without stablz 21315
|
$677.75 |
$677.75 |
$677.75 |
$2,424.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$236.75 |
$236.75 |
$236.75 |
$1,283.00
|
|
Clot factor fletcher fact
|
$32.75 |
$32.75 |
$32.75 |
$119.40
|
|
Clot factor wght kininogen
|
$32.75 |
$32.75 |
$32.75 |
$167.96
|
|
Clot factor xii hageman
|
$50.50 |
$50.50 |
$50.50 |
$128.05
|
|
Clot factor xiii fibrin scrn
|
$23.00 |
$23.00 |
$23.00 |
$54.00
|
|
Clotting assay whole blood
|
$49.50 |
$49.50 |
$49.50 |
$101.52
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$78.50 |
$78.50 |
$78.50 |
$700.00
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$103.75 |
$103.75 |
$103.75 |
$509.60
|
|
Clsd tx/clavicular fx without manip 23500
|
$62.50 |
$62.50 |
$62.50 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$62.50 |
$62.50 |
$62.50 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$78.50 |
$78.50 |
$78.50 |
$691.60
|
|
Clsd tx elbow dislocation child 24640
|
$78.50 |
$78.50 |
$78.50 |
$507.20
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$480.25 |
$480.25 |
$480.25 |
$2,322.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$78.50 |
$78.50 |
$78.50 |
$477.60
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$78.50 |
$78.50 |
$78.50 |
$551.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$478.25 |
$478.25 |
$478.25 |
$1,772.97
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$478.25 |
$478.25 |
$478.25 |
$1,668.00
|
|
Clsd tx hip disloc without anes 27265
|
$78.50 |
$78.50 |
$78.50 |
$665.60
|
|
Clsd tx humerus fract without manip 24500
|
$78.50 |
$78.50 |
$78.50 |
$520.80
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$78.50 |
$78.50 |
$78.50 |
$519.12
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$78.50 |
$78.50 |
$78.50 |
$688.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$78.50 |
$78.50 |
$78.50 |
$572.36
|
|
Clsd tx of ankle fracture w/manip 28435
|
$480.25 |
$480.25 |
$480.25 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$62.50 |
$62.50 |
$62.50 |
$593.60
|
|
Clsd tx/patellar fx without manip 27520
|
$78.50 |
$78.50 |
$78.50 |
$495.80
|
|
Clsd tx pelvic ring fx
|
$81.75 |
$81.75 |
$81.75 |
$437.45
|
|
Clsd tx pelvic ring fx
|
$81.75 |
$81.75 |
$81.75 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$478.25 |
$478.25 |
$478.25 |
$2,322.60
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$62.50 |
$62.50 |
$62.50 |
$416.65
|
|
Clsd tx radius fracture w/manip 24655
|
$478.25 |
$478.25 |
$478.25 |
$1,806.10
|
|
Clsd tx shoulder dislc/fx 23665
|
$478.25 |
$478.25 |
$478.25 |
$1,893.86
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$478.25 |
$478.25 |
$478.25 |
$1,790.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$2,421.00
|
|
Clsd tx temporomandibular dislocat 21480
|
$62.50 |
$62.50 |
$62.50 |
$445.15
|
|
Clsd tx toe dislocation without anes28660
|
$62.50 |
$62.50 |
$62.50 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$78.50 |
$78.50 |
$78.50 |
$510.67
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$478.25 |
$478.25 |
$478.25 |
$1,602.79
|
|
Cls tx of heel fracture w/manip 28405
|
$103.75 |
$103.75 |
$103.75 |
$761.40
|
|
Cltx carpl scphd fx w/mnpj
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$2,090.40
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$480.25 |
$480.25 |
$480.25 |
$2,274.40
|
|
Cltx humrl cndylr fx w/mnpj
|
$478.25 |
$478.25 |
$478.25 |
$1,877.71
|
|
Cltx lunate dislc w/mnpj
|
$1,163.75 |
$1,163.75 |
$1,163.75 |
$2,626.00
|
|
Cltx post ankle fx w/mnpj
|
$478.25 |
$478.25 |
$478.25 |
$2,211.05
|
|
Cltx scap fx w/mnpj +-tractj
|
$478.25 |
$478.25 |
$478.25 |
$2,030.33
|
|
#cmvcul-virus inoculation shell
|
$39.50 |
$39.50 |
$39.50 |
$102.50
|
|
Cmv pcr-sendout
|
$398.00 |
$398.00 |
$398.00 |
$172.25
|
|
Coagulation time activated teg
|
$22.50 |
$22.50 |
$22.50 |
$52.00
|
|
Cocaine 4 % nasal solution
|
$1,444.53 |
$1,444.53 |
$1,444.53 |
$614.76
|
|
Cold agglutinin screen (arc)
|
$6.50 |
$6.50 |
$6.50 |
$45.00
|
|
Cold agglutinin titer
|
$65.50 |
$65.50 |
$65.50 |
$50.00
|
|
Colistimethate sodium inj
|
$48.57 |
$48.57 |
$48.57 |
$68.47
|
|
Collection blood specimen from completely implantable venous access device
|
$108.75 |
$108.75 |
$108.75 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$108.75 |
$108.75 |
$108.75 |
$157.80
|
|
Collection of venous blood by venipuncture
|
$9.50 |
$9.50 |
$9.50 |
$20.91
|
|
Colonoscopy w/balloon dilat
|
$668.75 |
$668.75 |
$668.75 |
$1,764.60
|
|
Colonoscopy w/control bleed
|
$323.00 |
$323.00 |
$323.00 |
$2,137.08
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,293.50 |
$2,293.50 |
$2,293.50 |
$3,907.93
|
|
Compatibility test each unit antiglobulin technique
|
$60.75 |
$60.75 |
$60.75 |
$165.00
|
|
Compatibility test each unit electronic
|
$69.00 |
$69.00 |
$69.00 |
$175.45
|
|
Compatibility test each unit immediate spin technique
|
$69.00 |
$69.00 |
$69.00 |
$169.52
|
|
Complement antigen each component c3
|
$95.50 |
$95.50 |
$95.50 |
$110.40
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$159.50 |
$159.50 |
$159.50 |
$1,179.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$159.50 |
$159.50 |
$159.50 |
$1,244.80
|
|
Complx repair enel addl 5cm/< 13153
|
$159.50 |
$159.50 |
$159.50 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$137.50 |
$137.50 |
$137.50 |
$832.02
|
|
Complx repair fccmnaxghf 13132
|
$157.50 |
$157.50 |
$157.50 |
$1,193.40
|
|
Complx repair fccmnaxghf 13133
|
$137.50 |
$137.50 |
$137.50 |
$616.08
|
|
Complx repair sal addl 5 cm/> 13122
|
$108.50 |
$108.50 |
$108.50 |
$546.29
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$191.50 |
$191.50 |
$191.50 |
$1,116.00
|
|
Concentration infection agents any type
|
$62.50 |
$62.50 |
$62.50 |
$51.32
|
|
Condylomata destruction 56420
|
$71.75 |
$71.75 |
$71.75 |
$490.88
|
|
Consultation pathology during surgery frozen section each additional block
|
$9.50 |
$9.50 |
$9.50 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$72.75 |
$72.75 |
$72.75 |
$223.86
|
|
Consultation/report referred material w/preparation of slides
|
$65.75 |
$65.75 |
$65.75 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$65.25 |
$65.25 |
$65.25 |
$173.46
|
|
Contrast baths charges
|
$41.25 |
$41.25 |
$41.25 |
$74.25
|
|
Contrast exam abdominl aorta 75625-26
|
$1,637.25 |
$1,637.25 |
$1,637.25 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$3,663.60
|
|
Contrast x-ray gallbladder
|
$163.75 |
$163.75 |
$163.75 |
$350.22
|
|
Contrast x-ray of brain
|
$568.50 |
$568.50 |
$568.50 |
$934.93
|
|
Contrast x-ray of hip
|
$315.50 |
$315.50 |
$315.50 |
$770.88
|
|
Contrast x-ray of knee joint
|
$287.00 |
$287.00 |
$287.00 |
$747.65
|