|
Cilastatin sodium injection
|
$33.81 |
$33.81 |
$33.81 |
$77.40
|
|
Cinacalcet 30 mg tablet
|
$18.25 |
$18.25 |
$18.25 |
$42.32
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$6.21 |
$6.21 |
$6.21 |
$35.65
|
|
Ciprofloxacin otic susp 6 mg
|
$2.18 |
$2.18 |
$2.18 |
$63.31
|
|
Circumcision (newborn)
|
$604.21 |
$604.21 |
$604.21 |
$1,422.04
|
|
Cisplatin 1 mg/ml desensitization
|
$319.16 |
$319.16 |
$319.16 |
$192.66
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$223.42 |
$223.42 |
$223.42 |
$572.12
|
|
Clearance of airways
|
$129.72 |
$129.72 |
$129.72 |
$206.80
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$36.74 |
$36.74 |
$36.74 |
$55.20
|
|
Clip ligating vesolock lg
|
$168.13 |
$168.13 |
$168.13 |
$4,404.05
|
|
Clofarabine 1 mg/ml intravenous solution
|
$1,616.74 |
$1,616.74 |
$1,616.74 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$67.05 |
$67.05 |
$67.05 |
$79.35
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$72.22 |
$72.22 |
$72.22 |
$535.76
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$454.48 |
$454.48 |
$454.48 |
$1,815.75
|
|
Closed tx/acetabululm without manip 27220
|
$71.07 |
$71.07 |
$71.07 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$575.92 |
$575.92 |
$575.92 |
$2,274.40
|
|
Closed tx humerus fx without manip 23600
|
$72.22 |
$72.22 |
$72.22 |
$487.48
|
|
Closed tx humerus fx w/manip 24505
|
$454.48 |
$454.48 |
$454.48 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$72.22 |
$72.22 |
$72.22 |
$388.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$521.64 |
$521.64 |
$521.64 |
$2,562.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$122.82 |
$122.82 |
$122.82 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$644.69 |
$644.69 |
$644.69 |
$2,403.33
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$217.81 |
$217.81 |
$217.81 |
$1,208.93
|
|
Closure paravalvlr leak pq
|
$9,645.51 |
$9,645.51 |
$9,645.51 |
$8,207.99
|
|
Clot factor xii hageman
|
$172.73 |
$172.73 |
$172.73 |
$126.00
|
|
Clot factor xiii fibrin scrn
|
$10.58 |
$10.58 |
$10.58 |
$51.91
|
|
Clot factor xiii fibrin stab
|
$87.17 |
$87.17 |
$87.17 |
$99.23
|
|
Clotting assay whole blood
|
$45.54 |
$45.54 |
$45.54 |
$101.52
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$72.22 |
$72.22 |
$72.22 |
$686.40
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$98.90 |
$98.90 |
$98.90 |
$503.40
|
|
Clsd tx/clavicular fx without manip 23500
|
$82.80 |
$82.80 |
$82.80 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$82.80 |
$82.80 |
$82.80 |
$413.40
|
|
Clsd tx dist fib fx w/manip 27788
|
$72.22 |
$72.22 |
$72.22 |
$691.60
|
|
Clsd tx elbow dislocation child 24640
|
$72.22 |
$72.22 |
$72.22 |
$494.90
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$441.83 |
$441.83 |
$441.83 |
$2,319.00
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$72.22 |
$72.22 |
$72.22 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$72.22 |
$72.22 |
$72.22 |
$546.00
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$454.48 |
$454.48 |
$454.48 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$454.48 |
$454.48 |
$454.48 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$72.22 |
$72.22 |
$72.22 |
$665.60
|
|
Clsd tx humerus fract without manip 24500
|
$72.22 |
$72.22 |
$72.22 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$72.22 |
$72.22 |
$72.22 |
$519.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$72.22 |
$72.22 |
$72.22 |
$670.40
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$72.22 |
$72.22 |
$72.22 |
$533.60
|
|
Clsd tx of ankle fracture w/manip 28435
|
$441.83 |
$441.83 |
$441.83 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$82.80 |
$82.80 |
$82.80 |
$577.20
|
|
Clsd tx/patellar fx without manip 27520
|
$72.22 |
$72.22 |
$72.22 |
$478.40
|
|
Clsd tx pelvic ring fx
|
$79.12 |
$79.12 |
$79.12 |
$424.50
|
|
Clsd tx pelvic ring fx
|
$79.12 |
$79.12 |
$79.12 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$454.48 |
$454.48 |
$454.48 |
$2,275.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$82.80 |
$82.80 |
$82.80 |
$408.85
|
|
Clsd tx radius fracture w/manip 24655
|
$454.48 |
$454.48 |
$454.48 |
$1,806.10
|
|
Clsd tx shoulder dislc/fx 23665
|
$454.48 |
$454.48 |
$454.48 |
$1,851.78
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$454.48 |
$454.48 |
$454.48 |
$1,771.43
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,015.22 |
$1,015.22 |
$1,015.22 |
$2,287.20
|
|
Clsd tx temporomandibular dislocat 21480
|
$82.80 |
$82.80 |
$82.80 |
$445.15
|
|
Clsd tx toe dislocation without anes28660
|
$82.80 |
$82.80 |
$82.80 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$72.22 |
$72.22 |
$72.22 |
$501.20
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$454.48 |
$454.48 |
$454.48 |
$1,592.00
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$71.07 |
$71.07 |
$71.07 |
$496.61
|
|
Cls tx of heel fracture w/manip 28405
|
$98.90 |
$98.90 |
$98.90 |
$759.00
|
|
Cltx carpl scphd fx w/mnpj
|
$1,029.48 |
$1,029.48 |
$1,029.48 |
$2,064.40
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$441.83 |
$441.83 |
$441.83 |
$2,211.05
|
|
Cltx humrl cndylr fx w/mnpj
|
$454.48 |
$454.48 |
$454.48 |
$1,858.00
|
|
Cltx lunate dislc w/mnpj
|
$1,070.65 |
$1,070.65 |
$1,070.65 |
$2,464.50
|
|
Cltx post ankle fx w/mnpj
|
$454.48 |
$454.48 |
$454.48 |
$2,172.80
|
|
Cltx scap fx w/mnpj +-tractj
|
$454.48 |
$454.48 |
$454.48 |
$2,035.80
|
|
#cmvcul-virus inoculation shell
|
$14.26 |
$14.26 |
$14.26 |
$100.20
|
|
Cmv pcr-sendout
|
$196.88 |
$196.88 |
$196.88 |
$172.25
|
|
Coagulation time activated teg
|
$36.57 |
$36.57 |
$36.57 |
$52.00
|
|
Cocaine 4 % nasal solution
|
$1,328.97 |
$1,328.97 |
$1,328.97 |
$624.55
|
|
Cold agglutinin titer
|
$60.26 |
$60.26 |
$60.26 |
$50.00
|
|
Colistimethate sodium inj
|
$44.69 |
$44.69 |
$44.69 |
$68.47
|
|
Collection blood specimen from completely implantable venous access device
|
$100.05 |
$100.05 |
$100.05 |
$156.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$105.11 |
$105.11 |
$105.11 |
$154.80
|
|
Collection of venous blood by venipuncture
|
$9.20 |
$9.20 |
$9.20 |
$20.40
|
|
Colonoscopy w/control bleed
|
$297.16 |
$297.16 |
$297.16 |
$2,071.85
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,110.02 |
$2,110.02 |
$2,110.02 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$63.48 |
$63.48 |
$63.48 |
$165.00
|
|
Compatibility test each unit electronic
|
$60.72 |
$60.72 |
$60.72 |
$176.70
|
|
Compatibility test each unit immediate spin technique
|
$63.48 |
$63.48 |
$63.48 |
$169.52
|
|
Complement antigen each component c3
|
$118.22 |
$118.22 |
$118.22 |
$108.80
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$153.18 |
$153.18 |
$153.18 |
$1,098.35
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$146.74 |
$146.74 |
$146.74 |
$1,218.40
|
|
Complx repair fccmnaxghf 13131
|
$177.79 |
$177.79 |
$177.79 |
$820.00
|
|
Complx repair fccmnaxghf 13132
|
$144.90 |
$144.90 |
$144.90 |
$1,177.60
|
|
Complx repair fccmnaxghf 13133
|
$126.50 |
$126.50 |
$126.50 |
$589.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$100.05 |
$100.05 |
$100.05 |
$538.64
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$221.03 |
$221.03 |
$221.03 |
$1,016.25
|
|
Concentration infection agents any type
|
$6.90 |
$6.90 |
$6.90 |
$49.95
|
|
Condylomata destruction 56420
|
$66.01 |
$66.01 |
$66.01 |
$473.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$265.88 |
$265.88 |
$265.88 |
$447.33
|
|
Consultation pathology during surgery frozen section each additional block
|
$9.20 |
$9.20 |
$9.20 |
$110.51
|
|
Consultation pathology during surgery frozen section first tissue block
|
$71.07 |
$71.07 |
$71.07 |
$223.86
|
|
Consultation/report referred material w/preparation of slides
|
$60.49 |
$60.49 |
$60.49 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$60.03 |
$60.03 |
$60.03 |
$171.65
|
|
Consult comp w/report rfrd material
|
$286.12 |
$286.12 |
$286.12 |
$365.60
|
|
Contrast baths charges
|
$46.92 |
$46.92 |
$46.92 |
$72.15
|
|
Contrast exam abdominl aorta 75625-26
|
$1,793.54 |
$1,793.54 |
$1,793.54 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$1,527.20 |
$1,527.20 |
$1,527.20 |
$3,663.60
|