|
Chromosome study additional
|
$41.60 |
$41.60 |
$41.60 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$49.60 |
$49.60 |
$49.60 |
$123.20
|
|
Cidofovir injection
|
$406.64 |
$406.64 |
$406.64 |
$1,295.73
|
|
Cilastatin sodium injection
|
$29.40 |
$29.40 |
$29.40 |
$76.82
|
|
Cinacalcet 30 mg tablet
|
$15.87 |
$15.87 |
$15.87 |
$42.32
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$5.40 |
$5.40 |
$5.40 |
$35.00
|
|
Ciprofloxacin otic susp 6 mg
|
$1.90 |
$1.90 |
$1.90 |
$63.31
|
|
Circumcision (newborn)
|
$65.80 |
$65.80 |
$65.80 |
$1,358.70
|
|
Cisplatin 1 mg/ml desensitization
|
$277.53 |
$277.53 |
$277.53 |
$192.66
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$194.27 |
$194.27 |
$194.27 |
$572.12
|
|
Clearance of airways
|
$112.80 |
$112.80 |
$112.80 |
$210.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$31.95 |
$31.95 |
$31.95 |
$55.20
|
|
Clip ligating vesolock lg
|
$95.00 |
$95.00 |
$95.00 |
$4,320.00
|
|
Clofarabine 1 mg/ml intravenous solution
|
$1,405.86 |
$1,405.86 |
$1,405.86 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$58.30 |
$58.30 |
$58.30 |
$78.99
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$62.80 |
$62.80 |
$62.80 |
$501.48
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$402.60 |
$402.60 |
$402.60 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$63.00 |
$63.00 |
$63.00 |
$470.00
|
|
Closed tx humerus fx with manip 23605
|
$500.80 |
$500.80 |
$500.80 |
$2,075.00
|
|
Closed tx humerus fx without manip 23600
|
$62.80 |
$62.80 |
$62.80 |
$487.48
|
|
Closed tx humerus fx w/manip 24505
|
$402.60 |
$402.60 |
$402.60 |
$1,520.36
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$62.80 |
$62.80 |
$62.80 |
$366.70
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$206.20 |
$206.20 |
$206.20 |
$2,527.50
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$106.80 |
$106.80 |
$106.80 |
$468.18
|
|
Clos txnose fx without stablz 21315
|
$594.00 |
$594.00 |
$594.00 |
$2,266.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$189.40 |
$189.40 |
$189.40 |
$1,244.64
|
|
Closure paravalvlr leak pq
|
$8,387.40 |
$8,387.40 |
$8,387.40 |
$7,723.17
|
|
Clot factor wght kininogen
|
$334.20 |
$334.20 |
$334.20 |
$157.50
|
|
Clot factor xii hageman
|
$157.20 |
$157.20 |
$157.20 |
$130.65
|
|
Clot factor xiii fibrin scrn
|
$109.40 |
$109.40 |
$109.40 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$75.80 |
$75.80 |
$75.80 |
$102.70
|
|
Clotting assay whole blood
|
$39.60 |
$39.60 |
$39.60 |
$101.52
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$62.80 |
$62.80 |
$62.80 |
$632.40
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$87.00 |
$87.00 |
$87.00 |
$450.48
|
|
Clsd tx/clavicular fx without manip 23500
|
$70.80 |
$70.80 |
$70.80 |
$438.90
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$70.80 |
$70.80 |
$70.80 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$62.80 |
$62.80 |
$62.80 |
$655.20
|
|
Clsd tx elbow dislocation child 24640
|
$62.80 |
$62.80 |
$62.80 |
$447.60
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$384.20 |
$384.20 |
$384.20 |
$2,184.00
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$62.80 |
$62.80 |
$62.80 |
$404.00
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$62.80 |
$62.80 |
$62.80 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$402.60 |
$402.60 |
$402.60 |
$1,684.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$402.60 |
$402.60 |
$402.60 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$62.80 |
$62.80 |
$62.80 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$62.80 |
$62.80 |
$62.80 |
$478.40
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$62.80 |
$62.80 |
$62.80 |
$495.20
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$62.80 |
$62.80 |
$62.80 |
$603.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$62.80 |
$62.80 |
$62.80 |
$497.88
|
|
Clsd tx of ankle fracture w/manip 28435
|
$384.20 |
$384.20 |
$384.20 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$70.80 |
$70.80 |
$70.80 |
$553.15
|
|
Clsd tx/patellar fx without manip 27520
|
$62.80 |
$62.80 |
$62.80 |
$465.28
|
|
Clsd tx pelvic ring fx
|
$70.80 |
$70.80 |
$70.80 |
$414.00
|
|
Clsd tx pelvic ring fx
|
$70.80 |
$70.80 |
$70.80 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$402.60 |
$402.60 |
$402.60 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$70.80 |
$70.80 |
$70.80 |
$397.60
|
|
Clsd tx radius fracture w/manip 24655
|
$402.60 |
$402.60 |
$402.60 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$402.60 |
$402.60 |
$402.60 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$402.60 |
$402.60 |
$402.60 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$873.80 |
$873.80 |
$873.80 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$70.80 |
$70.80 |
$70.80 |
$353.60
|
|
Clsd tx toe dislocation without anes28660
|
$70.80 |
$70.80 |
$70.80 |
$392.50
|
|
Clsd tx trimall ankle fx without manip 27816
|
$62.80 |
$62.80 |
$62.80 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$402.60 |
$402.60 |
$402.60 |
$1,565.74
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$63.00 |
$63.00 |
$63.00 |
$475.68
|
|
Cls tx of heel fracture w/manip 28405
|
$87.00 |
$87.00 |
$87.00 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$895.20 |
$895.20 |
$895.20 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$384.20 |
$384.20 |
$384.20 |
$2,211.05
|
|
Cltx humrl cndylr fx w/mnpj
|
$402.60 |
$402.60 |
$402.60 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$931.00 |
$931.00 |
$931.00 |
$2,384.00
|
|
Cltx post ankle fx w/mnpj
|
$402.60 |
$402.60 |
$402.60 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$402.60 |
$402.60 |
$402.60 |
$2,030.33
|
|
#cmvcul-virus inoculation shell
|
$27.00 |
$27.00 |
$27.00 |
$89.76
|
|
Cmv pcr-sendout
|
$318.40 |
$318.40 |
$318.40 |
$172.25
|
|
Co2 monitor per day
|
$304.00 |
$304.00 |
$304.00 |
$409.50
|
|
Coagulation time activated teg
|
$47.00 |
$47.00 |
$47.00 |
$52.25
|
|
Cocaine 4 % nasal solution
|
$1,155.62 |
$1,155.62 |
$1,155.62 |
$624.55
|
|
Cold agglutinin titer
|
$52.40 |
$52.40 |
$52.40 |
$50.00
|
|
Colistimethate sodium inj
|
$38.86 |
$38.86 |
$38.86 |
$68.47
|
|
Collection blood specimen from completely implantable venous access device
|
$114.40 |
$114.40 |
$114.40 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$91.40 |
$91.40 |
$91.40 |
$152.54
|
|
Collection of venous blood by venipuncture
|
$7.60 |
$7.60 |
$7.60 |
$20.74
|
|
Colonoscopy w/control bleed
|
$258.40 |
$258.40 |
$258.40 |
$2,019.60
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,834.80 |
$1,834.80 |
$1,834.80 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$113.20 |
$113.20 |
$113.20 |
$165.00
|
|
Compatibility test each unit electronic
|
$70.80 |
$70.80 |
$70.80 |
$171.25
|
|
Compatibility test each unit immediate spin technique
|
$70.80 |
$70.80 |
$70.80 |
$169.52
|
|
Complement antigen each component c3
|
$198.80 |
$198.80 |
$198.80 |
$110.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$133.20 |
$133.20 |
$133.20 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$240.80 |
$240.80 |
$240.80 |
$1,193.40
|
|
Complx repair fccmnaxghf 13131
|
$157.40 |
$157.40 |
$157.40 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$126.00 |
$126.00 |
$126.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$110.00 |
$110.00 |
$110.00 |
$531.30
|
|
Complx repair sal addl 5 cm/> 13122
|
$86.80 |
$86.80 |
$86.80 |
$498.27
|
|
Concentration infection agents any type
|
$12.60 |
$12.60 |
$12.60 |
$48.91
|
|
Condylomata destruction 56420
|
$57.40 |
$57.40 |
$57.40 |
$469.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$231.20 |
$231.20 |
$231.20 |
$426.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$7.60 |
$7.60 |
$7.60 |
$109.90
|
|
Consultation pathology during surgery frozen section first tissue block
|
$63.00 |
$63.00 |
$63.00 |
$223.86
|
|
Consultation/report referred slides prepared elsewhere
|
$52.20 |
$52.20 |
$52.20 |
$171.65
|
|
Contrast baths charges
|
$41.40 |
$41.40 |
$41.40 |
$70.50
|
