|
Cladribine 10 mg/10 ml intravenous solution
|
$9.73 |
$9.73 |
$9.73 |
$355.41
|
|
Claviculectomy partial
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,545.97
|
|
Claviculectomy total
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,594.44
|
|
Clean out mastoid cavity
|
$556.55 |
$556.55 |
$556.55 |
$1,033.60
|
|
Clearance of airways
|
$222.28 |
$222.28 |
$222.28 |
$208.00
|
|
Clearance of tear duct
|
$326.69 |
$326.69 |
$326.69 |
$795.53
|
|
C-lens fitg corneosclrl lens
|
$140.87 |
$140.87 |
$140.87 |
$147.78
|
|
C-lens fitg tech aphakia 1
|
$140.87 |
$140.87 |
$140.87 |
$160.80
|
|
C-lens fitg tech aphakia ou
|
$140.87 |
$140.87 |
$140.87 |
$182.95
|
|
C-lens fitg tech corneosclrl
|
$42.90 |
$42.90 |
$42.90 |
$72.19
|
|
Clitoroplasty intersex state
|
$3,474.84 |
$3,474.84 |
$3,474.84 |
$3,519.29
|
|
Clofarabine 1 mg/ml intravenous solution
|
$14.72 |
$14.72 |
$14.72 |
$298.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$262.16 |
$262.16 |
$262.16 |
$650.40
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,815.75
|
|
Closed tx/acetabululm without manip 27220
|
$262.16 |
$262.16 |
$262.16 |
$576.00
|
|
Closed tx humerus fx with manip 23605
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$262.16 |
$262.16 |
$262.16 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$262.16 |
$262.16 |
$262.16 |
$413.00
|
|
Closed tx nose/jaw fx
|
$1,618.86 |
$1,618.86 |
$1,618.86 |
$1,929.60
|
|
Closed tx orbit without manipulj
|
$556.55 |
$556.55 |
$556.55 |
$1,198.40
|
|
Closed tx orbit w/manipulj
|
$1,618.86 |
$1,618.86 |
$1,618.86 |
$2,528.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$3,544.29 |
$3,544.29 |
$3,544.29 |
$3,540.97
|
|
Closed tx sesamoid fx 28530
|
$262.16 |
$262.16 |
$262.16 |
$348.00
|
|
Closed tx/talus fracture without manip 28430
|
$262.16 |
$262.16 |
$262.16 |
$414.00
|
|
Closed tx vert fx w/manj
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,098.15
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$253.79 |
$253.79 |
$253.79 |
$480.80
|
|
Close mastoid fistula
|
$1,618.86 |
$1,618.86 |
$1,618.86 |
$3,299.20
|
|
Close tear duct opening
|
$326.69 |
$326.69 |
$326.69 |
$436.44
|
|
Close tear duct opening
|
$326.69 |
$326.69 |
$326.69 |
$436.44
|
|
Close tear system fistula
|
$2,549.65 |
$2,549.65 |
$2,549.65 |
$3,116.80
|
|
Clostridium toxin a w/optic
|
$16.00 |
$16.00 |
$16.00 |
$35.20
|
|
Clos txnose fx without stablz 21315
|
$1,618.86 |
$1,618.86 |
$1,618.86 |
$2,739.17
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$556.55 |
$556.55 |
$556.55 |
$1,122.40
|
|
Closure of eyelid by suture
|
$1,058.50 |
$1,058.50 |
$1,058.50 |
$1,107.60
|
|
Closure of salivary fistula
|
$3,544.29 |
$3,544.29 |
$3,544.29 |
$3,149.40
|
|
Closure of windpipe lesion 31820
|
$3,544.29 |
$3,544.29 |
$3,544.29 |
$3,544.29
|
|
Closure paravalvlr leak pq
|
$675.68 |
$675.68 |
$675.68 |
$10,497.50
|
|
Clot factor fletcher fact
|
$18.93 |
$18.93 |
$18.93 |
$90.97
|
|
Clot factor viii reltd antgn
|
$20.42 |
$20.42 |
$20.42 |
$95.72
|
|
Clot factor wght kininogen
|
$18.93 |
$18.93 |
$18.93 |
$178.50
|
|
Clot factor xii hageman
|
$19.35 |
$19.35 |
$19.35 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$9.11 |
$9.11 |
$9.11 |
$81.25
|
|
Clot factor xiii fibrin stab
|
$16.34 |
$16.34 |
$16.34 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$262.16 |
$262.16 |
$262.16 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$262.16 |
$262.16 |
$262.16 |
$620.10
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$262.16 |
$262.16 |
$262.16 |
$534.95
|
|
Clsd tx clav dislc without manip 23520
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,771.43
|
|
Clsd tx clavicle dislocation without manip 23540
|
$262.16 |
$262.16 |
$262.16 |
$452.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,913.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$262.16 |
$262.16 |
$262.16 |
$482.40
|
|
Clsd tx coccygeal fracture 27200
|
$262.16 |
$262.16 |
$262.16 |
$336.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$262.16 |
$262.16 |
$262.16 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$262.16 |
$262.16 |
$262.16 |
$728.00
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$262.16 |
$262.16 |
$262.16 |
$497.60
|
|
Clsd tx elbow dislocation child 24640
|
$262.16 |
$262.16 |
$262.16 |
$520.00
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,680.80
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,863.75
|
|
Clsd tx fracture of radius 25500
|
$262.16 |
$262.16 |
$262.16 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$262.16 |
$262.16 |
$262.16 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$262.16 |
$262.16 |
$262.16 |
$441.18
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$262.16 |
$262.16 |
$262.16 |
$567.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,884.74
|
|
Clsd tx fx radius/ulna without manip 25560
|
$262.16 |
$262.16 |
$262.16 |
$634.40
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,771.43
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$262.16 |
$262.16 |
$262.16 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$262.16 |
$262.16 |
$262.16 |
$685.81
|
|
Clsd tx humeral fract without manip 24530
|
$262.16 |
$262.16 |
$262.16 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$262.16 |
$262.16 |
$262.16 |
$546.86
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$290.25 |
$290.25 |
$290.25 |
$1,014.00
|
|
Clsd tx mandibular fx without manip 21450
|
$556.55 |
$556.55 |
$556.55 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$262.16 |
$262.16 |
$262.16 |
$519.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$262.16 |
$262.16 |
$262.16 |
$519.12
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$262.16 |
$262.16 |
$262.16 |
$688.00
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,332.25
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$262.16 |
$262.16 |
$262.16 |
$551.85
|
|
Clsd tx/metatarsal fx without manip 28470
|
$262.16 |
$262.16 |
$262.16 |
$414.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,544.29 |
$3,544.29 |
$3,544.29 |
$3,592.74
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,815.75
|
|
Clsd tx patella disloc without anes 27560
|
$262.16 |
$262.16 |
$262.16 |
$614.25
|
|
Clsd tx/patellar fx without manip 27520
|
$262.16 |
$262.16 |
$262.16 |
$522.40
|
|
Clsd tx pelvic ring fx
|
$262.16 |
$262.16 |
$262.16 |
$452.00
|
|
Clsd tx pelvic ring fx
|
$262.16 |
$262.16 |
$262.16 |
$760.00
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,370.40
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$262.16 |
$262.16 |
$262.16 |
$464.80
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$262.16 |
$262.16 |
$262.16 |
$476.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,839.77
|
|
Clsd tx/scapular fx without manip 23570
|
$262.16 |
$262.16 |
$262.16 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,797.83
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,211.05
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,600.00
|
|
Clsd tx temporomandibular dislocat 21480
|
$262.16 |
$262.16 |
$262.16 |
$454.40
|
|
Clsd tx toe dislocation without anes28660
|
$262.16 |
$262.16 |
$262.16 |
$400.20
|
|
Clsd tx trimall ankle fx without manip 27816
|
$262.16 |
$262.16 |
$262.16 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,632.60
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$262.16 |
$262.16 |
$262.16 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$262.16 |
$262.16 |
$262.16 |
$716.95
|
|
Clsd tx wrist carpal fx without manip 25630
|
$262.16 |
$262.16 |
$262.16 |
$476.00
|