|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$3.40 |
$3.40 |
$3.40 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$0.54 |
$0.54 |
$0.54 |
$83.39
|
|
Cell count body fluid
|
$49.35 |
$49.35 |
$49.35 |
$63.52
|
|
Cell count w differential body fluid
|
$51.19 |
$51.19 |
$51.19 |
$92.56
|
|
Cell function assay w/stim
|
$432.47 |
$432.47 |
$432.47 |
$325.76
|
|
Cervical or vaginal cancer screening g0101
|
$62.54 |
$62.54 |
$62.54 |
$109.46
|
|
#cf-97variants
|
$600.59 |
$600.59 |
$600.59 |
$639.44
|
|
Change cystostomy tube simple
|
$533.98 |
$533.98 |
$533.98 |
$477.60
|
|
Change of windpipe airway 31502
|
$549.65 |
$549.65 |
$549.65 |
$401.50
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$1,102.19 |
$1,102.19 |
$1,102.19 |
$1,033.63
|
|
Chemodenerv musc migraine 64615
|
$398.55 |
$398.55 |
$398.55 |
$540.80
|
|
Chemo ia push tecnique
|
$731.71 |
$731.71 |
$731.71 |
$499.50
|
|
Chest 2 vws w oblique
|
$229.09 |
$229.09 |
$229.09 |
$375.60
|
|
Chest apical lordotic proj
|
$257.36 |
$257.36 |
$257.36 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,207.46 |
$2,207.46 |
$2,207.46 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,694.54 |
$1,694.54 |
$1,694.54 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,386.34 |
$1,386.34 |
$1,386.34 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$57.07 |
$57.07 |
$57.07 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$246.30 |
$246.30 |
$246.30 |
$134.50
|
|
Chest Ultrasound
|
$518.56 |
$518.56 |
$518.56 |
$463.88
|
|
Chest X-ray
|
$343.87 |
$343.87 |
$343.87 |
$294.06
|
|
Chest X-ray (single view)
|
$236.83 |
$236.83 |
$236.83 |
$236.60
|
|
Chg radiologic exam esophagus double contrast
|
$405.09 |
$405.09 |
$405.09 |
$520.80
|
|
Chlamydia culture
|
$59.49 |
$59.49 |
$59.49 |
$91.00
|
|
Chlamydia type
|
$16.92 |
$16.92 |
$16.92 |
$34.98
|
|
Chloride
|
$34.63 |
$34.63 |
$34.63 |
$42.63
|
|
Chloride 24 hour urine
|
$12.21 |
$12.21 |
$12.21 |
$50.88
|
|
Cholesterol
|
$54.88 |
$54.88 |
$54.88 |
$45.76
|
|
Cholesterol body fluid
|
$93.18 |
$93.18 |
$93.18 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$115.64 |
$115.64 |
$115.64 |
$115.80
|
|
Chromatography
|
$125.94 |
$125.94 |
$125.94 |
$84.60
|
|
Chromogenic substrate assay
|
$28.24 |
$28.24 |
$28.24 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$310.44 |
$310.44 |
$310.44 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$166.09 |
$166.09 |
$166.09 |
$517.11
|
|
Chromosome karyotype study
|
$126.81 |
$126.81 |
$126.81 |
$120.00
|
|
Chronic urticaria - sendout
|
$311.15 |
$311.15 |
$311.15 |
$75.71
|
|
Circumcision (newborn)
|
$223.12 |
$223.12 |
$223.12 |
$1,364.88
|
|
Clearance of airways
|
$318.65 |
$318.65 |
$318.65 |
$213.07
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,249.75 |
$1,249.75 |
$1,249.75 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$516.72 |
$516.72 |
$516.72 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$4,283.02 |
$4,283.02 |
$4,283.02 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$499.32 |
$499.32 |
$499.32 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$1,380.11 |
$1,380.11 |
$1,380.11 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$530.65 |
$530.65 |
$530.65 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,903.58 |
$2,903.58 |
$2,903.58 |
$2,569.28
|
|
Closed tx/talus fracture without manip 28430
|
$637.35 |
$637.35 |
$637.35 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$400.79 |
$400.79 |
$400.79 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$2,717.68 |
$2,717.68 |
$2,717.68 |
$2,392.80
|
|
Closure of windpipe lesion 31820
|
$8,876.49 |
$8,876.49 |
$8,876.49 |
$3,837.72
|
|
Clot factor xiii fibrin scrn
|
$19.35 |
$19.35 |
$19.35 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$49.61 |
$49.61 |
$49.61 |
$106.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$601.89 |
$601.89 |
$601.89 |
$648.96
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$671.50 |
$671.50 |
$671.50 |
$489.60
|
|
Clsd tx/clavicular fx without manip 23500
|
$714.26 |
$714.26 |
$714.26 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$444.35 |
$444.35 |
$444.35 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$696.75 |
$696.75 |
$696.75 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$510.65 |
$510.65 |
$510.65 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$410.70 |
$410.70 |
$410.70 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,386.05 |
$2,386.05 |
$2,386.05 |
$2,211.05
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$467.35 |
$467.35 |
$467.35 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$444.35 |
$444.35 |
$444.35 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,276.57 |
$2,276.57 |
$2,276.57 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$494.15 |
$494.15 |
$494.15 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,892.07 |
$1,892.07 |
$1,892.07 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$444.35 |
$444.35 |
$444.35 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$444.35 |
$444.35 |
$444.35 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$797.02 |
$797.02 |
$797.02 |
$883.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$530.65 |
$530.65 |
$530.65 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$463.22 |
$463.22 |
$463.22 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$444.35 |
$444.35 |
$444.35 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$444.35 |
$444.35 |
$444.35 |
$429.00
|
|
Clsd tx patella disloc without anes 27560
|
$597.64 |
$597.64 |
$597.64 |
$573.52
|
|
Clsd tx pelvic ring fx
|
$509.51 |
$509.51 |
$509.51 |
$424.50
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$715.15 |
$715.15 |
$715.15 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$2,986.09 |
$2,986.09 |
$2,986.09 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$656.57 |
$656.57 |
$656.57 |
$452.40
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,533.62 |
$2,533.62 |
$2,533.62 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$339.50 |
$339.50 |
$339.50 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$352.04 |
$352.04 |
$352.04 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,987.67 |
$1,987.67 |
$1,987.67 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$444.35 |
$444.35 |
$444.35 |
$473.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$619.10 |
$619.10 |
$619.10 |
$535.60
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,987.24 |
$2,987.24 |
$2,987.24 |
$2,274.40
|
|
Cltx mndblr fx w/mnpj
|
$2,833.45 |
$2,833.45 |
$2,833.45 |
$2,343.00
|
|
#cmvcul-virus inoculation shell
|
$111.60 |
$111.60 |
$111.60 |
$89.76
|
|
Coagulation time activated teg
|
$165.70 |
$165.70 |
$165.70 |
$52.47
|
|
Cold agglutinin titer
|
$37.56 |
$37.56 |
$37.56 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$201.70 |
$201.70 |
$201.70 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$352.82 |
$352.82 |
$352.82 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$352.82 |
$352.82 |
$352.82 |
$155.40
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$253.58 |
$253.58 |
$253.58 |
$1,030.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$425.69 |
$425.69 |
$425.69 |
$314.00
|
|
Colposcopy vulva 56820
|
$425.69 |
$425.69 |
$425.69 |
$333.20
|
|
Colposcopy vulva w/biopsy 56821
|
$201.17 |
$201.17 |
$201.17 |
$393.60
|
|
Colposcopy w/biopsy of cervix 57455
|
$832.58 |
$832.58 |
$832.58 |
$485.50
|
|
Compatibility test each unit antiglobulin technique
|
$267.05 |
$267.05 |
$267.05 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$267.05 |
$267.05 |
$267.05 |
$169.52
|
|
Complement antigen each component c3
|
$142.16 |
$142.16 |
$142.16 |
$110.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$615.67 |
$615.67 |
$615.67 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,086.24 |
$1,086.24 |
$1,086.24 |
$1,212.00
|
