|
Chronic urticaria - sendout
|
$53.00 |
$53.00 |
$53.00 |
|
|
Chylomicron screen, bf - sendout
|
$21.00 |
$166.92 |
$179.30 |
|
|
Cidofovir injection
|
$1,101.85 |
$1,101.85 |
$1,101.85 |
|
|
Cilastatin sodium injection
|
$103.08 |
$103.08 |
$103.08 |
|
|
Ciliary transsleral therapy
|
$1,607.50 |
$1,607.50 |
$1,607.50 |
|
|
Ciltacabtagene car-pos t
|
$1,566,166.50 |
$1,566,166.50 |
$1,566,166.50 |
|
|
Cine/video x-rays
|
$392.20 |
$392.20 |
$392.20 |
|
|
Cine/video x-rays add-on
|
$392.20 |
$392.20 |
$392.20 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$31.10 |
$31.10 |
$58.35 |
|
|
Circum 28 days or older
|
$1,210.00 |
$1,210.00 |
$15,954.00 |
|
|
Circumcise/surg/28 days or < 54160
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
|
|
Circumcision (newborn)
|
$370.30 |
$370.30 |
$12,454.00 |
|
|
Cisplatin 1 mg/ml desensitization
|
$197.71 |
$225.00 |
$536.14 |
|
|
C-kit mutation liquid tumor - sendout
|
$306.50 |
$306.50 |
$2,622.00 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$347.53 |
$347.53 |
$4,213.80 |
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$5,029.06 |
$5,500.00 |
$5,500.00 |
|
|
Clearance of airways
|
$90.00 |
$92.60 |
$1,345.05 |
|
|
Clearance of airways
|
$666.23 |
$666.23 |
$666.23 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$65.25 |
$65.25 |
$75.63 |
|
|
Clip ligating vesolock lg
|
$774.70 |
$8,500.00 |
$8,500.00 |
|
|
Cllr miami j sm
|
$210.62 |
$210.62 |
$210.62 |
|
|
Clofarabine 1 mg/ml intravenous solution
|
$5,451.38 |
$5,451.38 |
$5,451.38 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$24.91 |
$68.25 |
$68.25 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$114.00 |
$345.13 |
$345.13 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$729.00 |
$753.58 |
$753.58 |
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$378.00 |
$719.93 |
$719.93 |
|
|
Closed tx/acetabululm without manip 27220
|
$155.00 |
$584.90 |
$584.90 |
|
|
Closed tx humerus fx with manip 23605
|
$1,032.00 |
$3,037.93 |
$3,037.93 |
|
|
Closed tx humerus fx without manip 23600
|
$342.00 |
$494.15 |
$494.15 |
|
|
Closed tx humerus fx w/manip 24505
|
$666.15 |
$666.15 |
$729.00 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$214.50 |
$366.70 |
$4,006.00 |
|
|
Closed tx orbit without manipulj
|
$641.50 |
$1,510.53 |
$1,510.53 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,392.50 |
$1,737.65 |
$1,737.65 |
|
|
Closed tx septal&nose fx
|
$1,445.00 |
$2,629.18 |
$2,629.18 |
|
|
Closed tx sesamoid fx 28530
|
$131.33 |
$131.33 |
$387.50 |
|
|
Closed tx/talus fracture without manip 28430
|
$259.50 |
$365.55 |
$365.55 |
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$358.00 |
$467.85 |
$891.35 |
|
|
Clos txnose fx without stablz 21315
|
$249.30 |
$249.30 |
$1,632.00 |
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$915.50 |
$915.50 |
$3,495.00 |
|
|
Closure paravalvlr leak pq
|
$10,497.50 |
$10,497.50 |
$10,497.50 |
|
|
Clot factor fletcher fact
|
$86.00 |
$86.00 |
$86.00 |
|
|
Clot factor viii reltd antgn
|
$47.50 |
$47.50 |
$47.50 |
|
|
Clot factor wght kininogen
|
$86.00 |
$86.00 |
$86.00 |
|
|
Clot factor xii hageman
|
$26.00 |
$258.60 |
$467.36 |
|
|
Clot factor xiii fibrin scrn
|
$28.50 |
$284.15 |
$284.15 |
|
|
Clot factor xiii fibrin stab
|
$58.50 |
$284.15 |
$284.15 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$544.83 |
$544.83 |
$2,738.00 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$228.50 |
$273.65 |
$1,603.00 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$195.00 |
$345.13 |
$345.13 |
|
|
Clsd tx clav dislc without manip 23520
|
$400.88 |
$400.88 |
$400.88 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$283.00 |
$340.95 |
$340.95 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$180.25 |
$180.25 |
$1,547.50 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$342.00 |
$397.58 |
$397.58 |
|
|
Clsd tx coccygeal fracture 27200
|
$142.00 |
$333.53 |
$333.53 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$348.50 |
$493.80 |
$669.69 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$172.50 |
$814.98 |
$3,171.00 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$263.50 |
$263.50 |
$268.50 |
|
|
Clsd tx elbow dislocation child 24640
|
$145.00 |
$525.28 |
$2,202.00 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$325.15 |
$325.15 |
$2,322.50 |
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$2,293.00 |
$2,293.00 |
$2,293.00 |
|
|
Clsd tx fracture of radius 25500
|
$165.55 |
$165.55 |
$172.00 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$229.50 |
$392.50 |
$392.50 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$329.50 |
$392.50 |
$1,582.00 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$294.00 |
$423.38 |
$3,171.00 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$534.70 |
$534.70 |
$10,371.00 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$348.50 |
$453.88 |
$453.88 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$313.65 |
$313.65 |
$10,469.00 |
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$332.50 |
$379.70 |
$379.70 |
|
|
Clsd tx hip disloc without anes 27265
|
$234.00 |
$389.45 |
$2,738.00 |
|
|
Clsd tx humeral fract without manip 24530
|
$172.00 |
$283.90 |
$283.90 |
|
|
Clsd tx humerus fract without manip 24500
|
$210.58 |
$210.58 |
$806.93 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,713.50 |
$3,687.80 |
$3,687.80 |
|
|
Clsd tx mandibular fx without manip 21450
|
$288.50 |
$987.60 |
$987.60 |
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$321.50 |
$506.10 |
$724.61 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$184.50 |
$529.08 |
$1,720.00 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$521.00 |
$529.08 |
$1,720.00 |
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$5,602.59 |
$5,602.59 |
$5,602.59 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$240.00 |
$392.50 |
$392.50 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$252.50 |
$344.13 |
$689.33 |
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$1,876.00 |
$2,391.65 |
$2,391.65 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$365.55 |
$365.55 |
$729.00 |
|
|
Clsd tx patella disloc without anes 27560
|
$154.50 |
$458.03 |
$2,202.00 |
|
|
Clsd tx/patellar fx without manip 27520
|
$330.50 |
$435.78 |
$435.78 |
|
|
Clsd tx pelvic ring fx
|
$172.00 |
$552.03 |
$726.29 |
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,736.70 |
$1,736.70 |
$2,061.50 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$244.00 |
$540.35 |
$540.35 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$326.00 |
$399.73 |
$399.73 |
|
|
Clsd tx radius fracture w/manip 24655
|
$322.05 |
$322.05 |
$10,371.00 |
|
|
Clsd tx/scapular fx without manip 23570
|
$332.50 |
$352.93 |
$352.93 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,392.50 |
$1,568.28 |
$10,371.00 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,215.00 |
$1,458.60 |
$2,711.42 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,104.50 |
$2,055.43 |
$2,055.43 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$106.50 |
$277.10 |
$4,240.00 |
|
|
Clsd tx toe dislocation without anes28660
|
$159.50 |
$392.50 |
$817.22 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$228.50 |
$455.23 |
$1,603.00 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$416.96 |
$531.23 |
$10,469.00 |
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$327.00 |
$372.75 |
$372.75 |
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$430.50 |
$674.68 |
$674.68 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$299.50 |
$403.28 |
$403.28 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$172.00 |
$428.98 |
$428.98 |
|
