|
Chg pr pul rehab for copd patients
|
$198.40 |
$198.40 |
$198.40 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$488.80 |
$488.80 |
$488.80 |
$520.80
|
|
Chlnggrphy intraop addl s&i
|
$343.20 |
$343.20 |
$343.20 |
$281.18
|
|
Chloroprocaine hcl injection
|
$39.36 |
$39.36 |
$39.36 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$170.74 |
$170.74 |
$170.74 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$56.43 |
$56.43 |
$56.43 |
$79.74
|
|
Chmotx admn plrl cav thrcnts
|
$514.40 |
$514.40 |
$514.40 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$2,464.80 |
$2,464.80 |
$2,464.80 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$625.60 |
$625.60 |
$625.60 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,772.00 |
$5,772.00 |
$5,772.00 |
$3,856.84
|
|
Chorionic gonadotropin/1000u
|
$692.24 |
$692.24 |
$692.24 |
$548.36
|
|
Chromosome analys amniotic
|
$406.40 |
$406.40 |
$406.40 |
$450.00
|
|
Cidofovir injection
|
$857.52 |
$857.52 |
$857.52 |
$1,352.09
|
|
Cilastatin sodium injection
|
$64.44 |
$64.44 |
$64.44 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$69.28 |
$69.28 |
$69.28 |
$35.65
|
|
Ciprofloxacin otic susp 6 mg
|
$683.20 |
$683.20 |
$683.20 |
$63.31
|
|
Circum 28 days or older
|
$2,846.40 |
$2,846.40 |
$2,846.40 |
$4,074.80
|
|
Cisplatin 1 mg/ml desensitization
|
$187.68 |
$187.68 |
$187.68 |
$205.56
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$726.04 |
$726.04 |
$726.04 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$12,196.80 |
$12,196.80 |
$12,196.80 |
$15,560.16
|
|
Clearance of airways
|
$268.80 |
$268.80 |
$268.80 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$69.04 |
$69.04 |
$69.04 |
$55.20
|
|
Clip ligating vesolock lg
|
$1,575.20 |
$1,575.20 |
$1,575.20 |
$4,320.00
|
|
Cllr miami j sm
|
$175.44 |
$175.44 |
$175.44 |
$536.64
|
|
Clofarabine 1 mg/ml intravenous solution
|
$3,150.39 |
$3,150.39 |
$3,150.39 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$71.44 |
$71.44 |
$71.44 |
$85.37
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$388.00 |
$388.00 |
$388.00 |
$520.80
|
|
Closed tx humerus fx with manip 23605
|
$2,248.80 |
$2,248.80 |
$2,248.80 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$398.40 |
$398.40 |
$398.40 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$2,040.80 |
$2,040.80 |
$2,040.80 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$388.00 |
$388.00 |
$388.00 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,712.00 |
$2,712.00 |
$2,712.00 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$4,320.80 |
$4,320.80 |
$4,320.80 |
$3,651.90
|
|
Closed tx/talus fracture without manip 28430
|
$380.00 |
$380.00 |
$380.00 |
$442.80
|
|
Closed tx vert fx w/manj
|
$3,277.60 |
$3,277.60 |
$3,277.60 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$381.60 |
$381.60 |
$381.60 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$2,186.40 |
$2,186.40 |
$2,186.40 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$897.60 |
$897.60 |
$897.60 |
$1,259.62
|
|
Closure of windpipe lesion 31820
|
$5,277.60 |
$5,277.60 |
$5,277.60 |
$3,837.72
|
|
Closure paravalvlr leak pq
|
$22,664.80 |
$22,664.80 |
$22,664.80 |
$9,434.46
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$476.80 |
$476.80 |
$476.80 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$478.40 |
$478.40 |
$478.40 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$394.40 |
$394.40 |
$394.40 |
$489.60
|
|
Clsd tx clavicle dislocation without manip 23540
|
$388.00 |
$388.00 |
$388.00 |
$419.40
|
|
Clsd tx/clavicular fx without manip 23500
|
$399.20 |
$399.20 |
$399.20 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$399.20 |
$399.20 |
$399.20 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$398.40 |
$398.40 |
$398.40 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$394.40 |
$394.40 |
$394.40 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$388.00 |
$388.00 |
$388.00 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$391.20 |
$391.20 |
$391.20 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,660.00 |
$2,660.00 |
$2,660.00 |
$2,211.05
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$2,404.80 |
$2,404.80 |
$2,404.80 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$380.00 |
$380.00 |
$380.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$390.40 |
$390.40 |
$390.40 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$394.40 |
$394.40 |
$394.40 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$429.60 |
$429.60 |
$429.60 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,101.60 |
$2,101.60 |
$2,101.60 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$380.00 |
$380.00 |
$380.00 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,040.80 |
$2,040.80 |
$2,040.80 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$516.80 |
$516.80 |
$516.80 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$432.80 |
$432.80 |
$432.80 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$380.00 |
$380.00 |
$380.00 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$398.40 |
$398.40 |
$398.40 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$428.80 |
$428.80 |
$428.80 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$474.40 |
$474.40 |
$474.40 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$399.20 |
$399.20 |
$399.20 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$413.60 |
$413.60 |
$413.60 |
$620.32
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$4,188.00 |
$4,188.00 |
$4,188.00 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$388.00 |
$388.00 |
$388.00 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$399.20 |
$399.20 |
$399.20 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$4,241.60 |
$4,241.60 |
$4,241.60 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$388.00 |
$388.00 |
$388.00 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$398.40 |
$398.40 |
$398.40 |
$498.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,587.20 |
$2,587.20 |
$2,587.20 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$397.60 |
$397.60 |
$397.60 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$398.40 |
$398.40 |
$398.40 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$2,040.80 |
$2,040.80 |
$2,040.80 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$452.00 |
$452.00 |
$452.00 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,040.80 |
$2,040.80 |
$2,040.80 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,040.80 |
$2,040.80 |
$2,040.80 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,474.40 |
$2,474.40 |
$2,474.40 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$394.40 |
$394.40 |
$394.40 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$387.20 |
$387.20 |
$387.20 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,066.40 |
$2,066.40 |
$2,066.40 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$380.00 |
$380.00 |
$380.00 |
$473.00
|
|
Clsd tx wrist carpal fx without manip 25630
|
$388.00 |
$388.00 |
$388.00 |
$476.00
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$761.60 |
$761.60 |
$761.60 |
$490.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$388.00 |
$388.00 |
$388.00 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$380.00 |
$380.00 |
$380.00 |
$487.15
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,610.40 |
$2,610.40 |
$2,610.40 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$653.60 |
$653.60 |
$653.60 |
$525.75
|
|
Cltx lunate dislc w/mnpj
|
$2,208.80 |
$2,208.80 |
$2,208.80 |
$2,384.00
|
|
Cltx mndblr fx w/mnpj
|
$2,815.20 |
$2,815.20 |
$2,815.20 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$4,404.00 |
$4,404.00 |
$4,404.00 |
$3,986.00
|
|
Cltx post ankle fx w/mnpj
|
$2,316.80 |
$2,316.80 |
$2,316.80 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,040.80 |
$2,040.80 |
$2,040.80 |
$2,021.04
|
|
Cmv ig IV
|
$2,712.96 |
$2,712.96 |
$2,712.96 |
$778.40
|
|
Co2 monitor per day
|
$568.00 |
$568.00 |
$568.00 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$10,320.00 |
$10,320.00 |
$10,320.00 |
$11,888.50
|