|
Chromosome karyotype study
|
$337.50 |
$337.50 |
$337.50 |
$120.00
|
|
Chromosome study additional
|
$149.25 |
$149.25 |
$149.25 |
$151.09
|
|
Chylomicron screen, bf - sendout
|
$336.75 |
$336.75 |
$336.75 |
$136.09
|
|
Cidofovir injection
|
$1,615.67 |
$1,615.67 |
$1,615.67 |
$1,352.09
|
|
Cilastatin sodium injection
|
$36.62 |
$36.62 |
$36.62 |
$77.40
|
|
Cinacalcet 30 mg tablet
|
$5,641.98 |
$5,641.98 |
$5,641.98 |
$41.25
|
|
Cine/video x-rays
|
$478.50 |
$478.50 |
$478.50 |
$321.64
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$23.67 |
$23.67 |
$23.67 |
$35.65
|
|
Circum 28 days or older
|
$2,397.00 |
$2,397.00 |
$2,397.00 |
$4,074.80
|
|
Circumcision (newborn)
|
$2,397.00 |
$2,397.00 |
$2,397.00 |
$1,364.88
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$355.41 |
$355.41 |
$355.41 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$19,012.50 |
$19,012.50 |
$19,012.50 |
$15,560.16
|
|
Clean out mastoid cavity
|
$2,988.75 |
$2,988.75 |
$2,988.75 |
$1,033.60
|
|
Clearance of airways
|
$280.50 |
$280.50 |
$280.50 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$49.74 |
$49.74 |
$49.74 |
$55.20
|
|
Clip ligating vesolock lg
|
$38,250.00 |
$38,250.00 |
$38,250.00 |
$4,320.00
|
|
Cllr miami j sm
|
$112.39 |
$112.39 |
$112.39 |
$536.64
|
|
Clofarabine 1 mg/ml intravenous solution
|
$11,963.49 |
$11,963.49 |
$11,963.49 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$361.14 |
$361.14 |
$361.14 |
$85.37
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$273.00 |
$273.00 |
$273.00 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$3,793.50 |
$3,793.50 |
$3,793.50 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$1,265.25 |
$1,265.25 |
$1,265.25 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$399.00 |
$399.00 |
$399.00 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$349.50 |
$349.50 |
$349.50 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$585.75 |
$585.75 |
$585.75 |
$2,569.28
|
|
Closed tx sesamoid fx 28530
|
$525.75 |
$525.75 |
$525.75 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$225.75 |
$225.75 |
$225.75 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$262.50 |
$262.50 |
$262.50 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$2,896.50 |
$2,896.50 |
$2,896.50 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$637.50 |
$637.50 |
$637.50 |
$1,259.62
|
|
Closure paravalvlr leak pq
|
$31,283.25 |
$31,283.25 |
$31,283.25 |
$9,434.46
|
|
Clot factor fletcher fact
|
$535.50 |
$535.50 |
$535.50 |
$119.50
|
|
Clot factor wght kininogen
|
$535.50 |
$535.50 |
$535.50 |
$157.50
|
|
Clot factor xii hageman
|
$246.75 |
$246.75 |
$246.75 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$51.75 |
$51.75 |
$51.75 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$292.50 |
$292.50 |
$292.50 |
$106.40
|
|
Clozapine, 25 mg
|
$242.19 |
$242.19 |
$242.19 |
$5.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$600.00 |
$600.00 |
$600.00 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$262.50 |
$262.50 |
$262.50 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$539.25 |
$539.25 |
$539.25 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$3,290.25 |
$3,290.25 |
$3,290.25 |
$1,980.00
|
|
Clsd tx clavicle dislocation without manip 23540
|
$581.25 |
$581.25 |
$581.25 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,396.25 |
$2,396.25 |
$2,396.25 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$425.25 |
$425.25 |
$425.25 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$259.50 |
$259.50 |
$259.50 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$333.00 |
$333.00 |
$333.00 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$581.25 |
$581.25 |
$581.25 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$525.75 |
$525.75 |
$525.75 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$2,211.05
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$1,863.75 |
$1,863.75 |
$1,863.75 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$442.50 |
$442.50 |
$442.50 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$237.00 |
$237.00 |
$237.00 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$279.00 |
$279.00 |
$279.00 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$342.75 |
$342.75 |
$342.75 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$446.25 |
$446.25 |
$446.25 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$342.75 |
$342.75 |
$342.75 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$373.50 |
$373.50 |
$373.50 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$281.25 |
$281.25 |
$281.25 |
$492.99
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$1,265.25 |
$1,265.25 |
$1,265.25 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$350.25 |
$350.25 |
$350.25 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$426.00 |
$426.00 |
$426.00 |
$620.32
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$3,332.25 |
$3,332.25 |
$3,332.25 |
$3,839.54
|
|
Clsd tx/metatarsal fx without manip 28470
|
$267.75 |
$267.75 |
$267.75 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,064.50 |
$3,064.50 |
$3,064.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$1,309.50 |
$1,309.50 |
$1,309.50 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$296.25 |
$296.25 |
$296.25 |
$498.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,863.75 |
$1,863.75 |
$1,863.75 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$260.25 |
$260.25 |
$260.25 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$434.25 |
$434.25 |
$434.25 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$454.50 |
$454.50 |
$454.50 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,863.75 |
$1,863.75 |
$1,863.75 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$349.50 |
$349.50 |
$349.50 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$349.50 |
$349.50 |
$349.50 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$279.00 |
$279.00 |
$279.00 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,362.75 |
$1,362.75 |
$1,362.75 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$370.50 |
$370.50 |
$370.50 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$756.75 |
$756.75 |
$756.75 |
$648.34
|
|
Clsd tx wrist carpal fx without manip 25630
|
$364.50 |
$364.50 |
$364.50 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$442.50 |
$442.50 |
$442.50 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$342.00 |
$342.00 |
$342.00 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$370.50 |
$370.50 |
$370.50 |
$487.15
|
|
Cltx hum epcndylr fx wo mnpj
|
$525.75 |
$525.75 |
$525.75 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$543.75 |
$543.75 |
$543.75 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$2,990.25 |
$2,990.25 |
$2,990.25 |
$2,384.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$6,789.75 |
$6,789.75 |
$6,789.75 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$2,343.00 |
$2,343.00 |
$2,343.00 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$4,801.50 |
$4,801.50 |
$4,801.50 |
$3,986.00
|
|
Cltx palatal/max fx wire fix
|
$3,794.25 |
$3,794.25 |
$3,794.25 |
$4,377.24
|
|
Cltx post ankle fx
|
$246.75 |
$246.75 |
$246.75 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,939.00
|