|
Cilastatin sodium injection
|
$122.34 |
$122.34 |
$122.34 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$14.28 |
$14.28 |
$14.28 |
$37.00
|
|
Circum 28 days or older
|
$4,397.40 |
$4,397.40 |
$4,397.40 |
$4,074.80
|
|
C-kit mutation liquid tumor - sendout
|
$786.00 |
$786.00 |
$786.00 |
$659.20
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$32,770.32 |
$32,770.32 |
$32,770.32 |
$15,050.75
|
|
Clearance of airways
|
$390.60 |
$390.60 |
$390.60 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$59.16 |
$59.16 |
$59.16 |
$55.20
|
|
Clip ligating vesolock lg
|
$5,749.70 |
$5,749.70 |
$5,749.70 |
$4,658.12
|
|
Cllr miami j sm
|
$1,019.57 |
$1,019.57 |
$1,019.57 |
$552.23
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$915.60 |
$915.60 |
$915.60 |
$535.76
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$2,749.20 |
$2,749.20 |
$2,749.20 |
$1,815.75
|
|
Closed tx humerus fx with manip 23605
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$340.20 |
$340.20 |
$340.20 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$915.60 |
$915.60 |
$915.60 |
$402.40
|
|
Closed tx orbit without manipulj
|
$857.40 |
$857.40 |
$857.40 |
$1,028.06
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,520.60 |
$2,520.60 |
$2,520.60 |
$2,621.64
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$543.60 |
$543.60 |
$543.60 |
$498.00
|
|
Clos txnose fx without stablz 21315
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$2,453.60
|
|
Closure paravalvlr leak pq
|
$11,730.60 |
$11,730.60 |
$11,730.60 |
$7,723.17
|
|
Clot factor fletcher fact
|
$119.40 |
$119.40 |
$119.40 |
$118.50
|
|
Clot factor viii reltd antgn
|
$172.80 |
$172.80 |
$172.80 |
$124.50
|
|
Clot factor wght kininogen
|
$198.60 |
$198.60 |
$198.60 |
$167.96
|
|
Clot factor xii hageman
|
$58.20 |
$58.20 |
$58.20 |
$126.39
|
|
Clot factor xiii fibrin stab
|
$213.60 |
$213.60 |
$213.60 |
$97.20
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$915.60 |
$915.60 |
$915.60 |
$700.00
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$784.80 |
$784.80 |
$784.80 |
$509.60
|
|
Clsd tx clavicle dislocation without manip 23540
|
$390.60 |
$390.60 |
$390.60 |
$444.71
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$2,021.04
|
|
Clsd tx coccygeal fracture 27200
|
$390.60 |
$390.60 |
$390.60 |
$394.20
|
|
Clsd tx dist fib fx w/manip 27788
|
$634.80 |
$634.80 |
$634.80 |
$691.60
|
|
Clsd tx elbow dislocation child 24640
|
$915.60 |
$915.60 |
$915.60 |
$507.20
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,381.80 |
$1,381.80 |
$1,381.80 |
$2,329.60
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$915.60 |
$915.60 |
$915.60 |
$480.48
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$390.60 |
$390.60 |
$390.60 |
$551.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,776.04
|
|
Clsd tx fx radius/ulna without manip 25560
|
$379.80 |
$379.80 |
$379.80 |
$511.80
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,668.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$390.60 |
$390.60 |
$390.60 |
$475.68
|
|
Clsd tx hip disloc without anes 27265
|
$544.80 |
$544.80 |
$544.80 |
$665.60
|
|
Clsd tx humerus fract without manip 24500
|
$378.00 |
$378.00 |
$378.00 |
$520.80
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$492.00 |
$492.00 |
$492.00 |
$519.12
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$784.80 |
$784.80 |
$784.80 |
$688.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$472.80 |
$472.80 |
$472.80 |
$580.30
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,749.20 |
$2,749.20 |
$2,749.20 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$784.80 |
$784.80 |
$784.80 |
$599.00
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,725.20 |
$2,725.20 |
$2,725.20 |
$2,322.60
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$367.80 |
$367.80 |
$367.80 |
$419.73
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$427.20 |
$427.20 |
$427.20 |
$470.08
|
|
Clsd tx radius fracture w/manip 24655
|
$2,931.60 |
$2,931.60 |
$2,931.60 |
$1,806.10
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,893.86
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,790.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,883.00 |
$2,883.00 |
$2,883.00 |
$2,422.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$1,333.20 |
$1,333.20 |
$1,333.20 |
$450.24
|
|
Clsd tx toe dislocation without anes28660
|
$784.80 |
$784.80 |
$784.80 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$1,602.79
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$390.60 |
$390.60 |
$390.60 |
$513.80
|
|
Cls tx of heel fracture w/manip 28405
|
$480.60 |
$480.60 |
$480.60 |
$761.40
|
|
Cltx carpl scphd fx w/mnpj
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$2,090.40
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,826.00 |
$2,826.00 |
$2,826.00 |
$1,877.71
|
|
Cltx lunate dislc w/mnpj
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$2,626.00
|
|
Cltx post ankle fx w/mnpj
|
$2,641.20 |
$2,641.20 |
$2,641.20 |
$2,172.80
|
|
Cltx thigh fx w/mnpj
|
$3,249.60 |
$3,249.60 |
$3,249.60 |
$3,503.71
|
|
#cmvcul-virus inoculation shell
|
$56.40 |
$56.40 |
$56.40 |
$102.40
|
|
Cmv pcr-sendout
|
$120.60 |
$120.60 |
$120.60 |
$172.25
|
|
Coagulation time activated teg
|
$72.60 |
$72.60 |
$72.60 |
$52.00
|
|
Cocaine 4 % nasal solution
|
$310.08 |
$310.08 |
$310.08 |
$624.55
|
|
Coch imp ext proc/contr rplc
|
$35,591.54 |
$35,591.54 |
$35,591.54 |
$12,888.72
|
|
Coch implant microphone repl
|
$878.84 |
$878.84 |
$878.84 |
$774.14
|
|
Cold agglutinin screen (arc)
|
$40.20 |
$40.20 |
$40.20 |
$45.00
|
|
Cold agglutinin titer
|
$107.40 |
$107.40 |
$107.40 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$253.22 |
$253.22 |
$253.22 |
$52.78
|
|
Collar cerv adlt perfit ace extric
|
$169.81 |
$169.81 |
$169.81 |
$56.85
|
|
Collar cerv ascend 172 reg
|
$409.51 |
$409.51 |
$409.51 |
$189.95
|
|
Collar cerv patriot adlt
|
$280.66 |
$280.66 |
$280.66 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$219.00 |
$219.00 |
$219.00 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$219.00 |
$219.00 |
$219.00 |
$157.85
|
|
Collection of venous blood by venipuncture
|
$30.00 |
$30.00 |
$30.00 |
$20.90
|
|
Colonoscopy (diagnostic)
|
$5,916.12 |
$5,916.12 |
$5,916.12 |
$1,899.00
|
|
Colonoscopy submucous njx
|
$7,450.72 |
$7,450.72 |
$7,450.72 |
$2,080.00
|
|
Colonoscopy (with biopsy)
|
$6,305.16 |
$6,305.16 |
$6,305.16 |
$2,132.40
|
|
Colonoscopy (with polyp removal)
|
$6,305.16 |
$6,305.16 |
$6,305.16 |
$2,472.75
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,579.60 |
$3,579.60 |
$3,579.60 |
$3,907.93
|
|
Combination bilateral ho
|
$5,194.24 |
$5,194.24 |
$5,194.24 |
$3,279.58
|
|
Compatibility test each unit antiglobulin technique
|
$236.40 |
$236.40 |
$236.40 |
$165.00
|
|
Compatibility test each unit electronic
|
$117.60 |
$117.60 |
$117.60 |
$176.70
|
|
Compatibility test each unit immediate spin technique
|
$258.00 |
$258.00 |
$258.00 |
$169.52
|
|
Compatibility test incubate
|
$258.00 |
$258.00 |
$258.00 |
$143.64
|
|
Complement antigen each component c3
|
$87.00 |
$87.00 |
$87.00 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$994.20 |
$994.20 |
$994.20 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$871.80 |
$871.80 |
$871.80 |
$1,244.65
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$1,193.40
|
|
Complx repair fccmnaxghf 13131
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$832.02
|
|
Complx repair fccmnaxghf 13132
|
$8,338.86 |
$8,338.86 |
$8,338.86 |
$1,193.40
|
|
Complx repair fccmnaxghf 13133
|
$876.00 |
$876.00 |
$876.00 |
$635.40
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,913.40 |
$1,913.40 |
$1,913.40 |
$546.29
|
|
Complx repair trunk addl 5cm/< 13102
|
$670.20 |
$670.20 |
$670.20 |
$619.20
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,478.63 |
$2,478.63 |
$2,478.63 |
$1,173.84
|
|
Concentration infection agents any type
|
$66.60 |
$66.60 |
$66.60 |
$50.70
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$20,838.94 |
$20,838.94 |
$20,838.94 |
$3,322.20
|
