|
Cast sup sht leg splnt fbrgl
|
$28.80 |
$28.80 |
$28.80 |
$47.20
|
|
Cast sup sht leg splnt ped f
|
$14.40 |
$14.40 |
$14.40 |
$24.00
|
|
Cast sup sht leg splnt plstr
|
$18.24 |
$18.24 |
$18.24 |
$29.64
|
|
Catecholamines,fractionated, urine
|
$26.97 |
$26.97 |
$26.97 |
$117.14
|
|
Cath cv dl inj 7fx16cm
|
$496.80 |
$496.80 |
$496.80 |
$3,889.06
|
|
Catheterization collection of specimen single patient all places of service
|
$13.44 |
$13.44 |
$13.44 |
$40.95
|
|
Catheter w/bag 3-way
|
$62.08 |
$62.08 |
$62.08 |
$128.70
|
|
Cath groshong MRI 8fr plstc port
|
$63.52 |
$63.52 |
$63.52 |
$1,653.00
|
|
Cath place 1st order venous 36011
|
$1,197.12 |
$1,197.12 |
$1,197.12 |
$1,377.75
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$369.60 |
$369.60 |
$369.60 |
$469.09
|
|
Cauterization chemical granulation tissue
|
$360.96 |
$360.96 |
$360.96 |
$340.90
|
|
Cauterization of cervix 57510
|
$257.76 |
$257.76 |
$257.76 |
$3,762.53
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$10.54 |
$10.54 |
$10.54 |
$34.80
|
|
Cdna analysis for variants
|
$363.84 |
$363.84 |
$363.84 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$51.84 |
$51.84 |
$51.84 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$79.20 |
$79.20 |
$79.20 |
$44.03
|
|
Cefotaxime sodium injection
|
$9.29 |
$9.29 |
$9.29 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$92.05 |
$92.05 |
$92.05 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$69.09 |
$69.09 |
$69.09 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$72.58 |
$72.58 |
$72.58 |
$84.18
|
|
Cell count body fluid
|
$22.39 |
$22.39 |
$22.39 |
$63.63
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$20,412.97 |
$20,412.97 |
$20,412.97 |
$21,238.53
|
|
Cervical lymphadenectomy 38720
|
$2,055.84 |
$2,055.84 |
$2,055.84 |
$6,839.00
|
|
Cervical or vaginal cancer screening g0101
|
$60.48 |
$60.48 |
$60.48 |
$109.46
|
|
Cesarean section delivery only 59514
|
$1,385.76 |
$1,385.76 |
$1,385.76 |
$2,194.65
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$3,166.66 |
$3,166.66 |
$3,166.66 |
$3,028.20
|
|
#cf-97variants
|
$272.64 |
$272.64 |
$272.64 |
$622.20
|
|
Change cystostomy tube; complex 51710
|
$208.32 |
$208.32 |
$208.32 |
$1,470.75
|
|
Change cystostomy tube simple
|
$473.28 |
$473.28 |
$473.28 |
$451.00
|
|
Change nephroureteral cath
|
$827.04 |
$827.04 |
$827.04 |
$2,969.25
|
|
Change of windpipe airway 31502
|
$53.28 |
$53.28 |
$53.28 |
$388.00
|
|
Change stent via transureth
|
$1,522.56 |
$1,522.56 |
$1,522.56 |
$3,927.00
|
|
Change ureter stent percut
|
$1,499.04 |
$1,499.04 |
$1,499.04 |
$3,863.60
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$143.04 |
$143.04 |
$143.04 |
$540.80
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$184.80 |
$184.80 |
$184.80 |
$552.00
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$273.12 |
$273.12 |
$273.12 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$235.20 |
$235.20 |
$235.20 |
$932.40
|
|
Chemodenervation anal musc
|
$482.40 |
$482.40 |
$482.40 |
$2,462.82
|
|
Chemodenervation/face muscl/unilat 64612
|
$211.68 |
$211.68 |
$211.68 |
$569.00
|
|
Chemodenerv musc migraine 64615
|
$236.16 |
$236.16 |
$236.16 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$213.60 |
$213.60 |
$213.60 |
$698.60
|
|
Chemotherapy injection 96542
|
$199.68 |
$199.68 |
$199.68 |
$434.00
|
|
Chest 2 vws w oblique
|
$367.20 |
$367.20 |
$367.20 |
$377.06
|
|
Chest apical lordotic proj
|
$198.43 |
$198.43 |
$198.43 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,355.52 |
$1,355.52 |
$1,355.52 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,103.04 |
$1,103.04 |
$1,103.04 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$917.28 |
$917.28 |
$917.28 |
$1,350.03
|
|
Chest X-ray
|
$178.59 |
$178.59 |
$178.59 |
$294.06
|
|
Chest X-ray (single view)
|
$149.59 |
$149.59 |
$149.59 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$121.09 |
$121.09 |
$121.09 |
$147.95
|
|
Chlamydia culture
|
$27.48 |
$27.48 |
$27.48 |
$93.90
|
|
Chlamydia type
|
$13.74 |
$13.74 |
$13.74 |
$34.20
|
|
Chloride
|
$36.63 |
$36.63 |
$36.63 |
$40.95
|
|
Chloride 24 hour urine
|
$11.70 |
$11.70 |
$11.70 |
$49.50
|
|
Chloroprocaine hcl injection
|
$97.42 |
$97.42 |
$97.42 |
$61.51
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$121.09 |
$121.09 |
$121.09 |
$78.43
|
|
Chlorpromazine 100 mg tablet
|
$1,296.72 |
$1,296.72 |
$1,296.72 |
$3.95
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$210.64 |
$210.64 |
$210.64 |
$602.40
|
|
Cholesterol
|
$15.77 |
$15.77 |
$15.77 |
$45.76
|
|
Cholesterol body fluid
|
$39.18 |
$39.18 |
$39.18 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$44.77 |
$44.77 |
$44.77 |
$115.80
|
|
Cholinesterase
|
$53.42 |
$53.42 |
$53.42 |
$38.69
|
|
Chromatography
|
$67.67 |
$67.67 |
$67.67 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$168.92 |
$168.92 |
$168.92 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$271.68 |
$271.68 |
$271.68 |
$512.20
|
|
Chromosome analysis 5
|
$271.68 |
$271.68 |
$271.68 |
$644.80
|
|
Chromosome karyotype study
|
$57.49 |
$57.49 |
$57.49 |
$119.87
|
|
Chromosome study additional
|
$65.69 |
$65.69 |
$65.69 |
$147.03
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$26.40 |
$26.40 |
$26.40 |
$34.88
|
|
Circum 28 days or older
|
$301.44 |
$301.44 |
$301.44 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$338.88 |
$338.88 |
$338.88 |
$1,219.20
|
|
Circumcision (newborn)
|
$227.04 |
$227.04 |
$227.04 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$127.10 |
$127.10 |
$127.10 |
$192.66
|
|
Claviculectomy partial
|
$915.84 |
$915.84 |
$915.84 |
$3,594.44
|
|
Clean out mastoid cavity
|
$332.64 |
$332.64 |
$332.64 |
$1,033.60
|
|
Clearance of airways
|
$240.48 |
$240.48 |
$240.48 |
$208.86
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$58.82 |
$58.82 |
$58.82 |
$55.20
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$666.72 |
$666.72 |
$666.72 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$2,758.56 |
$2,758.56 |
$2,758.56 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$2,758.56 |
$2,758.56 |
$2,758.56 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$531.84 |
$531.84 |
$531.84 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$2,684.64 |
$2,684.64 |
$2,684.64 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$240.96 |
$240.96 |
$240.96 |
$376.96
|
|
Closed tx orbit without manipulj
|
$336.96 |
$336.96 |
$336.96 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,684.64 |
$2,684.64 |
$2,684.64 |
$2,520.60
|
|
Closed tx/talus fracture without manip 28430
|
$379.68 |
$379.68 |
$379.68 |
$421.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$342.72 |
$342.72 |
$342.72 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$2,326.08 |
$2,326.08 |
$2,326.08 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$1,316.16 |
$1,316.16 |
$1,316.16 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$2,412.00 |
$2,412.00 |
$2,412.00 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$1,934.40
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$327.84 |
$327.84 |
$327.84 |
$1,259.62
|
|
Clot factor xii hageman
|
$39.69 |
$39.69 |
$39.69 |
$134.39
|
|
Clot factor xiii fibrin stab
|
$32.12 |
$32.12 |
$32.12 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$530.40 |
$530.40 |
$530.40 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$535.68 |
$535.68 |
$535.68 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$558.72 |
$558.72 |
$558.72 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$381.12 |
$381.12 |
$381.12 |
$419.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$357.60 |
$357.60 |
$357.60 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$301.92 |
$301.92 |
$301.92 |
$401.00
|
