|
Chronic urticaria - sendout
|
$133.80 |
$133.80 |
$133.80 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$334.80 |
$334.80 |
$334.80 |
$136.09
|
|
Ciliary transsleral therapy
|
$4,695.00 |
$4,695.00 |
$4,695.00 |
$3,269.14
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$9.00 |
$9.00 |
$9.00 |
$35.65
|
|
Circumcision (newborn)
|
$1,425.60 |
$1,425.60 |
$1,425.60 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$16.20 |
$16.20 |
$16.20 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$3,941.40 |
$3,941.40 |
$3,941.40 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$268.80 |
$268.80 |
$268.80 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$4,416.60 |
$4,416.60 |
$4,416.60 |
$15,560.16
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$45.80 |
$45.80 |
$45.80 |
$55.20
|
|
Clip ligating vesolock lg
|
$925.20 |
$925.20 |
$925.20 |
$4,320.00
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$729.60 |
$729.60 |
$729.60 |
$85.37
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$3,001.80 |
$3,001.80 |
$3,001.80 |
$1,642.82
|
|
Closed tx/acetabululm without manip 27220
|
$5,312.40 |
$5,312.40 |
$5,312.40 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$825.60 |
$825.60 |
$825.60 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$825.60 |
$825.60 |
$825.60 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$4,522.80 |
$4,522.80 |
$4,522.80 |
$2,569.28
|
|
Closed tx sesamoid fx 28530
|
$1,258.80 |
$1,258.80 |
$1,258.80 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$825.60 |
$825.60 |
$825.60 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$825.60 |
$825.60 |
$825.60 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$825.60 |
$825.60 |
$825.60 |
$2,392.80
|
|
Closure paravalvlr leak pq
|
$1,123.80 |
$1,123.80 |
$1,123.80 |
$9,434.46
|
|
Clot factor fletcher fact
|
$260.40 |
$260.40 |
$260.40 |
$119.50
|
|
Clot factor viii reltd antgn
|
$288.00 |
$288.00 |
$288.00 |
$140.42
|
|
Clot factor xii hageman
|
$163.20 |
$163.20 |
$163.20 |
$138.40
|
|
Clot factor xiii fibrin stab
|
$106.20 |
$106.20 |
$106.20 |
$106.40
|
|
Clozapine, 25 mg
|
$8.40 |
$8.40 |
$8.40 |
$5.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$825.60 |
$825.60 |
$825.60 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$825.60 |
$825.60 |
$825.60 |
$489.60
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$825.60 |
$825.60 |
$825.60 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$718.20 |
$718.20 |
$718.20 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$825.60 |
$825.60 |
$825.60 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,926.80 |
$2,926.80 |
$2,926.80 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$825.60 |
$825.60 |
$825.60 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$825.60 |
$825.60 |
$825.60 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$825.60 |
$825.60 |
$825.60 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$825.60 |
$825.60 |
$825.60 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$825.60 |
$825.60 |
$825.60 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$1,427.40 |
$1,427.40 |
$1,427.40 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$825.60 |
$825.60 |
$825.60 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$718.20 |
$718.20 |
$718.20 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$883.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$825.60 |
$825.60 |
$825.60 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$825.60 |
$825.60 |
$825.60 |
$620.32
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$4,493.40 |
$4,493.40 |
$4,493.40 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$534.60 |
$534.60 |
$534.60 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$825.60 |
$825.60 |
$825.60 |
$429.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$4,530.60 |
$4,530.60 |
$4,530.60 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$825.60 |
$825.60 |
$825.60 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$498.85
|
|
Clsd tx pelvic ring fx
|
$465.00 |
$465.00 |
$465.00 |
$424.50
|
|
Clsd tx pelvic ring fx
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$825.60 |
$825.60 |
$825.60 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$825.60 |
$825.60 |
$825.60 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$825.60 |
$825.60 |
$825.60 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$3,365.40 |
$3,365.40 |
$3,365.40 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$4,493.40 |
$4,493.40 |
$4,493.40 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$825.60 |
$825.60 |
$825.60 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$613.80 |
$613.80 |
$613.80 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$825.60 |
$825.60 |
$825.60 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$718.20 |
$718.20 |
$718.20 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$825.60 |
$825.60 |
$825.60 |
$473.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$648.34
|
|
Clsd tx wrist carpal fx without manip 25630
|
$825.60 |
$825.60 |
$825.60 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$825.60 |
$825.60 |
$825.60 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$801.60 |
$801.60 |
$801.60 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$825.60 |
$825.60 |
$825.60 |
$487.15
|
|
Cltx carpl scphd fx w/mnpj
|
$4,493.40 |
$4,493.40 |
$4,493.40 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$729.60 |
$729.60 |
$729.60 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$525.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$535.60
|
|
Cltx post ankle fx
|
$2,523.60 |
$2,523.60 |
$2,523.60 |
$497.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$2,021.04
|
|
Cltx thigh fx w/mnpj
|
$5,389.80 |
$5,389.80 |
$5,389.80 |
$3,276.70
|
|
C motor evoked lwr limbs
|
$486.60 |
$486.60 |
$486.60 |
$627.89
|
|
C motor evoked uppr limbs
|
$429.00 |
$429.00 |
$429.00 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$2,816.40 |
$2,816.40 |
$2,816.40 |
$1,333.36
|
|
#cmvcul-virus inoculation shell
|
$8.40 |
$8.40 |
$8.40 |
$89.76
|
|
Cmv pcr-sendout
|
$860.40 |
$860.40 |
$860.40 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$9.00 |
$9.00 |
$9.00 |
$11,888.50
|
|
Coagulation time activated teg
|
$25.20 |
$25.20 |
$25.20 |
$52.47
|
|
Coagulation time otr method
|
$33.00 |
$33.00 |
$33.00 |
$20.00
|
|
Cold agglutinin titer
|
$100.20 |
$100.20 |
$100.20 |
$52.00
|
|
Collagen gel/paste wound fil
|
$3,434.40 |
$3,434.40 |
$3,434.40 |
$9.65
|
|
Collagen imp urinary 2.5 ml
|
$2,188.20 |
$2,188.20 |
$2,188.20 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$258.60 |
$258.60 |
$258.60 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$62.40 |
$62.40 |
$62.40 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$135.00 |
$135.00 |
$135.00 |
$224.11
|