|
Cilastatin sodium injection
|
$249.14 |
$249.14 |
$278.81 |
|
|
Ciliary transsleral therapy
|
$1,156.00 |
$1,712.50 |
$1,712.50 |
|
|
Ciltacabtagene car-pos t
|
$1,804,758.80 |
$1,804,758.80 |
$1,804,758.80 |
|
|
Cine/video x-rays
|
$78.50 |
$96.50 |
$130.00 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$45.00 |
$45.00 |
$45.00 |
|
|
Circum 28 days or older
|
$1,918.50 |
$3,066.50 |
$12,682.22 |
|
|
Circumcision (newborn)
|
$74.00 |
$2,152.50 |
$12,214.01 |
|
|
Cisplatin 1 mg/ml desensitization
|
$87.00 |
$87.00 |
$2,850.00 |
|
|
C-kit mutation liquid tumor - sendout
|
$303.00 |
$486.00 |
$988.80 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$692.67 |
$692.67 |
$792.82 |
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$13,166.00 |
$34,368.00 |
$68,970.00 |
|
|
Claviculectomy partial
|
$38,744.08 |
$38,744.08 |
$40,851.37 |
|
|
Clean out mastoid cavity
|
$818.50 |
$1,132.00 |
$1,132.00 |
|
|
Clearance of airways
|
$103.00 |
$304.00 |
$467.50 |
|
|
Clearance of tear duct
|
$266.00 |
$394.50 |
$394.50 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$53.60 |
$53.60 |
$59.99 |
|
|
Clip ligating vesolock lg
|
$12,101.10 |
$40,524.50 |
$51,839.00 |
|
|
Clip phn wireless f/baha4 proc
|
$117.00 |
$203.00 |
$249.50 |
|
|
Cllr miami j sm
|
$413.00 |
$643.00 |
$2,145.85 |
|
|
Clofarabine 1 mg/ml intravenous solution
|
$14,615.01 |
$14,615.01 |
$16,728.02 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$52.36 |
$58.59 |
$117.00 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$294.50 |
$378.60 |
$691.00 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$581.50 |
$952.20 |
$1,853.50 |
|
|
Closed tx/acetabululm without manip 27220
|
$222.50 |
$222.50 |
$222.50 |
|
|
Closed tx humerus fx with manip 23605
|
$1,581.00 |
$2,439.50 |
$3,777.00 |
|
|
Closed tx humerus fx without manip 23600
|
$222.50 |
$222.50 |
$539.40 |
|
|
Closed tx humerus fx w/manip 24505
|
$960.60 |
$1,794.50 |
$2,481.50 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$254.00 |
$351.00 |
$539.50 |
|
|
Closed tx orbit without manipulj
|
$1,164.00 |
$1,164.00 |
$1,697.80 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,754.00 |
$3,675.00 |
$4,193.50 |
|
|
Closed tx septal&nose fx
|
$2,180.00 |
$2,705.00 |
$3,014.50 |
|
|
Closed tx/talus fracture without manip 28430
|
$254.00 |
$351.00 |
$351.00 |
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$372.00 |
$555.00 |
$771.00 |
|
|
Close tear duct opening
|
$160.00 |
$238.00 |
$238.00 |
|
|
Close tear duct opening
|
$153.00 |
$227.00 |
$227.00 |
|
|
Clos txnose fx without stablz 21315
|
$1,882.50 |
$2,603.00 |
$9,837.80 |
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$581.00 |
$803.00 |
$1,245.50 |
|
|
Closure of eyelid by suture
|
$828.00 |
$1,145.00 |
$1,145.00 |
|
|
Closure paravalvlr leak pq
|
$1,483.80 |
$16,510.00 |
$18,161.00 |
|
|
Clot factor viii reltd antgn
|
$1,034.00 |
$1,034.00 |
$1,034.00 |
|
|
Clot factor xii hageman
|
$100.00 |
$149.00 |
$1,155.00 |
|
|
Clot factor xiii fibrin scrn
|
$63.00 |
$87.50 |
$112.00 |
|
|
Clot factor xiii fibrin stab
|
$142.00 |
$190.00 |
$1,145.00 |
|
|
Clotting assay whole blood
|
$121.00 |
$188.50 |
$188.50 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$218.00 |
$455.00 |
$934.80 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$218.00 |
$378.60 |
$597.35 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$278.00 |
$378.60 |
$386.50 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$222.50 |
$222.50 |
$378.60 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$952.20 |
$2,112.50 |
$2,946.00 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$186.00 |
$206.50 |
$576.00 |
|
|
Clsd tx coccygeal fracture 27200
|
$378.60 |
$378.60 |
$378.60 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$293.50 |
$365.50 |
$576.00 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$264.00 |
$365.00 |
$607.00 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$319.00 |
$396.00 |
$441.50 |
|
|
Clsd tx elbow dislocation child 24640
|
$218.00 |
$378.60 |
$486.00 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$960.60 |
$1,898.50 |
$2,723.50 |
|
|
Clsd tx fracture of radius 25500
|
$256.50 |
$271.00 |
$354.50 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$222.50 |
$222.50 |
$576.00 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$218.00 |
$302.00 |
$469.00 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$218.00 |
$378.60 |
$2,946.00 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$805.00 |
$1,113.50 |
$2,946.00 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$254.00 |
$351.00 |
$605.00 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$805.00 |
$1,113.50 |
$2,561.00 |
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$378.60 |
$378.60 |
$378.60 |
|
|
Clsd tx hip disloc without anes 27265
|
$264.00 |
$365.00 |
$631.50 |
|
|
Clsd tx humeral fract without manip 24530
|
$353.00 |
$488.50 |
$488.50 |
|
|
Clsd tx humerus fract without manip 24500
|
$295.00 |
$408.00 |
$576.00 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$246.50 |
$246.50 |
$246.50 |
|
|
Clsd tx mandibular fx without manip 21450
|
$565.00 |
$782.00 |
$782.00 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$192.50 |
$266.50 |
$378.60 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$218.00 |
$378.60 |
$486.00 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$311.00 |
$420.50 |
$749.50 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$353.00 |
$420.50 |
$488.50 |
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$2,169.00 |
$2,999.00 |
$9,826.20 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$952.20 |
$952.20 |
$952.20 |
|
|
Clsd tx patella disloc without anes 27560
|
$192.50 |
$378.60 |
$420.50 |
|
|
Clsd tx/patellar fx without manip 27520
|
$222.50 |
$222.50 |
$222.50 |
|
|
Clsd tx pelvic ring fx
|
$186.00 |
$206.50 |
$206.50 |
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$960.60 |
$1,622.00 |
$47,040.62 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$192.50 |
$266.50 |
$286.50 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$118.50 |
$309.50 |
$428.50 |
|
|
Clsd tx radius fracture w/manip 24655
|
$206.50 |
$805.00 |
$1,113.50 |
|
|
Clsd tx/scapular fx without manip 23570
|
$539.40 |
$539.40 |
$539.40 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$805.00 |
$1,018.00 |
$1,778.00 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$805.00 |
$952.20 |
$1,113.50 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,615.00 |
$2,233.50 |
$3,432.00 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$140.50 |
$280.00 |
$420.50 |
|
|
Clsd tx toe dislocation without anes28660
|
$278.00 |
$378.60 |
$590.50 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$381.00 |
$527.00 |
$527.00 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$744.00 |
$1,028.50 |
$2,946.00 |
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$258.50 |
$357.50 |
$357.50 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$254.00 |
$351.00 |
$351.00 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$162.50 |
$224.50 |
$224.50 |
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$349.00 |
$378.60 |
$482.50 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$380.50 |
$526.50 |
$576.00 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$222.50 |
$222.50 |
$222.50 |
|
|
Cls tx of heel fracture w/manip 28405
|
$378.60 |
$1,172.50 |
$1,622.00 |
|
|
Cltx carpl scphd fx w/mnpj
|
$952.20 |
$1,274.50 |
$2,946.00 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$785.50 |
$952.20 |
$2,600.65 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$327.00 |
$452.50 |
$452.50 |
|