|
Chest X-ray
|
$380.80 |
$380.80 |
$380.80 |
$294.06
|
|
Chest X-ray (single view)
|
$307.20 |
$307.20 |
$307.20 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$214.40 |
$214.40 |
$214.40 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$608.80 |
$608.80 |
$608.80 |
$520.80
|
|
Chloramphenicol sodium injec
|
$322.60 |
$322.60 |
$322.60 |
$113.84
|
|
Chloroprocaine hcl injection
|
$327.04 |
$327.04 |
$327.04 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$535.91 |
$535.91 |
$535.91 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$324.12 |
$324.12 |
$324.12 |
$79.74
|
|
Cholangiogram percutaneous compl
|
$4,100.80 |
$4,100.80 |
$4,100.80 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,213.60 |
$1,213.60 |
$1,213.60 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,051.20 |
$5,051.20 |
$5,051.20 |
$3,856.84
|
|
Chorion biopsy
|
$981.60 |
$981.60 |
$981.60 |
$1,392.05
|
|
Chorionic gonadotropin/1000u
|
$756.08 |
$756.08 |
$756.08 |
$548.36
|
|
Chromosome analys amniotic
|
$522.40 |
$522.40 |
$522.40 |
$450.00
|
|
Cid ext speech process repl
|
$16,000.00 |
$16,000.00 |
$16,000.00 |
$15,422.40
|
|
Cidofovir injection
|
$2,126.85 |
$2,126.85 |
$2,126.85 |
$1,352.09
|
|
Cilastatin sodium injection
|
$335.64 |
$335.64 |
$335.64 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$316.48 |
$316.48 |
$316.48 |
$35.65
|
|
Ciprofloxacin otic susp 6 mg
|
$199.30 |
$199.30 |
$199.30 |
$63.31
|
|
Cisplatin 1 mg/ml desensitization
|
$589.20 |
$589.20 |
$589.20 |
$205.56
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$718.00 |
$718.00 |
$718.00 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$16,900.00 |
$16,900.00 |
$16,900.00 |
$15,560.16
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$338.20 |
$338.20 |
$338.20 |
$55.20
|
|
Clip ligating vesolock lg
|
$4,296.00 |
$4,296.00 |
$4,296.00 |
$4,320.00
|
|
Cllr miami j sm
|
$212.00 |
$212.00 |
$212.00 |
$536.64
|
|
Clofarabine 1 mg/ml intravenous solution
|
$6,220.00 |
$6,220.00 |
$6,220.00 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$342.68 |
$342.68 |
$342.68 |
$85.37
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$437.60 |
$437.60 |
$437.60 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$1,806.01
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$2,497.60 |
$2,497.60 |
$2,497.60 |
$1,642.82
|
|
Closed tx/acetabululm without manip 27220
|
$576.00 |
$576.00 |
$576.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$472.80 |
$472.80 |
$472.80 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$1,855.20 |
$1,855.20 |
$1,855.20 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$543.20 |
$543.20 |
$543.20 |
$386.40
|
|
Closed tx orbit without manipulj
|
$1,198.40 |
$1,198.40 |
$1,198.40 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,159.20 |
$3,159.20 |
$3,159.20 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$4,240.00 |
$4,240.00 |
$4,240.00 |
$3,651.90
|
|
Closed tx sesamoid fx 28530
|
$304.00 |
$304.00 |
$304.00 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$450.40 |
$450.40 |
$450.40 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$680.80 |
$680.80 |
$680.80 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$2,424.80 |
$2,424.80 |
$2,424.80 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,303.20 |
$1,303.20 |
$1,303.20 |
$1,259.62
|
|
Closure paravalvlr leak pq
|
$22,400.00 |
$22,400.00 |
$22,400.00 |
$9,434.46
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$477.60 |
$477.60 |
$477.60 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$638.40 |
$638.40 |
$638.40 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$413.60 |
$413.60 |
$413.60 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$1,994.40 |
$1,994.40 |
$1,994.40 |
$1,980.00
|
|
Clsd tx clavicle dislocation without manip 23540
|
$452.00 |
$452.00 |
$452.00 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,977.60 |
$1,977.60 |
$1,977.60 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$458.40 |
$458.40 |
$458.40 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$318.40 |
$318.40 |
$318.40 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$509.60 |
$509.60 |
$509.60 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$800.80 |
$800.80 |
$800.80 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$461.60 |
$461.60 |
$461.60 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$401.60 |
$401.60 |
$401.60 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$2,211.05
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$2,975.20 |
$2,975.20 |
$2,975.20 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$377.60 |
$377.60 |
$377.60 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$422.40 |
$422.40 |
$422.40 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$477.60 |
$477.60 |
$477.60 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$448.00 |
$448.00 |
$448.00 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,738.40 |
$1,738.40 |
$1,738.40 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$542.40 |
$542.40 |
$542.40 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,738.40 |
$1,738.40 |
$1,738.40 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$452.00 |
$452.00 |
$452.00 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$432.00 |
$432.00 |
$432.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$468.80 |
$468.80 |
$468.80 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$480.80 |
$480.80 |
$480.80 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,059.20 |
$1,059.20 |
$1,059.20 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$621.60 |
$621.60 |
$621.60 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$437.60 |
$437.60 |
$437.60 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$492.80 |
$492.80 |
$492.80 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$827.20 |
$827.20 |
$827.20 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$535.20 |
$535.20 |
$535.20 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$636.80 |
$636.80 |
$636.80 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$2,992.00 |
$2,992.00 |
$2,992.00 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,196.00 |
$2,196.00 |
$2,196.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$492.00 |
$492.00 |
$492.00 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$444.00 |
$444.00 |
$444.00 |
$498.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,370.40 |
$2,370.40 |
$2,370.40 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$524.80 |
$524.80 |
$524.80 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$522.40 |
$522.40 |
$522.40 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$1,835.20 |
$1,835.20 |
$1,835.20 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$342.40 |
$342.40 |
$342.40 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,856.00 |
$1,856.00 |
$1,856.00 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,784.00 |
$1,784.00 |
$1,784.00 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,375.20 |
$2,375.20 |
$2,375.20 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$506.40 |
$506.40 |
$506.40 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$428.00 |
$428.00 |
$428.00 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$430.40 |
$430.40 |
$430.40 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,997.60 |
$1,997.60 |
$1,997.60 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$556.80 |
$556.80 |
$556.80 |
$473.00
|
|
Clsd tx wrist carpal fx without manip 25630
|
$439.20 |
$439.20 |
$439.20 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$432.80 |
$432.80 |
$432.80 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$658.40 |
$658.40 |
$658.40 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$476.80 |
$476.80 |
$476.80 |
$487.15
|
|
Cls tx of heel fracture w/manip 28405
|
$1,452.80 |
$1,452.80 |
$1,452.80 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$2,090.40 |
$2,090.40 |
$2,090.40 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,317.60 |
$2,317.60 |
$2,317.60 |
$2,274.40
|