|
Ceftriaxone 1 gram solution for injection
|
$162.32 |
$162.32 |
$162.32 |
$81.36
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$56.11 |
$56.11 |
$56.11 |
$27.72
|
|
Cell count body fluid
|
$11.50 |
$11.50 |
$11.50 |
$62.56
|
|
Cell count w differential body fluid
|
$28.29 |
$28.29 |
$28.29 |
$92.56
|
|
#cf-97variants
|
$218.04 |
$218.04 |
$218.04 |
$612.26
|
|
Cftr gene dup/delet variants
|
$337.41 |
$337.41 |
$337.41 |
$757.25
|
|
Change cystostomy tube simple
|
$72.22 |
$72.22 |
$72.22 |
$442.55
|
|
Change g-tube to g-j perc
|
$658.26 |
$658.26 |
$658.26 |
$2,198.40
|
|
Chemodenerv eccrine glands 64650
|
$202.40 |
$202.40 |
$202.40 |
$510.00
|
|
Chemodenerv trunk musc 1-5 64646
|
$263.12 |
$263.12 |
$263.12 |
$1,002.30
|
|
Chest 2 vws w oblique
|
$118.22 |
$118.22 |
$118.22 |
$378.40
|
|
Chest CT scan (with and without contrast)
|
$900.22 |
$900.22 |
$900.22 |
$1,953.00
|
|
Chest CT scan (with contrast)
|
$808.68 |
$808.68 |
$808.68 |
$1,666.80
|
|
Chest CT scan (without contrast)
|
$708.86 |
$708.86 |
$708.86 |
$1,350.03
|
|
Chest X-ray
|
$105.34 |
$105.34 |
$105.34 |
$299.40
|
|
Chest X-ray (single view)
|
$92.00 |
$92.00 |
$92.00 |
$241.20
|
|
Chg pr pul rehab for copd patients
|
$30.59 |
$30.59 |
$30.59 |
$147.00
|
|
Chlamydia culture
|
$37.49 |
$37.49 |
$37.49 |
$93.90
|
|
Chlamydia trachomatis ag if
|
$51.75 |
$51.75 |
$51.75 |
$65.50
|
|
Chloramphenicol sodium injec
|
$62.13 |
$62.13 |
$62.13 |
$113.85
|
|
Chloride
|
$48.76 |
$48.76 |
$48.76 |
$39.65
|
|
Chloroprocaine hcl injection
|
$32.15 |
$32.15 |
$32.15 |
$61.87
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$100.66 |
$100.66 |
$100.66 |
$355.99
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$45.57 |
$45.57 |
$45.57 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$141.22 |
$141.22 |
$141.22 |
$602.40
|
|
Cholesterol
|
$48.76 |
$48.76 |
$48.76 |
$45.75
|
|
Cholesterol body fluid
|
$73.83 |
$73.83 |
$73.83 |
$75.40
|
|
Cholesterol (Lipid) Test
|
$46.00 |
$46.00 |
$46.00 |
$115.02
|
|
Cholinesterase
|
$21.39 |
$21.39 |
$21.39 |
$40.80
|
|
Chromosome analysis 15-20 cell count
|
$105.80 |
$105.80 |
$105.80 |
$484.00
|
|
Chromosome karyotype study
|
$65.09 |
$65.09 |
$65.09 |
$116.00
|
|
Chromosome study additional
|
$47.84 |
$47.84 |
$47.84 |
$147.03
|
|
Cidofovir injection
|
$467.63 |
$467.63 |
$467.63 |
$1,295.73
|
|
Cilastatin sodium injection
|
$33.81 |
$33.81 |
$33.81 |
$77.40
|
|
Cinacalcet 30 mg tablet
|
$18.25 |
$18.25 |
$18.25 |
$42.32
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$6.21 |
$6.21 |
$6.21 |
$35.00
|
|
Ciprofloxacin otic susp 6 mg
|
$2.18 |
$2.18 |
$2.18 |
$63.31
|
|
Circumcision (newborn)
|
$604.21 |
$604.21 |
$604.21 |
$1,422.04
|
|
Cisplatin 1 mg/ml desensitization
|
$319.16 |
$319.16 |
$319.16 |
$192.66
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$223.42 |
$223.42 |
$223.42 |
$569.44
|
|
Clearance of airways
|
$136.16 |
$136.16 |
$136.16 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$36.74 |
$36.74 |
$36.74 |
$55.20
|
|
Clofarabine 1 mg/ml intravenous solution
|
$1,616.74 |
$1,616.74 |
$1,616.74 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$67.05 |
$67.05 |
$67.05 |
$78.99
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$72.22 |
$72.22 |
$72.22 |
$492.25
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$422.05 |
$422.05 |
$422.05 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$91.54 |
$91.54 |
$91.54 |
$470.00
|
|
Closed tx humerus fx with manip 23605
|
$575.92 |
$575.92 |
$575.92 |
$2,096.00
|
|
Closed tx humerus fx without manip 23600
|
$72.22 |
$72.22 |
$72.22 |
$487.48
|
|
Closed tx humerus fx w/manip 24505
|
$422.05 |
$422.05 |
$422.05 |
$1,540.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$72.22 |
$72.22 |
$72.22 |
$376.35
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$509.45 |
$509.45 |
$509.45 |
$2,532.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$122.82 |
$122.82 |
$122.82 |
$470.73
|
|
Clos txnose fx without stablz 21315
|
$597.77 |
$597.77 |
$597.77 |
$2,266.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$217.81 |
$217.81 |
$217.81 |
$1,183.65
|
|
Clot factor xii hageman
|
$89.47 |
$89.47 |
$89.47 |
$129.45
|
|
Clotting assay whole blood
|
$45.54 |
$45.54 |
$45.54 |
$101.52
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$72.22 |
$72.22 |
$72.22 |
$645.45
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$91.54 |
$91.54 |
$91.54 |
$450.48
|
|
Clsd tx/clavicular fx without manip 23500
|
$57.50 |
$57.50 |
$57.50 |
$440.64
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$57.50 |
$57.50 |
$57.50 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$72.22 |
$72.22 |
$72.22 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$72.22 |
$72.22 |
$72.22 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$441.83 |
$441.83 |
$441.83 |
$2,184.08
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$72.22 |
$72.22 |
$72.22 |
$405.00
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$72.22 |
$72.22 |
$72.22 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$422.05 |
$422.05 |
$422.05 |
$1,684.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$422.05 |
$422.05 |
$422.05 |
$1,593.00
|
|
Clsd tx hip disloc without anes 27265
|
$72.22 |
$72.22 |
$72.22 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$72.22 |
$72.22 |
$72.22 |
$466.14
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$72.22 |
$72.22 |
$72.22 |
$496.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$72.22 |
$72.22 |
$72.22 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$72.22 |
$72.22 |
$72.22 |
$494.40
|
|
Clsd tx of ankle fracture w/manip 28435
|
$441.83 |
$441.83 |
$441.83 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$57.50 |
$57.50 |
$57.50 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$72.22 |
$72.22 |
$72.22 |
$471.80
|
|
Clsd tx pelvic ring fx
|
$73.14 |
$73.14 |
$73.14 |
$414.00
|
|
Clsd tx pelvic ring fx
|
$73.14 |
$73.14 |
$73.14 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$422.05 |
$422.05 |
$422.05 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$57.50 |
$57.50 |
$57.50 |
$384.00
|
|
Clsd tx radius fracture w/manip 24655
|
$422.05 |
$422.05 |
$422.05 |
$1,787.72
|
|
Clsd tx shoulder dislc/fx 23665
|
$422.05 |
$422.05 |
$422.05 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$422.05 |
$422.05 |
$422.05 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$985.09 |
$985.09 |
$985.09 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$70.15 |
$70.15 |
$70.15 |
$388.00
|
|
Clsd tx toe dislocation without anes28660
|
$57.50 |
$57.50 |
$57.50 |
$392.50
|
|
Clsd tx trimall ankle fx without manip 27816
|
$72.22 |
$72.22 |
$72.22 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$422.05 |
$422.05 |
$422.05 |
$1,583.04
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$91.54 |
$91.54 |
$91.54 |
$475.68
|
|
Cls tx of heel fracture w/manip 28405
|
$91.54 |
$91.54 |
$91.54 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$1,029.48 |
$1,029.48 |
$1,029.48 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$441.83 |
$441.83 |
$441.83 |
$2,211.05
|
|
Cltx humrl cndylr fx w/mnpj
|
$422.05 |
$422.05 |
$422.05 |
$1,858.00
|
|
Cltx lunate dislc w/mnpj
|
$1,070.65 |
$1,070.65 |
$1,070.65 |
$2,384.00
|
|
Cltx post ankle fx w/mnpj
|
$422.05 |
$422.05 |
$422.05 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$422.05 |
$422.05 |
$422.05 |
$2,039.50
|
|
Cocaine 4 % nasal solution
|
$1,328.97 |
$1,328.97 |
$1,328.97 |
$624.55
|
|
Cold agglutinin titer
|
$69.00 |
$69.00 |
$69.00 |
$50.00
|
|
Colistimethate sodium inj
|
$44.69 |
$44.69 |
$44.69 |
$68.47
|
|
Collection blood specimen from completely implantable venous access device
|
$43.93 |
$43.93 |
$43.93 |
$159.60
|