|
Change of windpipe airway 31502
|
$123.73 |
$123.73 |
$123.73 |
$412.00
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$20.83 |
$20.83 |
$20.83 |
$621.50
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$39.55 |
$39.55 |
$39.55 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$31.68 |
$31.68 |
$31.68 |
$988.50
|
|
Chemodenervation anal musc
|
$71.58 |
$71.58 |
$71.58 |
$2,359.53
|
|
Chemodenervation/face muscl/unilat 64612
|
$116.73 |
$116.73 |
$116.73 |
$672.49
|
|
Chemodenerv musc migraine 64615
|
$35.18 |
$35.18 |
$35.18 |
$560.56
|
|
Chemodenerv musc neck dyston 64616
|
$260.40 |
$260.40 |
$260.40 |
$808.84
|
|
Chemodenerv trunk musc 1-5 64646
|
$181.30 |
$181.30 |
$181.30 |
$1,064.00
|
|
Chest 2 vws w oblique
|
$169.23 |
$169.23 |
$169.23 |
$377.06
|
|
Chest CT scan (with and without contrast)
|
$761.78 |
$761.78 |
$761.78 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$645.58 |
$645.58 |
$645.58 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$565.43 |
$565.43 |
$565.43 |
$1,350.03
|
|
Chg pr pul rehab for copd patients
|
$71.58 |
$71.58 |
$71.58 |
$150.00
|
|
Chlamydia culture
|
$49.00 |
$49.00 |
$49.00 |
$94.90
|
|
Chlnggrphy intraop addl s&i
|
$68.60 |
$68.60 |
$68.60 |
$280.00
|
|
Chloride
|
$23.63 |
$23.63 |
$23.63 |
$39.05
|
|
Chloride 24 hour urine
|
$23.28 |
$23.28 |
$23.28 |
$46.13
|
|
Chloroprocaine hcl injection
|
$2.15 |
$2.15 |
$2.15 |
$70.66
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$4.19 |
$4.19 |
$4.19 |
$91.92
|
|
Chlorpromazine 100 mg tablet
|
$0.27 |
$0.27 |
$0.27 |
$1.44
|
|
Cholangiogram percutaneous compl
|
$589.75 |
$589.75 |
$589.75 |
$3,786.00
|
|
Cholecystostomy complete w/supervision & interpretation
|
$817.25 |
$817.25 |
$817.25 |
$3,913.80
|
|
Cholesterol
|
$31.50 |
$31.50 |
$31.50 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$56.35 |
$56.35 |
$56.35 |
$115.70
|
|
Cholinesterase
|
$38.68 |
$38.68 |
$38.68 |
$38.68
|
|
Chromatography
|
$54.95 |
$54.95 |
$54.95 |
$77.00
|
|
Chromosome analysis 15-20 cell count
|
$204.40 |
$204.40 |
$204.40 |
$433.01
|
|
Chromosome karyotype study
|
$74.90 |
$74.90 |
$74.90 |
$102.00
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$0.38 |
$0.38 |
$0.38 |
$60.00
|
|
Circum 28 days or older
|
$49.00 |
$49.00 |
$49.00 |
$4,074.80
|
|
Circumcision (newborn)
|
$415.28 |
$415.28 |
$415.28 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$0.06 |
$0.06 |
$0.06 |
$148.77
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$23.09 |
$23.09 |
$23.09 |
$572.12
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$8,645.18 |
$8,645.18 |
$8,645.18 |
$16,786.53
|
|
Clearance of airways
|
$63.53 |
$63.53 |
$63.53 |
$234.60
|
|
Clip ligating vesolock lg
|
$1,218.88 |
$1,218.88 |
$1,218.88 |
$1,690.58
|
|
Cllr miami j sm
|
$135.98 |
$135.98 |
$135.98 |
$610.38
|
|
Clofarabine 1 mg/ml intravenous solution
|
$467.32 |
$467.32 |
$467.32 |
$1,199.25
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$28.53 |
$28.53 |
$28.53 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$46.38 |
$46.38 |
$46.38 |
$619.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$43.40 |
$43.40 |
$43.40 |
$1,884.74
|
|
Closed tx/acetabululm without manip 27220
|
$106.40 |
$106.40 |
$106.40 |
$527.80
|
|
Closed tx humerus fx with manip 23605
|
$366.28 |
$366.28 |
$366.28 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$84.70 |
$84.70 |
$84.70 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$545.30 |
$545.30 |
$545.30 |
$1,610.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$46.55 |
$46.55 |
$46.55 |
$432.80
|
|
Closed tx orbit without manipulj
|
$458.68 |
$458.68 |
$458.68 |
$1,132.50
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$481.25 |
$481.25 |
$481.25 |
$2,864.00
|
|
Closed tx sesamoid fx 28530
|
$94.68 |
$94.68 |
$94.68 |
$404.04
|
|
Closed tx/talus fracture without manip 28430
|
$48.65 |
$48.65 |
$48.65 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$117.25 |
$117.25 |
$117.25 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$333.20 |
$333.20 |
$333.20 |
$2,596.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$284.20 |
$284.20 |
$284.20 |
$1,181.99
|
|
Closure paravalvlr leak pq
|
$173.60 |
$173.60 |
$173.60 |
$10,497.50
|
|
Clot factor xii hageman
|
$59.68 |
$59.68 |
$59.68 |
$125.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$218.23 |
$218.23 |
$218.23 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$78.05 |
$78.05 |
$78.05 |
$611.10
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$56.00 |
$56.00 |
$56.00 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$94.68 |
$94.68 |
$94.68 |
$1,893.86
|
|
Clsd tx clavicle dislocation without manip 23540
|
$94.68 |
$94.68 |
$94.68 |
$477.10
|
|
Clsd tx clavicle fracture w/manip 23505
|
$226.63 |
$226.63 |
$226.63 |
$2,211.05
|
|
Clsd tx/clavicular fx without manip 23500
|
$52.85 |
$52.85 |
$52.85 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$43.40 |
$43.40 |
$43.40 |
$339.18
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$67.03 |
$67.03 |
$67.03 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$121.98 |
$121.98 |
$121.98 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$110.60 |
$110.60 |
$110.60 |
$490.00
|
|
Clsd tx elbow dislocation child 24640
|
$64.93 |
$64.93 |
$64.93 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$705.60 |
$705.60 |
$705.60 |
$2,748.90
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$819.88 |
$819.88 |
$819.88 |
$2,021.04
|
|
Clsd tx fracture of radius 25500
|
$48.65 |
$48.65 |
$48.65 |
$445.40
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$80.85 |
$80.85 |
$80.85 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$52.68 |
$52.68 |
$52.68 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$118.83 |
$118.83 |
$118.83 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$473.20 |
$473.20 |
$473.20 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$52.15 |
$52.15 |
$52.15 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$283.33 |
$283.33 |
$283.33 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$43.40 |
$43.40 |
$43.40 |
$473.20
|
|
Clsd tx hip disloc without anes 27265
|
$102.55 |
$102.55 |
$102.55 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$48.48 |
$48.48 |
$48.48 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$113.75 |
$113.75 |
$113.75 |
$558.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$84.88 |
$84.88 |
$84.88 |
$1,014.00
|
|
Clsd tx mandibular fx without manip 21450
|
$121.63 |
$121.63 |
$121.63 |
$995.40
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$43.40 |
$43.40 |
$43.40 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$97.83 |
$97.83 |
$97.83 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$65.98 |
$65.98 |
$65.98 |
$716.95
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$110.25 |
$110.25 |
$110.25 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$48.48 |
$48.48 |
$48.48 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$52.85 |
$52.85 |
$52.85 |
$446.40
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$110.95 |
$110.95 |
$110.95 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$258.65 |
$258.65 |
$258.65 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$173.78 |
$173.78 |
$173.78 |
$705.60
|
|
Clsd tx/patellar fx without manip 27520
|
$75.60 |
$75.60 |
$75.60 |
$525.85
|
|
Clsd tx pelvic ring fx
|
$80.85 |
$80.85 |
$80.85 |
$448.80
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$545.30 |
$545.30 |
$545.30 |
$2,557.07
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$45.50 |
$45.50 |
$45.50 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$112.00 |
$112.00 |
$112.00 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$653.45 |
$653.45 |
$653.45 |
$1,884.74
|
|
Clsd tx/scapular fx without manip 23570
|
$94.68 |
$94.68 |
$94.68 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$180.08 |
$180.08 |
$180.08 |
$2,055.00
|