|
Chylomicron screen, bf - sendout
|
$355.00 |
$355.00 |
$355.00 |
$124.15
|
|
Ciliary transsleral therapy
|
$2,977.50 |
$2,977.50 |
$2,977.50 |
$3,269.14
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$13.50 |
$13.50 |
$13.50 |
$34.88
|
|
Circum 28 days or older
|
$3,667.34 |
$3,667.34 |
$3,667.34 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$801.50 |
$801.50 |
$801.50 |
$1,219.20
|
|
Circumcision (newborn)
|
$2,788.50 |
$2,788.50 |
$2,788.50 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$37.54 |
$37.54 |
$37.54 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$394.00 |
$394.00 |
$394.00 |
$655.00
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$2,928.00 |
$2,928.00 |
$2,928.00 |
$15,390.00
|
|
Claviculectomy partial
|
$7,765.00 |
$7,765.00 |
$7,765.00 |
$3,594.44
|
|
Clean out mastoid cavity
|
$620.00 |
$620.00 |
$620.00 |
$1,033.60
|
|
Clearance of tear duct
|
$365.00 |
$365.00 |
$365.00 |
$656.38
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$22.73 |
$22.73 |
$22.73 |
$55.20
|
|
Clip ligating vesolock lg
|
$461.50 |
$461.50 |
$461.50 |
$4,320.00
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$3.50 |
$3.50 |
$3.50 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$284.00 |
$284.00 |
$284.00 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$284.00 |
$284.00 |
$284.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$1,784.00 |
$1,784.00 |
$1,784.00 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$338.50 |
$338.50 |
$338.50 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$2,108.50 |
$2,108.50 |
$2,108.50 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$284.00 |
$284.00 |
$284.00 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,741.00 |
$2,741.00 |
$2,741.00 |
$2,520.60
|
|
Closed tx sesamoid fx 28530
|
$284.00 |
$284.00 |
$284.00 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$409.50 |
$409.50 |
$409.50 |
$421.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$275.50 |
$275.50 |
$275.50 |
$481.80
|
|
Close tear duct opening
|
$365.00 |
$365.00 |
$365.00 |
$436.44
|
|
Close tear duct opening
|
$396.00 |
$396.00 |
$396.00 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,326.08
|
|
Closure of eyelid by suture
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$1,613.00
|
|
Closure of windpipe lesion 31820
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,837.72
|
|
Clot factor xii hageman
|
$248.50 |
$248.50 |
$248.50 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$63.50 |
$63.50 |
$63.50 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$64.50 |
$64.50 |
$64.50 |
$105.00
|
|
Clotting assay whole blood
|
$94.50 |
$94.50 |
$94.50 |
$98.50
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$417.50 |
$417.50 |
$417.50 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$284.00 |
$284.00 |
$284.00 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$284.00 |
$284.00 |
$284.00 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$321.00 |
$321.00 |
$321.00 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$286.50 |
$286.50 |
$286.50 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$284.00 |
$284.00 |
$284.00 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$286.50 |
$286.50 |
$286.50 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$2,273.00 |
$2,273.00 |
$2,273.00 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$284.00 |
$284.00 |
$284.00 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$348.50 |
$348.50 |
$348.50 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,867.50 |
$1,867.50 |
$1,867.50 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$284.00 |
$284.00 |
$284.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$409.50 |
$409.50 |
$409.50 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$348.50 |
$348.50 |
$348.50 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$403.00 |
$403.00 |
$403.00 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,462.00 |
$2,462.00 |
$2,462.00 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$284.00 |
$284.00 |
$284.00 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,063.50 |
$3,063.50 |
$3,063.50 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$284.00 |
$284.00 |
$284.00 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$510.50 |
$510.50 |
$510.50 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$394.00 |
$394.00 |
$394.00 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$394.00 |
$394.00 |
$394.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,938.50 |
$1,938.50 |
$1,938.50 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$620.00 |
$620.00 |
$620.00 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$284.00 |
$284.00 |
$284.00 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$1,374.50 |
$1,374.50 |
$1,374.50 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$526.00 |
$526.00 |
$526.00 |
$606.00
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$284.00 |
$284.00 |
$284.00 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$300.50 |
$300.50 |
$300.50 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,988.50 |
$3,988.50 |
$3,988.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$348.50 |
$348.50 |
$348.50 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$338.50 |
$338.50 |
$338.50 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$284.00 |
$284.00 |
$284.00 |
$416.35
|
|
Clsd tx pelvic ring fx
|
$284.00 |
$284.00 |
$284.00 |
$660.40
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$338.00 |
$338.00 |
$338.00 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$284.00 |
$284.00 |
$284.00 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,991.00 |
$1,991.00 |
$1,991.00 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$286.50 |
$286.50 |
$286.50 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,952.50 |
$1,952.50 |
$1,952.50 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,991.00 |
$1,991.00 |
$1,991.00 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,413.00 |
$2,413.00 |
$2,413.00 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$785.00 |
$785.00 |
$785.00 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$467.50 |
$467.50 |
$467.50 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$284.00 |
$284.00 |
$284.00 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,497.50 |
$2,497.50 |
$2,497.50 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$286.50 |
$286.50 |
$286.50 |
$452.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$284.00 |
$284.00 |
$284.00 |
$674.68
|
|
Clsd tx wrist carpal fx without manip 25630
|
$284.00 |
$284.00 |
$284.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$284.00 |
$284.00 |
$284.00 |
$523.53
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$284.00 |
$284.00 |
$284.00 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$284.00 |
$284.00 |
$284.00 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$284.00 |
$284.00 |
$284.00 |
$474.50
|
|
Cls tx of heel fracture w/manip 28405
|
$284.00 |
$284.00 |
$284.00 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,893.86
|
|
Cltx hum epcndylr fx wo mnpj
|
$284.00 |
$284.00 |
$284.00 |
$520.80
|
|
Cltx humrl cndylr fx wo mnpj
|
$284.00 |
$284.00 |
$284.00 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$2,437.00
|
|
Cltx palatal/max fx wire fix
|
$3,827.50 |
$3,827.50 |
$3,827.50 |
$4,350.00
|
|
Cltx post ankle fx
|
$284.00 |
$284.00 |
$284.00 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,267.00 |
$2,267.00 |
$2,267.00 |
$2,021.04
|
|
Cltx thigh fx
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$4,008.00
|