|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$15.15 |
$15.15 |
$15.15 |
$55.20
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$2.50 |
$2.50 |
$2.50 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$407.50 |
$407.50 |
$407.50 |
$508.45
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$804.50 |
$804.50 |
$804.50 |
$1,615.35
|
|
Closed tx/acetabululm without manip 27220
|
$438.50 |
$438.50 |
$438.50 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$454.50 |
$454.50 |
$454.50 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$346.00 |
$346.00 |
$346.00 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$1,879.50 |
$1,879.50 |
$1,879.50 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$238.00 |
$238.00 |
$238.00 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,927.50 |
$1,927.50 |
$1,927.50 |
$2,520.60
|
|
Closed tx sesamoid fx 28530
|
$108.00 |
$108.00 |
$108.00 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$341.00 |
$341.00 |
$341.00 |
$421.40
|
|
Close tear duct opening
|
$146.00 |
$146.00 |
$146.00 |
$436.44
|
|
Close tear duct opening
|
$116.00 |
$116.00 |
$116.00 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$63.00 |
$63.00 |
$63.00 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$7,598.50 |
$7,598.50 |
$7,598.50 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$6,188.00 |
$6,188.00 |
$6,188.00 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$1,934.40
|
|
Closure of eyelid by suture
|
$97.00 |
$97.00 |
$97.00 |
$1,613.00
|
|
Closure ureter/skin fistula
|
$920.50 |
$920.50 |
$920.50 |
$1,149.29
|
|
Clot factor xii hageman
|
$60.00 |
$60.00 |
$60.00 |
$134.39
|
|
Clot factor xiii fibrin stab
|
$60.00 |
$60.00 |
$60.00 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$341.00 |
$341.00 |
$341.00 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$681.50 |
$681.50 |
$681.50 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$340.50 |
$340.50 |
$340.50 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$252.00 |
$252.00 |
$252.00 |
$419.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$341.00 |
$341.00 |
$341.00 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$341.00 |
$341.00 |
$341.00 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$409.50 |
$409.50 |
$409.50 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$341.00 |
$341.00 |
$341.00 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$291.00 |
$291.00 |
$291.00 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$803.50 |
$803.50 |
$803.50 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$341.00 |
$341.00 |
$341.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$341.00 |
$341.00 |
$341.00 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$295.50 |
$295.50 |
$295.50 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$352.50 |
$352.50 |
$352.50 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,540.50 |
$1,540.50 |
$1,540.50 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$341.00 |
$341.00 |
$341.00 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,625.00 |
$3,625.00 |
$3,625.00 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$341.00 |
$341.00 |
$341.00 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$387.00 |
$387.00 |
$387.00 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$368.00 |
$368.00 |
$368.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$377.50 |
$377.50 |
$377.50 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$278.50 |
$278.50 |
$278.50 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$341.00 |
$341.00 |
$341.00 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$341.00 |
$341.00 |
$341.00 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$241.50 |
$241.50 |
$241.50 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$238.00 |
$238.00 |
$238.00 |
$418.20
|
|
Clsd tx of ankle fracture w/manip 28435
|
$349.00 |
$349.00 |
$349.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$378.50 |
$378.50 |
$378.50 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$341.00 |
$341.00 |
$341.00 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$341.00 |
$341.00 |
$341.00 |
$416.35
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$341.00 |
$341.00 |
$341.00 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$341.00 |
$341.00 |
$341.00 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$2,330.50 |
$2,330.50 |
$2,330.50 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$341.00 |
$341.00 |
$341.00 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,927.50 |
$1,927.50 |
$1,927.50 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$532.50 |
$532.50 |
$532.50 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,927.50 |
$1,927.50 |
$1,927.50 |
$2,211.05
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$359.50 |
$359.50 |
$359.50 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$278.50 |
$278.50 |
$278.50 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$419.00 |
$419.00 |
$419.00 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$313.00 |
$313.00 |
$313.00 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,613.50 |
$1,613.50 |
$1,613.50 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$341.00 |
$341.00 |
$341.00 |
$452.40
|
|
Clsd tx wrist carpal fx without manip 25630
|
$341.00 |
$341.00 |
$341.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$341.00 |
$341.00 |
$341.00 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$422.00 |
$422.00 |
$422.00 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$341.00 |
$341.00 |
$341.00 |
$474.50
|
|
Cltx carpl scphd fx w/mnpj
|
$474.00 |
$474.00 |
$474.00 |
$1,893.86
|
|
Cltx hum epcndylr fx wo mnpj
|
$341.00 |
$341.00 |
$341.00 |
$520.80
|
|
Cltx humrl cndylr fx wo mnpj
|
$333.50 |
$333.50 |
$333.50 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$521.50 |
$521.50 |
$521.50 |
$2,437.00
|
|
Cltx post ankle fx
|
$314.50 |
$314.50 |
$314.50 |
$483.60
|
|
Cltx post ankle fx w/mnpj
|
$488.00 |
$488.00 |
$488.00 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,621.00 |
$1,621.00 |
$1,621.00 |
$2,021.04
|
|
Cltx thigh fx w/mnpj
|
$578.50 |
$578.50 |
$578.50 |
$3,503.71
|
|
Cmbn ant pst colprhy
|
$819.50 |
$819.50 |
$819.50 |
$4,928.00
|
|
Cmptr ophth dx img ant segmt
|
$15.50 |
$15.50 |
$15.50 |
$115.95
|
|
Cmptr ophth img optic nerve
|
$16.50 |
$16.50 |
$16.50 |
$119.00
|
|
#cms hgb-sulfhemoglobin
|
$74.00 |
$74.00 |
$74.00 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$37.00 |
$37.00 |
$37.00 |
$100.80
|
|
Cmv pcr-sendout
|
$92.00 |
$92.00 |
$92.00 |
$177.50
|
|
Cold agglutinin titer
|
$3.00 |
$3.00 |
$3.00 |
$50.00
|
|
Colectomy/end colost/close dis seg 44143
|
$1,852.00 |
$1,852.00 |
$1,852.00 |
$2,880.80
|
|
Colectomy partial w/anastomosis 44140
|
$24,360.00 |
$24,360.00 |
$24,360.00 |
$2,510.73
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$2,073.00 |
$2,073.00 |
$2,073.00 |
$3,652.20
|
|
Colectomy prtl w/coloproctostomy 44145
|
$1,755.50 |
$1,755.50 |
$1,755.50 |
$3,142.80
|
|
Colectomy prtl w/coloproctostomy + colostomy 44146
|
$2,228.50 |
$2,228.50 |
$2,228.50 |
$3,233.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$1,393.50 |
$1,393.50 |
$1,393.50 |
$2,343.60
|
|
Colectomy/w colostomy or ileostomy 44144
|
$1,883.50 |
$1,883.50 |
$1,883.50 |
$3,176.40
|
|
Colectomy w/ileoanal anast
|
$2,342.00 |
$2,342.00 |
$2,342.00 |
$5,367.20
|
|
Collagenase, clost hist inj
|
$123.50 |
$123.50 |
$123.50 |
$12,906.28
|
|
Collar cerv patriot adlt
|
$83.50 |
$83.50 |
$83.50 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$184.50 |
$184.50 |
$184.50 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$130.50 |
$130.50 |
$130.50 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$9.00 |
$9.00 |
$9.00 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$1,647.00 |
$1,647.00 |
$1,647.00 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$260.00 |
$260.00 |
$260.00 |
$1,946.25
|
