|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$11.37 |
$11.37 |
$11.37 |
$55.20
|
|
Clip ligating vesolock lg
|
$2,389.50 |
$2,389.50 |
$2,389.50 |
$4,320.00
|
|
Closed tx/acetabululm without manip 27220
|
$403.50 |
$403.50 |
$403.50 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$1,800.50 |
$1,800.50 |
$1,800.50 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$330.50 |
$330.50 |
$330.50 |
$494.15
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,800.50 |
$1,800.50 |
$1,800.50 |
$2,520.60
|
|
Closed tx/talus fracture without manip 28430
|
$221.00 |
$221.00 |
$221.00 |
$421.40
|
|
Clos txnose fx without stablz 21315
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,326.08
|
|
Clot factor xii hageman
|
$188.50 |
$188.50 |
$188.50 |
$134.39
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$564.50 |
$564.50 |
$564.50 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$577.00 |
$577.00 |
$577.00 |
$526.35
|
|
Clsd tx/clavicular fx without manip 23500
|
$220.50 |
$220.50 |
$220.50 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$182.00 |
$182.00 |
$182.00 |
$401.00
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$230.50 |
$230.50 |
$230.50 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$564.50 |
$564.50 |
$564.50 |
$462.80
|
|
Clsd tx fracture of radius 25500
|
$267.50 |
$267.50 |
$267.50 |
$442.50
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$236.50 |
$236.50 |
$236.50 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,642.50 |
$5,642.50 |
$5,642.50 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$270.00 |
$270.00 |
$270.00 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,800.50 |
$1,800.50 |
$1,800.50 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$197.00 |
$197.00 |
$197.00 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$585.50 |
$585.50 |
$585.50 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$278.00 |
$278.00 |
$278.00 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$262.00 |
$262.00 |
$262.00 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$212.00 |
$212.00 |
$212.00 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$529.50 |
$529.50 |
$529.50 |
$606.00
|
|
Clsd tx/metatarsal fx without manip 28470
|
$205.50 |
$205.50 |
$205.50 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,648.50 |
$3,648.50 |
$3,648.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$4,400.00 |
$4,400.00 |
$4,400.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$270.00 |
$270.00 |
$270.00 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$304.00 |
$304.00 |
$304.00 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$93.50 |
$93.50 |
$93.50 |
$416.35
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,800.50 |
$1,800.50 |
$1,800.50 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$194.00 |
$194.00 |
$194.00 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$189.00 |
$189.00 |
$189.00 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$175.50 |
$175.50 |
$175.50 |
$452.40
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$2,211.05
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,800.50 |
$1,800.50 |
$1,800.50 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$174.00 |
$174.00 |
$174.00 |
$452.40
|
|
Clsd tx wrist carpal fx without manip 25630
|
$312.00 |
$312.00 |
$312.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$302.00 |
$302.00 |
$302.00 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$320.50 |
$320.50 |
$320.50 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$211.50 |
$211.50 |
$211.50 |
$474.50
|
|
Cltx post ankle fx
|
$206.50 |
$206.50 |
$206.50 |
$483.60
|
|
#cms hgb-sulfhemoglobin
|
$74.00 |
$74.00 |
$74.00 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$91.00 |
$91.00 |
$91.00 |
$100.80
|
|
Cmv pcr-sendout
|
$69.00 |
$69.00 |
$69.00 |
$177.50
|
|
Coagulation time activated teg
|
$26.50 |
$26.50 |
$26.50 |
$53.72
|
|
Cocaine hcl nasal (numbrino)
|
$547.79 |
$547.79 |
$547.79 |
$512.30
|
|
Coil axium 3d 14mmx40cm qc
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$308.00
|
|
Cold agglutinin titer
|
$46.00 |
$46.00 |
$46.00 |
$50.00
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$76.00 |
$76.00 |
$76.00 |
$2,343.60
|
|
Collagenase, clost hist inj
|
$185.00 |
$185.00 |
$185.00 |
$12,906.28
|
|
Collagen based wound filler
|
$725.50 |
$725.50 |
$725.50 |
$1,823.25
|
|
Collection blood specimen from completely implantable venous access device
|
$300.00 |
$300.00 |
$300.00 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$278.00 |
$278.00 |
$278.00 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$30.00 |
$30.00 |
$30.00 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$4,375.00 |
$4,375.00 |
$4,375.00 |
$1,899.00
|
|
Colonoscopy submucous njx
|
$3,375.00 |
$3,375.00 |
$3,375.00 |
$2,080.00
|
|
Colonoscopy w/band ligation
|
$7,181.50 |
$7,181.50 |
$7,181.50 |
$2,080.80
|
|
Colonoscopy (with biopsy)
|
$2,583.34 |
$2,583.34 |
$2,583.34 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$4,125.00 |
$4,125.00 |
$4,125.00 |
$2,288.00
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$114.00 |
$114.00 |
$114.00 |
$312.90
|
|
Colposcopy w/biopsy of cervix 57455
|
$181.00 |
$181.00 |
$181.00 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$198.00 |
$198.00 |
$198.00 |
$170.05
|
|
Compatibility test each unit electronic
|
$224.00 |
$224.00 |
$224.00 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$360.50 |
$360.50 |
$360.50 |
$169.52
|
|
Comp cystometrogram/void presssure 51728
|
$801.50 |
$801.50 |
$801.50 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$372.50 |
$372.50 |
$372.50 |
$1,111.03
|
|
Complement antigen each component c3
|
$164.00 |
$164.00 |
$164.00 |
$108.55
|
|
Complex cystometrogram 51726
|
$207.00 |
$207.00 |
$207.00 |
$727.35
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$849.50 |
$849.50 |
$849.50 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$52.00 |
$52.00 |
$52.00 |
$346.71
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$849.50 |
$849.50 |
$849.50 |
$1,049.60
|
|
Complx repair fccmnaxghf 13131
|
$1,201.50 |
$1,201.50 |
$1,201.50 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$780.00 |
$780.00 |
$780.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$344.50 |
$344.50 |
$344.50 |
$490.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$1,000.00
|
|
Comprehensive hearing test
|
$148.00 |
$148.00 |
$148.00 |
$255.00
|
|
Concentration infection agents any type
|
$36.50 |
$36.50 |
$36.50 |
$49.95
|
|
Condylomata destruction 56420
|
$226.50 |
$226.50 |
$226.50 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$3,047.67 |
$3,047.67 |
$3,047.67 |
$4,840.07
|
|
Conization of cervix
|
$5,642.50 |
$5,642.50 |
$5,642.50 |
$3,762.53
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,629.50 |
$1,629.50 |
$1,629.50 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$71.00 |
$71.00 |
$71.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$371.00 |
$371.00 |
$371.00 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$328.00 |
$328.00 |
$328.00 |
$224.80
|
|
Cont gluc mntr analysis i&r 95251
|
$20.50 |
$20.50 |
$20.50 |
$65.70
|
|
Contrast exam abdominl aorta 75625-26
|
$7,104.50 |
$7,104.50 |
$7,104.50 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$6,426.00 |
$6,426.00 |
$6,426.00 |
$3,728.24
|
|
Contrast x-ray of hip
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$771.12
|
|
Controller infinity pt dbs
|
$2,104.00 |
$2,104.00 |
$2,104.00 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$279.00 |
$279.00 |
$279.00 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$434.50 |
$434.50 |
$434.50 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$277.50 |
$277.50 |
$277.50 |
$355.50
|
|
Convert nephrostomy catheter
|
$4,347.50 |
$4,347.50 |
$4,347.50 |
$2,777.60
|
|
Coombs direct
|
$146.00 |
$146.00 |
$146.00 |
$75.00
|
|
Coombs indirect titer reference
|
$164.50 |
$164.50 |
$164.50 |
$146.40
|
|
Copper intrauterine device
|
$2,345.00 |
$2,345.00 |
$2,345.00 |
$1,953.00
|
