|
Cholesterol
|
$25.76 |
$25.76 |
$25.76 |
$45.50
|
|
Cholesterol body fluid
|
$53.76 |
$53.76 |
$53.76 |
$88.65
|
|
Cholesterol (Lipid) Test
|
$156.24 |
$156.24 |
$156.24 |
$115.80
|
|
Choline c-11
|
$62.16 |
$62.16 |
$62.16 |
$2,062.94
|
|
Cholinesterase
|
$21.28 |
$21.28 |
$21.28 |
$39.32
|
|
Cholinesterase challenge
|
$868.00 |
$868.00 |
$868.00 |
$366.72
|
|
Chorion biopsy
|
$2,150.40 |
$2,150.40 |
$2,150.40 |
$1,392.05
|
|
Chorionic gonadotropin/1000u
|
$548.36 |
$548.36 |
$548.36 |
$548.36
|
|
Chrom analysis
|
$392.00 |
$392.00 |
$392.00 |
$156.00
|
|
Chromatogram assay sugars
|
$199.36 |
$199.36 |
$199.36 |
$86.42
|
|
Chromatography
|
$90.72 |
$90.72 |
$90.72 |
$81.25
|
|
Chromogenic substrate assay
|
$132.16 |
$132.16 |
$132.16 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$130.48 |
$130.48 |
$130.48 |
$250.00
|
|
Chromosome analys amniotic
|
$470.40 |
$470.40 |
$470.40 |
$450.00
|
|
Chromosome analysis 100
|
$1,618.40 |
$1,618.40 |
$1,618.40 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$324.80 |
$324.80 |
$324.80 |
$512.20
|
|
Chromosome analysis 20-25
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$409.20
|
|
Chromosome analysis 45
|
$985.60 |
$985.60 |
$985.60 |
$380.91
|
|
Chromosome analysis 5
|
$711.20 |
$711.20 |
$711.20 |
$644.80
|
|
Chromosome analysis 50-100
|
$1,618.40 |
$1,618.40 |
$1,618.40 |
$434.40
|
|
Chromosome analys placenta
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$572.99
|
|
Chromosome banding study
|
$184.24 |
$184.24 |
$184.24 |
$183.91
|
|
Chromosome count additional
|
$71.68 |
$71.68 |
$71.68 |
$92.45
|
|
Chromosome karyotype study
|
$235.76 |
$235.76 |
$235.76 |
$120.00
|
|
Chromosome study additional
|
$159.04 |
$159.04 |
$159.04 |
$152.86
|
|
Chronic urticaria - sendout
|
$48.72 |
$48.72 |
$48.72 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$436.80 |
$436.80 |
$436.80 |
$135.10
|
|
Cid ext controller repl
|
$1,546.16 |
$1,546.16 |
$1,546.16 |
$1,546.16
|
|
Cid ext speech process repl
|
$15,422.40 |
$15,422.40 |
$15,422.40 |
$15,422.40
|
|
Cidofovir injection
|
$1,295.73 |
$1,295.73 |
$1,295.73 |
$1,447.81
|
|
Cid transmit coil and cable
|
$213.36 |
$213.36 |
$213.36 |
$292.46
|
|
Cilastatin sodium injection
|
$77.40 |
$77.40 |
$77.40 |
$77.40
|
|
Ciliary transsleral therapy
|
$8,002.40 |
$8,002.40 |
$8,002.40 |
$3,078.36
|
|
Cine/video x-rays
|
$784.00 |
$784.00 |
$784.00 |
$327.75
|
|
Cine/video x-rays add-on
|
$448.00 |
$448.00 |
$448.00 |
$219.00
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$18.79 |
$18.79 |
$18.79 |
$36.23
|
|
Ciprofloxacin otic susp 6 mg
|
$47.27 |
$47.27 |
$47.27 |
$63.31
|
|
Circum 28 days or older
|
$8,377.60 |
$8,377.60 |
$8,377.60 |
$3,786.00
|
|
Circumcise/surg/28 days or < 54160
|
$8,215.20 |
$8,215.20 |
$8,215.20 |
$1,219.20
|
|
Circumcision (newborn)
|
$5,941.60 |
$5,941.60 |
$5,941.60 |
$1,358.70
|
|
Cisplatin 1 mg/ml desensitization
|
$898.80 |
$898.80 |
$898.80 |
$198.28
|
|
C-kit mutation liquid tumor - sendout
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$785.23 |
$785.23 |
$785.23 |
$586.54
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$15,779.40
|
|
Claviculectomy partial
|
$12,908.00 |
$12,908.00 |
$12,908.00 |
$3,594.44
|
|
Claviculectomy total
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$4,292.06
|
|
Clean out mastoid cavity
|
$3,382.40 |
$3,382.40 |
$3,382.40 |
$1,033.60
|
|
Clearance of airways
|
$403.20 |
$403.20 |
$403.20 |
$208.00
|
|
Clearance of airways
|
$963.20 |
$963.20 |
$963.20 |
$666.23
|
|
Clearance of tear duct
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$628.06
|
|
C-lens fitg corneosclrl lens
|
$341.60 |
$341.60 |
$341.60 |
$165.50
|
|
C-lens fitg tech aphakia 1
|
$436.80 |
$436.80 |
$436.80 |
$165.50
|
|
C-lens fitg tech aphakia ou
|
$256.48 |
$256.48 |
$256.48 |
$197.60
|
|
C-lens fitg tech corneosclrl
|
$177.52 |
$177.52 |
$177.52 |
$122.20
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$40.99 |
$40.99 |
$40.99 |
$55.20
|
|
Clip ligating vesolock lg
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$4,194.00
|
|
Clip phn wireless f/baha4 proc
|
$574.56 |
$574.56 |
$574.56 |
$474.43
|
|
Clitoroplasty intersex state
|
$7,145.60 |
$7,145.60 |
$7,145.60 |
$3,786.00
|
|
Cllr miami j sm
|
$389.20 |
$389.20 |
$389.20 |
$552.23
|
|
Clofarabine 1 mg/ml intravenous solution
|
$5,152.77 |
$5,152.77 |
$5,152.77 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$308.56 |
$308.56 |
$308.56 |
$83.14
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$5,700.80 |
$5,700.80 |
$5,700.80 |
$2,269.80
|
|
Closed tx humerus fx without manip 23600
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$494.49
|
|
Closed tx humerus fx w/manip 24505
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$1,540.50
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$1,282.40 |
$1,282.40 |
$1,282.40 |
$386.40
|
|
Closed tx nose/jaw fx
|
$4,054.40 |
$4,054.40 |
$4,054.40 |
$2,903.97
|
|
Closed tx orbit without manipulj
|
$2,816.80 |
$2,816.80 |
$2,816.80 |
$998.40
|
|
Closed tx orbit w/manipulj
|
$4,132.80 |
$4,132.80 |
$4,132.80 |
$3,136.80
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$6,512.80 |
$6,512.80 |
$6,512.80 |
$2,562.40
|
|
Closed tx septal&nose fx
|
$7,044.80 |
$7,044.80 |
$7,044.80 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$935.20 |
$935.20 |
$935.20 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$935.20 |
$935.20 |
$935.20 |
$439.95
|
|
Closed tx vert fx w/manj
|
$4,748.80 |
$4,748.80 |
$4,748.80 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$472.50
|
|
Close mastoid fistula
|
$4,692.80 |
$4,692.80 |
$4,692.80 |
$3,299.20
|
|
Close tear duct opening
|
$1,131.20 |
$1,131.20 |
$1,131.20 |
$436.44
|
|
Close tear duct opening
|
$1,204.00 |
$1,204.00 |
$1,204.00 |
$353.74
|
|
Close tear system fistula
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$3,586.17
|
|
Clostridium toxin a w/optic
|
$94.08 |
$94.08 |
$94.08 |
$35.20
|
|
Clos txnose fx without stablz 21315
|
$4,961.60 |
$4,961.60 |
$4,961.60 |
$2,377.50
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$2,816.80 |
$2,816.80 |
$2,816.80 |
$1,244.64
|
|
Closure of eyelid by suture
|
$5,398.40 |
$5,398.40 |
$5,398.40 |
$1,599.00
|
|
Closure of salivary fistula
|
$3,169.60 |
$3,169.60 |
$3,169.60 |
$3,169.60
|
|
Closure of windpipe lesion 31820
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
$3,837.72
|
|
Closure paravalvlr leak pq
|
$5,745.60 |
$5,745.60 |
$5,745.60 |
$8,455.19
|
|
Clot factor fletcher fact
|
$192.64 |
$192.64 |
$192.64 |
$116.82
|
|
Clot factor viii reltd antgn
|
$208.88 |
$208.88 |
$208.88 |
$159.06
|
|
Clot factor wght kininogen
|
$192.64 |
$192.64 |
$192.64 |
$157.50
|
|
Clot factor xii hageman
|
$155.68 |
$155.68 |
$155.68 |
$135.01
|
|
Clot factor xiii fibrin scrn
|
$55.44 |
$55.44 |
$55.44 |
$57.75
|
|
Clot factor xiii fibrin stab
|
$146.72 |
$146.72 |
$146.72 |
$106.26
|
|
Clotting assay whole blood
|
$83.44 |
$83.44 |
$83.44 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$700.00 |
$700.00 |
$700.00 |
$657.28
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$528.50
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$484.80
|
|
Clsd tx clav dislc without manip 23520
|
$3,332.00 |
$3,332.00 |
$3,332.00 |
$1,919.13
|
|
Clsd tx clavicle dislocation without manip 23540
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$419.40
|
