|
Chest CT scan (with contrast)
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$1,350.03
|
|
Chest X-ray
|
$384.80 |
$384.80 |
$384.80 |
$294.06
|
|
Chest X-ray (single view)
|
$364.00 |
$364.00 |
$364.00 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$504.40 |
$504.40 |
$504.40 |
$511.59
|
|
Chikungunya vaccine live im
|
$448.76 |
$448.76 |
$448.76 |
$483.28
|
|
Chiropractic manj 5 regions
|
$154.44 |
$154.44 |
$154.44 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$96.72 |
$96.72 |
$96.72 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$120.12 |
$120.12 |
$120.12 |
$56.99
|
|
Chiropract manj xtrspinl 1/>
|
$111.80 |
$111.80 |
$111.80 |
$65.52
|
|
Chlamydia culture
|
$152.36 |
$152.36 |
$152.36 |
$93.90
|
|
Chlamydia trachomatis ag if
|
$74.88 |
$74.88 |
$74.88 |
$74.88
|
|
Chlamydia type
|
$45.76 |
$45.76 |
$45.76 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$405.60 |
$405.60 |
$405.60 |
$301.40
|
|
Chloramphenicol sodium injec
|
$93.67 |
$93.67 |
$93.67 |
$113.84
|
|
Chloride
|
$52.52 |
$52.52 |
$52.52 |
$40.95
|
|
Chloride 24 hour urine
|
$80.60 |
$80.60 |
$80.60 |
$49.50
|
|
Chloroprocaine (clorotekal)
|
$35.18 |
$35.18 |
$35.18 |
$37.89
|
|
Chloroprocaine hcl injection
|
$54.12 |
$54.12 |
$54.12 |
$61.51
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$485.59 |
$485.59 |
$485.59 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$72.83 |
$72.83 |
$72.83 |
$78.43
|
|
Chmotx admn plrl cav thrcnts
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$489.30
|
|
Cholangiogram percutaneous compl
|
$4,492.80 |
$4,492.80 |
$4,492.80 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$577.20 |
$577.20 |
$577.20 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,810.00 |
$4,810.00 |
$4,810.00 |
$3,690.60
|
|
Cholera vaccine live oral
|
$447.20 |
$447.20 |
$447.20 |
$481.60
|
|
Cholesterol
|
$45.24 |
$45.24 |
$45.24 |
$45.76
|
|
Cholesterol body fluid
|
$75.40 |
$75.40 |
$75.40 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$101.40 |
$101.40 |
$101.40 |
$115.80
|
|
Cholinesterase challenge
|
$673.40 |
$673.40 |
$673.40 |
$366.72
|
|
Chorion biopsy
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$1,086.00
|
|
Chorionic gonadotropin/1000u
|
$509.19 |
$509.19 |
$509.19 |
$548.36
|
|
Chrom analysis
|
$249.60 |
$249.60 |
$249.60 |
$156.00
|
|
Chromatogram assay sugars
|
$174.72 |
$174.72 |
$174.72 |
$86.42
|
|
Chromatography
|
$101.40 |
$101.40 |
$101.40 |
$81.25
|
|
Chromogenic substrate assay
|
$127.40 |
$127.40 |
$127.40 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$244.40 |
$244.40 |
$244.40 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$690.56 |
$690.56 |
$690.56 |
$512.20
|
|
Chromosome analysis 5
|
$1,244.88 |
$1,244.88 |
$1,244.88 |
$644.80
|
|
Chromosome banding study
|
$195.00 |
$195.00 |
$195.00 |
$184.24
|
|
Chromosome count additional
|
$101.92 |
$101.92 |
$101.92 |
$92.45
|
|
Chromosome karyotype study
|
$158.08 |
$158.08 |
$158.08 |
$119.87
|
|
Chromosome study additional
|
$178.36 |
$178.36 |
$178.36 |
$147.03
|
|
Chronic urticaria - sendout
|
$134.16 |
$134.16 |
$134.16 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$231.40 |
$231.40 |
$231.40 |
$124.15
|
|
Cid ext speech process repl
|
$14,320.80 |
$14,320.80 |
$14,320.80 |
$15,422.40
|
|
Cidofovir injection
|
$1,203.18 |
$1,203.18 |
$1,203.18 |
$1,295.73
|
|
Cilastatin sodium injection
|
$71.87 |
$71.87 |
$71.87 |
$77.40
|
|
Cine/video x-rays
|
$239.20 |
$239.20 |
$239.20 |
$321.64
|
|
Cine/video x-rays add-on
|
$182.00 |
$182.00 |
$182.00 |
$219.00
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$17.45 |
$17.45 |
$17.45 |
$34.88
|
|
Ciprofloxacin otic susp 6 mg
|
$43.89 |
$43.89 |
$43.89 |
$63.31
|
|
Circum 28 days or older
|
$3,676.40 |
$3,676.40 |
$3,676.40 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$286.00 |
$286.00 |
$286.00 |
$1,219.20
|
|
Circumcision (newborn)
|
$873.60 |
$873.60 |
$873.60 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$834.60 |
$834.60 |
$834.60 |
$192.66
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$729.14 |
$729.14 |
$729.14 |
$569.55
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,591.00 |
$6,591.00 |
$6,591.00 |
$15,390.00
|
|
Claviculectomy partial
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,594.44
|
|
Clearance of airways
|
$176.80 |
$176.80 |
$176.80 |
$208.86
|
|
C-lens fitg tech aphakia 1
|
$286.00 |
$286.00 |
$286.00 |
$165.50
|
|
C-lens fitg tech aphakia ou
|
$197.60 |
$197.60 |
$197.60 |
$197.60
|
|
C-lens fitg tech corneosclrl
|
$122.20 |
$122.20 |
$122.20 |
$122.20
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$38.06 |
$38.06 |
$38.06 |
$55.20
|
|
Clip ligating vesolock lg
|
$14,898.00 |
$14,898.00 |
$14,898.00 |
$4,320.00
|
|
Clip phn wireless f/baha4 proc
|
$312.00 |
$312.00 |
$312.00 |
$538.82
|
|
Cllr miami j sm
|
$536.64 |
$536.64 |
$536.64 |
$566.23
|
|
Clofarabine 1 mg/ml intravenous solution
|
$4,784.71 |
$4,784.71 |
$4,784.71 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$286.52 |
$286.52 |
$286.52 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$624.00 |
$624.00 |
$624.00 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$946.40 |
$946.40 |
$946.40 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$842.40 |
$842.40 |
$842.40 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$2,329.60 |
$2,329.60 |
$2,329.60 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$535.60 |
$535.60 |
$535.60 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$946.40 |
$946.40 |
$946.40 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$535.60 |
$535.60 |
$535.60 |
$376.96
|
|
Closed tx orbit without manipulj
|
$998.40 |
$998.40 |
$998.40 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,407.60 |
$2,407.60 |
$2,407.60 |
$2,520.60
|
|
Closed tx septal&nose fx
|
$3,624.40 |
$3,624.40 |
$3,624.40 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$452.40 |
$452.40 |
$452.40 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$452.40 |
$452.40 |
$452.40 |
$421.40
|
|
Closed tx vert fx w/manj
|
$3,296.80 |
$3,296.80 |
$3,296.80 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$728.00 |
$728.00 |
$728.00 |
$481.80
|
|
Close mastoid fistula
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$3,299.20
|
|
Clostridium toxin a w/optic
|
$82.68 |
$82.68 |
$82.68 |
$35.20
|
|
Clos txnose fx without stablz 21315
|
$3,062.80 |
$3,062.80 |
$3,062.80 |
$2,326.08
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,259.62
|
|
Closure of eyelid by suture
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$1,613.00
|
|
Closure paravalvlr leak pq
|
$16,638.96 |
$16,638.96 |
$16,638.96 |
$7,723.17
|
|
Clot factor fletcher fact
|
$167.96 |
$167.96 |
$167.96 |
$119.50
|
|
Clot factor viii reltd antgn
|
$196.56 |
$196.56 |
$196.56 |
$158.20
|
|
Clot factor wght kininogen
|
$167.96 |
$167.96 |
$167.96 |
$167.96
|
|
Clot factor xii hageman
|
$197.60 |
$197.60 |
$197.60 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$118.04 |
$118.04 |
$118.04 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$188.76 |
$188.76 |
$188.76 |
$105.00
|
|
Clotting assay whole blood
|
$78.00 |
$78.00 |
$78.00 |
$98.50
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$712.40 |
$712.40 |
$712.40 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$535.60 |
$535.60 |
$535.60 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$509.60 |
$509.60 |
$509.60 |
$476.80
|
|
Clsd tx clav dislc without manip 23520
|
$3,296.80 |
$3,296.80 |
$3,296.80 |
$2,021.04
|
