|
Chloride 24 hour urine
|
$59.40 |
$59.40 |
$59.40 |
$49.50
|
|
Cholangiogram percutaneous compl
|
$210.30 |
$210.30 |
$210.30 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$263.10 |
$263.10 |
$263.10 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$1,131.90 |
$1,131.90 |
$1,131.90 |
$1,963.37
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,366.60 |
$3,366.60 |
$3,366.60 |
$3,690.60
|
|
Cholesterol
|
$50.70 |
$50.70 |
$50.70 |
$45.76
|
|
Cholesterol body fluid
|
$15.00 |
$15.00 |
$15.00 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$135.00 |
$135.00 |
$135.00 |
$115.80
|
|
Cholinesterase
|
$2.10 |
$2.10 |
$2.10 |
$38.69
|
|
Chromatography
|
$8.64 |
$8.64 |
$8.64 |
$81.25
|
|
Chromogenic substrate assay
|
$42.30 |
$42.30 |
$42.30 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$13.69 |
$13.69 |
$13.69 |
$247.59
|
|
Chromosome analysis 100
|
$132.30 |
$132.30 |
$132.30 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$66.41 |
$66.41 |
$66.41 |
$512.20
|
|
Chromosome analysis 45
|
$79.01 |
$79.01 |
$79.01 |
$429.28
|
|
Chromosome karyotype study
|
$11.40 |
$11.40 |
$11.40 |
$119.87
|
|
Chromosome study additional
|
$112.78 |
$112.78 |
$112.78 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$22.50 |
$22.50 |
$22.50 |
$124.15
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$26.05 |
$26.05 |
$26.05 |
$34.88
|
|
Circum 28 days or older
|
$205.50 |
$205.50 |
$205.50 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$234.00 |
$234.00 |
$234.00 |
$1,219.20
|
|
Circumcision (newborn)
|
$921.90 |
$921.90 |
$921.90 |
$1,395.20
|
|
C-kit mutation liquid tumor - sendout
|
$75.00 |
$75.00 |
$75.00 |
$655.00
|
|
C-laminoplasty w/graft/plate
|
$1,705.20 |
$1,705.20 |
$1,705.20 |
$4,108.00
|
|
Claviculectomy partial
|
$626.10 |
$626.10 |
$626.10 |
$3,594.44
|
|
Clean out mastoid cavity
|
$231.00 |
$231.00 |
$231.00 |
$1,033.60
|
|
Clearance of tear duct
|
$265.20 |
$265.20 |
$265.20 |
$656.38
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$38.06 |
$38.06 |
$38.06 |
$55.20
|
|
Clip ligating vesolock lg
|
$2,187.00 |
$2,187.00 |
$2,187.00 |
$4,320.00
|
|
Clip phn wireless f/baha4 proc
|
$223.50 |
$223.50 |
$223.50 |
$538.82
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$20.70 |
$20.70 |
$20.70 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$420.90 |
$420.90 |
$420.90 |
$508.45
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$750.30 |
$750.30 |
$750.30 |
$1,615.35
|
|
Closed tx humerus fx with manip 23605
|
$514.20 |
$514.20 |
$514.20 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$374.10 |
$374.10 |
$374.10 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$489.90 |
$489.90 |
$489.90 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$116.70 |
$116.70 |
$116.70 |
$376.96
|
|
Closed tx orbit without manipulj
|
$239.40 |
$239.40 |
$239.40 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$614.10 |
$614.10 |
$614.10 |
$2,520.60
|
|
Closed tx septal&nose fx
|
$324.00 |
$324.00 |
$324.00 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$115.20 |
$115.20 |
$115.20 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$266.70 |
$266.70 |
$266.70 |
$421.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$242.40 |
$242.40 |
$242.40 |
$481.80
|
|
Close tear duct opening
|
$154.80 |
$154.80 |
$154.80 |
$436.44
|
|
Close tear duct opening
|
$154.20 |
$154.20 |
$154.20 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$166.50 |
$166.50 |
$166.50 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$870.90 |
$870.90 |
$870.90 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$1,580.70 |
$1,580.70 |
$1,580.70 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,016.40 |
$1,016.40 |
$1,016.40 |
$1,934.40
|
|
Closure intestinal cutaneous fistula 44640
|
$1,390.80 |
$1,390.80 |
$1,390.80 |
$3,443.20
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$216.30 |
$216.30 |
$216.30 |
$1,259.62
|
|
Closure of eyelid by suture
|
$100.20 |
$100.20 |
$100.20 |
$1,613.00
|
|
Closure of windpipe lesion 31820
|
$347.70 |
$347.70 |
$347.70 |
$3,837.72
|
|
Clot factor fletcher fact
|
$34.54 |
$34.54 |
$34.54 |
$119.50
|
|
Clot factor xii hageman
|
$5.16 |
$5.16 |
$5.16 |
$134.39
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$369.00 |
$369.00 |
$369.00 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$375.90 |
$375.90 |
$375.90 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$390.00 |
$390.00 |
$390.00 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$264.60 |
$264.60 |
$264.60 |
$419.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$256.50 |
$256.50 |
$256.50 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$215.10 |
$215.10 |
$215.10 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$418.50 |
$418.50 |
$418.50 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$349.20 |
$349.20 |
$349.20 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$111.30 |
$111.30 |
$111.30 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$782.40 |
$782.40 |
$782.40 |
$2,184.08
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$587.70 |
$587.70 |
$587.70 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$320.70 |
$320.70 |
$320.70 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$159.60 |
$159.60 |
$159.60 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$183.00 |
$183.00 |
$183.00 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$382.50 |
$382.50 |
$382.50 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$691.80 |
$691.80 |
$691.80 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$326.70 |
$326.70 |
$326.70 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$566.70 |
$566.70 |
$566.70 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$304.20 |
$304.20 |
$304.20 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$449.10 |
$449.10 |
$449.10 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$450.90 |
$450.90 |
$450.90 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$405.00 |
$405.00 |
$405.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$391.20 |
$391.20 |
$391.20 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$641.10 |
$641.10 |
$641.10 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$264.00 |
$264.00 |
$264.00 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$339.90 |
$339.90 |
$339.90 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$424.20 |
$424.20 |
$424.20 |
$606.00
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$543.60 |
$543.60 |
$543.60 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$250.20 |
$250.20 |
$250.20 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$242.40 |
$242.40 |
$242.40 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$232.50 |
$232.50 |
$232.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$360.60 |
$360.60 |
$360.60 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$372.00 |
$372.00 |
$372.00 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$364.20 |
$364.20 |
$364.20 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$140.10 |
$140.10 |
$140.10 |
$416.35
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$440.70 |
$440.70 |
$440.70 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$228.00 |
$228.00 |
$228.00 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$298.50 |
$298.50 |
$298.50 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$443.10 |
$443.10 |
$443.10 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$272.10 |
$272.10 |
$272.10 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$436.50 |
$436.50 |
$436.50 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$538.80 |
$538.80 |
$538.80 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$440.70 |
$440.70 |
$440.70 |
$2,211.05
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$373.80 |
$373.80 |
$373.80 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$151.20 |
$151.20 |
$151.20 |
$394.40
|
