|
Chest 2 vws w oblique
|
$312.58 |
$312.58 |
$312.58 |
$375.60
|
|
Chest apical lordotic proj
|
$276.56 |
$276.56 |
$276.56 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,358.28 |
$1,358.28 |
$1,358.28 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,131.80 |
$1,131.80 |
$1,131.80 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$905.32 |
$905.32 |
$905.32 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$75.69 |
$75.69 |
$75.69 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$98.07 |
$98.07 |
$98.07 |
$134.50
|
|
Chest Ultrasound
|
$462.73 |
$462.73 |
$462.73 |
$463.88
|
|
Chest X-ray
|
$268.42 |
$268.42 |
$268.42 |
$294.06
|
|
Chest X-ray (single view)
|
$127.82 |
$127.82 |
$127.82 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$135.38 |
$135.38 |
$135.38 |
$150.40
|
|
Chimerism anal no cell selec
|
$393.74 |
$393.74 |
$393.74 |
$393.74
|
|
Chlamydia culture
|
$47.43 |
$47.43 |
$47.43 |
$91.00
|
|
Chlamydia type
|
$38.08 |
$38.08 |
$38.08 |
$34.98
|
|
Chloride
|
$24.64 |
$24.64 |
$24.64 |
$42.63
|
|
Chloride 24 hour urine
|
$11.09 |
$11.09 |
$11.09 |
$50.88
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$431.60 |
$431.60 |
$431.60 |
$602.40
|
|
Cholesterol
|
$33.88 |
$33.88 |
$33.88 |
$45.76
|
|
Cholesterol body fluid
|
$41.89 |
$41.89 |
$41.89 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$62.83 |
$62.83 |
$62.83 |
$115.80
|
|
Chromatography
|
$33.88 |
$33.88 |
$33.88 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$108.70 |
$108.70 |
$108.70 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$346.86 |
$346.86 |
$346.86 |
$517.11
|
|
Chromosome analysis 45
|
$294.05 |
$294.05 |
$294.05 |
$382.85
|
|
Chromosome study additional
|
$67.81 |
$67.81 |
$67.81 |
$151.09
|
|
Chronic urticaria - sendout
|
$47.30 |
$47.30 |
$47.30 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$113.96 |
$113.96 |
$113.96 |
$136.09
|
|
Cilastatin sodium injection
|
$26.34 |
$26.34 |
$26.34 |
$77.40
|
|
Circumcision (newborn)
|
$376.16 |
$376.16 |
$376.16 |
$1,364.88
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,905.81 |
$6,905.81 |
$6,905.81 |
$15,560.16
|
|
Clearance of airways
|
$97.54 |
$97.54 |
$97.54 |
$213.07
|
|
Clip ligating vesolock lg
|
$11,718.64 |
$11,718.64 |
$11,718.64 |
$4,320.00
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$543.24 |
$543.24 |
$543.24 |
$520.80
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,177.52 |
$1,177.52 |
$1,177.52 |
$1,642.82
|
|
Closed tx humerus fx with manip 23605
|
$667.98 |
$667.98 |
$667.98 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$485.90 |
$485.90 |
$485.90 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$704.70 |
$704.70 |
$704.70 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$116.19 |
$116.19 |
$116.19 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$914.96 |
$914.96 |
$914.96 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$305.82 |
$305.82 |
$305.82 |
$3,651.90
|
|
Clot factor xii hageman
|
$47.35 |
$47.35 |
$47.35 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$17.44 |
$17.44 |
$17.44 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$61.05 |
$61.05 |
$61.05 |
$106.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$455.72 |
$455.72 |
$455.72 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$473.83 |
$473.83 |
$473.83 |
$535.60
|
|
Clsd tx clavicle fracture w/manip 23505
|
$523.62 |
$523.62 |
$523.62 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$351.60 |
$351.60 |
$351.60 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$194.66 |
$194.66 |
$194.66 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$604.61 |
$604.61 |
$604.61 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$123.24 |
$123.24 |
$123.24 |
$465.21
|
|
Clsd tx fracture of radius 25500
|
$394.86 |
$394.86 |
$394.86 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$193.66 |
$193.66 |
$193.66 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$148.38 |
$148.38 |
$148.38 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$493.44 |
$493.44 |
$493.44 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$802.28 |
$802.28 |
$802.28 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$398.38 |
$398.38 |
$398.38 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$728.85 |
$728.85 |
$728.85 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$635.29 |
$635.29 |
$635.29 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$542.74 |
$542.74 |
$542.74 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$515.58 |
$515.58 |
$515.58 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$361.66 |
$361.66 |
$361.66 |
$883.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$292.75 |
$292.75 |
$292.75 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$306.83 |
$306.83 |
$306.83 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$236.91 |
$236.91 |
$236.91 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$212.77 |
$212.77 |
$212.77 |
$429.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$507.02 |
$507.02 |
$507.02 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$538.21 |
$538.21 |
$538.21 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$465.28 |
$465.28 |
$465.28 |
$498.85
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$193.15 |
$193.15 |
$193.15 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$379.26 |
$379.26 |
$379.26 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$625.23 |
$625.23 |
$625.23 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$621.71 |
$621.71 |
$621.71 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$634.28 |
$634.28 |
$634.28 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$50.30 |
$50.30 |
$50.30 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$95.57 |
$95.57 |
$95.57 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$455.72 |
$455.72 |
$455.72 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$683.07 |
$683.07 |
$683.07 |
$1,592.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$439.62 |
$439.62 |
$439.62 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$473.83 |
$473.83 |
$473.83 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$415.48 |
$415.48 |
$415.48 |
$487.15
|
|
Cltx humrl cndylr fx w/mnpj
|
$792.22 |
$792.22 |
$792.22 |
$1,851.78
|
|
Cltx mndblr/max alv ridge fx
|
$524.63 |
$524.63 |
$524.63 |
$3,986.00
|
|
#cmvcul-virus inoculation shell
|
$70.81 |
$70.81 |
$70.81 |
$89.76
|
|
Cmv pcr-sendout
|
$70.81 |
$70.81 |
$70.81 |
$175.70
|
|
Coil axium 3d 14mmx40cm qc
|
$295.22 |
$295.22 |
$295.22 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$76.12 |
$76.12 |
$76.12 |
$48.10
|
|
Cold agglutinin titer
|
$42.86 |
$42.86 |
$42.86 |
$52.00
|
|
Collagen imp urinary 2.5 ml
|
$10,781.32 |
$10,781.32 |
$10,781.32 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$235.06 |
$235.06 |
$235.06 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$165.31 |
$165.31 |
$165.31 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$117.07 |
$117.07 |
$117.07 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$303.06 |
$303.06 |
$303.06 |
$173.50
|
|
Compatibility test each unit electronic
|
$303.06 |
$303.06 |
$303.06 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$303.06 |
$303.06 |
$303.06 |
$169.52
|
|
Complement antigen each component c3
|
$215.79 |
$215.79 |
$215.79 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$242.95 |
$242.95 |
$242.95 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$259.55 |
$259.55 |
$259.55 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$293.75 |
$293.75 |
$293.75 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$354.11 |
$354.11 |
$354.11 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$146.37 |
$146.37 |
$146.37 |
$490.50
|
