|
Chloride 24 hour urine
|
$245.04 |
$245.04 |
$245.04 |
$46.13
|
|
Chloroprocaine hcl injection
|
$170.75 |
$170.75 |
$170.75 |
$70.66
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$355.99 |
$355.99 |
$355.99 |
$313.25
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$696.50 |
$696.50 |
$696.50 |
$91.92
|
|
Cholangiogram percutaneous compl
|
$5,096.69 |
$5,096.69 |
$5,096.69 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$4,621.27 |
$4,621.27 |
$4,621.27 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,318.08 |
$5,318.08 |
$5,318.08 |
$3,913.80
|
|
Cholesterol
|
$121.81 |
$121.81 |
$121.81 |
$46.15
|
|
Cholesterol body fluid
|
$839.54 |
$839.54 |
$839.54 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$545.25 |
$545.25 |
$545.25 |
$115.70
|
|
Cholinesterase
|
$126.05 |
$126.05 |
$126.05 |
$38.68
|
|
Chorion biopsy
|
$2,050.33 |
$2,050.33 |
$2,050.33 |
$1,030.40
|
|
Chrom analysis
|
$486.74 |
$486.74 |
$486.74 |
$128.25
|
|
Chromatography
|
$280.00 |
$280.00 |
$280.00 |
$77.00
|
|
Chromo high res and frag x - sendout
|
$440.54 |
$440.54 |
$440.54 |
$261.30
|
|
Chromosome analysis 100
|
$321.44 |
$321.44 |
$321.44 |
$351.08
|
|
Chromosome analysis 15-20 cell count
|
$4,119.34 |
$4,119.34 |
$4,119.34 |
$433.01
|
|
Chromosome analysis 5
|
$2,677.37 |
$2,677.37 |
$2,677.37 |
$663.30
|
|
Chromosome analysis 50-100
|
$2,754.64 |
$2,754.64 |
$2,754.64 |
$434.40
|
|
Chromosome analys placenta
|
$2,819.46 |
$2,819.46 |
$2,819.46 |
$660.00
|
|
Chromosome count additional
|
$304.27 |
$304.27 |
$304.27 |
$110.00
|
|
Chromosome karyotype study
|
$403.10 |
$403.10 |
$403.10 |
$102.00
|
|
Chromosome study additional
|
$553.67 |
$553.67 |
$553.67 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$517.18 |
$517.18 |
$517.18 |
$123.20
|
|
Cine/video x-rays
|
$2,715.30 |
$2,715.30 |
$2,715.30 |
$229.44
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$202.87 |
$202.87 |
$202.87 |
$60.00
|
|
Circum 28 days or older
|
$5,406.23 |
$5,406.23 |
$5,406.23 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$406.19 |
$406.19 |
$406.19 |
$1,533.00
|
|
Circumcision (newborn)
|
$406.19 |
$406.19 |
$406.19 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$871.57 |
$871.57 |
$871.57 |
$148.77
|
|
C-kit mutation liquid tumor - sendout
|
$640.41 |
$640.41 |
$640.41 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$12,000.41 |
$12,000.41 |
$12,000.41 |
$572.12
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$336.28 |
$336.28 |
$336.28 |
$66.73
|
|
Cllr miami j sm
|
$825.73 |
$825.73 |
$825.73 |
$610.38
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$85.37 |
$85.37 |
$85.37 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$619.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,884.74
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$1,966.30
|
|
Closed tx/acetabululm without manip 27220
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$527.80
|
|
Closed tx humerus fx with manip 23605
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$1,610.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$749.52 |
$749.52 |
$749.52 |
$432.80
|
|
Closed tx nose/jaw fx
|
$4,045.88 |
$4,045.88 |
$4,045.88 |
$2,133.48
|
|
Closed tx orbit without manipulj
|
$1,331.45 |
$1,331.45 |
$1,331.45 |
$1,132.50
|
|
Closed tx orbit w/manipulj
|
$4,045.88 |
$4,045.88 |
$4,045.88 |
$2,528.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$8,292.12 |
$8,292.12 |
$8,292.12 |
$3,805.11
|
|
Closed tx sesamoid fx 28530
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$404.04
|
|
Closed tx/talus fracture without manip 28430
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$442.80
|
|
Closed tx vert fx w/manj
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$3,422.65 |
$3,422.65 |
$3,422.65 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$15,146.87 |
$15,146.87 |
$15,146.87 |
$2,596.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$4,722.77 |
$4,722.77 |
$4,722.77 |
$1,181.99
|
|
Closure paravalvlr leak pq
|
$35,163.09 |
$35,163.09 |
$35,163.09 |
$10,497.50
|
|
Clot factor viii reltd antgn
|
$367.55 |
$367.55 |
$367.55 |
$95.72
|
|
Clot factor xii hageman
|
$490.57 |
$490.57 |
$490.57 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$137.29 |
$137.29 |
$137.29 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$259.97 |
$259.97 |
$259.97 |
$84.27
|
|
Clotting assay whole blood
|
$225.64 |
$225.64 |
$225.64 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$611.10
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,893.86
|
|
Clsd tx clavicle dislocation without manip 23540
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$477.10
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$2,211.05
|
|
Clsd tx/clavicular fx without manip 23500
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$339.18
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,617.33 |
$1,617.33 |
$1,617.33 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$490.00
|
|
Clsd tx elbow dislocation child 24640
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$2,748.90
|
|
Clsd tx fracture of radius 25500
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$445.40
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$964.21 |
$964.21 |
$964.21 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$1,060.94 |
$1,060.94 |
$1,060.94 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$473.20
|
|
Clsd tx hip disloc without anes 27265
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$558.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$749.52 |
$749.52 |
$749.52 |
$1,014.00
|
|
Clsd tx mandibular fx without manip 21450
|
$1,331.45 |
$1,331.45 |
$1,331.45 |
$995.40
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$716.95
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$16,345.07 |
$16,345.07 |
$16,345.07 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$749.52 |
$749.52 |
$749.52 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$603.35 |
$603.35 |
$603.35 |
$446.40
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$15,146.87 |
$15,146.87 |
$15,146.87 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$705.60
|
|
Clsd tx/patellar fx without manip 27520
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$525.85
|
|
Clsd tx pelvic ring fx
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$448.80
|
|
Clsd tx pelvic ring fx
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$705.60
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,557.07
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$720.17 |
$720.17 |
$720.17 |
$484.00
|