|
Chlnggrphy intraop addl s&i
|
$484.00 |
$484.00 |
$484.00 |
$280.00
|
|
Chloride
|
$129.00 |
$838.68 |
$857.60 |
$38.50
|
|
Chloride 24 hour urine
|
$288.00 |
$663.64 |
$679.00 |
$46.13
|
|
Chloroprocaine hcl injection
|
$118.49 |
$118.49 |
$130.00 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$236.90 |
$290.00 |
$313.25 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$477.70 |
$477.70 |
$477.70 |
$89.81
|
|
Chmotx admn plrl cav thrcnts
|
$4,208.00 |
$4,208.00 |
$4,208.00 |
$393.54
|
|
Cholangiogram percutaneous compl
|
$6,094.00 |
$6,094.00 |
$6,094.00 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,623.00 |
$1,623.00 |
$5,009.35 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,769.00 |
$3,769.00 |
$3,769.00 |
$3,856.84
|
|
Cholesterol
|
$129.00 |
$129.00 |
$129.00 |
$46.15
|
|
Cholesterol body fluid
|
$185.00 |
$185.00 |
$185.00 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$524.00 |
$524.00 |
$1,936.77 |
$115.70
|
|
Cholinesterase
|
$9.76 |
$9.80 |
$115.00 |
$38.69
|
|
Chorion biopsy
|
$2,392.00 |
$2,392.00 |
$2,392.00 |
$1,030.40
|
|
Chrom analysis
|
$324.00 |
$639.14 |
$641.20 |
$127.86
|
|
Chromatography
|
$18.71 |
$18.75 |
$121.00 |
$80.60
|
|
Chromogenic substrate assay
|
$154.44 |
$154.44 |
$1,640.00 |
$183.52
|
|
Chromo high res and frag x - sendout
|
$67.76 |
$178.75 |
$399.00 |
$264.25
|
|
Chromosome analys amniotic
|
$160.38 |
$160.38 |
$962.00 |
$436.00
|
|
Chromosome analysis 100
|
$919.00 |
$919.00 |
$919.00 |
$321.44
|
|
Chromosome analysis 15-20 cell count
|
$604.53 |
$604.53 |
$844.00 |
$448.80
|
|
Chromosome analysis 45
|
$160.38 |
$160.38 |
$160.38 |
$367.29
|
|
Chromosome analysis 5
|
$324.00 |
$857.18 |
$860.00 |
$644.80
|
|
Chromosome analysis 50-100
|
$919.00 |
$919.00 |
$919.00 |
$301.50
|
|
Chromosome analys placenta
|
$211.74 |
$211.74 |
$315.00 |
$642.00
|
|
Chromosome count additional
|
$92.17 |
$92.45 |
$138.00 |
$110.00
|
|
Chromosome karyotype study
|
$110.00 |
$110.00 |
$121.72 |
$102.72
|
|
Chromosome study additional
|
$358.03 |
$359.20 |
$843.00 |
$147.03
|
|
Chronic urticaria - sendout
|
$77.50 |
$77.50 |
$77.50 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$331.00 |
$331.00 |
$331.00 |
$123.20
|
|
Cilastatin sodium injection
|
$164.50 |
$164.50 |
$164.50 |
$65.86
|
|
Cine/video x-rays
|
$1,591.00 |
$1,591.00 |
$1,591.00 |
$242.24
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$128.34 |
$128.34 |
$128.34 |
$45.27
|
|
Circum 28 days or older
|
$12,815.00 |
$12,815.00 |
$12,815.00 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,995.50
|
|
Circumcision (newborn)
|
$6,759.00 |
$6,759.00 |
$6,759.00 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$17.00 |
$18.00 |
$1,102.23 |
$127.11
|
|
C-kit mutation liquid tumor - sendout
|
$551.00 |
$551.00 |
$551.00 |
$640.41
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$569.55 |
$2,097.00 |
$7,842.08 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$201.98 |
$201.98 |
$201.98 |
$61.26
|
|
Cllr miami j sm
|
$329.00 |
$329.00 |
$329.00 |
$219.42
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$54.35 |
$54.35 |
$78.00 |
$81.02
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$777.00 |
$777.00 |
$777.00 |
$612.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$1,819.00
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$6,883.00 |
$6,883.00 |
$6,883.00 |
$1,966.30
|
|
Closed tx/acetabululm without manip 27220
|
$777.00 |
$777.00 |
$777.00 |
$583.20
|
|
Closed tx humerus fx with manip 23605
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$777.00 |
$777.00 |
$777.00 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$1,184.00 |
$1,184.00 |
$1,184.00 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$777.00 |
$777.00 |
$777.00 |
$413.00
|
|
Closed tx nose/jaw fx
|
$5,107.00 |
$5,107.00 |
$5,107.00 |
$2,133.48
|
|
Closed tx orbit without manipulj
|
$1,707.00 |
$1,707.00 |
$1,707.00 |
$1,199.46
|
|
Closed tx orbit w/manipulj
|
$5,107.00 |
$5,107.00 |
$5,107.00 |
$2,528.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$5,460.00 |
$5,460.00 |
$5,460.00 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$10,326.00 |
$10,326.00 |
$10,326.00 |
$3,544.29
|
|
Closed tx sesamoid fx 28530
|
$777.00 |
$777.00 |
$777.00 |
$345.38
|
|
Closed tx/talus fracture without manip 28430
|
$777.00 |
$777.00 |
$777.00 |
$442.80
|
|
Closed tx vert fx w/manj
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$3,594.44
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$404.00 |
$404.00 |
$404.00 |
$480.80
|
|
Clos txnose fx without stablz 21315
|
$5,107.00 |
$5,107.00 |
$5,107.00 |
$2,587.20
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,707.00 |
$1,707.00 |
$1,707.00 |
$1,183.65
|
|
Closure paravalvlr leak pq
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$7,723.17
|
|
Clot factor viii reltd antgn
|
$251.00 |
$251.00 |
$251.00 |
$95.72
|
|
Clot factor xii hageman
|
$26.44 |
$26.44 |
$1,120.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$83.16 |
$83.45 |
$436.00 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$50.80 |
$62.60 |
$87.00 |
$84.27
|
|
Clotting assay whole blood
|
$749.28 |
$749.28 |
$765.90 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$777.00 |
$777.00 |
$777.00 |
$625.13
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$777.00 |
$777.00 |
$777.00 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$1,839.79
|
|
Clsd tx clavicle dislocation without manip 23540
|
$777.00 |
$777.00 |
$777.00 |
$498.05
|
|
Clsd tx clavicle fracture w/manip 23505
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$1,913.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$685.00 |
$685.00 |
$685.00 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$777.00 |
$777.00 |
$777.00 |
$336.00
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$773.00 |
$773.00 |
$773.00 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$3,116.00 |
$3,116.00 |
$3,116.00 |
$728.00
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$777.00 |
$777.00 |
$777.00 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$777.00 |
$777.00 |
$777.00 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$9,955.00 |
$9,955.00 |
$9,955.00 |
$2,587.60
|
|
Clsd tx fracture of radius 25500
|
$777.00 |
$777.00 |
$777.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$777.00 |
$777.00 |
$777.00 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$777.00 |
$777.00 |
$777.00 |
$469.10
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$911.00 |
$911.00 |
$911.00 |
$597.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,530.00 |
$2,530.00 |
$2,530.00 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$777.00 |
$777.00 |
$777.00 |
$476.00
|
|
Clsd tx hip disloc without anes 27265
|
$1,785.00 |
$1,785.00 |
$1,785.00 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$777.00 |
$777.00 |
$777.00 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$777.00 |
$777.00 |
$777.00 |
$546.86
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,461.00 |
$1,461.00 |
$1,461.00 |
$1,014.00
|
|
Clsd tx mandibular fx without manip 21450
|
$1,707.00 |
$1,707.00 |
$1,707.00 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$777.00 |
$777.00 |
$777.00 |
$519.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$777.00 |
$777.00 |
$777.00 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$777.00 |
$777.00 |
$777.00 |
$716.95
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$11,784.00 |
$11,784.00 |
$11,784.00 |
$3,591.33
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$777.00 |
$777.00 |
$777.00 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$777.00 |
$777.00 |
$777.00 |
$418.20
|
