|
Chg pr pul rehab for copd patients
|
$216.23 |
$216.23 |
$216.23 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$5,072.00 |
$5,072.00 |
$5,072.00 |
$520.80
|
|
Chlamydia culture
|
$35.00 |
$35.00 |
$35.00 |
$94.90
|
|
Chloride
|
$52.26 |
$52.26 |
$158.00 |
$38.86
|
|
Chloride 24 hour urine
|
$70.00 |
$70.00 |
$127.60 |
$46.13
|
|
Chloroprocaine hcl injection
|
$108.82 |
$108.82 |
$108.82 |
$77.67
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$229.98 |
$229.98 |
$229.98 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$447.19 |
$447.19 |
$447.19 |
$89.81
|
|
Cholangiogram percutaneous compl
|
$8,491.02 |
$8,491.02 |
$8,491.02 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,255.39 |
$1,255.39 |
$4,910.00 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$40,227.14 |
$40,227.14 |
$40,227.14 |
$3,856.84
|
|
Cholesterol
|
$167.02 |
$167.02 |
$714.00 |
$46.15
|
|
Cholesterol body fluid
|
$578.54 |
$578.54 |
$578.54 |
$94.92
|
|
Cholesterol (Lipid) Test
|
$313.62 |
$313.62 |
$313.62 |
$115.70
|
|
Cholinesterase
|
$7.51 |
$7.51 |
$89.41 |
$38.69
|
|
Chromatography
|
$12.00 |
$12.00 |
$205.17 |
$80.60
|
|
Chromogenic substrate assay
|
$131.09 |
$131.09 |
$131.09 |
$184.60
|
|
Chromo high res and frag x - sendout
|
$5.38 |
$5.38 |
$628.87 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$395.29 |
$395.29 |
$395.29 |
$448.80
|
|
Chromosome analysis 20-25
|
$7,638.00 |
$7,638.00 |
$7,638.00 |
$277.09
|
|
Chromosome count additional
|
$78.00 |
$78.00 |
$296.69 |
$110.00
|
|
Chromosome karyotype study
|
$105.00 |
$105.00 |
$369.01 |
$102.72
|
|
Chylomicron screen, bf - sendout
|
$16.16 |
$16.16 |
$184.50 |
$123.20
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$292.32 |
$292.32 |
$292.32 |
$45.27
|
|
Circumcise/surg/28 days or < 54160
|
$8,669.69 |
$8,669.69 |
$8,669.69 |
$1,995.50
|
|
Cisplatin 1 mg/ml desensitization
|
$344.81 |
$344.81 |
$344.81 |
$127.11
|
|
C-kit mutation liquid tumor - sendout
|
$3,632.85 |
$3,632.85 |
$3,632.85 |
$640.41
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$2,860.46 |
$2,860.46 |
$2,860.46 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$403.62 |
$403.62 |
$403.62 |
$61.26
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$58.18 |
$58.18 |
$263.00 |
$81.02
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$612.80
|
|
Closed tx humerus fx with manip 23605
|
$20,501.01 |
$20,501.01 |
$20,501.01 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$20,501.01 |
$20,501.01 |
$20,501.01 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$1,936.10 |
$1,936.10 |
$1,936.10 |
$413.00
|
|
Clos txnose fx without stablz 21315
|
$19,456.92 |
$19,456.92 |
$19,456.92 |
$2,596.00
|
|
Clot factor xiii fibrin scrn
|
$100.44 |
$100.44 |
$100.44 |
$49.47
|
|
Clot factor xiii fibrin stab
|
$175.00 |
$175.00 |
$175.00 |
$84.27
|
|
Clotting assay whole blood
|
$3,240.25 |
$3,240.25 |
$3,240.25 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$20,501.01 |
$20,501.01 |
$20,501.01 |
$1,839.79
|
|
Clsd tx dist fib fx w/manip 27788
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$728.00
|
|
Clsd tx elbow dislocation child 24640
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$525.28
|
|
Clsd tx fracture of radius 25500
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$442.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$805.51 |
$805.51 |
$805.51 |
$471.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$597.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$4,949.48 |
$4,949.48 |
$4,949.48 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$4,949.48 |
$4,949.48 |
$4,949.48 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$716.95
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$3,732.56 |
$3,732.56 |
$3,732.56 |
$1,035.98
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$716.95
|
|
Clsd tx/metatarsal fx without manip 28470
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$418.20
|
|
Clsd tx patella disloc without anes 27560
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$665.50
|
|
Clsd tx pelvic ring fx
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$416.35
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$501.80
|
|
Clsd tx radius fracture w/manip 24655
|
$20,501.01 |
$20,501.01 |
$20,501.01 |
$1,868.38
|
|
Clsd tx shoulder dislc/fx 23665
|
$20,501.01 |
$20,501.01 |
$20,501.01 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$20,501.01 |
$20,501.01 |
$20,501.01 |
$1,797.83
|
|
Clsd tx toe dislocation without anes28660
|
$1,708.42 |
$1,708.42 |
$1,708.42 |
$415.20
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$20,501.01 |
$20,501.01 |
$20,501.01 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$510.40
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$494.40
|
|
Cltx carpl scphd fx w/mnpj
|
$20,501.01 |
$20,501.01 |
$20,501.01 |
$2,368.00
|
|
Cltx post ankle fx w/mnpj
|
$4,882.52 |
$4,882.52 |
$4,882.52 |
$2,211.05
|
|
Cltx tmprmand dislc comp
|
$19,456.92 |
$19,456.92 |
$19,456.92 |
$3,786.00
|
|
#cmvcul-virus inoculation shell
|
$246.07 |
$246.07 |
$246.07 |
$102.57
|
|
Cmv pcr-sendout
|
$304.00 |
$304.00 |
$441.45 |
$172.25
|
|
Coagulation time activated teg
|
$45.00 |
$45.00 |
$75.05 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$2,155.76 |
$2,155.76 |
$2,155.76 |
$781.82
|
|
Cold agglutinin screen (arc)
|
$25.42 |
$25.42 |
$25.42 |
$47.19
|
|
Cold agglutinin titer
|
$17.00 |
$17.00 |
$17.00 |
$49.40
|
|
Colistimethate sodium inj
|
$613.00 |
$613.00 |
$613.00 |
$84.60
|
|
Collection blood specimen from completely implantable venous access device
|
$1,570.16 |
$1,570.16 |
$1,570.16 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$1,570.16 |
$1,570.16 |
$1,570.16 |
$164.05
|
|
Collection of venous blood by venipuncture
|
$25.00 |
$25.00 |
$50.21 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$1,817.94 |
$1,817.94 |
$1,817.94 |
$165.00
|
|
Compatibility test each unit electronic
|
$455.16 |
$455.16 |
$455.16 |
$171.25
|
|
Compatibility test each unit immediate spin technique
|
$455.16 |
$455.16 |
$637.00 |
$159.95
|
|
Comp cystometrogram/void presssure 51728
|
$8,669.69 |
$8,669.69 |
$8,669.69 |
$958.81
|
|
Complement antigen each component c3
|
$132.30 |
$132.30 |
$132.30 |
$113.13
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$7,887.80 |
$7,887.80 |
$7,887.80 |
$913.68
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$7,887.80 |
$7,887.80 |
$7,887.80 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$2,141.72 |
$2,141.72 |
$2,141.72 |
$353.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$7,887.80 |
$7,887.80 |
$7,887.80 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$7,887.80 |
$7,887.80 |
$7,887.80 |
$1,252.90
|
|
Complx repair enel addl 5cm/< 13153
|
$1,496.80 |
$1,496.80 |
$1,496.80 |
$523.78
|
|
Complx repair fccmnaxghf 13131
|
$5,322.06 |
$5,322.06 |
$5,322.06 |
$927.55
|
|
Complx repair fccmnaxghf 13132
|
$7,887.80 |
$7,887.80 |
$7,887.80 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$1,997.72 |
$1,997.72 |
$1,997.72 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,374.38 |
$2,374.38 |
$2,374.38 |
$590.20
|
|
Complx repair trunk addl 5cm/< 13102
|
$2,821.50 |
$2,821.50 |
$2,821.50 |
$741.60
|
|
Concentration infection agents any type
|
$84.04 |
$84.04 |
$366.00 |
$50.70
|
|
Condylomata destruction 56420
|
$2,568.74 |
$2,568.74 |
$2,568.74 |
$503.67
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,037.00 |
$1,037.00 |
$1,037.00 |
$792.24
|
|
Consultation pathology during surgery
|
$186.00 |
$186.00 |
$315.32 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,288.26 |
$2,288.26 |
$2,519.00 |
$382.89
|
|
Consultation pathology during surgery frozen section each additional block
|
$141.19 |
$141.19 |
$324.00 |
$112.20
|