|
Chimerism anal no cell selec
|
$3,202.14 |
$3,202.14 |
$3,202.14 |
$400.00
|
|
Chimerism anal w/cell select
|
$4,025.29 |
$4,025.29 |
$4,025.29 |
$585.60
|
|
Chlamydia culture
|
$173.17 |
$173.17 |
$173.17 |
$94.90
|
|
Chlamydia trachomatis ag if
|
$9.18 |
$184.92 |
$271.68 |
$30.40
|
|
Chlamydia type
|
$105.27 |
$105.27 |
$105.27 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$708.16 |
$2,178.58 |
$2,363.74 |
$280.00
|
|
Chloride
|
$141.99 |
$141.99 |
$498.83 |
$39.05
|
|
Chloride 24 hour urine
|
$32.37 |
$74.76 |
$115.24 |
$46.13
|
|
Chloroprocaine hcl injection
|
$85.32 |
$91.83 |
$181.27 |
$70.66
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$168.01 |
$183.69 |
$1,452.00 |
$313.25
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$322.08 |
$322.08 |
$353.70 |
$91.92
|
|
Chmotx admn plrl cav thrcnts
|
$47.66 |
$47.66 |
$47.66 |
$437.19
|
|
Cholangiogram percutaneous compl
|
$9,317.59 |
$9,317.59 |
$9,906.19 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,498.82 |
$4,171.22 |
$4,525.10 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$10,129.96 |
$10,129.96 |
$10,129.96 |
$3,913.80
|
|
Cholesterol
|
$325.46 |
$325.46 |
$1,247.73 |
$46.15
|
|
Cholesterol body fluid
|
$550.21 |
$550.21 |
$550.21 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$595.51 |
$595.51 |
$2,547.22 |
$115.70
|
|
Cholinesterase
|
$121.47 |
$121.47 |
$163.87 |
$38.68
|
|
Cholinesterase challenge
|
$5,266.83 |
$5,266.83 |
$5,266.83 |
$298.60
|
|
Chorion biopsy
|
$7,684.95 |
$7,684.95 |
$7,684.95 |
$1,030.40
|
|
Chrom analysis
|
$537.30 |
$537.30 |
$537.30 |
$128.25
|
|
Chromatography
|
$278.75 |
$278.75 |
$399.62 |
$77.00
|
|
Chromogenic substrate assay
|
$70.37 |
$183.52 |
$196.20 |
$177.45
|
|
Chromo high res and frag x - sendout
|
$97.59 |
$213.00 |
$880.41 |
$261.30
|
|
Chromosome analys amniotic
|
$2,680.44 |
$2,680.44 |
$2,680.44 |
$450.00
|
|
Chromosome analysis 100
|
$2,672.88 |
$2,672.88 |
$2,672.88 |
$351.08
|
|
Chromosome analysis 15-20 cell count
|
$218.00 |
$323.00 |
$618.65 |
$433.01
|
|
Chromosome analysis 5
|
$2,511.28 |
$2,511.28 |
$4,080.09 |
$663.30
|
|
Chromosome analysis 50-100
|
$2,672.88 |
$2,672.88 |
$2,672.88 |
$434.40
|
|
Chromosome analys placenta
|
$231.63 |
$231.63 |
$2,910.58 |
$660.00
|
|
Chromosome count additional
|
$23.63 |
$415.36 |
$678.49 |
$110.00
|
|
Chromosome karyotype study
|
$30.52 |
$122.93 |
$892.68 |
$102.00
|
|
Chromosome study additional
|
$531.43 |
$531.43 |
$531.43 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$25.48 |
$656.70 |
$949.25 |
$123.20
|
|
Cidofovir injection
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$1,447.81
|
|
Cilastatin sodium injection
|
$641.26 |
$641.26 |
$641.26 |
$79.29
|
|
Cine/video x-rays
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$229.44
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$133.06 |
$133.06 |
$147.01 |
$60.00
|
|
Circum 28 days or older
|
$18,806.12 |
$18,806.12 |
$18,806.12 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$6,913.16 |
$6,913.16 |
$6,913.16 |
$1,533.00
|
|
Circumcision (newborn)
|
$18,806.12 |
$18,806.12 |
$18,806.12 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$100.00 |
$732.45 |
$763.11 |
$148.77
|
|
C-kit mutation liquid tumor - sendout
|
$5,085.99 |
$5,085.99 |
$5,085.99 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$5,914.45 |
$6,176.19 |
$7,743.00 |
$572.12
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$180.09 |
$180.09 |
$199.66 |
$66.73
|
|
Cllr miami j sm
|
$1,195.96 |
$1,195.96 |
$1,286.19 |
$610.38
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$48.24 |
$51.22 |
$702.00 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$619.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$5,361.72 |
$5,361.72 |
$16,347.39 |
$1,884.74
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$7,546.82 |
$7,546.82 |
$7,546.82 |
$1,966.30
|
|
Closed tx/acetabululm without manip 27220
|
$2,757.88 |
$2,757.88 |
$2,757.88 |
$527.80
|
|
Closed tx humerus fx with manip 23605
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,610.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$1,969.87 |
$1,969.87 |
$1,969.87 |
$432.80
|
|
Closed tx nose/jaw fx
|
$16,867.52 |
$16,867.52 |
$16,867.52 |
$2,133.48
|
|
Closed tx orbit without manipulj
|
$5,519.35 |
$5,519.35 |
$5,519.35 |
$1,132.50
|
|
Closed tx orbit w/manipulj
|
$15,514.83 |
$15,514.83 |
$15,514.83 |
$2,528.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$30,746.36 |
$30,746.36 |
$30,746.36 |
$3,805.11
|
|
Closed tx sesamoid fx 28530
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$404.04
|
|
Closed tx/talus fracture without manip 28430
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$442.80
|
|
Closed tx vert fx w/manj
|
$33,752.58 |
$33,752.58 |
$33,752.58 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$2,553.81 |
$2,553.81 |
$2,553.81 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$15,514.83 |
$15,514.83 |
$15,514.83 |
$2,596.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$5,519.35 |
$5,519.35 |
$5,519.35 |
$1,181.99
|
|
Closure paravalvlr leak pq
|
$6,317.82 |
$6,317.82 |
$6,317.82 |
$10,497.50
|
|
Clot factor viii reltd antgn
|
$70.00 |
$70.00 |
$315.18 |
$95.72
|
|
Clot factor xii hageman
|
$96.04 |
$96.04 |
$685.69 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$67.00 |
$115.32 |
$163.50 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$57.23 |
$57.23 |
$252.21 |
$84.27
|
|
Clotting assay whole blood
|
$495.92 |
$495.92 |
$495.92 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$611.10
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,893.86
|
|
Clsd tx clavicle dislocation without manip 23540
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$477.10
|
|
Clsd tx clavicle fracture w/manip 23505
|
$5,381.32 |
$5,381.32 |
$16,347.39 |
$2,211.05
|
|
Clsd tx/clavicular fx without manip 23500
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$339.18
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$490.00
|
|
Clsd tx elbow dislocation child 24640
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$17,772.67 |
$17,772.67 |
$17,772.67 |
$2,748.90
|
|
Clsd tx fracture of radius 25500
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$445.40
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$2,263.78 |
$2,263.78 |
$2,263.78 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,023.06 |
$5,023.06 |
$5,180.25 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$5,023.06 |
$5,023.06 |
$5,180.25 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$473.20
|
|
Clsd tx hip disloc without anes 27265
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$558.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$1,014.00
|
|
Clsd tx mandibular fx without manip 21450
|
$5,519.35 |
$5,519.35 |
$5,519.35 |
$995.40
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$506.10
|