|
Chlamydia type
|
$101.40 |
$101.40 |
$101.40 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$727.20 |
$727.20 |
$727.20 |
$301.40
|
|
Chloride
|
$99.60 |
$99.60 |
$99.60 |
$40.95
|
|
Chloride 24 hour urine
|
$268.80 |
$268.80 |
$268.80 |
$49.50
|
|
Cholangiogram percutaneous compl
|
$2,438.40 |
$2,438.40 |
$2,438.40 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$671.40 |
$671.40 |
$671.40 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,437.80 |
$2,437.80 |
$2,437.80 |
$3,690.60
|
|
Cholesterol
|
$118.20 |
$118.20 |
$118.20 |
$45.76
|
|
Cholesterol body fluid
|
$258.60 |
$258.60 |
$258.60 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$283.80 |
$283.80 |
$283.80 |
$115.80
|
|
Cholinesterase
|
$304.80 |
$304.80 |
$304.80 |
$38.69
|
|
Cholinesterase challenge
|
$417.00 |
$417.00 |
$417.00 |
$366.72
|
|
Chrom analysis
|
$445.20 |
$445.20 |
$445.20 |
$156.00
|
|
Chromatography
|
$757.80 |
$757.80 |
$757.80 |
$81.25
|
|
Chromogenic substrate assay
|
$927.60 |
$927.60 |
$927.60 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$247.59
|
|
Chromosome analys amniotic
|
$345.60 |
$345.60 |
$345.60 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$540.60 |
$540.60 |
$540.60 |
$512.20
|
|
Chromosome count additional
|
$330.00 |
$330.00 |
$330.00 |
$92.45
|
|
Chromosome karyotype study
|
$283.80 |
$283.80 |
$283.80 |
$119.87
|
|
Chronic urticaria - sendout
|
$528.60 |
$528.60 |
$528.60 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$201.00 |
$201.00 |
$201.00 |
$124.15
|
|
Circumcision (newborn)
|
$1,290.60 |
$1,290.60 |
$1,290.60 |
$1,395.20
|
|
Clearance of airways
|
$68.40 |
$68.40 |
$68.40 |
$208.86
|
|
Cllr miami j sm
|
$307.80 |
$307.80 |
$307.80 |
$566.23
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,211.05
|
|
Closed tx humerus fx w/manip 24505
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$180.00 |
$180.00 |
$180.00 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,520.60
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$880.20 |
$880.20 |
$880.20 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$4,738.80 |
$4,738.80 |
$4,738.80 |
$2,326.08
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,450.20 |
$1,450.20 |
$1,450.20 |
$1,259.62
|
|
Clot factor xii hageman
|
$224.40 |
$224.40 |
$224.40 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$409.20 |
$409.20 |
$409.20 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$580.80 |
$580.80 |
$580.80 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$796.20 |
$796.20 |
$796.20 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$318.00 |
$318.00 |
$318.00 |
$476.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$507.60 |
$507.60 |
$507.60 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$397.80 |
$397.80 |
$397.80 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$604.80 |
$604.80 |
$604.80 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,184.08
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$342.60 |
$342.60 |
$342.60 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$646.20 |
$646.20 |
$646.20 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$319.80 |
$319.80 |
$319.80 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$342.60 |
$342.60 |
$342.60 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$478.20 |
$478.20 |
$478.20 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$793.80 |
$793.80 |
$793.80 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$724.80 |
$724.80 |
$724.80 |
$492.99
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$588.00 |
$588.00 |
$588.00 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$456.00 |
$456.00 |
$456.00 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$290.40 |
$290.40 |
$290.40 |
$418.20
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,701.00 |
$1,701.00 |
$1,701.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$694.20 |
$694.20 |
$694.20 |
$566.72
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,146.20
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$623.40 |
$623.40 |
$623.40 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$604.80 |
$604.80 |
$604.80 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$3,483.00 |
$3,483.00 |
$3,483.00 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,752.40 |
$3,752.40 |
$3,752.40 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$860.40 |
$860.40 |
$860.40 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$175.80 |
$175.80 |
$175.80 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$313.20 |
$313.20 |
$313.20 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$342.60 |
$342.60 |
$342.60 |
$452.40
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,815.75
|
|
Cltx mndblr fx w/mnpj
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$3,936.60 |
$3,936.60 |
$3,936.60 |
$3,990.33
|
|
Cltx post ankle fx w/mnpj
|
$2,004.60 |
$2,004.60 |
$2,004.60 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,884.60 |
$1,884.60 |
$1,884.60 |
$2,021.04
|
|
C motor evoked lwr limbs
|
$413.40 |
$413.40 |
$413.40 |
$627.89
|
|
C motor evoked uppr limbs
|
$664.80 |
$664.80 |
$664.80 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$711.00 |
$711.00 |
$711.00 |
$1,308.00
|
|
#cmvcul-virus inoculation shell
|
$433.80 |
$433.80 |
$433.80 |
$100.80
|
|
Cmv pcr-sendout
|
$435.00 |
$435.00 |
$435.00 |
$177.50
|
|
Coagulation time activated teg
|
$117.00 |
$117.00 |
$117.00 |
$53.72
|
|
Coch imp ext proc/contr rplc
|
$33,111.00 |
$33,111.00 |
$33,111.00 |
$20,146.35
|
|
Cold agglutinin titer
|
$144.00 |
$144.00 |
$144.00 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$307.80 |
$307.80 |
$307.80 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$85.20 |
$85.20 |
$85.20 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$85.20 |
$85.20 |
$85.20 |
$213.89
|
|
Collection of venous blood by venipuncture
|
$25.80 |
$25.80 |
$25.80 |
$21.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,586.80 |
$3,586.80 |
$3,586.80 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$167.40 |
$167.40 |
$167.40 |
$170.05
|
|
Compatibility test each unit electronic
|
$341.40 |
$341.40 |
$341.40 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$173.40 |
$173.40 |
$173.40 |
$169.52
|
|
Compatibility test incubate
|
$145.80 |
$145.80 |
$145.80 |
$155.40
|
|
Complement antigen each component c3
|
$438.60 |
$438.60 |
$438.60 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$382.20 |
$382.20 |
$382.20 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$377.40 |
$377.40 |
$377.40 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$791.40 |
$791.40 |
$791.40 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$791.40 |
$791.40 |
$791.40 |
$1,194.25
|
|
Complx repair enel addl 5cm/< 13153
|
$274.20 |
$274.20 |
$274.20 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$538.20 |
$538.20 |
$538.20 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$791.40 |
$791.40 |
$791.40 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$274.20 |
$274.20 |
$274.20 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$448.20 |
$448.20 |
$448.20 |
$502.50
|
