|
Chromatography
|
$308.00 |
$308.00 |
$308.00 |
$81.25
|
|
Chromogenic substrate assay
|
$480.20 |
$480.20 |
$480.20 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$1,273.30 |
$1,273.30 |
$1,273.30 |
$250.00
|
|
Chromosome analys amniotic
|
$1,143.10 |
$1,143.10 |
$1,143.10 |
$450.00
|
|
Chromosome analysis 100
|
$418.60 |
$418.60 |
$418.60 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$747.60 |
$747.60 |
$747.60 |
$512.20
|
|
Chromosome analysis 45
|
$315.70 |
$315.70 |
$315.70 |
$380.91
|
|
Chromosome analysis 5
|
$1,045.10 |
$1,045.10 |
$1,045.10 |
$644.80
|
|
Chromosome analysis 50-100
|
$1,129.10 |
$1,129.10 |
$1,129.10 |
$434.40
|
|
Chromosome analys placenta
|
$396.20 |
$396.20 |
$396.20 |
$572.99
|
|
Chromosome count additional
|
$149.80 |
$149.80 |
$149.80 |
$92.45
|
|
Chromosome karyotype study
|
$205.80 |
$205.80 |
$205.80 |
$120.00
|
|
Chromosome study additional
|
$385.70 |
$385.70 |
$385.70 |
$152.86
|
|
Chronic urticaria - sendout
|
$259.00 |
$259.00 |
$259.00 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$135.10 |
$135.10 |
$135.10 |
$135.10
|
|
Cidofovir injection
|
$3,739.22 |
$3,739.22 |
$3,739.22 |
$1,447.81
|
|
Cilastatin sodium injection
|
$536.72 |
$536.72 |
$536.72 |
$77.40
|
|
Ciliary transsleral therapy
|
$13,486.27 |
$13,486.27 |
$13,486.27 |
$3,078.36
|
|
Cine/video x-rays
|
$440.30 |
$440.30 |
$440.30 |
$327.75
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$207.02 |
$207.02 |
$207.02 |
$36.23
|
|
Circum 28 days or older
|
$17,644.62 |
$17,644.62 |
$17,644.62 |
$3,786.00
|
|
Circumcise/surg/28 days or < 54160
|
$4,374.47 |
$4,374.47 |
$4,374.47 |
$1,219.20
|
|
Circumcision (newborn)
|
$1,490.12 |
$1,490.12 |
$1,490.12 |
$1,358.70
|
|
Cisplatin 1 mg/ml desensitization
|
$3,258.85 |
$3,258.85 |
$3,258.85 |
$198.28
|
|
C-kit mutation liquid tumor - sendout
|
$1,145.20 |
$1,145.20 |
$1,145.20 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,695.05 |
$1,695.05 |
$1,695.05 |
$586.54
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$70,779.48 |
$70,779.48 |
$70,779.48 |
$15,779.40
|
|
Clean out mastoid cavity
|
$9,967.68 |
$9,967.68 |
$9,967.68 |
$1,033.60
|
|
Clearance of airways
|
$397.60 |
$397.60 |
$397.60 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$320.25 |
$320.25 |
$320.25 |
$55.20
|
|
Clip ligating vesolock lg
|
$2,198.94 |
$2,198.94 |
$2,198.94 |
$4,194.00
|
|
Cllr miami j sm
|
$2,372.30 |
$2,372.30 |
$2,372.30 |
$552.23
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$319.02 |
$319.02 |
$319.02 |
$83.14
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$944.30 |
$944.30 |
$944.30 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,339.80 |
$1,339.80 |
$1,339.80 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$3,489.50 |
$3,489.50 |
$3,489.50 |
$2,269.80
|
|
Closed tx humerus fx w/manip 24505
|
$1,920.10 |
$1,920.10 |
$1,920.10 |
$1,540.50
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$473.20 |
$473.20 |
$473.20 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,579.80 |
$3,579.80 |
$3,579.80 |
$2,562.40
|
|
Closed tx septal&nose fx
|
$4,728.50 |
$4,728.50 |
$4,728.50 |
$3,624.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$445.20 |
$445.20 |
$445.20 |
$472.50
|
|
Close tear duct opening
|
$32,518.18 |
$32,518.18 |
$32,518.18 |
$436.44
|
|
Clos txnose fx without stablz 21315
|
$4,029.20 |
$4,029.20 |
$4,029.20 |
$2,377.50
|
|
Closure enterostomy lg/sm intestine 44620
|
$43,260.55 |
$43,260.55 |
$43,260.55 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$66,143.06 |
$66,143.06 |
$66,143.06 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$47,534.02 |
$47,534.02 |
$47,534.02 |
$1,934.40
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,115.10 |
$1,115.10 |
$1,115.10 |
$1,244.64
|
|
Closure of eyelid by suture
|
$16,139.94 |
$16,139.94 |
$16,139.94 |
$1,599.00
|
|
Closure paravalvlr leak pq
|
$41,293.70 |
$41,293.70 |
$41,293.70 |
$8,455.19
|
|
Clot factor fletcher fact
|
$242.90 |
$242.90 |
$242.90 |
$116.82
|
|
Clot factor viii reltd antgn
|
$377.30 |
$377.30 |
$377.30 |
$159.06
|
|
Clot factor wght kininogen
|
$262.50 |
$262.50 |
$262.50 |
$157.50
|
|
Clot factor xii hageman
|
$312.20 |
$312.20 |
$312.20 |
$135.01
|
|
Clot factor xiii fibrin scrn
|
$86.10 |
$86.10 |
$86.10 |
$57.75
|
|
Clot factor xiii fibrin stab
|
$284.90 |
$284.90 |
$284.90 |
$106.26
|
|
Clotting assay whole blood
|
$161.00 |
$161.00 |
$161.00 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$657.28
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$869.40 |
$869.40 |
$869.40 |
$484.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,256.40 |
$3,256.40 |
$3,256.40 |
$1,893.86
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,177.40 |
$1,177.40 |
$1,177.40 |
$676.20
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$808.50 |
$808.50 |
$808.50 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$684.60 |
$684.60 |
$684.60 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,782.50 |
$2,782.50 |
$2,782.50 |
$2,211.05
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$336.70 |
$336.70 |
$336.70 |
$373.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$750.40 |
$750.40 |
$750.40 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$825.30 |
$825.30 |
$825.30 |
$529.65
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,032.10 |
$2,032.10 |
$2,032.10 |
$1,680.00
|
|
Clsd tx fx radius/ulna without manip 25560
|
$930.30 |
$930.30 |
$930.30 |
$487.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,674.40 |
$1,674.40 |
$1,674.40 |
$1,548.40
|
|
Clsd tx hip disloc without anes 27265
|
$2,030.70 |
$2,030.70 |
$2,030.70 |
$631.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,141.70 |
$1,141.70 |
$1,141.70 |
$883.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$580.30 |
$580.30 |
$580.30 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,064.70 |
$1,064.70 |
$1,064.70 |
$613.14
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$829.50 |
$829.50 |
$829.50 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$829.50 |
$829.50 |
$829.50 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,790.50 |
$3,790.50 |
$3,790.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,380.70 |
$2,380.70 |
$2,380.70 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$893.90 |
$893.90 |
$893.90 |
$577.20
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$5,644.80 |
$5,644.80 |
$5,644.80 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$609.00 |
$609.00 |
$609.00 |
$414.40
|
|
Clsd tx radius fracture w/manip 24655
|
$2,157.40 |
$2,157.40 |
$2,157.40 |
$1,772.97
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,118.90 |
$2,118.90 |
$2,118.90 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,503.20 |
$2,503.20 |
$2,503.20 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,084.20 |
$3,084.20 |
$3,084.20 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$828.80 |
$828.80 |
$828.80 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$689.50 |
$689.50 |
$689.50 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,262.10 |
$1,262.10 |
$1,262.10 |
$1,565.74
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$906.50 |
$906.50 |
$906.50 |
$611.10
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$760.90 |
$760.90 |
$760.90 |
$487.15
|
|
Cltx carpl scphd fx w/mnpj
|
$829.50 |
$829.50 |
$829.50 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,967.30 |
$2,967.30 |
$2,967.30 |
$1,851.78
|
|
Cltx lunate dislc w/mnpj
|
$3,542.00 |
$3,542.00 |
$3,542.00 |
$2,384.00
|
|
Cltx post ankle fx
|
$525.00 |
$525.00 |
$525.00 |
$483.60
|
|
Cltx thigh fx w/mnpj
|
$2,366.70 |
$2,366.70 |
$2,366.70 |
$3,276.70
|
|
Cmbn ant pst colprhy
|
$42,356.16 |
$42,356.16 |
$42,356.16 |
$4,928.00
|
|
C motor evoked lwr limbs
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$2,256.10 |
$2,256.10 |
$2,256.10 |
$1,308.00
|
|
#cms hgb-sulfhemoglobin
|
$98.00 |
$98.00 |
$98.00 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$179.90 |
$179.90 |
$179.90 |
$87.75
|
