|
Cholesterol (Lipid) Test
|
$185.76 |
$185.76 |
$185.76 |
$115.80
|
|
Cholinesterase
|
$24.48 |
$24.48 |
$24.48 |
$38.68
|
|
Chrom analysis
|
$136.80 |
$136.80 |
$136.80 |
$155.40
|
|
Chromatography
|
$88.56 |
$88.56 |
$88.56 |
$81.25
|
|
Chromogenic substrate assay
|
$133.20 |
$133.20 |
$133.20 |
$150.98
|
|
Chromo high res and frag x - sendout
|
$329.04 |
$329.04 |
$329.04 |
$248.40
|
|
Chromosome analys amniotic
|
$237.60 |
$237.60 |
$237.60 |
$436.00
|
|
Chromosome analysis 100
|
$983.52 |
$983.52 |
$983.52 |
$441.00
|
|
Chromosome analysis 15-20 cell count
|
$304.56 |
$304.56 |
$304.56 |
$510.25
|
|
Chromosome analys placenta
|
$521.28 |
$521.28 |
$521.28 |
$611.09
|
|
Chromosome karyotype study
|
$237.60 |
$237.60 |
$237.60 |
$120.00
|
|
Chromosome study additional
|
$304.56 |
$304.56 |
$304.56 |
$148.80
|
|
Chronic urticaria - sendout
|
$169.92 |
$169.92 |
$169.92 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$151.20 |
$151.20 |
$151.20 |
$135.10
|
|
Cinacalcet 30 mg tablet
|
$1.10 |
$1.10 |
$1.10 |
$41.25
|
|
Cine/video x-rays add-on
|
$491.76 |
$491.76 |
$491.76 |
$219.00
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$43.20 |
$43.20 |
$43.20 |
$35.69
|
|
Circumcise/surg/28 days or < 54160
|
$1,253.52 |
$1,253.52 |
$1,253.52 |
$1,128.00
|
|
Cisplatin 1 mg/ml desensitization
|
$26.61 |
$26.61 |
$26.61 |
$197.01
|
|
C-kit mutation liquid tumor - sendout
|
$928.08 |
$928.08 |
$928.08 |
$659.20
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$16,020.00 |
$16,020.00 |
$16,020.00 |
$15,560.16
|
|
Clearance of airways
|
$382.32 |
$382.32 |
$382.32 |
$206.80
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$43.20 |
$43.20 |
$43.20 |
$55.20
|
|
Clip ligating vesolock lg
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$4,320.00
|
|
Cllr miami j sm
|
$81.36 |
$81.36 |
$81.36 |
$552.23
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$518.40 |
$518.40 |
$518.40 |
$527.94
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$518.40 |
$518.40 |
$518.40 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,269.82
|
|
Closed tx humerus fx without manip 23600
|
$617.04 |
$617.04 |
$617.04 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,535.61
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$558.00 |
$558.00 |
$558.00 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$6,035.76 |
$6,035.76 |
$6,035.76 |
$2,550.80
|
|
Closed tx septal&nose fx
|
$7,004.88 |
$7,004.88 |
$7,004.88 |
$3,624.40
|
|
Closed tx/talus fracture without manip 28430
|
$610.56 |
$610.56 |
$610.56 |
$442.80
|
|
Closed tx vert fx w/manj
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$750.96 |
$750.96 |
$750.96 |
$477.00
|
|
Clos txnose fx without stablz 21315
|
$3,199.68 |
$3,199.68 |
$3,199.68 |
$2,377.50
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$2,442.24 |
$2,442.24 |
$2,442.24 |
$1,294.80
|
|
Closure paravalvlr leak pq
|
$42,402.24 |
$42,402.24 |
$42,402.24 |
$7,723.17
|
|
Clot factor fletcher fact
|
$272.88 |
$272.88 |
$272.88 |
$116.82
|
|
Clot factor wght kininogen
|
$246.24 |
$246.24 |
$246.24 |
$157.50
|
|
Clot factor xii hageman
|
$119.52 |
$119.52 |
$119.52 |
$131.56
|
|
Clot factor xiii fibrin scrn
|
$100.80 |
$100.80 |
$100.80 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$200.88 |
$200.88 |
$200.88 |
$105.00
|
|
Clotting assay whole blood
|
$394.56 |
$394.56 |
$394.56 |
$101.52
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$981.36 |
$981.36 |
$981.36 |
$657.28
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$610.56 |
$610.56 |
$610.56 |
$533.03
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$653.04 |
$653.04 |
$653.04 |
$501.15
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,893.86
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$518.40 |
$518.40 |
$518.40 |
$424.45
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$676.20
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$706.32 |
$706.32 |
$706.32 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$750.96 |
$750.96 |
$750.96 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$3,774.96 |
$3,774.96 |
$3,774.96 |
$2,211.05
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$557.28 |
$557.28 |
$557.28 |
$442.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$653.04 |
$653.04 |
$653.04 |
$459.84
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$820.08 |
$820.08 |
$820.08 |
$537.55
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,684.00
|
|
Clsd tx fx radius/ulna without manip 25560
|
$653.04 |
$653.04 |
$653.04 |
$478.40
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,560.75
|
|
Clsd tx hip disloc without anes 27265
|
$775.44 |
$775.44 |
$775.44 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$601.92 |
$601.92 |
$601.92 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$601.92 |
$601.92 |
$601.92 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$2,219.04 |
$2,219.04 |
$2,219.04 |
$889.96
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$518.40 |
$518.40 |
$518.40 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$518.40 |
$518.40 |
$518.40 |
$499.20
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$601.92 |
$601.92 |
$601.92 |
$613.14
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$948.96 |
$948.96 |
$948.96 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$653.04 |
$653.04 |
$653.04 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$7,004.88 |
$7,004.88 |
$7,004.88 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,884.74
|
|
Clsd tx patella disloc without anes 27560
|
$653.04 |
$653.04 |
$653.04 |
$577.20
|
|
Clsd tx pelvic ring fx
|
$518.40 |
$518.40 |
$518.40 |
$424.50
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$3,971.52 |
$3,971.52 |
$3,971.52 |
$2,132.25
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$518.40 |
$518.40 |
$518.40 |
$419.73
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$518.40 |
$518.40 |
$518.40 |
$465.00
|
|
Clsd tx radius fracture w/manip 24655
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,287.20
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$611.28 |
$611.28 |
$611.28 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$518.40 |
$518.40 |
$518.40 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$595.44 |
$595.44 |
$595.44 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$518.40 |
$518.40 |
$518.40 |
$466.14
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$552.24 |
$552.24 |
$552.24 |
$648.34
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$653.04 |
$653.04 |
$653.04 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$653.04 |
$653.04 |
$653.04 |
$611.10
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$601.92 |
$601.92 |
$601.92 |
$483.12
|
|
Cltx carpl scphd fx w/mnpj
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,958.40
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$6,773.76 |
$6,773.76 |
$6,773.76 |
$2,317.60
|
|
Cltx hum epcndylr fx wo mnpj
|
$622.08 |
$622.08 |
$622.08 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,858.00
|
|
Cltx humrl cndylr fx wo mnpj
|
$653.04 |
$653.04 |
$653.04 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$3,560.40 |
$3,560.40 |
$3,560.40 |
$2,420.60
|
|
Cltx mndblr fx w/mnpj
|
$7,030.08 |
$7,030.08 |
$7,030.08 |
$2,411.20
|
|
Cltx mndblr/max alv ridge fx
|
$7,178.40 |
$7,178.40 |
$7,178.40 |
$3,907.80
|