|
Chloride
|
$95.04 |
$95.04 |
$95.04 |
$40.95
|
|
Chloride 24 hour urine
|
$123.84 |
$123.84 |
$123.84 |
$49.50
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$114.41 |
$114.41 |
$114.41 |
$78.43
|
|
Chmotx admn plrl cav thrcnts
|
$716.40 |
$716.40 |
$716.40 |
$489.30
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$983.52 |
$983.52 |
$983.52 |
$602.40
|
|
Cholesterol
|
$95.04 |
$95.04 |
$95.04 |
$45.76
|
|
Cholesterol body fluid
|
$19.44 |
$19.44 |
$19.44 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$120.96 |
$120.96 |
$120.96 |
$115.80
|
|
Chromatography
|
$136.80 |
$136.80 |
$136.80 |
$81.25
|
|
Chromosome analysis 15-20 cell count
|
$864.00 |
$864.00 |
$864.00 |
$512.20
|
|
Circumcise/surg/28 days or < 54160
|
$1,253.52 |
$1,253.52 |
$1,253.52 |
$1,219.20
|
|
Circumcision (newborn)
|
$4,425.12 |
$4,425.12 |
$4,425.12 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$22.16 |
$22.16 |
$22.16 |
$192.66
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$21.84 |
$21.84 |
$21.84 |
$55.20
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$640.08 |
$640.08 |
$640.08 |
$494.15
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,520.60
|
|
Closed tx/talus fracture without manip 28430
|
$1,333.44 |
$1,333.44 |
$1,333.44 |
$421.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$509.04 |
$509.04 |
$509.04 |
$481.80
|
|
Clot factor viii reltd antgn
|
$198.00 |
$198.00 |
$198.00 |
$158.20
|
|
Clot factor xiii fibrin scrn
|
$31.68 |
$31.68 |
$31.68 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$218.16 |
$218.16 |
$218.16 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$450.72 |
$450.72 |
$450.72 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$596.16 |
$596.16 |
$596.16 |
$476.80
|
|
Clsd tx/clavicular fx without manip 23500
|
$1,254.24 |
$1,254.24 |
$1,254.24 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$1,053.36 |
$1,053.36 |
$1,053.36 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,211.04 |
$1,211.04 |
$1,211.04 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$518.40 |
$518.40 |
$518.40 |
$462.80
|
|
Clsd tx fracture of radius 25500
|
$1,599.12 |
$1,599.12 |
$1,599.12 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$771.12 |
$771.12 |
$771.12 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$776.00 |
$776.00 |
$776.00 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$518.40 |
$518.40 |
$518.40 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,006.00 |
$3,006.00 |
$3,006.00 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$561.60 |
$561.60 |
$561.60 |
$459.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$1,526.40 |
$1,526.40 |
$1,526.40 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$518.40 |
$518.40 |
$518.40 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$2,154.96 |
$2,154.96 |
$2,154.96 |
$538.45
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$551.52 |
$551.52 |
$551.52 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,105.20 |
$1,105.20 |
$1,105.20 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$767.52 |
$767.52 |
$767.52 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$568.80 |
$568.80 |
$568.80 |
$418.20
|
|
Clsd tx patella disloc without anes 27560
|
$518.40 |
$518.40 |
$518.40 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$1,833.84 |
$1,833.84 |
$1,833.84 |
$475.68
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$699.84 |
$699.84 |
$699.84 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$1,474.56 |
$1,474.56 |
$1,474.56 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$2,746.08 |
$2,746.08 |
$2,746.08 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$518.40 |
$518.40 |
$518.40 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$518.40 |
$518.40 |
$518.40 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$803.52 |
$803.52 |
$803.52 |
$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
|
$655.92 |
$655.92 |
$655.92 |
$452.40
|
|
Clsd tx wrist carpal fx without manip 25630
|
$1,724.40 |
$1,724.40 |
$1,724.40 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$523.53
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$518.40 |
$518.40 |
$518.40 |
$496.61
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$1,648.80 |
$1,648.80 |
$1,648.80 |
$474.50
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$3,847.68 |
$3,847.68 |
$3,847.68 |
$2,317.60
|
|
Cltx hum epcndylr fx wo mnpj
|
$1,873.44 |
$1,873.44 |
$1,873.44 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,437.00
|
|
Cltx post ankle fx w/mnpj
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,021.04
|
|
#cmvcul-virus inoculation shell
|
$169.20 |
$169.20 |
$169.20 |
$100.80
|
|
Cmv pcr-sendout
|
$112.32 |
$112.32 |
$112.32 |
$177.50
|
|
Cold agglutinin titer
|
$64.80 |
$64.80 |
$64.80 |
$50.00
|
|
Collagen based wound filler
|
$46.08 |
$46.08 |
$46.08 |
$1,823.25
|
|
Collagen dressing <=16 sq in
|
$17.28 |
$17.28 |
$17.28 |
$42.50
|
|
Collar cerv patriot adlt
|
$103.68 |
$103.68 |
$103.68 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$253.44 |
$253.44 |
$253.44 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$254.88 |
$254.88 |
$254.88 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$23.04 |
$23.04 |
$23.04 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$216.00 |
$216.00 |
$216.00 |
$170.05
|
|
Compatibility test each unit immediate spin technique
|
$187.92 |
$187.92 |
$187.92 |
$169.52
|
|
Complement antigen each component c3
|
$50.40 |
$50.40 |
$50.40 |
$108.55
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$876.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$1,194.25
|
|
Complx repair fccmnaxghf 13131
|
$863.28 |
$863.28 |
$863.28 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$1,107.60
|
|
Composite drsg <= 16 sq in
|
$7.92 |
$7.92 |
$7.92 |
$6.62
|
|
Concentration infection agents any type
|
$28.08 |
$28.08 |
$28.08 |
$49.95
|
|
Condylomata destruction 56420
|
$482.40 |
$482.40 |
$482.40 |
$469.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$153.36 |
$153.36 |
$153.36 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$273.60 |
$273.60 |
$273.60 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$188.64 |
$188.64 |
$188.64 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$369.36 |
$369.36 |
$369.36 |
$171.65
|
|
Contrast x-ray of hip
|
$893.52 |
$893.52 |
$893.52 |
$771.12
|
|
Contrast x-ray of knee joint
|
$815.76 |
$815.76 |
$815.76 |
$769.88
|
|
Contrast x-ray of wrist
|
$937.44 |
$937.44 |
$937.44 |
$637.00
|
|
Control nosebleed pack+caut 30905
|
$278.64 |
$278.64 |
$278.64 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$278.64 |
$278.64 |
$278.64 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$241.92 |
$241.92 |
$241.92 |
$355.50
|
|
Coombs direct
|
$95.04 |
$95.04 |
$95.04 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$187.92 |
$187.92 |
$187.92 |
$102.90
|
|
Coombs indirect titer reference
|
$216.00 |
$216.00 |
$216.00 |
$146.40
|
|
Cortisol total am
|
$101.52 |
$101.52 |
$101.52 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$368.35 |
$368.35 |
$368.35 |
$189.22
|