|
#cf-97variants
|
$3,268.80 |
$3,268.80 |
$3,268.80 |
$622.20
|
|
Cftr gene dup/delet variants
|
$3,198.40 |
$3,198.40 |
$3,198.40 |
$779.35
|
|
Cftr gene known fam variants
|
$2,077.60 |
$2,077.60 |
$2,077.60 |
$195.20
|
|
Change cystostomy tube simple
|
$665.60 |
$665.60 |
$665.60 |
$451.00
|
|
Change of windpipe airway 31502
|
$275.20 |
$275.20 |
$275.20 |
$388.00
|
|
Chemodenerv musc migraine 64615
|
$1,468.00 |
$1,468.00 |
$1,468.00 |
$540.80
|
|
Chemo extend IV infus w/pump
|
$628.80 |
$628.80 |
$628.80 |
$737.10
|
|
Chest 2 vws w oblique
|
$657.60 |
$657.60 |
$657.60 |
$377.06
|
|
Chest apical lordotic proj
|
$443.20 |
$443.20 |
$443.20 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,057.60 |
$3,057.60 |
$3,057.60 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,840.80 |
$2,840.80 |
$2,840.80 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$2,288.80 |
$2,288.80 |
$2,288.80 |
$1,350.03
|
|
Chest X-ray
|
$372.80 |
$372.80 |
$372.80 |
$294.06
|
|
Chest X-ray (single view)
|
$315.20 |
$315.20 |
$315.20 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$193.60 |
$193.60 |
$193.60 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$511.59
|
|
Chlamydia culture
|
$290.40 |
$290.40 |
$290.40 |
$93.90
|
|
Chlamydia type
|
$104.00 |
$104.00 |
$104.00 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$720.80 |
$720.80 |
$720.80 |
$301.40
|
|
Chloride
|
$106.40 |
$106.40 |
$106.40 |
$40.95
|
|
Chloride 24 hour urine
|
$300.80 |
$300.80 |
$300.80 |
$49.50
|
|
Cholangiogram percutaneous compl
|
$3,120.80 |
$3,120.80 |
$3,120.80 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$3,690.60
|
|
Cholesterol
|
$127.20 |
$127.20 |
$127.20 |
$45.76
|
|
Cholesterol body fluid
|
$299.20 |
$299.20 |
$299.20 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$317.60 |
$317.60 |
$317.60 |
$115.80
|
|
Cholinesterase
|
$339.20 |
$339.20 |
$339.20 |
$38.69
|
|
Cholinesterase challenge
|
$519.20 |
$519.20 |
$519.20 |
$366.72
|
|
Chrom analysis
|
$193.60 |
$193.60 |
$193.60 |
$156.00
|
|
Chromatography
|
$931.20 |
$931.20 |
$931.20 |
$81.25
|
|
Chromogenic substrate assay
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$1,468.80 |
$1,468.80 |
$1,468.80 |
$247.59
|
|
Chromosome analys amniotic
|
$404.00 |
$404.00 |
$404.00 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$512.20
|
|
Chromosome count additional
|
$429.60 |
$429.60 |
$429.60 |
$92.45
|
|
Chromosome karyotype study
|
$585.60 |
$585.60 |
$585.60 |
$119.87
|
|
Chronic urticaria - sendout
|
$659.20 |
$659.20 |
$659.20 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$251.20 |
$251.20 |
$251.20 |
$124.15
|
|
Circumcision (newborn)
|
$1,720.80 |
$1,720.80 |
$1,720.80 |
$1,395.20
|
|
Clearance of airways
|
$85.60 |
$85.60 |
$85.60 |
$208.86
|
|
Cllr miami j sm
|
$410.40 |
$410.40 |
$410.40 |
$566.23
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$3,856.80 |
$3,856.80 |
$3,856.80 |
$2,211.05
|
|
Closed tx humerus fx w/manip 24505
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$322.40 |
$322.40 |
$322.40 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$2,520.60
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$6,515.20 |
$6,515.20 |
$6,515.20 |
$2,326.08
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,936.80 |
$1,936.80 |
$1,936.80 |
$1,259.62
|
|
Clot factor xii hageman
|
$311.20 |
$311.20 |
$311.20 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$509.60 |
$509.60 |
$509.60 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$680.80 |
$680.80 |
$680.80 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,306.40 |
$1,306.40 |
$1,306.40 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$391.20 |
$391.20 |
$391.20 |
$476.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,354.40 |
$1,354.40 |
$1,354.40 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$857.60 |
$857.60 |
$857.60 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$2,184.08
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$426.40 |
$426.40 |
$426.40 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$891.20 |
$891.20 |
$891.20 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$396.80 |
$396.80 |
$396.80 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$426.40 |
$426.40 |
$426.40 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$588.00 |
$588.00 |
$588.00 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$1,199.20 |
$1,199.20 |
$1,199.20 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$867.20 |
$867.20 |
$867.20 |
$492.99
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$496.00 |
$496.00 |
$496.00 |
$606.00
|
|
Clsd tx/metatarsal fx without manip 28470
|
$359.20 |
$359.20 |
$359.20 |
$418.20
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,032.00 |
$2,032.00 |
$2,032.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$958.40 |
$958.40 |
$958.40 |
$566.72
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$2,146.20
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$879.20 |
$879.20 |
$879.20 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,630.40 |
$1,630.40 |
$1,630.40 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,740.00 |
$2,740.00 |
$2,740.00 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,646.40 |
$2,646.40 |
$2,646.40 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$4,694.40 |
$4,694.40 |
$4,694.40 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$220.00 |
$220.00 |
$220.00 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$384.80 |
$384.80 |
$384.80 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$426.40 |
$426.40 |
$426.40 |
$452.40
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,372.80 |
$2,372.80 |
$2,372.80 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$4,559.20 |
$4,559.20 |
$4,559.20 |
$2,437.00
|
|
Cltx mndblr fx w/mnpj
|
$2,411.20 |
$2,411.20 |
$2,411.20 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$5,153.60 |
$5,153.60 |
$5,153.60 |
$3,990.33
|
|
Cltx post ankle fx w/mnpj
|
$2,624.00 |
$2,624.00 |
$2,624.00 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,372.80 |
$2,372.80 |
$2,372.80 |
$2,021.04
|
|
#cmvcul-virus inoculation shell
|
$538.40 |
$538.40 |
$538.40 |
$100.80
|
|
Cmv pcr-sendout
|
$514.40 |
$514.40 |
$514.40 |
$177.50
|
|
Co2 monitor per day
|
$1,568.80 |
$1,568.80 |
$1,568.80 |
$450.60
|
|
Coagulation time activated teg
|
$144.80 |
$144.80 |
$144.80 |
$53.72
|
|
Coch imp ext proc/contr rplc
|
$44,148.00 |
$44,148.00 |
$44,148.00 |
$20,146.35
|
|
Cold agglutinin titer
|
$248.80 |
$248.80 |
$248.80 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$410.40 |
$410.40 |
$410.40 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$113.60 |
$113.60 |
$113.60 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$113.60 |
$113.60 |
$113.60 |
$213.89
|
|
Collection of venous blood by venipuncture
|
$34.40 |
$34.40 |
$34.40 |
$21.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,012.00 |
$4,012.00 |
$4,012.00 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$258.40 |
$258.40 |
$258.40 |
$170.05
|
