|
Chest 2 vws w oblique
|
$145.96 |
$145.96 |
$145.96 |
$377.06
|
|
Chest CT scan (with and without contrast)
|
$1,143.87 |
$1,143.87 |
$1,143.87 |
$2,105.40
|
|
Chest CT scan (with contrast)
|
$961.00 |
$961.00 |
$961.00 |
$1,707.60
|
|
Chest CT scan (without contrast)
|
$961.00 |
$961.00 |
$961.00 |
$1,350.03
|
|
Chest X-ray
|
$303.79 |
$303.79 |
$303.79 |
$295.22
|
|
Chest X-ray (single view)
|
$246.94 |
$246.94 |
$246.94 |
$232.17
|
|
Chlamydia culture
|
$23.34 |
$23.34 |
$23.34 |
$94.90
|
|
Chlamydia type
|
$6.37 |
$6.37 |
$6.37 |
$34.92
|
|
Chlnggrphy intraop addl s&i
|
$507.02 |
$507.02 |
$507.02 |
$280.00
|
|
Chloride
|
$26.31 |
$26.31 |
$26.31 |
$39.60
|
|
Chloride 24 hour urine
|
$55.16 |
$55.16 |
$55.16 |
$46.13
|
|
Chloroprocaine hcl injection
|
$51.65 |
$51.65 |
$51.65 |
$78.26
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$61.78 |
$61.78 |
$61.78 |
$89.81
|
|
Chlorpromazine 100 mg tablet
|
$529.88 |
$529.88 |
$529.88 |
$1.44
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$734.44 |
$734.44 |
$734.44 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,618.70 |
$3,618.70 |
$3,618.70 |
$3,712.80
|
|
Cholesterol
|
$76.38 |
$76.38 |
$76.38 |
$46.15
|
|
Cholesterol body fluid
|
$44.13 |
$44.13 |
$44.13 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$115.83 |
$115.83 |
$115.83 |
$118.36
|
|
Cholinesterase
|
$120.93 |
$120.93 |
$120.93 |
$39.60
|
|
Cholinesterase challenge
|
$93.77 |
$93.77 |
$93.77 |
$296.91
|
|
Chrom analysis
|
$139.17 |
$139.17 |
$139.17 |
$128.25
|
|
Chromatogram assay sugars
|
$56.43 |
$56.43 |
$56.43 |
$64.13
|
|
Chromatography
|
$38.19 |
$38.19 |
$38.19 |
$81.25
|
|
Chromogenic substrate assay
|
$117.53 |
$117.53 |
$117.53 |
$184.60
|
|
Chromo high res and frag x - sendout
|
$350.89 |
$350.89 |
$350.89 |
$265.11
|
|
Chromosome analysis 15-20 cell count
|
$685.64 |
$685.64 |
$685.64 |
$479.38
|
|
Chromosome banding study
|
$158.26 |
$158.26 |
$158.26 |
$172.80
|
|
Chromosome karyotype study
|
$53.04 |
$53.04 |
$53.04 |
$108.94
|
|
Chromosome study additional
|
$685.64 |
$685.64 |
$685.64 |
$147.03
|
|
Chronic urticaria - sendout
|
$96.32 |
$96.32 |
$96.32 |
$91.00
|
|
Chylomicron screen, bf - sendout
|
$156.56 |
$156.56 |
$156.56 |
$123.50
|
|
Cidofovir injection
|
$703.79 |
$703.79 |
$703.79 |
$1,200.39
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$25.69 |
$25.69 |
$25.69 |
$45.27
|
|
Circumcision (newborn)
|
$1,375.52 |
$1,375.52 |
$1,375.52 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$234.63 |
$234.63 |
$234.63 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$172.45 |
$172.45 |
$172.45 |
$581.01
|
|
Clearance of airways
|
$134.08 |
$134.08 |
$134.08 |
$206.80
|
|
Clip ligating vesolock lg
|
$78.50 |
$78.50 |
$78.50 |
$977.62
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$72.09 |
$72.09 |
$72.09 |
$81.02
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$402.65 |
$402.65 |
$402.65 |
$646.92
|
|
Closed tx humerus fx with manip 23605
|
$1,093.80 |
$1,093.80 |
$1,093.80 |
$2,460.00
|
|
Closed tx humerus fx w/manip 24505
|
$1,093.80 |
$1,093.80 |
$1,093.80 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$265.60 |
$265.60 |
$265.60 |
$423.20
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$831.17 |
$831.17 |
$831.17 |
$2,864.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$456.11 |
$456.11 |
$456.11 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$465.87 |
$465.87 |
$465.87 |
$2,728.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$604.18 |
$604.18 |
$604.18 |
$1,183.65
|
|
Clot factor xii hageman
|
$141.71 |
$141.71 |
$141.71 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$165.47 |
$165.47 |
$165.47 |
$51.50
|
|
Clot factor xiii fibrin stab
|
$19.52 |
$19.52 |
$19.52 |
$91.80
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$602.48 |
$602.48 |
$602.48 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$568.54 |
$568.54 |
$568.54 |
$626.40
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$599.09 |
$599.09 |
$599.09 |
$543.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$645.34 |
$645.34 |
$645.34 |
$2,034.18
|
|
Clsd tx coccygeal fracture 27200
|
$226.15 |
$226.15 |
$226.15 |
$336.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$460.35 |
$460.35 |
$460.35 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$739.53 |
$739.53 |
$739.53 |
$731.04
|
|
Clsd tx elbow dislocation child 24640
|
$263.48 |
$263.48 |
$263.48 |
$525.28
|
|
Clsd tx fracture of radius 25500
|
$402.65 |
$402.65 |
$402.65 |
$470.21
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$365.31 |
$365.31 |
$365.31 |
$478.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$546.48 |
$546.48 |
$546.48 |
$639.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$902.03 |
$902.03 |
$902.03 |
$1,912.80
|
|
Clsd tx fx radius/ulna without manip 25560
|
$329.25 |
$329.25 |
$329.25 |
$632.78
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,330.13 |
$1,330.13 |
$1,330.13 |
$1,790.00
|
|
Clsd tx hip disloc without anes 27265
|
$512.96 |
$512.96 |
$512.96 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$236.75 |
$236.75 |
$236.75 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$258.39 |
$258.39 |
$258.39 |
$568.92
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$724.25 |
$724.25 |
$724.25 |
$1,066.00
|
|
Clsd tx mandibular fx without manip 21450
|
$456.53 |
$456.53 |
$456.53 |
$1,087.20
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$245.24 |
$245.24 |
$245.24 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$402.65 |
$402.65 |
$402.65 |
$717.75
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$572.36 |
$572.36 |
$572.36 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$379.31 |
$379.31 |
$379.31 |
$429.65
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$255.00 |
$255.00 |
$255.00 |
$3,600.75
|
|
Clsd tx of ankle fracture w/manip 28435
|
$641.09 |
$641.09 |
$641.09 |
$1,815.75
|
|
Clsd tx patella disloc without anes 27560
|
$550.30 |
$550.30 |
$550.30 |
$707.30
|
|
Clsd tx/patellar fx without manip 27520
|
$226.15 |
$226.15 |
$226.15 |
$576.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$586.36 |
$586.36 |
$586.36 |
$484.00
|
|
Clsd tx radius fracture w/manip 24655
|
$835.41 |
$835.41 |
$835.41 |
$1,835.20
|
|
Clsd tx shoulder dislc/fx 23665
|
$739.53 |
$739.53 |
$739.53 |
$2,066.17
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$739.53 |
$739.53 |
$739.53 |
$1,797.83
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$817.59 |
$817.59 |
$817.59 |
$2,423.85
|
|
Clsd tx temporomandibular dislocat 21480
|
$181.60 |
$181.60 |
$181.60 |
$512.40
|
|
Clsd tx toe dislocation without anes28660
|
$195.60 |
$195.60 |
$195.60 |
$426.25
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$739.53 |
$739.53 |
$739.53 |
$1,704.80
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$837.11 |
$837.11 |
$837.11 |
$744.22
|
|
Cltx hum epcndylr fx wo mnpj
|
$276.64 |
$276.64 |
$276.64 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,093.80 |
$1,093.80 |
$1,093.80 |
$1,858.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$1,665.73 |
$1,665.73 |
$1,665.73 |
$5,835.75
|
|
Cltx mndblr/max alv ridge fx
|
$949.12 |
$949.12 |
$949.12 |
$3,723.23
|
|
Cltx scap fx w/mnpj +-tractj
|
$750.98 |
$750.98 |
$750.98 |
$2,211.05
|
|
#cmvcul-virus inoculation shell
|
$21.64 |
$21.64 |
$21.64 |
$102.57
|
|
Cmv pcr-sendout
|
$56.43 |
$56.43 |
$56.43 |
$172.25
|
|
Co2 monitor per day
|
$389.49 |
$389.49 |
$389.49 |
$389.49
|
|
Coagulation time activated teg
|
$38.19 |
$38.19 |
$38.19 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$102.47 |
$102.47 |
$102.47 |
$781.82
|
|
Coil axium 3d 14mmx40cm qc
|
$577.03 |
$577.03 |
$577.03 |
$577.03
|
|
Cold agglutinin screen (arc)
|
$34.37 |
$34.37 |
$34.37 |
$48.57
|
|
Cold agglutinin titer
|
$67.04 |
$67.04 |
$67.04 |
$49.95
|
