|
Chest CT scan (with contrast)
|
$424.06 |
$424.06 |
$424.06 |
|
|
Chest CT scan (without contrast)
|
$353.60 |
$353.60 |
$353.60 |
|
|
Chest X-ray
|
$165.88 |
$165.88 |
$165.88 |
|
|
Chest X-ray (single view)
|
$134.68 |
$134.68 |
$134.68 |
|
|
Chg pr pul rehab for copd patients
|
$132.34 |
$132.34 |
$132.34 |
|
|
Chlnggrphy intraop addl s&i
|
$193.18 |
$193.18 |
$193.18 |
|
|
Chloride
|
$34.32 |
$34.32 |
$34.32 |
|
|
Chloride 24 hour urine
|
$47.06 |
$47.06 |
$47.06 |
|
|
Chloroprocaine hcl injection
|
$61.87 |
$61.87 |
$61.87 |
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$79.87 |
$79.87 |
$79.87 |
|
|
Cholangiogram percutaneous compl
|
$1,767.74 |
$1,767.74 |
$1,767.74 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$481.00 |
$481.00 |
$481.00 |
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,248.96 |
$3,248.96 |
$3,248.96 |
|
|
Cholesterol
|
$21.84 |
$21.84 |
$21.84 |
|
|
Cholesterol (Lipid) Test
|
$21.06 |
$21.06 |
$21.06 |
|
|
Cholinesterase
|
$20.80 |
$20.80 |
$20.80 |
|
|
Cholinesterase challenge
|
$435.24 |
$435.24 |
$435.24 |
|
|
Chrom analysis
|
$55.90 |
$55.90 |
$55.90 |
|
|
Chromatography
|
$42.38 |
$42.38 |
$42.38 |
|
|
Chromo high res and frag x - sendout
|
$106.60 |
$106.60 |
$106.60 |
|
|
Chromosome analysis 15-20 cell count
|
$195.26 |
$195.26 |
$195.26 |
|
|
Chromosome karyotype study
|
$53.85 |
$53.85 |
$53.85 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$38.70 |
$38.70 |
$38.70 |
|
|
Circumcision (newborn)
|
$1,186.90 |
$1,186.90 |
$1,186.90 |
|
|
Cisplatin 1 mg/ml desensitization
|
$166.97 |
$166.97 |
$166.97 |
|
|
Clearance of airways
|
$131.04 |
$131.04 |
$131.04 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$90.76 |
$90.76 |
$90.76 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$238.16 |
$238.16 |
$238.16 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$538.46 |
$538.46 |
$538.46 |
|
|
Closed tx humerus fx with manip 23605
|
$458.90 |
$458.90 |
$458.90 |
|
|
Closed tx humerus fx without manip 23600
|
$112.84 |
$112.84 |
$112.84 |
|
|
Closed tx humerus fx w/manip 24505
|
$895.70 |
$895.70 |
$895.70 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$193.96 |
$193.96 |
$193.96 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,895.66 |
$1,895.66 |
$1,895.66 |
|
|
Closed tx/talus fracture without manip 28430
|
$148.46 |
$148.46 |
$148.46 |
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$878.02 |
$878.02 |
$878.02 |
|
|
Close tear duct opening
|
$124.28 |
$124.28 |
$124.28 |
|
|
Clos txnose fx without stablz 21315
|
$1,437.80 |
$1,437.80 |
$1,437.80 |
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$758.94 |
$758.94 |
$758.94 |
|
|
Clot factor xii hageman
|
$131.56 |
$131.56 |
$131.56 |
|
|
Clot factor xiii fibrin stab
|
$146.64 |
$146.64 |
$146.64 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$211.12 |
$211.12 |
$211.12 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$231.40 |
$231.40 |
$231.40 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$271.96 |
$271.96 |
$271.96 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$291.72 |
$291.72 |
$291.72 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$458.90 |
$458.90 |
$458.90 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$243.36 |
$243.36 |
$243.36 |
|
|
Clsd tx coccygeal fracture 27200
|
$505.18 |
$505.18 |
$505.18 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$194.74 |
$194.74 |
$194.74 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$248.82 |
$248.82 |
$248.82 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$299.00 |
$299.00 |
$299.00 |
|
|
Clsd tx elbow dislocation child 24640
|
$339.04 |
$339.04 |
$339.04 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,192.10 |
$1,192.10 |
$1,192.10 |
|
|
Clsd tx fracture of radius 25500
|
$247.52 |
$247.52 |
$247.52 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$486.98 |
$486.98 |
$486.98 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$110.50 |
$110.50 |
$110.50 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$904.80 |
$904.80 |
$904.80 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$112.84 |
$112.84 |
$112.84 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$714.74 |
$714.74 |
$714.74 |
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$271.96 |
$271.96 |
$271.96 |
|
|
Clsd tx hip disloc without anes 27265
|
$1,104.22 |
$1,104.22 |
$1,104.22 |
|
|
Clsd tx humeral fract without manip 24530
|
$194.74 |
$194.74 |
$194.74 |
|
|
Clsd tx humerus fract without manip 24500
|
$112.84 |
$112.84 |
$112.84 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
|
|
Clsd tx mandibular fx without manip 21450
|
$310.70 |
$310.70 |
$310.70 |
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$194.74 |
$194.74 |
$194.74 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$245.18 |
$245.18 |
$245.18 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,740.70 |
$1,740.70 |
$1,740.70 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$420.94 |
$420.94 |
$420.94 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$194.74 |
$194.74 |
$194.74 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,740.70 |
$1,740.70 |
$1,740.70 |
|
|
Clsd tx patella disloc without anes 27560
|
$499.46 |
$499.46 |
$499.46 |
|
|
Clsd tx/patellar fx without manip 27520
|
$271.96 |
$271.96 |
$271.96 |
|
|
Clsd tx pelvic ring fx
|
$1,417.78 |
$1,417.78 |
$1,417.78 |
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$638.04 |
$638.04 |
$638.04 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$84.50 |
$84.50 |
$84.50 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$177.32 |
$177.32 |
$177.32 |
|
|
Clsd tx radius fracture w/manip 24655
|
$1,418.56 |
$1,418.56 |
$1,418.56 |
|
|
Clsd tx/scapular fx without manip 23570
|
$271.96 |
$271.96 |
$271.96 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$458.90 |
$458.90 |
$458.90 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$633.36 |
$633.36 |
$633.36 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,418.56 |
$1,418.56 |
$1,418.56 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$499.46 |
$499.46 |
$499.46 |
|
|
Clsd tx toe dislocation without anes28660
|
$349.96 |
$349.96 |
$349.96 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$379.86 |
$379.86 |
$379.86 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$754.26 |
$754.26 |
$754.26 |
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$263.38 |
$263.38 |
$263.38 |
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$199.94 |
$199.94 |
$199.94 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$194.74 |
$194.74 |
$194.74 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$194.74 |
$194.74 |
$194.74 |
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$911.30 |
$911.30 |
$911.30 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$57.20 |
$57.20 |
$57.20 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$189.28 |
$189.28 |
$189.28 |
|
|
Cls tx of heel fracture w/manip 28405
|
$312.52 |
$312.52 |
$312.52 |
|
|
Cltx carpl scphd fx w/mnpj
|
$458.90 |
$458.90 |
$458.90 |
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$855.14 |
$855.14 |
$855.14 |
|
|
Cltx hum epcndylr fx wo mnpj
|
$150.02 |
$150.02 |
$150.02 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$458.90 |
$458.90 |
$458.90 |
|
|
Cltx humrl cndylr fx wo mnpj
|
$150.02 |
$150.02 |
$150.02 |
|
|
Cltx lunate dislc w/mnpj
|
$663.26 |
$663.26 |
$663.26 |
|