|
Chg radiologic exam esophagus double contrast
|
$825.00 |
$825.00 |
$825.00 |
$520.80
|
|
Chimerism anal no cell selec
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$393.74
|
|
Chimerism anal w/cell select
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$649.00
|
|
Chloride
|
$17.00 |
$17.00 |
$17.00 |
$42.63
|
|
Chloride 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$50.88
|
|
Cholangiogram percutaneous compl
|
$8,799.00 |
$8,799.00 |
$8,799.00 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$205.00 |
$205.00 |
$205.00 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,027.00 |
$5,027.00 |
$5,027.00 |
$3,856.84
|
|
Cholesterol
|
$18.00 |
$18.00 |
$18.00 |
$45.76
|
|
Cholesterol body fluid
|
$101.00 |
$101.00 |
$101.00 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$48.00 |
$48.00 |
$48.00 |
$115.80
|
|
Chrom analysis
|
$472.00 |
$472.00 |
$472.00 |
$156.00
|
|
Chromatography
|
$69.00 |
$69.00 |
$69.00 |
$84.60
|
|
Chromosome analys amniotic
|
$466.00 |
$466.00 |
$466.00 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$1,006.00 |
$1,006.00 |
$1,006.00 |
$517.11
|
|
Chromosome analysis 5
|
$884.00 |
$884.00 |
$884.00 |
$644.80
|
|
Chromosome analys placenta
|
$731.00 |
$731.00 |
$731.00 |
$572.99
|
|
Chromosome count additional
|
$184.00 |
$184.00 |
$184.00 |
$96.50
|
|
Chromosome karyotype study
|
$184.00 |
$184.00 |
$184.00 |
$120.00
|
|
Circumcision (newborn)
|
$1,865.00 |
$1,865.00 |
$1,865.00 |
$1,364.88
|
|
C-kit mutation liquid tumor - sendout
|
$1,063.00 |
$1,063.00 |
$1,063.00 |
$666.60
|
|
Clearance of airways
|
$315.00 |
$315.00 |
$315.00 |
$213.07
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,637.00 |
$1,637.00 |
$1,637.00 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$416.00 |
$416.00 |
$416.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$373.00 |
$373.00 |
$373.00 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$293.00 |
$293.00 |
$293.00 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$7,505.00 |
$7,505.00 |
$7,505.00 |
$2,569.28
|
|
Closed tx/talus fracture without manip 28430
|
$373.00 |
$373.00 |
$373.00 |
$442.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,622.00 |
$1,622.00 |
$1,622.00 |
$1,259.62
|
|
Clot factor xii hageman
|
$75.00 |
$75.00 |
$75.00 |
$138.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$578.00 |
$578.00 |
$578.00 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$373.00 |
$373.00 |
$373.00 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$383.00 |
$383.00 |
$383.00 |
$489.60
|
|
Clsd tx/clavicular fx without manip 23500
|
$497.00 |
$497.00 |
$497.00 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$288.00 |
$288.00 |
$288.00 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$616.00 |
$616.00 |
$616.00 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$426.00 |
$426.00 |
$426.00 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$578.00 |
$578.00 |
$578.00 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$3,497.00 |
$3,497.00 |
$3,497.00 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$381.00 |
$381.00 |
$381.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$240.00 |
$240.00 |
$240.00 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$638.00 |
$638.00 |
$638.00 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$421.00 |
$421.00 |
$421.00 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,931.00 |
$1,931.00 |
$1,931.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$459.00 |
$459.00 |
$459.00 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$428.00 |
$428.00 |
$428.00 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$578.00 |
$578.00 |
$578.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$518.00 |
$518.00 |
$518.00 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$373.00 |
$373.00 |
$373.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$883.00 |
$883.00 |
$883.00 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$544.00 |
$544.00 |
$544.00 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$580.00 |
$580.00 |
$580.00 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$578.00 |
$578.00 |
$578.00 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$428.00 |
$428.00 |
$428.00 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$373.00 |
$373.00 |
$373.00 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$4,304.00 |
$4,304.00 |
$4,304.00 |
$3,678.17
|
|
Clsd tx patella disloc without anes 27560
|
$458.00 |
$458.00 |
$458.00 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$373.00 |
$373.00 |
$373.00 |
$498.85
|
|
Clsd tx pelvic ring fx
|
$373.00 |
$373.00 |
$373.00 |
$424.50
|
|
Clsd tx pelvic ring fx
|
$915.00 |
$915.00 |
$915.00 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$412.00 |
$412.00 |
$412.00 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$648.00 |
$648.00 |
$648.00 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$800.00 |
$800.00 |
$800.00 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,931.00 |
$1,931.00 |
$1,931.00 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,115.00 |
$3,115.00 |
$3,115.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$388.00 |
$388.00 |
$388.00 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$458.00 |
$458.00 |
$458.00 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$535.00 |
$535.00 |
$535.00 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,640.00 |
$1,640.00 |
$1,640.00 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$426.00 |
$426.00 |
$426.00 |
$473.00
|
|
Clsd tx wrist carpal fx without manip 25630
|
$428.00 |
$428.00 |
$428.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$498.00 |
$498.00 |
$498.00 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$723.00 |
$723.00 |
$723.00 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$373.00 |
$373.00 |
$373.00 |
$487.15
|
|
Cls tx of heel fracture w/manip 28405
|
$490.00 |
$490.00 |
$490.00 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$4,931.00 |
$4,931.00 |
$4,931.00 |
$1,893.86
|
|
Cltx hum epcndylr fx wo mnpj
|
$435.00 |
$435.00 |
$435.00 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,858.00 |
$1,858.00 |
$1,858.00 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$507.00 |
$507.00 |
$507.00 |
$535.60
|
|
Cltx mndblr fx ntrdntl fixj
|
$5,947.00 |
$5,947.00 |
$5,947.00 |
$6,776.64
|
|
Cltx post ankle fx
|
$426.00 |
$426.00 |
$426.00 |
$497.00
|
|
Cltx post ankle fx w/mnpj
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$1,939.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$4,931.00 |
$4,931.00 |
$4,931.00 |
$2,021.04
|
|
C motor evoked lwr limbs
|
$1,022.00 |
$1,022.00 |
$1,022.00 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,927.00 |
$1,927.00 |
$1,927.00 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$1,333.36
|
|
#cmvcul-virus inoculation shell
|
$122.00 |
$122.00 |
$122.00 |
$89.76
|
|
Co2 monitor per day
|
$323.00 |
$323.00 |
$323.00 |
$459.20
|
|
Coagulation time activated teg
|
$25.00 |
$25.00 |
$25.00 |
$52.47
|
|
Cochlear implt f/up exam <7
|
$569.00 |
$569.00 |
$569.00 |
$423.87
|
|
Cochlear implt f/up exam 7/>
|
$542.00 |
$542.00 |
$542.00 |
$386.64
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$620.00 |
$620.00 |
$620.00 |
$303.73
|
|
Colonoscopy (diagnostic)
|
$872.59 |
$872.59 |
$872.59 |
$1,899.00
|
|
Colonoscopy (with biopsy)
|
$1,137.06 |
$1,137.06 |
$1,137.06 |
$2,214.00
|
