|
Chrom analysis
|
$84.00 |
$84.80 |
$135.22 |
|
|
Chromatography
|
$30.69 |
$47.20 |
$60.00 |
|
|
Chromogenic substrate assay
|
$150.98 |
$165.26 |
$289.60 |
|
|
Chromo high res and frag x - sendout
|
$139.20 |
$229.38 |
$436.00 |
|
|
Chromosome analys amniotic
|
$265.01 |
$265.01 |
$424.00 |
|
|
Chromosome analysis 100
|
$653.18 |
$762.05 |
$823.03 |
|
|
Chromosome analysis 15-20 cell count
|
$267.90 |
$306.40 |
$436.30 |
|
|
Chromosome analysis 45
|
$366.40 |
$366.40 |
$366.40 |
|
|
Chromosome analysis 5
|
$188.30 |
$197.96 |
$644.80 |
|
|
Chromosome analysis 50-100
|
$393.41 |
$481.94 |
$495.71 |
|
|
Chromosome analys placenta
|
$265.01 |
$265.01 |
$265.01 |
|
|
Chromosome banding study
|
$569.18 |
$569.18 |
$569.18 |
|
|
Chromosome count additional
|
$160.99 |
$169.29 |
$219.30 |
|
|
Chromosome karyotype study
|
$108.36 |
$133.95 |
$133.95 |
|
|
Chronic urticaria - sendout
|
$100.00 |
$100.00 |
$100.00 |
|
|
Chylomicron screen, bf - sendout
|
$169.60 |
$169.60 |
$169.60 |
|
|
Cidofovir injection
|
$839.18 |
$979.05 |
$1,521.24 |
|
|
Cilastatin sodium injection
|
$39.05 |
$53.91 |
$82.44 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$50.73 |
$59.18 |
$194.72 |
|
|
Circumcision (newborn)
|
$83.28 |
$131.94 |
$131.94 |
|
|
Cisplatin 1 mg/ml desensitization
|
$190.13 |
$220.17 |
$701.37 |
|
|
C-kit mutation liquid tumor - sendout
|
$856.80 |
$1,049.61 |
$1,049.61 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$325.32 |
$521.81 |
$661.60 |
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$7,332.42 |
$13,337.28 |
$15,560.16 |
|
|
Clearance of airways
|
$46.03 |
$144.80 |
$282.40 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$49.64 |
$68.61 |
$156.88 |
|
|
Clip ligating vesolock lg
|
$1,817.47 |
$2,120.38 |
$2,148.00 |
|
|
Cllr miami j sm
|
$185.76 |
$501.74 |
$585.37 |
|
|
Clofarabine 1 mg/ml intravenous solution
|
$5,460.42 |
$5,460.42 |
$5,460.42 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$43.92 |
$89.81 |
$162.44 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$454.40 |
$612.80 |
$649.60 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$697.60 |
$697.60 |
$1,116.80 |
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$820.80 |
$820.80 |
$1,600.00 |
|
|
Closed tx/acetabululm without manip 27220
|
$564.80 |
$583.20 |
$583.20 |
|
|
Closed tx humerus fx with manip 23605
|
$2,096.00 |
$2,456.80 |
$2,649.60 |
|
|
Closed tx humerus fx without manip 23600
|
$408.00 |
$453.60 |
$588.80 |
|
|
Closed tx humerus fx w/manip 24505
|
$1,402.40 |
$1,402.40 |
$1,426.40 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$390.40 |
$510.40 |
$611.20 |
|
|
Closed tx nose/jaw fx
|
$303.20 |
$303.20 |
$3,238.40 |
|
|
Closed tx orbit without manipulj
|
$2,033.60 |
$2,033.60 |
$2,033.60 |
|
|
Closed tx orbit w/manipulj
|
$996.80 |
$996.80 |
$996.80 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,320.00 |
$3,176.00 |
$3,327.20 |
|
|
Closed tx septal&nose fx
|
$2,832.80 |
$2,832.80 |
$4,785.60 |
|
|
Closed tx sesamoid fx 28530
|
$348.00 |
$348.00 |
$681.60 |
|
|
Closed tx/talus fracture without manip 28430
|
$400.80 |
$470.40 |
$494.40 |
|
|
Closed tx vert fx w/manj
|
$2,278.40 |
$2,278.40 |
$2,278.40 |
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$480.80 |
$525.60 |
$677.60 |
|
|
Clos txnose fx without stablz 21315
|
$2,461.60 |
$3,264.80 |
$3,264.80 |
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,154.40 |
$1,660.80 |
$1,660.80 |
|
|
Closure paravalvlr leak pq
|
$36,977.66 |
$36,977.66 |
$36,977.66 |
|
|
Clot factor xii hageman
|
$88.80 |
$88.80 |
$88.80 |
|
|
Clot factor xiii fibrin scrn
|
$40.00 |
$40.00 |
$40.00 |
|
|
Clotting assay whole blood
|
$227.14 |
$227.14 |
$857.30 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$453.60 |
$630.40 |
$808.00 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$450.40 |
$484.00 |
$545.60 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$476.80 |
$606.40 |
$609.60 |
|
|
Clsd tx clav dislc without manip 23520
|
$1,450.40 |
$1,450.40 |
$1,568.00 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$583.20 |
$583.20 |
$583.20 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,502.40 |
$1,502.40 |
$1,841.60 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$380.00 |
$482.40 |
$488.00 |
|
|
Clsd tx coccygeal fracture 27200
|
$405.60 |
$405.60 |
$405.60 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$345.60 |
$457.60 |
$520.80 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$600.00 |
$777.60 |
$844.00 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$497.60 |
$497.60 |
$552.80 |
|
|
Clsd tx elbow dislocation child 24640
|
$424.00 |
$601.60 |
$753.60 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,225.60 |
$2,319.20 |
$2,394.40 |
|
|
Clsd tx fracture of radius 25500
|
$364.80 |
$404.00 |
$570.40 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$336.80 |
$370.40 |
$415.20 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$471.20 |
$547.20 |
$636.00 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$411.20 |
$492.80 |
$580.00 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,064.80 |
$1,461.60 |
$1,684.00 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$547.20 |
$557.60 |
$557.60 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$518.40 |
$1,576.80 |
$2,017.60 |
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$380.80 |
$380.80 |
$514.40 |
|
|
Clsd tx hip disloc without anes 27265
|
$570.40 |
$735.20 |
$856.00 |
|
|
Clsd tx humeral fract without manip 24530
|
$508.00 |
$533.60 |
$634.40 |
|
|
Clsd tx humerus fract without manip 24500
|
$544.80 |
$558.40 |
$558.40 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$941.60 |
$941.60 |
$966.40 |
|
|
Clsd tx mandibular fx without manip 21450
|
$1,384.00 |
$1,384.00 |
$1,384.00 |
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$436.00 |
$464.00 |
$475.20 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$403.20 |
$495.20 |
$496.00 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$518.40 |
$733.60 |
$768.00 |
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$419.20 |
$2,626.40 |
$3,193.60 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$594.40 |
$658.40 |
$1,000.00 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$371.20 |
$489.60 |
$508.80 |
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$4,570.40 |
$4,570.40 |
$4,570.40 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,327.20 |
$1,327.20 |
$1,588.80 |
|
|
Clsd tx patella disloc without anes 27560
|
$368.80 |
$524.80 |
$576.00 |
|
|
Clsd tx/patellar fx without manip 27520
|
$496.80 |
$522.40 |
$544.80 |
|
|
Clsd tx pelvic ring fx
|
$452.00 |
$452.00 |
$452.00 |
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,548.00 |
$2,548.00 |
$2,832.80 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$414.40 |
$424.80 |
$515.20 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$416.80 |
$491.20 |
$527.20 |
|
|
Clsd tx radius fracture w/manip 24655
|
$1,168.80 |
$1,502.40 |
$1,843.20 |
|
|
Clsd tx/scapular fx without manip 23570
|
$370.40 |
$473.60 |
$492.00 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,188.00 |
$1,216.80 |
$1,699.20 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,495.20 |
$1,495.20 |
$1,495.20 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,821.60 |
$2,422.40 |
$2,478.40 |
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$3,888.00 |
$3,888.00 |
$3,888.00 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$420.80 |
$513.60 |
$607.20 |
|
