|
Chlamydia type
|
$24.20 |
$24.20 |
$24.20 |
$34.80
|
|
Chloride
|
$27.50 |
$27.50 |
$27.50 |
$39.05
|
|
Chloride 24 hour urine
|
$40.70 |
$40.70 |
$40.70 |
$46.13
|
|
Chmotx admn plrl cav thrcnts
|
$90.42 |
$90.42 |
$90.42 |
$437.19
|
|
Cholangiogram percutaneous compl
|
$3,333.00 |
$3,333.00 |
$3,333.00 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$701.25 |
$701.25 |
$701.25 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,112.01 |
$3,112.01 |
$3,112.01 |
$3,913.80
|
|
Cholesterol
|
$26.95 |
$26.95 |
$26.95 |
$46.15
|
|
Cholesterol body fluid
|
$962.50 |
$962.50 |
$962.50 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$69.85 |
$69.85 |
$69.85 |
$115.70
|
|
Cholinesterase
|
$110.00 |
$110.00 |
$110.00 |
$38.68
|
|
Cholinesterase challenge
|
$85.45 |
$85.45 |
$85.45 |
$298.60
|
|
Chromatography
|
$144.10 |
$144.10 |
$144.10 |
$77.00
|
|
Chromo high res and frag x - sendout
|
$94.05 |
$94.05 |
$94.05 |
$261.30
|
|
Chromosome analys amniotic
|
$551.65 |
$551.65 |
$551.65 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$1,870.55 |
$1,870.55 |
$1,870.55 |
$433.01
|
|
Chromosome analys placenta
|
$569.80 |
$569.80 |
$569.80 |
$660.00
|
|
Chromosome karyotype study
|
$198.55 |
$198.55 |
$198.55 |
$102.00
|
|
Circumcision (newborn)
|
$4,790.28 |
$4,790.28 |
$4,790.28 |
$1,549.50
|
|
C-kit mutation liquid tumor - sendout
|
$265.10 |
$265.10 |
$265.10 |
$606.06
|
|
Clip ligating vesolock lg
|
$383.72 |
$383.72 |
$383.72 |
$1,690.58
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,482.36 |
$1,482.36 |
$1,482.36 |
$619.45
|
|
Closed tx humerus fx with manip 23605
|
$2,445.96 |
$2,445.96 |
$2,445.96 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$542.52 |
$542.52 |
$542.52 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$775.50 |
$775.50 |
$775.50 |
$1,610.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$1,005.84 |
$1,005.84 |
$1,005.84 |
$432.80
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,297.36 |
$3,297.36 |
$3,297.36 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$382.80 |
$382.80 |
$382.80 |
$3,805.11
|
|
Closed tx/talus fracture without manip 28430
|
$203.94 |
$203.94 |
$203.94 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$502.26 |
$502.26 |
$502.26 |
$487.69
|
|
Close median sternotomy separation 21750
|
$923.45 |
$923.45 |
$923.45 |
$1,660.00
|
|
Clos txnose fx without stablz 21315
|
$1,923.90 |
$1,923.90 |
$1,923.90 |
$2,596.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$725.34 |
$725.34 |
$725.34 |
$1,181.99
|
|
Closure paravalvlr leak pq
|
$438.90 |
$438.90 |
$438.90 |
$10,497.50
|
|
Clot factor xii hageman
|
$261.25 |
$261.25 |
$261.25 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$23.65 |
$23.65 |
$23.65 |
$50.41
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$205.26 |
$205.26 |
$205.26 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$171.60 |
$171.60 |
$171.60 |
$611.10
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$406.45 |
$406.45 |
$406.45 |
$543.00
|
|
Clsd tx clavicle dislocation without manip 23540
|
$166.98 |
$166.98 |
$166.98 |
$477.10
|
|
Clsd tx/clavicular fx without manip 23500
|
$252.12 |
$252.12 |
$252.12 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$166.98 |
$166.98 |
$166.98 |
$339.18
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$250.80 |
$250.80 |
$250.80 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$279.84 |
$279.84 |
$279.84 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$273.24 |
$273.24 |
$273.24 |
$490.00
|
|
Clsd tx elbow dislocation child 24640
|
$347.16 |
$347.16 |
$347.16 |
$525.28
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$166.98 |
$166.98 |
$166.98 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$388.08 |
$388.08 |
$388.08 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$318.38 |
$318.38 |
$318.38 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,488.96 |
$1,488.96 |
$1,488.96 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$568.92 |
$568.92 |
$568.92 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,692.04 |
$3,692.04 |
$3,692.04 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$364.98 |
$364.98 |
$364.98 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$542.52 |
$542.52 |
$542.52 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$568.92 |
$568.92 |
$568.92 |
$558.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,213.08 |
$1,213.08 |
$1,213.08 |
$1,014.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$184.80 |
$184.80 |
$184.80 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$268.49 |
$268.49 |
$268.49 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$495.00 |
$495.00 |
$495.00 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$703.56 |
$703.56 |
$703.56 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$349.80 |
$349.80 |
$349.80 |
$446.40
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$8,652.60 |
$8,652.60 |
$8,652.60 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$238.92 |
$238.92 |
$238.92 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$190.30 |
$190.30 |
$190.30 |
$705.60
|
|
Clsd tx/patellar fx without manip 27520
|
$500.28 |
$500.28 |
$500.28 |
$525.85
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$232.98 |
$232.98 |
$232.98 |
$484.00
|
|
Clsd tx radius fracture w/manip 24655
|
$246.18 |
$246.18 |
$246.18 |
$1,884.74
|
|
Clsd tx shoulder dislc/fx 23665
|
$495.00 |
$495.00 |
$495.00 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$720.72 |
$720.72 |
$720.72 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,878.16 |
$3,878.16 |
$3,878.16 |
$2,466.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$319.44 |
$319.44 |
$319.44 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$331.32 |
$331.32 |
$331.32 |
$436.70
|
|
Clsd tx trimall ankle fx without manip 27816
|
$181.50 |
$181.50 |
$181.50 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$821.04 |
$821.04 |
$821.04 |
$1,707.42
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$479.16 |
$479.16 |
$479.16 |
$579.88
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$285.12 |
$285.12 |
$285.12 |
$692.03
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$186.78 |
$186.78 |
$186.78 |
$494.40
|
|
Cltx humrl cndylr fx w/mnpj
|
$700.26 |
$700.26 |
$700.26 |
$1,893.86
|
|
Cltx lunate dislc w/mnpj
|
$4,225.32 |
$4,225.32 |
$4,225.32 |
$2,893.80
|
|
Cltx mndblr fx ntrdntl fixj
|
$14,235.54 |
$14,235.54 |
$14,235.54 |
$6,776.64
|
|
Cltx mndblr/max alv ridge fx
|
$3,990.33 |
$3,990.33 |
$3,990.33 |
$3,990.33
|
|
Cltx post ankle fx w/mnpj
|
$684.42 |
$684.42 |
$684.42 |
$2,621.64
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,818.30 |
$1,818.30 |
$1,818.30 |
$2,320.50
|
|
#cmvcul-virus inoculation shell
|
$75.35 |
$75.35 |
$75.35 |
$102.57
|
|
Cmv pcr-sendout
|
$169.95 |
$169.95 |
$169.95 |
$173.25
|
|
Coagulation time activated teg
|
$42.35 |
$42.35 |
$42.35 |
$50.05
|
|
Cold agglutinin titer
|
$20.90 |
$20.90 |
$20.90 |
$48.57
|
|
Collection blood specimen from completely implantable venous access device
|
$114.18 |
$114.18 |
$114.18 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$137.28 |
$137.28 |
$137.28 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$11.00 |
$11.00 |
$11.00 |
$22.00
|
|
Colpocentesis 57020
|
$551.10 |
$551.10 |
$551.10 |
$5,419.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,355.56 |
$4,355.56 |
$4,355.56 |
$3,907.93
|
|
Colposcopy/cervix/ conization 57461
|
$1,780.16 |
$1,780.16 |
$1,780.16 |
$3,519.29
|
|
Compatibility test each unit antiglobulin technique
|
$121.55 |
$121.55 |
$121.55 |
$173.25
|
|
Compatibility test each unit electronic
|
$291.50 |
$291.50 |
$291.50 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$135.30 |
$135.30 |
$135.30 |
$169.52
|
|
Complement antigen each component c3
|
$322.30 |
$322.30 |
$322.30 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$250.80 |
$250.80 |
$250.80 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$616.44 |
$616.44 |
$616.44 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$718.08 |
$718.08 |
$718.08 |
$1,206.00
|
