|
Chromosome analys amniotic
|
$750.40 |
$750.40 |
$750.40 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$562.40 |
$562.40 |
$562.40 |
$479.38
|
|
Chromosome analysis 5
|
$796.80 |
$796.80 |
$796.80 |
$663.30
|
|
Chromosome count additional
|
$86.40 |
$86.40 |
$86.40 |
$116.61
|
|
Chromosome karyotype study
|
$214.40 |
$214.40 |
$214.40 |
$108.94
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$45.56 |
$45.56 |
$45.56 |
$45.27
|
|
Circum 28 days or older
|
$287.20 |
$287.20 |
$287.20 |
$4,968.60
|
|
Circumcise/surg/28 days or < 54160
|
$324.00 |
$324.00 |
$324.00 |
$1,995.50
|
|
Circumcision (newborn)
|
$240.00 |
$240.00 |
$240.00 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$123.09 |
$123.09 |
$123.09 |
$127.11
|
|
C-kit mutation liquid tumor - sendout
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$640.41
|
|
Claviculectomy partial
|
$868.80 |
$868.80 |
$868.80 |
$3,594.44
|
|
Clean out mastoid cavity
|
$322.40 |
$322.40 |
$322.40 |
$1,033.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$75.06 |
$75.06 |
$75.06 |
$61.26
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$125.82 |
$125.82 |
$125.82 |
$81.02
|
|
Closed tx humerus fx with manip 23605
|
$2,181.60 |
$2,181.60 |
$2,181.60 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$498.40 |
$498.40 |
$498.40 |
$541.45
|
|
Closed tx humerus fx w/manip 24505
|
$783.20 |
$783.20 |
$783.20 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$288.80 |
$288.80 |
$288.80 |
$423.20
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,021.60 |
$2,021.60 |
$2,021.60 |
$2,864.00
|
|
Clos txnose fx without stablz 21315
|
$2,246.40 |
$2,246.40 |
$2,246.40 |
$2,728.80
|
|
Closure enterostomy lg/sm intestine 44620
|
$1,272.80 |
$1,272.80 |
$1,272.80 |
$2,134.40
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,484.80 |
$1,484.80 |
$1,484.80 |
$2,504.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$462.40 |
$462.40 |
$462.40 |
$1,183.65
|
|
Clot factor xii hageman
|
$281.60 |
$281.60 |
$281.60 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$76.00 |
$76.00 |
$76.00 |
$51.50
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$488.80 |
$488.80 |
$488.80 |
$716.95
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$287.20 |
$287.20 |
$287.20 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$633.60 |
$633.60 |
$633.60 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$493.60 |
$493.60 |
$493.60 |
$507.65
|
|
Clsd tx elbow dislocation child 24640
|
$332.00 |
$332.00 |
$332.00 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,121.60 |
$1,121.60 |
$1,121.60 |
$2,587.60
|
|
Clsd tx fracture of radius 25500
|
$425.60 |
$425.60 |
$425.60 |
$470.21
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$240.80 |
$240.80 |
$240.80 |
$478.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$505.60 |
$505.60 |
$505.60 |
$639.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$805.60 |
$805.60 |
$805.60 |
$1,912.80
|
|
Clsd tx fx radius/ulna without manip 25560
|
$433.60 |
$433.60 |
$433.60 |
$632.78
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$775.20 |
$775.20 |
$775.20 |
$1,790.00
|
|
Clsd tx hip disloc without anes 27265
|
$609.60 |
$609.60 |
$609.60 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$570.40 |
$570.40 |
$570.40 |
$623.93
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$586.40 |
$586.40 |
$586.40 |
$1,066.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$449.60 |
$449.60 |
$449.60 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$495.20 |
$495.20 |
$495.20 |
$717.75
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$773.60 |
$773.60 |
$773.60 |
$3,345.60
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$402.40 |
$402.40 |
$402.40 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$338.40 |
$338.40 |
$338.40 |
$429.65
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$325.60 |
$325.60 |
$325.60 |
$3,600.75
|
|
Clsd tx of ankle fracture w/manip 28435
|
$549.60 |
$549.60 |
$549.60 |
$1,815.75
|
|
Clsd tx patella disloc without anes 27560
|
$551.20 |
$551.20 |
$551.20 |
$707.30
|
|
Clsd tx/patellar fx without manip 27520
|
$512.00 |
$512.00 |
$512.00 |
$576.00
|
|
Clsd tx pelvic ring fx
|
$332.00 |
$332.00 |
$332.00 |
$452.00
|
|
Clsd tx pelvic ring fx
|
$469.60 |
$469.60 |
$469.60 |
$824.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$320.00 |
$320.00 |
$320.00 |
$484.00
|
|
Clsd tx radius fracture w/manip 24655
|
$1,820.80 |
$1,820.80 |
$1,820.80 |
$1,835.20
|
|
Clsd tx shoulder dislc/fx 23665
|
$647.20 |
$647.20 |
$647.20 |
$2,066.17
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,312.80 |
$2,312.80 |
$2,312.80 |
$1,797.83
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,820.80 |
$1,820.80 |
$1,820.80 |
$2,423.85
|
|
Clsd tx toe dislocation without anes28660
|
$181.60 |
$181.60 |
$181.60 |
$426.25
|
|
Clsd tx trimall ankle fx without manip 27816
|
$494.40 |
$494.40 |
$494.40 |
$666.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,614.40 |
$1,614.40 |
$1,614.40 |
$1,704.80
|
|
Clsd tx wrist carpal fx without manip 25630
|
$482.40 |
$482.40 |
$482.40 |
$494.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$485.60 |
$485.60 |
$485.60 |
$553.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$493.60 |
$493.60 |
$493.60 |
$705.55
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$461.60 |
$461.60 |
$461.60 |
$518.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$523.20 |
$523.20 |
$523.20 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$829.60 |
$829.60 |
$829.60 |
$1,858.00
|
|
Cltx strnclav dislc w/mnpj
|
$591.20 |
$591.20 |
$591.20 |
$804.79
|
|
Cmbn ant pst colprhy
|
$1,150.40 |
$1,150.40 |
$1,150.40 |
$5,194.98
|
|
#cmvcul-virus inoculation shell
|
$77.60 |
$77.60 |
$77.60 |
$102.57
|
|
Cmv pcr-sendout
|
$263.20 |
$263.20 |
$263.20 |
$172.25
|
|
Coagulation time activated teg
|
$142.40 |
$142.40 |
$142.40 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$954.57 |
$954.57 |
$954.57 |
$781.82
|
|
Cold agglutinin titer
|
$133.60 |
$133.60 |
$133.60 |
$49.95
|
|
Colectomy partial w/anastomosis 44140
|
$1,980.80 |
$1,980.80 |
$1,980.80 |
$3,296.80
|
|
Colectomy prtl w/coloproctostomy 44145
|
$2,425.60 |
$2,425.60 |
$2,425.60 |
$4,078.40
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$1,831.20 |
$1,831.20 |
$1,831.20 |
$3,053.60
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$2,680.80 |
$2,680.80 |
$2,680.80 |
$4,476.80
|
|
Colectomy/w colostomy or ileostomy 44144
|
$2,598.40 |
$2,598.40 |
$2,598.40 |
$4,344.00
|
|
Collagenase, clost hist inj
|
$68.80 |
$68.80 |
$68.80 |
$23,944.24
|
|
Collection blood specimen from completely implantable venous access device
|
$131.20 |
$131.20 |
$131.20 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$131.20 |
$131.20 |
$131.20 |
$166.94
|
|
Collection of venous blood by venipuncture
|
$85.60 |
$85.60 |
$85.60 |
$22.05
|
|
Colonoscopy (diagnostic)
|
$614.40 |
$614.40 |
$614.40 |
$1,846.40
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$743.20 |
$743.20 |
$743.20 |
$2,537.25
|
|
Colonoscopy stoma w/snare 44394
|
$664.80 |
$664.80 |
$664.80 |
$1,645.43
|
|
Colonoscopy submucous njx
|
$673.60 |
$673.60 |
$673.60 |
$2,605.85
|
|
Colonoscopy thru stoma spx
|
$476.80 |
$476.80 |
$476.80 |
$1,653.18
|
|
Colonoscopy w/balloon dilat
|
$937.60 |
$937.60 |
$937.60 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$1,276.80 |
$1,276.80 |
$1,276.80 |
$2,448.00
|
|
Colonoscopy w/control bleed
|
$1,021.60 |
$1,021.60 |
$1,021.60 |
$2,352.75
|
|
Colonoscopy w/fb removal
|
$657.60 |
$657.60 |
$657.60 |
$1,764.60
|
|
Colonoscopy (with biopsy)
|
$660.00 |
$660.00 |
$660.00 |
$2,538.00
|
|
Colonoscopy with biopsy
|
$627.20 |
$627.20 |
$627.20 |
$1,629.60
|
|
Colonoscopy (with polyp removal)
|
$686.40 |
$686.40 |
$686.40 |
$2,472.75
|
|
Colpocleisis (le forte type) 57120
|
$794.40 |
$794.40 |
$794.40 |
$4,881.00
|
|
Colpopexy extraperitoneal
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$4,627.00
|
|
Colpopexy intraperitoneal
|
$1,032.80 |
$1,032.80 |
$1,032.80 |
$4,755.92
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$493.60 |
$493.60 |
$493.60 |
$3,792.60
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$263.20 |
$263.20 |
$263.20 |
$951.61
|
|
Colposcopy/cervix/ conization 57461
|
$530.40 |
$530.40 |
$530.40 |
$3,474.84
|