|
Chloride
|
$32.94 |
$32.94 |
$32.94 |
$40.95
|
|
Chloride 24 hour urine
|
$59.17 |
$59.17 |
$59.17 |
$49.50
|
|
Chloroprocaine hcl injection
|
$0.60 |
$0.60 |
$0.60 |
$61.51
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$55.69 |
$55.69 |
$55.69 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$15.32 |
$15.32 |
$15.32 |
$78.43
|
|
Cholangiogram percutaneous compl
|
$2,681.56 |
$2,681.56 |
$2,681.56 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$551.44 |
$551.44 |
$551.44 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,414.38 |
$2,414.38 |
$2,414.38 |
$3,690.60
|
|
Cholesterol
|
$45.14 |
$45.14 |
$45.14 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$98.82 |
$98.82 |
$98.82 |
$115.80
|
|
Cholinesterase
|
$50.02 |
$50.02 |
$50.02 |
$38.69
|
|
Chromatography
|
$73.20 |
$73.20 |
$73.20 |
$81.25
|
|
Chromosome analysis 15-20 cell count
|
$766.16 |
$766.16 |
$766.16 |
$512.20
|
|
Chromosome analysis 5
|
$328.79 |
$328.79 |
$328.79 |
$644.80
|
|
Chromosome count additional
|
$93.33 |
$93.33 |
$93.33 |
$92.45
|
|
Chromosome karyotype study
|
$125.05 |
$125.05 |
$125.05 |
$119.87
|
|
Chylomicron screen, bf - sendout
|
$143.96 |
$143.96 |
$143.96 |
$124.15
|
|
Cidofovir injection
|
$87.54 |
$87.54 |
$87.54 |
$1,295.73
|
|
Cilastatin sodium injection
|
$18.22 |
$18.22 |
$18.22 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$0.02 |
$0.02 |
$0.02 |
$34.88
|
|
Cisplatin 1 mg/ml desensitization
|
$278.96 |
$278.96 |
$278.96 |
$192.66
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$8.79 |
$8.79 |
$8.79 |
$569.55
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$19,558.13 |
$19,558.13 |
$19,558.13 |
$15,390.00
|
|
Clearance of airways
|
$263.52 |
$263.52 |
$263.52 |
$208.86
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.93 |
$0.93 |
$0.93 |
$55.20
|
|
Clip ligating vesolock lg
|
$613.97 |
$613.97 |
$613.97 |
$4,320.00
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$6.73 |
$6.73 |
$6.73 |
$81.90
|
|
Closed tx humerus fx with manip 23605
|
$1,354.20 |
$1,354.20 |
$1,354.20 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$300.12 |
$300.12 |
$300.12 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$249.49 |
$249.49 |
$249.49 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$300.12 |
$300.12 |
$300.12 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,176.69 |
$1,176.69 |
$1,176.69 |
$2,520.60
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$292.80 |
$292.80 |
$292.80 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$1,381.65 |
$1,381.65 |
$1,381.65 |
$2,326.08
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$780.80 |
$780.80 |
$780.80 |
$1,259.62
|
|
Clot factor xii hageman
|
$89.67 |
$89.67 |
$89.67 |
$134.39
|
|
Clot factor xiii fibrin stab
|
$155.55 |
$155.55 |
$155.55 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$541.68 |
$541.68 |
$541.68 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$306.22 |
$306.22 |
$306.22 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$369.05 |
$369.05 |
$369.05 |
$476.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$776.53 |
$776.53 |
$776.53 |
$1,893.86
|
|
Clsd tx coccygeal fracture 27200
|
$231.19 |
$231.19 |
$231.19 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$202.52 |
$202.52 |
$202.52 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$282.43 |
$282.43 |
$282.43 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$309.27 |
$309.27 |
$309.27 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$385.52 |
$385.52 |
$385.52 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,083.97 |
$1,083.97 |
$1,083.97 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$346.48 |
$346.48 |
$346.48 |
$442.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$286.09 |
$286.09 |
$286.09 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$322.08 |
$322.08 |
$322.08 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,162.66 |
$1,162.66 |
$1,162.66 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$195.81 |
$195.81 |
$195.81 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,815.97 |
$1,815.97 |
$1,815.97 |
$1,571.25
|
|
Clsd tx hip disloc without anes 27265
|
$317.81 |
$317.81 |
$317.81 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$223.26 |
$223.26 |
$223.26 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$177.51 |
$177.51 |
$177.51 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$332.45 |
$332.45 |
$332.45 |
$883.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$267.79 |
$267.79 |
$267.79 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$523.99 |
$523.99 |
$523.99 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$371.49 |
$371.49 |
$371.49 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$371.49 |
$371.49 |
$371.49 |
$418.20
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,167.33 |
$2,167.33 |
$2,167.33 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$342.82 |
$342.82 |
$342.82 |
$566.72
|
|
Clsd tx pelvic ring fx
|
$580.11 |
$580.11 |
$580.11 |
$416.35
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,020.53 |
$1,020.53 |
$1,020.53 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$336.72 |
$336.72 |
$336.72 |
$412.00
|
|
Clsd tx radius fracture w/manip 24655
|
$1,875.14 |
$1,875.14 |
$1,875.14 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,789.74 |
$1,789.74 |
$1,789.74 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,832.44 |
$1,832.44 |
$1,832.44 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,051.43 |
$2,051.43 |
$2,051.43 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$146.40 |
$146.40 |
$146.40 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$319.03 |
$319.03 |
$319.03 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$242.17 |
$242.17 |
$242.17 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,668.35 |
$1,668.35 |
$1,668.35 |
$1,565.74
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$221.43 |
$221.43 |
$221.43 |
$523.53
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$277.55 |
$277.55 |
$277.55 |
$600.60
|
|
Cltx hum epcndylr fx wo mnpj
|
$304.39 |
$304.39 |
$304.39 |
$520.80
|
|
Cltx strnclav dislc w/mnpj
|
$300.12 |
$300.12 |
$300.12 |
$619.30
|
|
Cltx thigh fx w/mnpj
|
$1,884.90 |
$1,884.90 |
$1,884.90 |
$3,503.71
|
|
#cmvcul-virus inoculation shell
|
$34.16 |
$34.16 |
$34.16 |
$100.80
|
|
Cmv pcr-sendout
|
$200.69 |
$200.69 |
$200.69 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$6,702.68 |
$6,702.68 |
$6,702.68 |
$8,980.00
|
|
Coagulation time activated teg
|
$68.93 |
$68.93 |
$68.93 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$50.08 |
$50.08 |
$50.08 |
$629.41
|
|
Cold agglutinin titer
|
$23.18 |
$23.18 |
$23.18 |
$50.00
|
|
Colistimethate sodium inj
|
$15.94 |
$15.94 |
$15.94 |
$68.47
|
|
Collagenase, clost hist inj
|
$3,192.68 |
$3,192.68 |
$3,192.68 |
$12,906.28
|
|
Collagen gel/paste wound fil
|
$88.39 |
$88.39 |
$88.39 |
$9.65
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$360.04 |
$360.04 |
$360.04 |
$60.84
|
|
Collar cerv ascend 172 reg
|
$431.26 |
$431.26 |
$431.26 |
$213.89
|
|
Collection blood specimen from completely implantable venous access device
|
$133.59 |
$133.59 |
$133.59 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$109.80 |
$109.80 |
$109.80 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$20.74 |
$20.74 |
$20.74 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$125.05 |
$125.05 |
$125.05 |
$170.05
|
|
Compatibility test each unit electronic
|
$186.66 |
$186.66 |
$186.66 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$124.44 |
$124.44 |
$124.44 |
$169.52
|
|
Complement antigen each component c3
|
$157.99 |
$157.99 |
$157.99 |
$108.55
|
|
Complex cystometrogram 51726
|
$1,871.48 |
$1,871.48 |
$1,871.48 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$580.11 |
$580.11 |
$580.11 |
$876.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$597.80 |
$597.80 |
$597.80 |
$1,049.60
|