|
Chest X-ray (single view)
|
$92.72 |
$92.72 |
$92.72 |
$229.08
|
|
Chg pr pul rehab for copd patients
|
$86.90 |
$86.90 |
$86.90 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$227.68 |
$227.68 |
$227.68 |
$520.80
|
|
Chimerism anal no cell selec
|
$228.21 |
$228.21 |
$228.21 |
$400.00
|
|
Chimerism anal w/cell select
|
$286.87 |
$286.87 |
$286.87 |
$585.60
|
|
Chlamydia culture
|
$21.56 |
$21.56 |
$21.56 |
$94.90
|
|
Chlamydia trachomatis ag if
|
$13.18 |
$13.18 |
$13.18 |
$30.40
|
|
Chlamydia type
|
$6.13 |
$6.13 |
$6.13 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$69.82 |
$69.82 |
$69.82 |
$280.00
|
|
Chloride
|
$5.06 |
$5.06 |
$5.06 |
$38.86
|
|
Chloride 24 hour urine
|
$6.33 |
$6.33 |
$6.33 |
$46.13
|
|
Chmotx admn plrl cav thrcnts
|
$132.51 |
$132.51 |
$132.51 |
$393.54
|
|
Cholangiogram percutaneous compl
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$139.64 |
$139.64 |
$139.64 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,856.84
|
|
Cholesterol
|
$4.79 |
$4.79 |
$4.79 |
$46.15
|
|
Cholesterol body fluid
|
$20.27 |
$20.27 |
$20.27 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$14.73 |
$14.73 |
$14.73 |
$115.83
|
|
Cholinesterase
|
$8.66 |
$8.66 |
$8.66 |
$38.69
|
|
Chorion biopsy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,025.44
|
|
Chrom analysis
|
$38.29 |
$38.29 |
$38.29 |
$127.86
|
|
Chromatogram assay sugars
|
$42.90 |
$42.90 |
$42.90 |
$53.82
|
|
Chromatography
|
$19.87 |
$19.87 |
$19.87 |
$80.60
|
|
Chromogenic substrate assay
|
$13.08 |
$13.08 |
$13.08 |
$184.60
|
|
Chromo high res and frag x - sendout
|
$62.74 |
$62.74 |
$62.74 |
$264.25
|
|
Chromosome analys amniotic
|
$191.03 |
$191.03 |
$191.03 |
$436.00
|
|
Chromosome analysis 100
|
$190.49 |
$190.49 |
$190.49 |
$321.44
|
|
Chromosome analysis 15-20 cell count
|
$138.04 |
$138.04 |
$138.04 |
$448.80
|
|
Chromosome analysis 20-25
|
$190.49 |
$190.49 |
$190.49 |
$277.09
|
|
Chromosome analysis 45
|
$165.32 |
$165.32 |
$165.32 |
$367.29
|
|
Chromosome analysis 5
|
$290.77 |
$290.77 |
$290.77 |
$644.80
|
|
Chromosome analysis 50-100
|
$190.49 |
$190.49 |
$190.49 |
$434.40
|
|
Chromosome analys placenta
|
$207.43 |
$207.43 |
$207.43 |
$642.00
|
|
Chromosome banding study
|
$75.46 |
$75.46 |
$75.46 |
$172.80
|
|
Chromosome count additional
|
$29.60 |
$29.60 |
$29.60 |
$110.00
|
|
Chromosome karyotype study
|
$36.82 |
$36.82 |
$36.82 |
$102.72
|
|
Chromosome study additional
|
$37.87 |
$37.87 |
$37.87 |
$147.03
|
|
Chronic urticaria - sendout
|
$13.71 |
$13.71 |
$13.71 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$67.65 |
$67.65 |
$67.65 |
$123.20
|
|
Ciliary transsleral therapy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,760.73
|
|
Cine/video x-rays
|
$194.26 |
$194.26 |
$194.26 |
$285.35
|
|
Cine/video x-rays add-on
|
$38.29 |
$38.29 |
$38.29 |
$213.15
|
|
Circum 28 days or older
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,350.00
|
|
Circumcise/surg/28 days or < 54160
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,995.50
|
|
Circumcision (newborn)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,549.50
|
|
C-kit mutation liquid tumor - sendout
|
$362.46 |
$362.46 |
$362.46 |
$640.41
|
|
Claviculectomy partial
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,743.15
|
|
Claviculectomy total
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Clean out mastoid cavity
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,033.60
|
|
Clearance of airways
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$206.80
|
|
Clearance of tear duct
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$795.53
|
|
Clitoroplasty intersex state
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,762.53
|
|
Cllr miami j sm
|
$26.37 |
$26.37 |
$26.37 |
$219.42
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$612.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,819.00
|
|
Closed tx/acetabululm without manip 27220
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$583.20
|
|
Closed tx humerus fx with manip 23605
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$517.83
|
|
Closed tx humerus fx w/manip 24505
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$413.00
|
|
Closed tx nose/jaw fx
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,133.48
|
|
Closed tx orbit without manipulj
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,199.46
|
|
Closed tx orbit w/manipulj
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,528.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,544.29
|
|
Closed tx sesamoid fx 28530
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$348.00
|
|
Closed tx/talus fracture without manip 28430
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$442.80
|
|
Closed tx vert fx w/manj
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,594.44
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$481.80
|
|
Close mastoid fistula
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,299.20
|
|
Close tear duct opening
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$436.44
|
|
Close tear duct opening
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$608.62
|
|
Close tear system fistula
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,116.80
|
|
Clostridium toxin a w/optic
|
$17.60 |
$17.60 |
$17.60 |
$17.60
|
|
Clos txnose fx without stablz 21315
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,596.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,183.65
|
|
Closure of eyelid by suture
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,146.13
|
|
Closure of salivary fistula
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,592.74
|
|
Closure of windpipe lesion 31820
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,723.23
|
|
Closure paravalvlr leak pq
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$9,125.05
|
|
Clot factor fletcher fact
|
$20.82 |
$20.82 |
$20.82 |
$90.97
|
|
Clot factor viii reltd antgn
|
$22.46 |
$22.46 |
$22.46 |
$95.72
|
|
Clot factor wght kininogen
|
$20.82 |
$20.82 |
$20.82 |
$157.50
|
|
Clot factor xii hageman
|
$21.29 |
$21.29 |
$21.29 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$10.02 |
$10.02 |
$10.02 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$17.97 |
$17.97 |
$17.97 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$625.13
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,839.79
|
|
Clsd tx clavicle dislocation without manip 23540
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$498.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,913.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$336.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$728.00
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$493.60
|
|
Clsd tx elbow dislocation child 24640
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,587.60
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,893.86
|
