|
Chorion biopsy
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,025.44
|
|
Chrom analysis
|
$38.29 |
$38.29 |
$38.29 |
$127.86
|
|
Chromatogram assay sugars
|
$42.90 |
$42.90 |
$42.90 |
$56.43
|
|
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 |
$264.33
|
|
Chromosome analys amniotic
|
$191.03 |
$191.03 |
$191.03 |
$450.00
|
|
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 |
$377.60
|
|
Chromosome analysis 5
|
$290.77 |
$290.77 |
$290.77 |
$653.95
|
|
Chromosome analysis 50-100
|
$190.49 |
$190.49 |
$190.49 |
$434.40
|
|
Chromosome analys placenta
|
$207.43 |
$207.43 |
$207.43 |
$660.00
|
|
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 |
$105.00
|
|
Chromosome study additional
|
$37.87 |
$37.87 |
$37.87 |
$147.03
|
|
Chronic urticaria - sendout
|
$13.71 |
$13.71 |
$13.71 |
$91.00
|
|
Chylomicron screen, bf - sendout
|
$67.65 |
$67.65 |
$67.65 |
$123.20
|
|
Ciliary transsleral therapy
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,760.73
|
|
Circum 28 days or older
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,627.00
|
|
Circumcise/surg/28 days or < 54160
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,995.50
|
|
Circumcision (newborn)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,549.50
|
|
C-kit mutation liquid tumor - sendout
|
$362.46 |
$362.46 |
$362.46 |
$640.41
|
|
Claviculectomy partial
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,743.15
|
|
Claviculectomy total
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Clean out mastoid cavity
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,033.60
|
|
Clearance of airways
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$206.80
|
|
Clearance of tear duct
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$795.53
|
|
Clitoroplasty intersex state
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,744.41
|
|
Cllr miami j sm
|
$23.03 |
$23.03 |
$23.03 |
$219.42
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$619.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,815.75
|
|
Closed tx/acetabululm without manip 27220
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$584.90
|
|
Closed tx humerus fx with manip 23605
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$517.83
|
|
Closed tx humerus fx w/manip 24505
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$413.00
|
|
Closed tx nose/jaw fx
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,133.48
|
|
Closed tx orbit without manipulj
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,199.50
|
|
Closed tx orbit w/manipulj
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,528.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,540.97
|
|
Closed tx sesamoid fx 28530
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$352.00
|
|
Closed tx/talus fracture without manip 28430
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$442.80
|
|
Closed tx vert fx w/manj
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,594.44
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$481.80
|
|
Close mastoid fistula
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,299.20
|
|
Close tear duct opening
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$436.44
|
|
Close tear duct opening
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$608.62
|
|
Close tear system fistula
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,116.80
|
|
Clostridium toxin a w/optic
|
$17.60 |
$17.60 |
$17.60 |
$17.60
|
|
Clos txnose fx without stablz 21315
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,635.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,183.65
|
|
Closure of eyelid by suture
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,146.13
|
|
Closure of salivary fistula
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,589.62
|
|
Closure of windpipe lesion 31820
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,592.74
|
|
Closure paravalvlr leak pq
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$9,285.00
|
|
Clot factor fletcher fact
|
$20.82 |
$20.82 |
$20.82 |
$99.69
|
|
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 |
$50.65
|
|
Clot factor xiii fibrin stab
|
$17.97 |
$17.97 |
$17.97 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$626.40
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,839.79
|
|
Clsd tx clavicle dislocation without manip 23540
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$534.60
|
|
Clsd tx clavicle fracture w/manip 23505
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,916.00
|
|
Clsd tx/clavicular fx without manip 23500
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$494.00
|
|
Clsd tx coccygeal fracture 27200
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$336.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$728.00
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$497.60
|
|
Clsd tx elbow dislocation child 24640
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,587.60
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,893.86
|
|
Clsd tx fracture of radius 25500
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$445.40
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$472.00
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$597.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$557.60
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$476.00
|
|
Clsd tx hip disloc without anes 27265
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$558.40
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,059.20
|
|
Clsd tx mandibular fx without manip 21450
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$529.50
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$716.95
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,545.97
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,600.75
|
|
Clsd tx of ankle fracture w/manip 28435
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,843.91
|
