|
Chloride
|
$83.00 |
$83.00 |
$83.00 |
$39.05
|
|
Chloride 24 hour urine
|
$103.00 |
$103.00 |
$103.00 |
$46.13
|
|
Chloroprocaine hcl injection
|
$3.44 |
$3.44 |
$3.44 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$159.36 |
$159.36 |
$159.36 |
$355.99
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$89.81 |
$89.81 |
$89.81 |
$91.92
|
|
Cholangiogram percutaneous compl
|
$6,808.00 |
$6,808.00 |
$6,808.00 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,093.00 |
$2,093.00 |
$2,093.00 |
$625.60
|
|
Cholesterol
|
$110.00 |
$110.00 |
$110.00 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$239.00 |
$239.00 |
$239.00 |
$115.70
|
|
Choline c-11
|
$0.35 |
$0.35 |
$0.35 |
$2,062.94
|
|
Cholinesterase
|
$19.00 |
$19.00 |
$19.00 |
$38.68
|
|
Chorion biopsy
|
$482.00 |
$482.00 |
$482.00 |
$1,030.40
|
|
Chorionic gonadotropin/1000u
|
$752.78 |
$752.78 |
$752.78 |
$730.67
|
|
Chrom analysis
|
$508.00 |
$508.00 |
$508.00 |
$128.25
|
|
Chromatography
|
$206.00 |
$206.00 |
$206.00 |
$77.00
|
|
Chromogenic substrate assay
|
$449.00 |
$449.00 |
$449.00 |
$177.45
|
|
Chromo high res and frag x - sendout
|
$122.00 |
$122.00 |
$122.00 |
$261.30
|
|
Chromosome analys amniotic
|
$815.00 |
$815.00 |
$815.00 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$823.00 |
$823.00 |
$823.00 |
$433.01
|
|
Chromosome analysis 5
|
$977.00 |
$977.00 |
$977.00 |
$663.30
|
|
Chromosome analys placenta
|
$971.00 |
$971.00 |
$971.00 |
$660.00
|
|
Chromosome banding study
|
$508.00 |
$508.00 |
$508.00 |
$172.80
|
|
Chromosome count additional
|
$274.00 |
$274.00 |
$274.00 |
$110.00
|
|
Chromosome karyotype study
|
$329.00 |
$329.00 |
$329.00 |
$102.00
|
|
Chronic urticaria - sendout
|
$91.00 |
$91.00 |
$91.00 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$145.00 |
$145.00 |
$145.00 |
$123.20
|
|
Cidofovir injection
|
$248.65 |
$248.65 |
$248.65 |
$1,352.09
|
|
Cilastatin sodium injection
|
$34.92 |
$34.92 |
$34.92 |
$87.44
|
|
Cine/video x-rays
|
$351.00 |
$351.00 |
$351.00 |
$229.44
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$0.08 |
$0.08 |
$0.08 |
$45.27
|
|
Circum 28 days or older
|
$6,253.08 |
$6,253.08 |
$6,253.08 |
$4,074.80
|
|
Cisplatin 1 mg/ml desensitization
|
$0.83 |
$0.83 |
$0.83 |
$175.08
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$26.18 |
$26.18 |
$26.18 |
$496.70
|
|
Clearance of airways
|
$386.00 |
$386.00 |
$386.00 |
$234.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.62 |
$0.62 |
$0.62 |
$62.03
|
|
Clofarabine 1 mg/ml intravenous solution
|
$35.08 |
$35.08 |
$35.08 |
$1,824.84
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$32.59 |
$32.59 |
$32.59 |
$81.25
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,622.00 |
$1,622.00 |
$1,622.00 |
$619.45
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$9,557.00 |
$9,557.00 |
$9,557.00 |
$2,864.00
|
|
Clot factor fletcher fact
|
$148.00 |
$148.00 |
$148.00 |
$88.20
|
|
Clot factor xii hageman
|
$520.00 |
$520.00 |
$520.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$305.00 |
$305.00 |
$305.00 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$369.00 |
$369.00 |
$369.00 |
$84.27
|
|
Clotting assay whole blood
|
$196.00 |
$196.00 |
$196.00 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,609.00 |
$2,609.00 |
$2,609.00 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$735.00 |
$735.00 |
$735.00 |
$543.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$5,123.00 |
$5,123.00 |
$5,123.00 |
$2,211.05
|
|
Clsd tx/clavicular fx without manip 23500
|
$2,609.00 |
$2,609.00 |
$2,609.00 |
$488.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$2,609.00 |
$2,609.00 |
$2,609.00 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,559.00 |
$1,559.00 |
$1,559.00 |
$731.04
|
|
Clsd tx elbow dislocation child 24640
|
$7,210.00 |
$7,210.00 |
$7,210.00 |
$525.28
|
|
Clsd tx fracture of radius 25500
|
$3,043.00 |
$3,043.00 |
$3,043.00 |
$445.40
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$3,651.00 |
$3,651.00 |
$3,651.00 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,246.00 |
$1,246.00 |
$1,246.00 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,764.00 |
$2,764.00 |
$2,764.00 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$3,314.00 |
$3,314.00 |
$3,314.00 |
$716.95
|
|
Clsd tx patella disloc without anes 27560
|
$3,280.00 |
$3,280.00 |
$3,280.00 |
$705.60
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$2,609.00 |
$2,609.00 |
$2,609.00 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$5,782.00 |
$5,782.00 |
$5,782.00 |
$488.40
|
|
Clsd tx radius fracture w/manip 24655
|
$7,866.00 |
$7,866.00 |
$7,866.00 |
$1,884.74
|
|
Clsd tx shoulder dislc/fx 23665
|
$5,204.00 |
$5,204.00 |
$5,204.00 |
$2,055.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$6,566.00 |
$6,566.00 |
$6,566.00 |
$2,466.40
|
|
Clsd tx toe dislocation without anes28660
|
$2,609.00 |
$2,609.00 |
$2,609.00 |
$436.70
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$5,195.00 |
$5,195.00 |
$5,195.00 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$958.00 |
$958.00 |
$958.00 |
$487.80
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$3,280.00 |
$3,280.00 |
$3,280.00 |
$692.03
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$5,086.00 |
$5,086.00 |
$5,086.00 |
$2,558.00
|
|
#cmvcul-virus inoculation shell
|
$44.00 |
$44.00 |
$44.00 |
$102.57
|
|
Cmv pcr-sendout
|
$118.00 |
$118.00 |
$118.00 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$7.86 |
$7.86 |
$7.86 |
$6.36
|
|
Coagulation time activated teg
|
$54.00 |
$54.00 |
$54.00 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$285.06 |
$285.06 |
$285.06 |
$624.58
|
|
Cold agglutinin screen (arc)
|
$213.00 |
$213.00 |
$213.00 |
$47.19
|
|
Cold agglutinin titer
|
$67.00 |
$67.00 |
$67.00 |
$48.57
|
|
Colistimethate sodium inj
|
$45.61 |
$45.61 |
$45.61 |
$90.35
|
|
Collagenase, clost hist inj
|
$23,944.24 |
$23,944.24 |
$23,944.24 |
$16,403.22
|
|
Collection blood specimen from completely implantable venous access device
|
$357.38 |
$357.38 |
$357.38 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$369.00 |
$369.00 |
$369.00 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$50.00 |
$50.00 |
$50.00 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$4,436.44 |
$4,436.44 |
$4,436.44 |
$1,612.62
|
|
Colonoscopy submucous njx
|
$4,873.05 |
$4,873.05 |
$4,873.05 |
$2,063.25
|
|
Colonoscopy w/control bleed
|
$4,622.13 |
$4,622.13 |
$4,622.13 |
$2,101.71
|
|
Colonoscopy (with biopsy)
|
$4,586.76 |
$4,586.76 |
$4,586.76 |
$2,512.42
|
|
Colonoscopy (with polyp removal)
|
$4,768.64 |
$4,768.64 |
$4,768.64 |
$2,205.33
|
|
Colonoscopy w/resection
|
$5,389.47 |
$5,389.47 |
$5,389.47 |
$3,252.60
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$9,967.00 |
$9,967.00 |
$9,967.00 |
$3,907.93
|
|
Compatibility test each unit antiglobulin technique
|
$76.00 |
$76.00 |
$76.00 |
$173.25
|
|
Compatibility test each unit electronic
|
$25.00 |
$25.00 |
$25.00 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$223.00 |
$223.00 |
$223.00 |
$169.52
|
|
Compatibility test incubate
|
$62.00 |
$62.00 |
$62.00 |
$143.65
|
|
Complement antigen each component c3
|
$271.00 |
$271.00 |
$271.00 |
$111.15
|
|
Composite graft/pri close/don area 15760
|
$6,119.00 |
$6,119.00 |
$6,119.00 |
$2,692.80
|
|
Concentration infection agents any type
|
$79.00 |
$79.00 |
$79.00 |
$51.32
|
|
Condylomata destruction 56420
|
$1,727.00 |
$1,727.00 |
$1,727.00 |
$509.81
|
|
Conivaptan hcl
|
$29.17 |
$29.17 |
$29.17 |
$1,611.54
|
|
Conization/cerv/loop electrode exc 57522
|
$5,249.42 |
$5,249.42 |
$5,249.42 |
$3,986.00
|
|
Conization of cervix
|
$5,751.25 |
$5,751.25 |
$5,751.25 |
$3,577.50
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,204.46 |
$1,204.46 |
$1,204.46 |
$905.72
|
|
Consultation pathology during surgery
|
$709.00 |
$709.00 |
$709.00 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$203.00 |
$203.00 |
$203.00 |
$428.00
|
