|
Chlamydia culture
|
$70.91 |
$70.91 |
$87.27 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$28.23 |
$28.23 |
$34.74 |
$66.60
|
|
Chlamydia type
|
$20.16 |
$20.16 |
$24.82 |
$34.98
|
|
Chloride
|
$16.65 |
$16.65 |
$20.49 |
$42.63
|
|
Chloride 24 hour urine
|
$18.21 |
$18.21 |
$22.41 |
$50.88
|
|
Cholangiogram percutaneous compl
|
$8,417.52 |
$8,417.52 |
$9,036.87 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$175.02 |
$175.02 |
$406.89 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$8,417.52 |
$8,417.52 |
$9,036.87 |
$3,856.84
|
|
Cholesterol
|
$15.75 |
$15.75 |
$19.38 |
$45.76
|
|
Cholesterol body fluid
|
$7,328.20 |
$7,328.20 |
$9,019.32 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$48.45 |
$48.45 |
$59.63 |
$115.80
|
|
Cholinesterase
|
$28.50 |
$28.50 |
$35.07 |
$39.48
|
|
Cholinesterase challenge
|
$934.83 |
$934.83 |
$934.83 |
$366.72
|
|
Chorion biopsy
|
$1,624.23 |
$1,624.23 |
$2,172.28 |
$1,392.05
|
|
Chrom analysis
|
$116.26 |
$116.26 |
$143.09 |
$156.00
|
|
Chromatography
|
$65.34 |
$65.34 |
$80.42 |
$84.60
|
|
Chromogenic substrate assay
|
$36.88 |
$36.88 |
$45.39 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$167.21 |
$167.21 |
$205.79 |
$250.00
|
|
Chromosome analysis 100
|
$537.18 |
$537.18 |
$661.14 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$451.07 |
$451.07 |
$555.17 |
$517.11
|
|
Chromosome analysis 5
|
$953.67 |
$953.67 |
$953.67 |
$644.80
|
|
Chromosome analys placenta
|
$650.60 |
$650.60 |
$800.74 |
$572.99
|
|
Chromosome banding study
|
$305.54 |
$305.54 |
$305.54 |
$183.91
|
|
Chromosome count additional
|
$78.88 |
$78.88 |
$97.09 |
$96.50
|
|
Chromosome karyotype study
|
$98.11 |
$98.11 |
$120.75 |
$120.00
|
|
Chronic urticaria - sendout
|
$40.58 |
$40.58 |
$55.50 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$180.28 |
$180.28 |
$221.89 |
$136.09
|
|
Cinacalcet 30 mg tablet
|
$1.51 |
$1.51 |
$1.52 |
$41.25
|
|
Circumcision (newborn)
|
$223.33 |
$223.33 |
$279.18 |
$1,364.88
|
|
C-kit mutation liquid tumor - sendout
|
$965.89 |
$965.89 |
$1,188.79 |
$666.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$5,193.18 |
$5,193.18 |
$9,702.47 |
$15,560.16
|
|
Claviculectomy partial
|
$8,441.76 |
$8,441.76 |
$8,441.76 |
$3,839.54
|
|
Clearance of airways
|
$527.84 |
$527.84 |
$566.67 |
$213.07
|
|
Clip ligating vesolock lg
|
$528.00 |
$528.00 |
$3,315.00 |
$4,320.00
|
|
Clip phn wireless f/baha4 proc
|
$1,139.24 |
$1,139.24 |
$1,139.24 |
$449.46
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$763.42 |
$763.42 |
$819.58 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$4,002.34 |
$4,002.34 |
$4,572.13 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$492.70 |
$492.70 |
$606.40 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$4,572.13 |
$4,572.13 |
$4,908.52 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$763.42 |
$763.42 |
$819.58 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$4,572.13 |
$4,572.13 |
$4,908.52 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$763.42 |
$763.42 |
$819.58 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$4,572.13 |
$4,572.13 |
$4,908.52 |
$2,569.28
|
|
Closed tx sesamoid fx 28530
|
$623.11 |
$623.11 |
$623.11 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$623.11 |
$623.11 |
$766.90 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$618.08 |
$618.08 |
$618.08 |
$472.50
|
|
Close tear duct opening
|
$918.99 |
$918.99 |
$918.99 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$3,762.02 |
$3,762.02 |
$4,038.83 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,628.32 |
$1,628.32 |
$1,628.32 |
$1,259.62
|
|
Closure of eyelid by suture
|
$2,693.73 |
$2,693.73 |
$2,693.73 |
$1,701.96
|
|
Closure of windpipe lesion 31820
|
$6,419.65 |
$6,419.65 |
$7,901.11 |
$3,837.72
|
|
Closure paravalvlr leak pq
|
$21,540.15 |
$21,540.15 |
$26,510.95 |
$9,434.46
|
|
Clot factor fletcher fact
|
$68.51 |
$68.51 |
$84.32 |
$119.50
|
|
Clot factor viii reltd antgn
|
$73.90 |
$73.90 |
$90.95 |
$140.42
|
|
Clot factor wght kininogen
|
$84.32 |
$84.32 |
$84.32 |
$157.50
|
|
Clot factor xii hageman
|
$70.02 |
$70.02 |
$86.18 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$32.19 |
$32.19 |
$39.62 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$59.13 |
$59.13 |
$72.78 |
$106.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$763.42 |
$763.42 |
$819.58 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$654.26 |
$654.26 |
$805.25 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$763.42 |
$763.42 |
$819.58 |
$489.60
|
|
Clsd tx clavicle dislocation without manip 23540
|
$763.42 |
$763.42 |
$763.42 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$763.42 |
$763.42 |
$819.58 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$819.58 |
$819.58 |
$819.58 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$763.42 |
$763.42 |
$819.58 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$763.42 |
$763.42 |
$819.58 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$567.91 |
$567.91 |
$698.97 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$763.42 |
$763.42 |
$819.58 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$4,572.13 |
$4,572.13 |
$4,908.52 |
$2,211.05
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$623.11 |
$623.11 |
$623.11 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$763.42 |
$763.42 |
$819.58 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$763.42 |
$763.42 |
$819.58 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$763.42 |
$763.42 |
$819.58 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$4,572.13 |
$4,572.13 |
$4,908.52 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$763.42 |
$763.42 |
$819.58 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$4,572.13 |
$4,572.13 |
$4,908.52 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$763.42 |
$763.42 |
$819.58 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$763.42 |
$763.42 |
$819.58 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$763.42 |
$763.42 |
$819.58 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$763.42 |
$763.42 |
$819.58 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$850.82 |
$850.82 |
$913.43 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$1,628.32 |
$1,628.32 |
$1,748.12 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$763.42 |
$763.42 |
$819.58 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$763.42 |
$763.42 |
$819.58 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$763.42 |
$763.42 |
$819.58 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$608.60 |
$608.60 |
$763.42 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$763.42 |
$763.42 |
$819.58 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$5,718.87 |
$5,718.87 |
$5,718.87 |
$3,678.17
|
|
Clsd tx patella disloc without anes 27560
|
$763.42 |
$763.42 |
$819.58 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$763.42 |
$763.42 |
$819.58 |
$498.85
|
|
Clsd tx pelvic ring fx
|
$484.69 |
$484.69 |
$609.78 |
$424.50
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$4,572.13 |
$4,572.13 |
$4,908.52 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$763.42 |
$763.42 |
$819.58 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$763.42 |
$763.42 |
$819.58 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$4,572.13 |
$4,572.13 |
$4,908.52 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$763.42 |
$763.42 |
$819.58 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$4,572.13 |
$4,572.13 |
$4,908.52 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$4,572.13 |
$4,572.13 |
$4,908.52 |
$1,687.50
|
