|
#celiac hla-dq8
|
$191.40 |
$191.40 |
$191.40 |
$245.60
|
|
Cell count body fluid
|
$55.20 |
$55.20 |
$55.20 |
$63.63
|
|
Cell count w differential body fluid
|
$66.00 |
$66.00 |
$66.00 |
$92.56
|
|
Cell enumeration & id
|
$637.20 |
$637.20 |
$637.20 |
$542.40
|
|
Cellesta or duo per sq cm
|
$17,634.76 |
$17,634.76 |
$17,634.76 |
$16.80
|
|
Cell function assay w/stim
|
$199.80 |
$199.80 |
$199.80 |
$314.25
|
|
Cerebrospinal fld flw imag
|
$891.00 |
$891.00 |
$891.00 |
$907.45
|
|
Cer post col occ/man sup adj
|
$785.43 |
$785.43 |
$785.43 |
$802.30
|
|
Cerv collar supp adj cerv ba
|
$1,989.16 |
$1,989.16 |
$1,989.16 |
$997.49
|
|
Cesarean section delivery only 59514
|
$7,448.40 |
$7,448.40 |
$7,448.40 |
$2,294.25
|
|
Cftr gene dup/delet variants
|
$1,096.20 |
$1,096.20 |
$1,096.20 |
$849.00
|
|
Change cystostomy tube simple
|
$332.40 |
$332.40 |
$332.40 |
$473.00
|
|
Change g-tube to g-j perc
|
$3,327.00 |
$3,327.00 |
$3,327.00 |
$2,206.00
|
|
Change nephroureteral cath
|
$3,515.40 |
$3,515.40 |
$3,515.40 |
$3,154.80
|
|
Change of windpipe airway 31502
|
$1,220.40 |
$1,220.40 |
$1,220.40 |
$412.00
|
|
Change stent via transureth
|
$1,889.40 |
$1,889.40 |
$1,889.40 |
$4,175.60
|
|
Chemo adm cns w/lmbr punct
|
$316.80 |
$316.80 |
$316.80 |
$710.72
|
|
Chemotherapy injection 96542
|
$343.20 |
$343.20 |
$343.20 |
$426.40
|
|
Chest 2 vws w oblique
|
$284.40 |
$284.40 |
$284.40 |
$385.71
|
|
Chest CT scan (with and without contrast)
|
$1,212.60 |
$1,212.60 |
$1,212.60 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$1,697.25
|
|
Chest CT scan (without contrast)
|
$813.00 |
$813.00 |
$813.00 |
$1,372.50
|
|
Chest X-ray
|
$299.40 |
$299.40 |
$299.40 |
$301.23
|
|
Chest X-ray (single view)
|
$272.40 |
$272.40 |
$272.40 |
$246.94
|
|
Chimerism anal no cell selec
|
$537.60 |
$537.60 |
$537.60 |
$378.62
|
|
Chlamydia culture
|
$49.20 |
$49.20 |
$49.20 |
$93.90
|
|
Chlamydia type
|
$23.40 |
$23.40 |
$23.40 |
$33.00
|
|
Chlnggrphy intraop addl s&i
|
$193.20 |
$193.20 |
$193.20 |
$301.40
|
|
Chloride
|
$70.20 |
$70.20 |
$70.20 |
$39.65
|
|
Chloride 24 hour urine
|
$37.80 |
$37.80 |
$37.80 |
$46.75
|
|
Chloroprocaine hcl injection
|
$100.98 |
$100.98 |
$100.98 |
$58.69
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$154.56 |
$154.56 |
$154.56 |
$358.20
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$52.14 |
$52.14 |
$52.14 |
$79.87
|
|
Cholangiogram percutaneous compl
|
$4,772.40 |
$4,772.40 |
$4,772.40 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,615.80 |
$1,615.80 |
$1,615.80 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,992.80 |
$2,992.80 |
$2,992.80 |
$3,906.18
|
|
Cholesterol
|
$85.20 |
$85.20 |
$85.20 |
$46.15
|
|
Cholesterol body fluid
|
$54.00 |
$54.00 |
$54.00 |
$73.83
|
|
Cholesterol (Lipid) Test
|
$115.80 |
$115.80 |
$115.80 |
$115.70
|
|
Cholinesterase
|
$59.40 |
$59.40 |
$59.40 |
$40.80
|
|
Chromatography
|
$44.40 |
$44.40 |
$44.40 |
$79.00
|
|
Chromogenic substrate assay
|
$25.80 |
$25.80 |
$25.80 |
$137.50
|
|
Chromosome analys amniotic
|
$322.80 |
$322.80 |
$322.80 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$298.20 |
$298.20 |
$298.20 |
$479.38
|
|
Chromosome analysis 5
|
$369.00 |
$369.00 |
$369.00 |
$711.20
|
|
Chromosome count additional
|
$141.60 |
$141.60 |
$141.60 |
$101.92
|
|
Chromosome karyotype study
|
$61.80 |
$61.80 |
$61.80 |
$112.50
|
|
Chromosome study additional
|
$71.40 |
$71.40 |
$71.40 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$108.00 |
$108.00 |
$108.00 |
$123.20
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$15.84 |
$15.84 |
$15.84 |
$37.00
|
|
C-kit mutation liquid tumor - sendout
|
$958.20 |
$958.20 |
$958.20 |
$659.20
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$28,866.42 |
$28,866.42 |
$28,866.42 |
$15,050.75
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$6.66 |
$6.66 |
$6.66 |
$55.20
|
|
Clip ligating vesolock lg
|
$5,064.74 |
$5,064.74 |
$5,064.74 |
$4,658.12
|
|
Cllr miami j sm
|
$898.12 |
$898.12 |
$898.12 |
$552.23
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$28.44 |
$28.44 |
$28.44 |
$81.07
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$520.80 |
$520.80 |
$520.80 |
$535.76
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$1,815.75
|
|
Closed tx/acetabululm without manip 27220
|
$433.80 |
$433.80 |
$433.80 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$520.80 |
$520.80 |
$520.80 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$3,599.40 |
$3,599.40 |
$3,599.40 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$589.80 |
$589.80 |
$589.80 |
$402.40
|
|
Closed tx orbit without manipulj
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$1,028.06
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,520.60 |
$2,520.60 |
$2,520.60 |
$2,621.64
|
|
Closed tx septal&nose fx
|
$5,155.80 |
$5,155.80 |
$5,155.80 |
$3,672.06
|
|
Closed tx/talus fracture without manip 28430
|
$856.80 |
$856.80 |
$856.80 |
$448.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$477.00 |
$477.00 |
$477.00 |
$498.00
|
|
Clos txnose fx without stablz 21315
|
$2,956.20 |
$2,956.20 |
$2,956.20 |
$2,453.60
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$1,259.62
|
|
Closure paravalvlr leak pq
|
$4,606.80 |
$4,606.80 |
$4,606.80 |
$7,723.17
|
|
Clot factor wght kininogen
|
$128.40 |
$128.40 |
$128.40 |
$167.96
|
|
Clot factor xii hageman
|
$47.40 |
$47.40 |
$47.40 |
$126.39
|
|
Clot factor xiii fibrin scrn
|
$33.60 |
$33.60 |
$33.60 |
$51.91
|
|
Clot factor xiii fibrin stab
|
$216.60 |
$216.60 |
$216.60 |
$97.20
|
|
Clotting assay whole blood
|
$28.80 |
$28.80 |
$28.80 |
$101.52
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$588.00 |
$588.00 |
$588.00 |
$700.00
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$520.80 |
$520.80 |
$520.80 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$589.80 |
$589.80 |
$589.80 |
$509.60
|
|
Clsd tx clav dislc without manip 23520
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$1,994.40
|
|
Clsd tx clavicle dislocation without manip 23540
|
$520.80 |
$520.80 |
$520.80 |
$444.71
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$2,021.04
|
|
Clsd tx/clavicular fx without manip 23500
|
$520.80 |
$520.80 |
$520.80 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$520.80 |
$520.80 |
$520.80 |
$394.20
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$520.80 |
$520.80 |
$520.80 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$583.80 |
$583.80 |
$583.80 |
$691.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$520.80 |
$520.80 |
$520.80 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$591.00 |
$591.00 |
$591.00 |
$507.20
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,528.40 |
$2,528.40 |
$2,528.40 |
$2,329.60
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$2,637.00
|
|
Clsd tx fracture of radius 25500
|
$520.80 |
$520.80 |
$520.80 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$760.80 |
$760.80 |
$760.80 |
$390.40
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$760.80 |
$760.80 |
$760.80 |
$480.48
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$520.80 |
$520.80 |
$520.80 |
$551.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,566.40 |
$3,566.40 |
$3,566.40 |
$1,776.04
|
|
Clsd tx fx radius/ulna without manip 25560
|
$520.80 |
$520.80 |
$520.80 |
$511.80
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,619.80 |
$3,619.80 |
$3,619.80 |
$1,668.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$520.80 |
$520.80 |
$520.80 |
$475.68
|
|
Clsd tx hip disloc without anes 27265
|
$591.00 |
$591.00 |
$591.00 |
$665.60
|
|
Clsd tx humeral fract without manip 24530
|
$520.80 |
$520.80 |
$520.80 |
$577.20
|
