|
Chest CT scan (with and without contrast)
|
$2,566.80 |
$2,566.80 |
$2,566.80 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,775.40 |
$1,775.40 |
$1,775.40 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,336.80 |
$1,336.80 |
$1,336.80 |
$1,350.03
|
|
Chest X-ray
|
$394.80 |
$394.80 |
$394.80 |
$294.06
|
|
Chest X-ray (single view)
|
$280.80 |
$280.80 |
$280.80 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$251.40 |
$251.40 |
$251.40 |
$147.95
|
|
Chlamydia culture
|
$127.80 |
$127.80 |
$127.80 |
$93.90
|
|
Chlamydia trachomatis ag if
|
$88.80 |
$88.80 |
$88.80 |
$74.88
|
|
Chlamydia type
|
$141.60 |
$141.60 |
$141.60 |
$34.20
|
|
Chloride
|
$49.80 |
$49.80 |
$49.80 |
$40.95
|
|
Chloride 24 hour urine
|
$33.60 |
$33.60 |
$33.60 |
$49.50
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$824.40 |
$824.40 |
$824.40 |
$602.40
|
|
Cholesterol
|
$64.20 |
$64.20 |
$64.20 |
$45.76
|
|
Cholesterol body fluid
|
$208.80 |
$208.80 |
$208.80 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$273.00 |
$273.00 |
$273.00 |
$115.80
|
|
Cholinesterase
|
$111.60 |
$111.60 |
$111.60 |
$38.69
|
|
Chrom analysis
|
$253.20 |
$253.20 |
$253.20 |
$156.00
|
|
Chromatography
|
$54.60 |
$54.60 |
$54.60 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$418.80 |
$418.80 |
$418.80 |
$247.59
|
|
Chromosome analys amniotic
|
$990.60 |
$990.60 |
$990.60 |
$450.00
|
|
Chromosome analysis 100
|
$822.00 |
$822.00 |
$822.00 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$883.20 |
$883.20 |
$883.20 |
$512.20
|
|
Chromosome analysis 45
|
$936.60 |
$936.60 |
$936.60 |
$429.28
|
|
Chromosome analysis 50-100
|
$822.00 |
$822.00 |
$822.00 |
$405.00
|
|
Chromosome analys placenta
|
$822.00 |
$822.00 |
$822.00 |
$618.60
|
|
Chromosome banding study
|
$355.20 |
$355.20 |
$355.20 |
$184.24
|
|
Chromosome count additional
|
$311.40 |
$311.40 |
$311.40 |
$92.45
|
|
Chromosome karyotype study
|
$160.20 |
$160.20 |
$160.20 |
$119.87
|
|
Chromosome study additional
|
$207.00 |
$207.00 |
$207.00 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$206.40 |
$206.40 |
$206.40 |
$124.15
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$13.14 |
$13.14 |
$13.14 |
$34.88
|
|
Circum 28 days or older
|
$3,633.00 |
$3,633.00 |
$3,633.00 |
$3,860.64
|
|
Cisplatin 1 mg/ml desensitization
|
$100.56 |
$100.56 |
$100.56 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$605.40 |
$605.40 |
$605.40 |
$655.00
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$29,088.84 |
$29,088.84 |
$29,088.84 |
$15,390.00
|
|
Clearance of airways
|
$332.40 |
$332.40 |
$332.40 |
$208.86
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$44.10 |
$44.10 |
$44.10 |
$55.20
|
|
Clip ligating vesolock lg
|
$5,103.77 |
$5,103.77 |
$5,103.77 |
$4,320.00
|
|
Cllr miami j sm
|
$1,020.48 |
$1,020.48 |
$1,020.48 |
$566.23
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$17.64 |
$17.64 |
$17.64 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$537.00 |
$537.00 |
$537.00 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$2,773.80 |
$2,773.80 |
$2,773.80 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$360.00 |
$360.00 |
$360.00 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$537.00 |
$537.00 |
$537.00 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,520.60 |
$2,520.60 |
$2,520.60 |
$2,520.60
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$477.00 |
$477.00 |
$477.00 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$2,410.20 |
$2,410.20 |
$2,410.20 |
$2,326.08
|
|
Closure paravalvlr leak pq
|
$11,464.80 |
$11,464.80 |
$11,464.80 |
$7,723.17
|
|
Clot factor fletcher fact
|
$103.80 |
$103.80 |
$103.80 |
$119.50
|
|
Clot factor viii reltd antgn
|
$211.20 |
$211.20 |
$211.20 |
$158.20
|
|
Clot factor wght kininogen
|
$141.60 |
$141.60 |
$141.60 |
$167.96
|
|
Clot factor xii hageman
|
$96.00 |
$96.00 |
$96.00 |
$134.39
|
|
Clot factor xiii fibrin stab
|
$184.80 |
$184.80 |
$184.80 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$537.00 |
$537.00 |
$537.00 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$433.80 |
$433.80 |
$433.80 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$537.00 |
$537.00 |
$537.00 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$394.20 |
$394.20 |
$394.20 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,893.86
|
|
Clsd tx coccygeal fracture 27200
|
$394.20 |
$394.20 |
$394.20 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$394.20 |
$394.20 |
$394.20 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$406.20 |
$406.20 |
$406.20 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$383.40 |
$383.40 |
$383.40 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$517.80 |
$517.80 |
$517.80 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,490.60 |
$2,490.60 |
$2,490.60 |
$2,184.08
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$537.00 |
$537.00 |
$537.00 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$394.20 |
$394.20 |
$394.20 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$6,275.52 |
$6,275.52 |
$6,275.52 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$394.20 |
$394.20 |
$394.20 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$394.20 |
$394.20 |
$394.20 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$406.20 |
$406.20 |
$406.20 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$394.20 |
$394.20 |
$394.20 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$496.80 |
$496.80 |
$496.80 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$537.00 |
$537.00 |
$537.00 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$476.40 |
$476.40 |
$476.40 |
$520.38
|
|
Clsd tx patella disloc without anes 27560
|
$537.00 |
$537.00 |
$537.00 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$360.00 |
$360.00 |
$360.00 |
$475.68
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$383.40 |
$383.40 |
$383.40 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$394.20 |
$394.20 |
$394.20 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$2,829.00 |
$2,829.00 |
$2,829.00 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,846.40 |
$2,846.40 |
$2,846.40 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$776.40 |
$776.40 |
$776.40 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$537.00 |
$537.00 |
$537.00 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,490.60 |
$2,490.60 |
$2,490.60 |
$1,565.74
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$394.20 |
$394.20 |
$394.20 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$394.20 |
$394.20 |
$394.20 |
$600.60
|
|
Cls tx of heel fracture w/manip 28405
|
$468.60 |
$468.60 |
$468.60 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$2,437.00
|
|
Cltx post ankle fx w/mnpj
|
$2,667.00 |
$2,667.00 |
$2,667.00 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,724.00 |
$2,724.00 |
$2,724.00 |
$2,021.04
|
|
Cltx thigh fx w/mnpj
|
$2,846.40 |
$2,846.40 |
$2,846.40 |
$3,503.71
|
|
#cmvcul-virus inoculation shell
|
$64.80 |
$64.80 |
$64.80 |
$100.80
|
|
Cmv pcr-sendout
|
$261.00 |
$261.00 |
$261.00 |
$177.50
|
