|
Chrom analysis
|
$474.60 |
$474.60 |
$474.60 |
$156.00
|
|
Chromatography
|
$208.20 |
$208.20 |
$208.20 |
$84.60
|
|
Chromosome analysis 15-20 cell count
|
$375.60 |
$375.60 |
$375.60 |
$517.11
|
|
Chromosome analysis 5
|
$1,742.40 |
$1,742.40 |
$1,742.40 |
$644.80
|
|
Chromosome karyotype study
|
$136.80 |
$136.80 |
$136.80 |
$120.00
|
|
Chromosome study additional
|
$313.80 |
$313.80 |
$313.80 |
$151.09
|
|
Cilastatin sodium injection
|
$65.40 |
$65.40 |
$65.40 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$15.00 |
$15.00 |
$15.00 |
$35.65
|
|
Claviculectomy partial
|
$4,007.40 |
$4,007.40 |
$4,007.40 |
$3,839.54
|
|
Clearance of airways
|
$154.20 |
$154.20 |
$154.20 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$5.40 |
$5.40 |
$5.40 |
$55.20
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$397.80 |
$397.80 |
$397.80 |
$520.80
|
|
Closed tx humerus fx without manip 23600
|
$397.80 |
$397.80 |
$397.80 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$1,131.60 |
$1,131.60 |
$1,131.60 |
$1,549.52
|
|
Closed tx sesamoid fx 28530
|
$397.80 |
$397.80 |
$397.80 |
$445.50
|
|
Clot factor fletcher fact
|
$88.20 |
$88.20 |
$88.20 |
$119.50
|
|
Clot factor xii hageman
|
$90.60 |
$90.60 |
$90.60 |
$138.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$595.20 |
$595.20 |
$595.20 |
$648.96
|
|
Clsd tx/clavicular fx without manip 23500
|
$244.80 |
$244.80 |
$244.80 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$595.20 |
$595.20 |
$595.20 |
$417.90
|
|
Clsd tx fracture of radius 25500
|
$299.40 |
$299.40 |
$299.40 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$397.80 |
$397.80 |
$397.80 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$595.20 |
$595.20 |
$595.20 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$359.40 |
$359.40 |
$359.40 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$495.60 |
$495.60 |
$495.60 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$402.00 |
$402.00 |
$402.00 |
$488.88
|
|
Clsd tx humeral fract without manip 24530
|
$397.80 |
$397.80 |
$397.80 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$397.80 |
$397.80 |
$397.80 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$361.20 |
$361.20 |
$361.20 |
$498.85
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$595.20 |
$595.20 |
$595.20 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$331.80 |
$331.80 |
$331.80 |
$466.14
|
|
Clsd tx temporomandibular dislocat 21480
|
$389.40 |
$389.40 |
$389.40 |
$424.38
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$397.80 |
$397.80 |
$397.80 |
$535.60
|
|
Cltx hum epcndylr fx wo mnpj
|
$397.80 |
$397.80 |
$397.80 |
$525.75
|
|
#cmvcul-virus inoculation shell
|
$106.20 |
$106.20 |
$106.20 |
$89.76
|
|
Cmv pcr-sendout
|
$299.40 |
$299.40 |
$299.40 |
$175.70
|
|
Cold agglutinin titer
|
$36.60 |
$36.60 |
$36.60 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$209.40 |
$209.40 |
$209.40 |
$303.73
|
|
Collar cerv adlt perfit ace extric
|
$39.60 |
$39.60 |
$39.60 |
$67.73
|
|
Collection blood specimen from completely implantable venous access device
|
$154.80 |
$154.80 |
$154.80 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$154.80 |
$154.80 |
$154.80 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$746.40 |
$746.40 |
$746.40 |
$1,899.00
|
|
Colonoscopy submucous njx
|
$1,506.60 |
$1,506.60 |
$1,506.60 |
$2,080.00
|
|
Colonoscopy w/control bleed
|
$1,398.60 |
$1,398.60 |
$1,398.60 |
$2,101.71
|
|
Colonoscopy (with biopsy)
|
$1,398.60 |
$1,398.60 |
$1,398.60 |
$2,214.00
|
|
Colonoscopy (with polyp removal)
|
$1,398.60 |
$1,398.60 |
$1,398.60 |
$2,288.00
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$231.00 |
$231.00 |
$231.00 |
$314.00
|
|
Compatibility test each unit antiglobulin technique
|
$117.00 |
$117.00 |
$117.00 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$117.00 |
$117.00 |
$117.00 |
$169.52
|
|
Compatibility test incubate
|
$139.80 |
$139.80 |
$139.80 |
$156.24
|
|
Complement antigen each component c3
|
$181.80 |
$181.80 |
$181.80 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,398.60 |
$1,398.60 |
$1,398.60 |
$893.41
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$674.40 |
$674.40 |
$674.40 |
$1,049.60
|
|
Complx repair fccmnaxghf 13131
|
$538.80 |
$538.80 |
$538.80 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$695.40 |
$695.40 |
$695.40 |
$1,107.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$397.20 |
$397.20 |
$397.20 |
$508.44
|
|
Concentration infection agents any type
|
$36.60 |
$36.60 |
$36.60 |
$51.32
|
|
Condylomata destruction 56420
|
$397.80 |
$397.80 |
$397.80 |
$467.35
|
|
Conform band n/s w>=3"<5"/yd
|
$9.00 |
$9.00 |
$9.00 |
$1.04
|
|
Conform band s w>=3" <5"/yd
|
$31.20 |
$31.20 |
$31.20 |
$1.04
|
|
Conform band s w >=5"/yd
|
$3.00 |
$3.00 |
$3.00 |
$1.84
|
|
Consultation/report referred slides prepared elsewhere
|
$210.00 |
$210.00 |
$210.00 |
$176.28
|
|
Contrast baths charges
|
$90.60 |
$90.60 |
$90.60 |
$75.60
|
|
Contrast x-ray gallbladder
|
$31.20 |
$31.20 |
$31.20 |
$341.00
|
|
Contrast x-ray of ankle
|
$765.60 |
$765.60 |
$765.60 |
$684.00
|
|
Contrast x-ray of elbow
|
$857.40 |
$857.40 |
$857.40 |
$708.00
|
|
Contrast x-ray of hip
|
$719.40 |
$719.40 |
$719.40 |
$796.38
|
|
Contrast x-ray of knee joint
|
$1,191.60 |
$1,191.60 |
$1,191.60 |
$790.50
|
|
Contrast x-ray of wrist
|
$541.20 |
$541.20 |
$541.20 |
$667.50
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$442.80 |
$442.80 |
$442.80 |
$644.80
|
|
Control of nosebleedantersmpl 30901
|
$326.40 |
$326.40 |
$326.40 |
$352.80
|
|
Contrst x-ray uppr gi tract
|
$471.00 |
$471.00 |
$471.00 |
$762.93
|
|
Coombs direct
|
$105.00 |
$105.00 |
$105.00 |
$76.80
|
|
Coombs indirect titer reference
|
$167.40 |
$167.40 |
$167.40 |
$156.71
|
|
Copper intrauterine device
|
$1,273.80 |
$1,273.80 |
$1,273.80 |
$1,953.00
|
|
Core ndl bx lng/med perq
|
$2,053.80 |
$2,053.80 |
$2,053.80 |
$2,904.48
|
|
Correct finger deformity
|
$706.20 |
$706.20 |
$706.20 |
$4,192.86
|
|
Cortisol total am
|
$88.20 |
$88.20 |
$88.20 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$180.00 |
$180.00 |
$180.00 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$46.80 |
$46.80 |
$46.80 |
$54.60
|
|
Coveredge 32 lead kit 40cm 48
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$4,180.79
|
|
#covid19rsv-rsv
|
$220.20 |
$220.20 |
$220.20 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$271.20 |
$271.20 |
$271.20 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$226.20 |
$226.20 |
$226.20 |
$584.50
|
|
C-peptide
|
$196.20 |
$196.20 |
$196.20 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$424.20 |
$424.20 |
$424.20 |
$777.71
|
|
C-reactive protein
|
$28.20 |
$28.20 |
$28.20 |
$69.36
|
|
C-reactive protein high sensitivity
|
$64.80 |
$64.80 |
$64.80 |
$85.50
|
|
Creatine kinase
|
$46.20 |
$46.20 |
$46.20 |
$66.30
|
|
Creatine kinase isoenzymes
|
$202.80 |
$202.80 |
$202.80 |
$56.20
|
|
Creatine kinase mb
|
$138.60 |
$138.60 |
$138.60 |
$113.63
|
|
Creatine - sendout
|
$90.60 |
$90.60 |
$90.60 |
$41.25
|
|
Creatinine
|
$46.20 |
$46.20 |
$46.20 |
$46.20
|
|
Creatinine 24 hour urine
|
$28.20 |
$28.20 |
$28.20 |
$57.85
|
|
Creatinine clearance urine
|
$51.60 |
$51.60 |
$51.60 |
$90.26
|
|
#creutz-prot.,western blot
|
$70.20 |
$70.20 |
$70.20 |
$163.50
|
|
Critical care each additional 30 minutes
|
$334.80 |
$334.80 |
$334.80 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,635.00 |
$1,635.00 |
$1,635.00 |
$2,535.00
|
|
Crotalidae poly immune fab
|
$5,178.60 |
$5,178.60 |
$5,178.60 |
$5,760.00
|
|
Cryofibrinogen qualitative - sendout
|
$79.20 |
$79.20 |
$79.20 |
$52.50
|
