|
Chromogenic substrate assay
|
$119.40 |
$138.00 |
$478.80 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$1,007.40 |
$3,739.80 |
$3,739.80 |
$250.00
|
|
Chromosome analysis 100
|
$1,148.40 |
$1,227.60 |
$2,235.60 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$602.40 |
$941.40 |
$1,536.00 |
$517.11
|
|
Chromosome analysis 45
|
$961.80 |
$961.80 |
$961.80 |
$382.85
|
|
Chromosome analysis 5
|
$1,178.40 |
$2,224.80 |
$3,701.40 |
$644.80
|
|
Chromosome analysis 50-100
|
$1,174.80 |
$1,174.80 |
$1,174.80 |
$434.40
|
|
Chromosome analys placenta
|
$871.20 |
$871.20 |
$1,302.60 |
$572.99
|
|
Chromosome banding study
|
$499.20 |
$499.20 |
$499.20 |
$183.91
|
|
Chromosome count additional
|
$131.40 |
$131.40 |
$131.40 |
$96.50
|
|
Chromosome karyotype study
|
$122.40 |
$181.80 |
$266.40 |
$120.00
|
|
Chromosome study additional
|
$369.00 |
$369.00 |
$453.60 |
$151.09
|
|
Chronic urticaria - sendout
|
$105.60 |
$131.40 |
$171.60 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$322.20 |
$370.20 |
$774.00 |
$136.09
|
|
Cidofovir injection
|
$2,980.80 |
$27,738.00 |
$27,738.00 |
$1,352.09
|
|
Cilastatin sodium injection
|
$223.80 |
$626.40 |
$1,249.80 |
$77.40
|
|
Ciliary transsleral therapy
|
$3,570.00 |
$4,086.60 |
$6,005.40 |
$3,269.14
|
|
Ciltacabtagene car-pos t
|
$4,224,000.00 |
$4,224,000.00 |
$4,224,000.00 |
$1,573,072.37
|
|
Cine/video x-rays
|
$345.60 |
$523.20 |
$4,165.80 |
$321.64
|
|
Cine/video x-rays add-on
|
$288.60 |
$288.60 |
$424.80 |
$293.05
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$59.40 |
$513.00 |
$1,024.80 |
$35.65
|
|
Ciprofloxacin otic susp 6 mg
|
$876.00 |
$876.00 |
$963.20 |
$63.31
|
|
Circumcision (newborn)
|
$2,380.80 |
$2,380.80 |
$2,380.80 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$556.00 |
$749.40 |
$8,095.80 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$4,054.80 |
$4,054.80 |
$4,055.40 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$576.60 |
$576.60 |
$5,773.80 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$3,135.00 |
$3,909.60 |
$25,185.60 |
$15,560.16
|
|
Clearance of airways
|
$2,579.40 |
$2,579.40 |
$2,579.40 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$43.80 |
$43.80 |
$58.80 |
$55.20
|
|
Clip ligating vesolock lg
|
$1,453.20 |
$1,806.60 |
$6,953.40 |
$4,320.00
|
|
Clofarabine 1 mg/ml intravenous solution
|
$681.00 |
$681.00 |
$879.00 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$348.60 |
$348.60 |
$4,447.80 |
$85.37
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$2,895.00 |
$2,910.00 |
$4,099.20 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$3,560.40 |
$3,560.40 |
$3,560.40 |
$1,806.01
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$3,279.60 |
$7,328.40 |
$7,860.60 |
$1,642.82
|
|
Closed tx humerus fx with manip 23605
|
$1,810.80 |
$1,981.80 |
$4,767.60 |
$2,291.20
|
|
Closed tx humerus fx w/manip 24505
|
$1,651.80 |
$1,746.60 |
$3,560.40 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$643.20 |
$647.40 |
$1,980.60 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,139.60 |
$3,520.20 |
$4,545.60 |
$2,569.28
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$453.00 |
$882.60 |
$2,009.40 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$3,417.00 |
$3,928.80 |
$4,191.60 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,731.60 |
$2,393.40 |
$3,363.00 |
$1,259.62
|
|
Closure of eyelid by suture
|
$2,357.40 |
$2,357.40 |
$2,357.40 |
$1,701.96
|
|
Closure paravalvlr leak pq
|
$93.00 |
$93.00 |
$14,788.80 |
$9,434.46
|
|
Clot factor fletcher fact
|
$193.80 |
$230.40 |
$1,704.00 |
$119.50
|
|
Clot factor wght kininogen
|
$193.80 |
$230.40 |
$1,704.00 |
$157.50
|
|
Clot factor xii hageman
|
$141.00 |
$213.60 |
$1,503.00 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$70.80 |
$73.20 |
$369.60 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$74.40 |
$129.60 |
$2,105.40 |
$106.40
|
|
Clozapine, 25 mg
|
$5.40 |
$6.15 |
$22.80 |
$5.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,547.40 |
$2,005.80 |
$3,560.40 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$2,270.40 |
$2,655.60 |
$3,560.40 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$76.20 |
$163.80 |
$430.80 |
$489.60
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,029.40 |
$3,029.40 |
$3,029.40 |
$1,893.86
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$384.00 |
$384.00 |
$592.80 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,651.80 |
$1,768.80 |
$3,222.60 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$2,981.40 |
$2,981.40 |
$2,981.40 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$393.60 |
$507.00 |
$1,651.80 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,810.80 |
$1,810.80 |
$4,185.00 |
$2,211.05
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$6,887.40 |
$6,887.40 |
$6,887.40 |
$2,630.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$299.40 |
$429.60 |
$529.20 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$852.60 |
$852.60 |
$865.80 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,912.80 |
$2,520.00 |
$5,469.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,681.40 |
$2,993.40 |
$4,765.20 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$1,434.00 |
$2,070.60 |
$3,772.80 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$2,813.40 |
$2,813.40 |
$2,813.40 |
$577.20
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$3,433.80 |
$3,964.20 |
$5,469.00 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$6,864.00 |
$6,864.00 |
$6,864.00 |
$987.60
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,651.80 |
$3,928.80 |
$4,762.20 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$3,321.00 |
$3,321.00 |
$5,052.60 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$748.20 |
$748.20 |
$748.20 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$4,314.00 |
$4,314.00 |
$4,314.00 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,651.80 |
$3,960.00 |
$5,052.60 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$1,547.40 |
$1,980.60 |
$3,560.40 |
$573.52
|
|
Clsd tx pelvic ring fx
|
$5,307.00 |
$5,307.00 |
$5,307.00 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,614.60 |
$2,630.40 |
$3,123.60 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$384.00 |
$384.00 |
$384.00 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$453.00 |
$453.00 |
$453.00 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$2,236.20 |
$2,967.00 |
$3,123.60 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$3,520.20 |
$3,628.80 |
$4,185.00 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,073.00 |
$3,018.60 |
$3,921.60 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,980.60 |
$2,639.40 |
$3,772.80 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$942.60 |
$1,746.60 |
$3,560.40 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$400.20 |
$413.40 |
$1,980.60 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$2,370.60 |
$2,716.80 |
$2,930.40 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,651.80 |
$2,140.80 |
$3,560.40 |
$1,592.00
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$3,331.80 |
$3,331.80 |
$3,331.80 |
$490.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$672.00 |
$733.80 |
$852.60 |
$612.80
|
|
Cls tx of heel fracture w/manip 28405
|
$4,057.20 |
$4,057.20 |
$4,507.20 |
$725.40
|
|
Cltx carpl scphd fx w/mnpj
|
$3,769.20 |
$3,769.20 |
$5,289.00 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$4,037.40 |
$4,288.80 |
$6,097.20 |
$2,274.40
|
|
Cltx humrl cndylr fx w/mnpj
|
$3,123.60 |
$3,123.60 |
$3,123.60 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$3,237.00 |
$3,237.00 |
$3,237.00 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$3,222.60 |
$3,222.60 |
$3,849.60 |
$2,384.00
|
|
Cltx mndblr fx ntrdntl fixj
|
$14,868.60 |
$14,868.60 |
$14,868.60 |
$6,776.64
|
|
Cltx mndblr fx w/mnpj
|
$5,322.00 |
$5,322.00 |
$7,899.60 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$6,514.20 |
$6,514.20 |
$6,514.20 |
$3,986.00
|
|
Cltx palatal/max fx wire fix
|
$4,706.40 |
$4,706.40 |
$6,093.60 |
$4,377.24
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,450.40 |
$2,710.20 |
$4,024.20 |
$2,021.04
|
|
Cltx thigh fx w/mnpj
|
$4,240.80 |
$4,240.80 |
$6,871.80 |
$3,276.70
|
