|
Chorion biopsy
|
$95.42 |
$95.42 |
$95.42 |
$1,392.05
|
|
Chrnc care mgmt phys 1st 30
|
$54.60 |
$54.60 |
$54.60 |
$156.00
|
|
Chrom analysis
|
$97.68 |
$97.68 |
$97.68 |
$155.40
|
|
Chromatogram assay sugars
|
$30.68 |
$30.68 |
$30.68 |
$86.42
|
|
Chromatography
|
$114.70 |
$114.70 |
$114.70 |
$85.80
|
|
Chromogenic substrate assay
|
$75.48 |
$75.48 |
$75.48 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$160.58 |
$160.58 |
$160.58 |
$247.59
|
|
Chromosome analys amniotic
|
$488.40 |
$488.40 |
$488.40 |
$450.00
|
|
Chromosome analysis 100
|
$486.92 |
$486.92 |
$486.92 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$352.98 |
$352.98 |
$352.98 |
$515.00
|
|
Chromosome analysis 20-25
|
$135.20 |
$135.20 |
$135.20 |
$376.88
|
|
Chromosome analysis 45
|
$422.54 |
$422.54 |
$422.54 |
$382.85
|
|
Chromosome analysis 5
|
$742.96 |
$742.96 |
$742.96 |
$644.80
|
|
Chromosome analysis 50-100
|
$486.92 |
$486.92 |
$486.92 |
$434.40
|
|
Chromosome analys placenta
|
$529.84 |
$529.84 |
$529.84 |
$572.46
|
|
Chromosome banding study
|
$192.40 |
$192.40 |
$192.40 |
$183.91
|
|
Chromosome count additional
|
$76.22 |
$76.22 |
$76.22 |
$96.40
|
|
Chromosome karyotype study
|
$93.98 |
$93.98 |
$93.98 |
$120.00
|
|
Chromosome study additional
|
$96.94 |
$96.94 |
$96.94 |
$149.25
|
|
Chronic urticaria - sendout
|
$78.44 |
$78.44 |
$78.44 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$389.24 |
$389.24 |
$389.24 |
$135.10
|
|
Cidofovir injection
|
$673.40 |
$673.40 |
$673.40 |
$1,352.09
|
|
Ciliary transsleral therapy
|
$280.02 |
$280.02 |
$280.02 |
$3,269.14
|
|
Cine/video x-rays
|
$13.78 |
$13.78 |
$13.78 |
$321.64
|
|
Cine/video x-rays add-on
|
$9.88 |
$9.88 |
$9.88 |
$293.05
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$6.37 |
$6.37 |
$6.37 |
$35.00
|
|
Circum 28 days or older
|
$144.82 |
$144.82 |
$144.82 |
$3,986.00
|
|
Circumcise/surg/28 days or < 54160
|
$106.08 |
$106.08 |
$106.08 |
$1,219.20
|
|
Circumcision (newborn)
|
$5,760.16 |
$5,760.16 |
$5,760.16 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$455.00 |
$455.00 |
$455.00 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$926.48 |
$926.48 |
$926.48 |
$666.60
|
|
C-laminoplasty w/graft/plate
|
$1,241.24 |
$1,241.24 |
$1,241.24 |
$3,751.44
|
|
Clamp neck artery
|
$1,006.20 |
$1,006.20 |
$1,006.20 |
$2,085.35
|
|
Claviculectomy partial
|
$434.98 |
$434.98 |
$434.98 |
$3,821.05
|
|
Claviculectomy total
|
$524.94 |
$524.94 |
$524.94 |
$4,350.00
|
|
Clean out mastoid cavity
|
$98.80 |
$98.80 |
$98.80 |
$1,033.60
|
|
Clearance of airways
|
$464.72 |
$464.72 |
$464.72 |
$213.50
|
|
Clearance of airways
|
$57.20 |
$57.20 |
$57.20 |
$444.60
|
|
Clearance of tear duct
|
$182.26 |
$182.26 |
$182.26 |
$656.38
|
|
C-lens fitg corneosclrl lens
|
$31.20 |
$31.20 |
$31.20 |
$152.54
|
|
C-lens fitg tech aphakia 1
|
$15.08 |
$15.08 |
$15.08 |
$165.50
|
|
C-lens fitg tech aphakia ou
|
$22.88 |
$22.88 |
$22.88 |
$197.60
|
|
C-lens fitg tech corneosclrl
|
$15.08 |
$15.08 |
$15.08 |
$107.50
|
|
C-lens fitg tech ou
|
$25.74 |
$25.74 |
$25.74 |
$22.77
|
|
Clitoroplasty intersex state
|
$848.90 |
$848.90 |
$848.90 |
$3,762.53
|
|
Cl mult vsd w/rem pul band
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$2,974.51
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$38.22 |
$38.22 |
$38.22 |
$85.37
|
|
Close bladder-uterus fistula
|
$558.22 |
$558.22 |
$558.22 |
$1,926.40
|
|
Close bronchial fistula 32815
|
$2,014.48 |
$2,014.48 |
$2,014.48 |
$6,816.80
|
|
Close chest after drainage
|
$652.08 |
$652.08 |
$652.08 |
$2,191.20
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$674.88 |
$674.88 |
$674.88 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$4,500.68 |
$4,500.68 |
$4,500.68 |
$1,806.01
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$3,915.34 |
$3,915.34 |
$3,915.34 |
$1,615.35
|
|
Closed tx/acetabululm without manip 27220
|
$674.88 |
$674.88 |
$674.88 |
$484.29
|
|
Closed tx humerus fx with manip 23605
|
$4,500.68 |
$4,500.68 |
$4,500.68 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$239.46 |
$239.46 |
$239.46 |
$499.32
|
|
Closed tx humerus fx w/manip 24505
|
$4,500.68 |
$4,500.68 |
$4,500.68 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$674.88 |
$674.88 |
$674.88 |
$386.40
|
|
Closed tx nose/jaw fx
|
$469.04 |
$469.04 |
$469.04 |
$2,903.97
|
|
Closed tx orbit without manipulj
|
$1,431.90 |
$1,431.90 |
$1,431.90 |
$998.40
|
|
Closed tx orbit w/manipulj
|
$242.84 |
$242.84 |
$242.84 |
$3,006.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$429.78 |
$429.78 |
$429.78 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$221.00 |
$221.00 |
$221.00 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$77.74 |
$77.74 |
$77.74 |
$425.76
|
|
Closed tx/talus fracture without manip 28430
|
$158.34 |
$158.34 |
$158.34 |
$442.80
|
|
Closed tx vert fx w/manj
|
$577.20 |
$577.20 |
$577.20 |
$3,839.54
|
|
Close kidney-skin fistula
|
$849.16 |
$849.16 |
$849.16 |
$1,651.38
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$653.42 |
$653.42 |
$653.42 |
$477.00
|
|
Close mastoid fistula
|
$480.48 |
$480.48 |
$480.48 |
$3,299.20
|
|
Close median sternotomy separation 21750
|
$492.18 |
$492.18 |
$492.18 |
$1,660.00
|
|
Close mult vsd
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$2,794.50
|
|
Close mult vsd w/resection
|
$1,452.10 |
$1,452.10 |
$1,452.10 |
$2,867.10
|
|
Close nephrovisceral fistula
|
$1,076.14 |
$1,076.14 |
$1,076.14 |
$2,085.86
|
|
Close nephrovisceral fistula
|
$1,152.32 |
$1,152.32 |
$1,152.32 |
$2,230.59
|
|
Close tear duct opening
|
$105.04 |
$105.04 |
$105.04 |
$365.00
|
|
Close tear duct opening
|
$83.72 |
$83.72 |
$83.72 |
$353.74
|
|
Close tear system fistula
|
$448.76 |
$448.76 |
$448.76 |
$3,269.14
|
|
Clostridium toxin a w/optic
|
$12.48 |
$12.48 |
$12.48 |
$35.20
|
|
Clos txnose fx without stablz 21315
|
$81.64 |
$81.64 |
$81.64 |
$2,392.80
|
|
Closure enterostomy lg/sm intestine 44620
|
$629.72 |
$629.72 |
$629.72 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$1,155.44 |
$1,155.44 |
$1,155.44 |
$2,781.35
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$734.76 |
$734.76 |
$734.76 |
$1,816.19
|
|
Closure intestinal cutaneous fistula 44640
|
$1,015.30 |
$1,015.30 |
$1,015.30 |
$2,654.40
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,431.90 |
$1,431.90 |
$1,431.90 |
$1,259.62
|
|
Closure of eyelid by suture
|
$68.90 |
$68.90 |
$68.90 |
$1,701.96
|
|
Closure of salivary fistula
|
$261.30 |
$261.30 |
$261.30 |
$3,169.60
|
|
Closure of valve
|
$1,238.12 |
$1,238.12 |
$1,238.12 |
$2,459.77
|
|
Closure of valve
|
$1,202.50 |
$1,202.50 |
$1,202.50 |
$2,390.89
|
|
Closure of windpipe lesion 31820
|
$241.80 |
$241.80 |
$241.80 |
$3,837.72
|
|
Closure paravalvlr leak pq
|
$1,738.26 |
$1,738.26 |
$1,738.26 |
$9,434.46
|
|
Closure ureter/bowel fistula
|
$801.58 |
$801.58 |
$801.58 |
$1,428.89
|
|
Closure ureter/skin fistula
|
$643.50 |
$643.50 |
$643.50 |
$971.00
|
|
Clot factor fletcher fact
|
$119.88 |
$119.88 |
$119.88 |
$119.50
|
|
Clot factor viii reltd antgn
|
$16.12 |
$16.12 |
$16.12 |
$140.42
|
|
Clot factor wght kininogen
|
$119.88 |
$119.88 |
$119.88 |
$157.50
|
|
Clot factor xii hageman
|
$122.10 |
$122.10 |
$122.10 |
$135.72
|
|
Clot factor xiii fibrin scrn
|
$7.28 |
$7.28 |
$7.28 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$103.60 |
$103.60 |
$103.60 |
$106.40
|
|
Clotting assay whole blood
|
$119.88 |
$119.88 |
$119.88 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$674.88 |
$674.88 |
$674.88 |
$648.96
|
