|
Cftr gene dup/delet variants
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$779.35
|
|
Change cystostomy tube simple
|
$348.00 |
$348.00 |
$17,917.50 |
$451.00
|
|
Change g-tube to g-j perc
|
$1,879.80 |
$1,879.80 |
$1,879.80 |
$2,198.40
|
|
Change nephroureteral cath
|
$2,833.80 |
$2,833.80 |
$2,833.80 |
$2,969.25
|
|
Change of ureter tube/stent
|
$2,479.20 |
$2,479.20 |
$2,479.20 |
$2,423.46
|
|
Change of windpipe airway 31502
|
$406.80 |
$406.80 |
$406.80 |
$388.00
|
|
Change ureter stent percut
|
$4,916.40 |
$4,916.40 |
$4,916.40 |
$3,863.60
|
|
Chemo adm cns w/lmbr punct
|
$757.80 |
$757.80 |
$757.80 |
$665.40
|
|
Chest 2 vws w oblique
|
$348.60 |
$348.60 |
$348.60 |
$377.06
|
|
Chest apical lordotic proj
|
$414.60 |
$414.60 |
$414.60 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,573.80 |
$1,573.80 |
$1,573.80 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$1,350.03
|
|
Chest X-ray
|
$315.60 |
$315.60 |
$315.60 |
$294.06
|
|
Chest X-ray (single view)
|
$174.00 |
$174.00 |
$174.00 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$459.00 |
$459.00 |
$459.00 |
$511.59
|
|
Chimerism anal w/cell select
|
$782.40 |
$782.40 |
$782.40 |
$585.60
|
|
Chlamydia culture
|
$111.00 |
$111.00 |
$111.00 |
$93.90
|
|
Chloride
|
$25.80 |
$25.80 |
$25.80 |
$40.95
|
|
Chloride 24 hour urine
|
$66.00 |
$66.00 |
$66.00 |
$49.50
|
|
Chloroprocaine hcl injection
|
$302.90 |
$302.90 |
$338.99 |
$61.51
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$284.57 |
$284.57 |
$318.47 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$96.03 |
$96.03 |
$107.47 |
$78.43
|
|
Cholangiogram percutaneous compl
|
$4,068.60 |
$4,068.60 |
$4,068.60 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,023.60 |
$1,023.60 |
$1,023.60 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,626.60 |
$4,626.60 |
$4,626.60 |
$3,690.60
|
|
Cholesterol
|
$80.40 |
$80.40 |
$80.40 |
$45.76
|
|
Cholesterol body fluid
|
$59.40 |
$59.40 |
$59.40 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$216.00 |
$216.00 |
$216.00 |
$115.80
|
|
Chromatography
|
$185.40 |
$185.40 |
$185.40 |
$81.25
|
|
Chromogenic substrate assay
|
$175.80 |
$175.80 |
$175.80 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$286.20 |
$286.20 |
$286.20 |
$247.59
|
|
Chromosome analys amniotic
|
$723.60 |
$723.60 |
$723.60 |
$450.00
|
|
Chromosome analysis 100
|
$519.60 |
$519.60 |
$519.60 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$822.00 |
$822.00 |
$822.00 |
$512.20
|
|
Chromosome analysis 45
|
$474.00 |
$474.00 |
$474.00 |
$429.28
|
|
Chromosome analysis 5
|
$780.60 |
$780.60 |
$780.60 |
$644.80
|
|
Chromosome analysis 50-100
|
$519.60 |
$519.60 |
$519.60 |
$405.00
|
|
Chromosome analys placenta
|
$856.80 |
$856.80 |
$856.80 |
$618.60
|
|
Chromosome count additional
|
$92.40 |
$92.40 |
$92.40 |
$92.45
|
|
Chromosome karyotype study
|
$149.40 |
$149.40 |
$149.40 |
$119.87
|
|
Chromosome study additional
|
$232.80 |
$232.80 |
$232.80 |
$147.03
|
|
Chronic urticaria - sendout
|
$55.20 |
$55.20 |
$55.20 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$148.80 |
$148.80 |
$148.80 |
$124.15
|
|
Cilastatin sodium injection
|
$249.14 |
$249.14 |
$278.81 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$45.00 |
$45.00 |
$45.00 |
$34.88
|
|
Circum 28 days or older
|
$4,608.60 |
$4,608.60 |
$12,682.22 |
$3,860.64
|
|
Circumcision (newborn)
|
$3,768.60 |
$3,768.60 |
$12,214.01 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$2,490.00 |
$2,490.00 |
$2,850.00 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$988.80 |
$988.80 |
$988.80 |
$655.00
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$692.67 |
$692.67 |
$792.82 |
$569.55
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$68,970.00 |
$68,970.00 |
$68,970.00 |
$15,390.00
|
|
Claviculectomy partial
|
$38,744.08 |
$38,744.08 |
$40,851.37 |
$3,594.44
|
|
Clearance of airways
|
$415.80 |
$415.80 |
$415.80 |
$208.86
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$53.60 |
$53.60 |
$59.99 |
$55.20
|
|
Clip ligating vesolock lg
|
$12,101.10 |
$12,101.10 |
$12,101.10 |
$4,320.00
|
|
Cllr miami j sm
|
$2,145.85 |
$2,145.85 |
$2,145.85 |
$566.23
|
|
Clofarabine 1 mg/ml intravenous solution
|
$14,615.01 |
$14,615.01 |
$16,728.02 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$52.36 |
$52.36 |
$58.59 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$378.60 |
$378.60 |
$378.60 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$952.20 |
$952.20 |
$952.20 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$1,792.80 |
$1,792.80 |
$1,792.80 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$539.40 |
$539.40 |
$539.40 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$960.60 |
$960.60 |
$960.60 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$378.60 |
$378.60 |
$378.60 |
$376.96
|
|
Closed tx orbit without manipulj
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,675.00 |
$3,675.00 |
$3,675.00 |
$2,520.60
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$544.80 |
$544.80 |
$544.80 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$3,481.80 |
$3,481.80 |
$9,837.80 |
$2,326.08
|
|
Closure paravalvlr leak pq
|
$1,483.80 |
$1,483.80 |
$1,483.80 |
$7,723.17
|
|
Clot factor xii hageman
|
$198.60 |
$198.60 |
$198.60 |
$134.39
|
|
Clot factor xiii fibrin stab
|
$147.60 |
$147.60 |
$147.60 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$934.80 |
$934.80 |
$934.80 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$378.60 |
$378.60 |
$378.60 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$378.60 |
$378.60 |
$378.60 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$378.60 |
$378.60 |
$378.60 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$952.20 |
$952.20 |
$952.20 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$576.00 |
$576.00 |
$576.00 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$378.60 |
$378.60 |
$378.60 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$576.00 |
$576.00 |
$576.00 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$378.60 |
$378.60 |
$378.60 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$378.60 |
$378.60 |
$378.60 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$960.60 |
$960.60 |
$960.60 |
$2,184.08
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$576.00 |
$576.00 |
$576.00 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$378.60 |
$378.60 |
$378.60 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$378.60 |
$378.60 |
$378.60 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$960.60 |
$960.60 |
$960.60 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$378.60 |
$378.60 |
$378.60 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$960.60 |
$960.60 |
$960.60 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$378.60 |
$378.60 |
$378.60 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$378.60 |
$378.60 |
$378.60 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$576.00 |
$576.00 |
$576.00 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$378.60 |
$378.60 |
$378.60 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$378.60 |
$378.60 |
$378.60 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$378.60 |
$378.60 |
$378.60 |
$520.38
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$9,826.20 |
$9,826.20 |
$9,826.20 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$952.20 |
$952.20 |
$952.20 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$378.60 |
$378.60 |
$378.60 |
$566.72
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$960.60 |
$960.60 |
$47,040.62 |
$2,146.20
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$378.60 |
$378.60 |
$378.60 |
$445.80
|
