|
Cholinesterase
|
$13.65 |
$13.65 |
$13.65 |
$38.69
|
|
Chrom analysis
|
$26.25 |
$26.25 |
$26.25 |
$156.00
|
|
Chromatography
|
$31.65 |
$31.65 |
$31.65 |
$81.25
|
|
Chromogenic substrate assay
|
$12.75 |
$12.75 |
$12.75 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$157.80 |
$157.80 |
$157.80 |
$250.00
|
|
Chromosome analys amniotic
|
$291.15 |
$291.15 |
$291.15 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$218.25 |
$218.25 |
$218.25 |
$510.25
|
|
Chromosome analysis 20-25
|
$260.70 |
$260.70 |
$260.70 |
$409.20
|
|
Chromosome analysis 5
|
$145.50 |
$145.50 |
$145.50 |
$644.80
|
|
Chromosome analysis 50-100
|
$142.50 |
$142.50 |
$142.50 |
$405.00
|
|
Chromosome analys placenta
|
$147.90 |
$147.90 |
$147.90 |
$618.60
|
|
Chromosome count additional
|
$20.25 |
$20.25 |
$20.25 |
$92.45
|
|
Chromosome karyotype study
|
$43.95 |
$43.95 |
$43.95 |
$119.87
|
|
Chylomicron screen, bf - sendout
|
$27.75 |
$27.75 |
$27.75 |
$124.15
|
|
Circumcision (newborn)
|
$426.60 |
$426.60 |
$426.60 |
$1,415.70
|
|
Cisplatin 1 mg/ml desensitization
|
$77.19 |
$77.19 |
$77.19 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$422.85 |
$422.85 |
$422.85 |
$655.00
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,922.64 |
$6,922.64 |
$6,922.64 |
$15,050.75
|
|
Clearance of airways
|
$91.20 |
$91.20 |
$91.20 |
$666.23
|
|
Clip ligating vesolock lg
|
$25.35 |
$25.35 |
$25.35 |
$4,320.00
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$102.71 |
$102.71 |
$102.71 |
$82.41
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$67.05 |
$67.05 |
$67.05 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$723.45 |
$723.45 |
$723.45 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$124.05 |
$124.05 |
$124.05 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$629.10 |
$629.10 |
$629.10 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$124.05 |
$124.05 |
$124.05 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$63.30 |
$63.30 |
$63.30 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$63.30 |
$63.30 |
$63.30 |
$378.60
|
|
Closed tx orbit without manipulj
|
$268.20 |
$268.20 |
$268.20 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$723.45 |
$723.45 |
$723.45 |
$2,520.60
|
|
Closed tx septal&nose fx
|
$1,229.10 |
$1,229.10 |
$1,229.10 |
$3,624.40
|
|
Clos txnose fx without stablz 21315
|
$255.60 |
$255.60 |
$255.60 |
$2,355.00
|
|
Closure paravalvlr leak pq
|
$296.70 |
$296.70 |
$296.70 |
$7,723.17
|
|
Clot factor fletcher fact
|
$33.30 |
$33.30 |
$33.30 |
$119.50
|
|
Clot factor xii hageman
|
$33.90 |
$33.90 |
$33.90 |
$132.00
|
|
Clot factor xiii fibrin scrn
|
$15.60 |
$15.60 |
$15.60 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$21.30 |
$21.30 |
$21.30 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$245.85 |
$245.85 |
$245.85 |
$645.45
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$191.10 |
$191.10 |
$191.10 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$129.90 |
$129.90 |
$129.90 |
$476.80
|
|
Clsd tx clav dislc without manip 23520
|
$212.85 |
$212.85 |
$212.85 |
$2,021.04
|
|
Clsd tx clavicle dislocation without manip 23540
|
$63.30 |
$63.30 |
$63.30 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$578.40 |
$578.40 |
$578.40 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$63.30 |
$63.30 |
$63.30 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$124.05 |
$124.05 |
$124.05 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$45.75 |
$45.75 |
$45.75 |
$404.40
|
|
Clsd tx dist fib fx w/manip 27788
|
$211.95 |
$211.95 |
$211.95 |
$655.20
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$205.50 |
$205.50 |
$205.50 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$205.50 |
$205.50 |
$205.50 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$864.75 |
$864.75 |
$864.75 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$63.30 |
$63.30 |
$63.30 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$66.60 |
$66.60 |
$66.60 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$87.30 |
$87.30 |
$87.30 |
$426.25
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$236.55 |
$236.55 |
$236.55 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$378.15 |
$378.15 |
$378.15 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$185.25 |
$185.25 |
$185.25 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$275.25 |
$275.25 |
$275.25 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$124.05 |
$124.05 |
$124.05 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$205.50 |
$205.50 |
$205.50 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$63.30 |
$63.30 |
$63.30 |
$538.45
|
|
Clsd tx mandibular fx without manip 21450
|
$268.20 |
$268.20 |
$268.20 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$124.05 |
$124.05 |
$124.05 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$233.25 |
$233.25 |
$233.25 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$283.95 |
$283.95 |
$283.95 |
$611.10
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$111.30 |
$111.30 |
$111.30 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$66.60 |
$66.60 |
$66.60 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$283.95 |
$283.95 |
$283.95 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$283.95 |
$283.95 |
$283.95 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$205.50 |
$205.50 |
$205.50 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$109.20 |
$109.20 |
$109.20 |
$475.68
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$245.85 |
$245.85 |
$245.85 |
$2,199.68
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$39.45 |
$39.45 |
$39.45 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$63.30 |
$63.30 |
$63.30 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$205.50 |
$205.50 |
$205.50 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$124.05 |
$124.05 |
$124.05 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$406.35 |
$406.35 |
$406.35 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$723.45 |
$723.45 |
$723.45 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$637.35 |
$637.35 |
$637.35 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$205.50 |
$205.50 |
$205.50 |
$399.50
|
|
Clsd tx toe dislocation without anes28660
|
$72.75 |
$72.75 |
$72.75 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$229.20 |
$229.20 |
$229.20 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$337.05 |
$337.05 |
$337.05 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$63.30 |
$63.30 |
$63.30 |
$452.40
|
|
Clsd tx wrist carpal fx without manip 25630
|
$63.30 |
$63.30 |
$63.30 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$63.30 |
$63.30 |
$63.30 |
$523.53
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$124.05 |
$124.05 |
$124.05 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$191.10 |
$191.10 |
$191.10 |
$600.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$191.10 |
$191.10 |
$191.10 |
$474.50
|
|
Cls tx of heel fracture w/manip 28405
|
$283.95 |
$283.95 |
$283.95 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$283.95 |
$283.95 |
$283.95 |
$1,893.86
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$723.45 |
$723.45 |
$723.45 |
$2,490.60
|
|
Cltx hum epcndylr fx wo mnpj
|
$124.05 |
$124.05 |
$124.05 |
$520.80
|
|
Cltx humrl cndylr fx w/mnpj
|
$211.95 |
$211.95 |
$211.95 |
$1,815.75
|
|
Cltx humrl cndylr fx wo mnpj
|
$191.10 |
$191.10 |
$191.10 |
$535.60
|
|
Cltx lunate dislc w/mnpj
|
$723.45 |
$723.45 |
$723.45 |
$2,437.00
|
|
Cltx mndblr fx w/mnpj
|
$704.55 |
$704.55 |
$704.55 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$1,229.10 |
$1,229.10 |
$1,229.10 |
$3,990.33
|
|
Cltx post ankle fx w/mnpj
|
$659.25 |
$659.25 |
$659.25 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$723.45 |
$723.45 |
$723.45 |
$2,021.04
|
|
Cltx strnclav dislc w/mnpj
|
$211.95 |
$211.95 |
$211.95 |
$619.30
|
