|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$176.63 |
$176.63 |
$176.63 |
$91.92
|
|
Chmotx admn plrl cav thrcnts
|
$563.40 |
$563.40 |
$563.40 |
$437.19
|
|
Cholangiogram percutaneous compl
|
$10,468.01 |
$10,468.01 |
$10,468.01 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,334.96 |
$1,334.96 |
$1,334.96 |
$628.80
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,028.18 |
$5,028.18 |
$5,028.18 |
$3,909.56
|
|
Cholesterol
|
$106.64 |
$106.64 |
$106.64 |
$46.15
|
|
Cholesterol body fluid
|
$558.79 |
$558.79 |
$558.79 |
$80.28
|
|
Cholesterol (Lipid) Test
|
$502.90 |
$502.90 |
$502.90 |
$118.30
|
|
Cholinesterase
|
$103.78 |
$103.78 |
$103.78 |
$38.69
|
|
Chorion biopsy
|
$4,018.10 |
$4,018.10 |
$4,018.10 |
$1,030.40
|
|
Chrom analysis
|
$399.10 |
$399.10 |
$399.10 |
$127.86
|
|
Chromatography
|
$159.88 |
$159.88 |
$159.88 |
$76.70
|
|
Chromogenic substrate assay
|
$150.26 |
$150.26 |
$150.26 |
$180.18
|
|
Chromo high res and frag x - sendout
|
$538.67 |
$538.67 |
$538.67 |
$264.25
|
|
Chromosome analys amniotic
|
$1,444.18 |
$1,444.18 |
$1,444.18 |
$436.00
|
|
Chromosome analysis 100
|
$1,420.85 |
$1,420.85 |
$1,420.85 |
$321.44
|
|
Chromosome analysis 15-20 cell count
|
$975.56 |
$975.56 |
$975.56 |
$432.06
|
|
Chromosome analysis 5
|
$1,398.81 |
$1,398.81 |
$1,398.81 |
$644.80
|
|
Chromosome analysis 50-100
|
$1,420.85 |
$1,420.85 |
$1,420.85 |
$301.50
|
|
Chromosome analys placenta
|
$1,618.67 |
$1,618.67 |
$1,618.67 |
$642.00
|
|
Chromosome count additional
|
$483.51 |
$483.51 |
$483.51 |
$110.00
|
|
Chromosome karyotype study
|
$187.45 |
$187.45 |
$187.45 |
$100.00
|
|
Chromosome study additional
|
$485.59 |
$485.59 |
$485.59 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$507.15 |
$507.15 |
$507.15 |
$123.20
|
|
Cine/video x-rays
|
$1,385.29 |
$1,385.29 |
$1,385.29 |
$242.24
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$91.62 |
$91.62 |
$91.62 |
$55.64
|
|
Circum 28 days or older
|
$13,147.33 |
$13,147.33 |
$13,147.33 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$6,150.14 |
$6,150.14 |
$6,150.14 |
$1,995.50
|
|
Circumcision (newborn)
|
$10,263.24 |
$10,263.24 |
$10,263.24 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$422.96 |
$422.96 |
$422.96 |
$148.77
|
|
C-kit mutation liquid tumor - sendout
|
$2,700.57 |
$2,700.57 |
$2,700.57 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$3,333.89 |
$3,333.89 |
$3,333.89 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$122.77 |
$122.77 |
$122.77 |
$66.73
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$31.76 |
$31.76 |
$31.76 |
$81.25
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$612.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$1,884.74
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$6,752.82 |
$6,752.82 |
$6,752.82 |
$1,966.30
|
|
Closed tx/acetabululm without manip 27220
|
$1,365.94 |
$1,365.94 |
$1,365.94 |
$527.80
|
|
Closed tx humerus fx with manip 23605
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$8,546.69 |
$8,546.69 |
$8,546.69 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$2,524.04 |
$2,524.04 |
$2,524.04 |
$423.20
|
|
Closed tx nose/jaw fx
|
$8,243.52 |
$8,243.52 |
$8,243.52 |
$2,133.48
|
|
Closed tx orbit without manipulj
|
$2,880.26 |
$2,880.26 |
$2,880.26 |
$1,074.00
|
|
Closed tx orbit w/manipulj
|
$8,243.52 |
$8,243.52 |
$8,243.52 |
$2,528.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$8,723.57 |
$8,723.57 |
$8,723.57 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$16,435.01 |
$16,435.01 |
$16,435.01 |
$3,793.02
|
|
Closed tx sesamoid fx 28530
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$397.80
|
|
Closed tx/talus fracture without manip 28430
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$442.80
|
|
Closed tx vert fx w/manj
|
$16,720.23 |
$16,720.23 |
$16,720.23 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$1,324.69 |
$1,324.69 |
$1,324.69 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$8,243.52 |
$8,243.52 |
$8,243.52 |
$2,518.42
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$2,880.26 |
$2,880.26 |
$2,880.26 |
$1,181.99
|
|
Closure paravalvlr leak pq
|
$6,507.96 |
$6,507.96 |
$6,507.96 |
$9,285.00
|
|
Clot factor viii reltd antgn
|
$237.68 |
$237.68 |
$237.68 |
$95.72
|
|
Clot factor xii hageman
|
$497.49 |
$497.49 |
$497.49 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$113.35 |
$113.35 |
$113.35 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$133.89 |
$133.89 |
$133.89 |
$84.27
|
|
Clotting assay whole blood
|
$510.84 |
$510.84 |
$510.84 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,256.73 |
$2,256.73 |
$2,256.73 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$619.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$1,893.86
|
|
Clsd tx clavicle dislocation without manip 23540
|
$2,256.73 |
$2,256.73 |
$2,256.73 |
$475.68
|
|
Clsd tx clavicle fracture w/manip 23505
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$2,021.04
|
|
Clsd tx/clavicular fx without manip 23500
|
$1,308.80 |
$1,308.80 |
$1,308.80 |
$488.00
|
|
Clsd tx coccygeal fracture 27200
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$336.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$1,417.66 |
$1,417.66 |
$1,417.66 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$2,613.05 |
$2,613.05 |
$2,613.05 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$1,814.51 |
$1,814.51 |
$1,814.51 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$10,864.60 |
$10,864.60 |
$10,864.60 |
$2,660.00
|
|
Clsd tx fracture of radius 25500
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$448.80
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$1,051.63 |
$1,051.63 |
$1,051.63 |
$494.40
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$2,613.05 |
$2,613.05 |
$2,613.05 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$8,546.69 |
$8,546.69 |
$8,546.69 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$1,449.91 |
$1,449.91 |
$1,449.91 |
$551.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$469.20
|
|
Clsd tx hip disloc without anes 27265
|
$2,256.73 |
$2,256.73 |
$2,256.73 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$1,436.51 |
$1,436.51 |
$1,436.51 |
$546.86
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,816.37 |
$1,816.37 |
$1,816.37 |
$1,014.00
|
|
Clsd tx mandibular fx without manip 21450
|
$2,880.26 |
$2,880.26 |
$2,880.26 |
$989.91
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$1,417.66 |
$1,417.66 |
$1,417.66 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,417.66 |
$1,417.66 |
$1,417.66 |
$717.75
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$13,661.80 |
$13,661.80 |
$13,661.80 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$1,417.66 |
$1,417.66 |
$1,417.66 |
$580.30
|
|
Clsd tx/metatarsal fx without manip 28470
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$443.30
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$16,435.01 |
$16,435.01 |
$16,435.01 |
$3,600.75
|
|
Clsd tx of ankle fracture w/manip 28435
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$1,814.51 |
$1,814.51 |
$1,814.51 |
$707.30
|
|
Clsd tx/patellar fx without manip 27520
|
$1,392.30 |
$1,392.30 |
$1,392.30 |
$522.40
|
|
Clsd tx pelvic ring fx
|
$2,207.18 |
$2,207.18 |
$2,207.18 |
$416.35
|
|
Clsd tx pelvic ring fx
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$760.00
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$9,514.76 |
$9,514.76 |
$9,514.76 |
$2,548.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$488.40
|