|
Chest X-ray
|
$232.80 |
$232.80 |
$232.80 |
$294.06
|
|
Chest X-ray (single view)
|
$100.20 |
$100.20 |
$100.20 |
$239.04
|
|
Chimerism anal w/cell select
|
$782.40 |
$782.40 |
$782.40 |
$585.60
|
|
Chloride
|
$17.40 |
$17.40 |
$17.40 |
$40.95
|
|
Chloride 24 hour urine
|
$90.60 |
$90.60 |
$90.60 |
$49.50
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$47.15 |
$47.15 |
$47.15 |
$78.43
|
|
Cholesterol
|
$18.00 |
$18.00 |
$18.00 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$52.80 |
$52.80 |
$52.80 |
$115.80
|
|
Cholinesterase
|
$23.40 |
$23.40 |
$23.40 |
$38.69
|
|
Chromatography
|
$56.40 |
$56.40 |
$56.40 |
$81.25
|
|
Chromogenic substrate assay
|
$94.80 |
$94.80 |
$94.80 |
$148.68
|
|
Chromosome analysis 15-20 cell count
|
$459.00 |
$459.00 |
$459.00 |
$512.20
|
|
Chromosome karyotype study
|
$111.00 |
$111.00 |
$111.00 |
$119.87
|
|
Chylomicron screen, bf - sendout
|
$189.00 |
$189.00 |
$189.00 |
$124.15
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$14.28 |
$14.28 |
$14.28 |
$34.88
|
|
Circum 28 days or older
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$3,860.64
|
|
Cisplatin 1 mg/ml desensitization
|
$148.32 |
$148.32 |
$148.32 |
$192.66
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$250.36 |
$250.36 |
$250.36 |
$569.55
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$43,536.90 |
$43,536.90 |
$43,536.90 |
$15,390.00
|
|
Clearance of airways
|
$337.80 |
$337.80 |
$337.80 |
$208.86
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$43.66 |
$43.66 |
$43.66 |
$55.20
|
|
Clip ligating vesolock lg
|
$7,638.75 |
$7,638.75 |
$7,638.75 |
$4,320.00
|
|
Cllr miami j sm
|
$1,354.55 |
$1,354.55 |
$1,354.55 |
$566.23
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$149.40 |
$149.40 |
$149.40 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$2,211.05
|
|
Closed tx humerus fx w/manip 24505
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$149.40 |
$149.40 |
$149.40 |
$376.96
|
|
Closed tx orbit without manipulj
|
$329.40 |
$329.40 |
$329.40 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,894.40 |
$2,894.40 |
$2,894.40 |
$2,520.60
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$150.00 |
$150.00 |
$150.00 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$999.60 |
$999.60 |
$999.60 |
$2,326.08
|
|
Clot factor xii hageman
|
$43.80 |
$43.80 |
$43.80 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$33.60 |
$33.60 |
$33.60 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$47.40 |
$47.40 |
$47.40 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$149.40 |
$149.40 |
$149.40 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$149.40 |
$149.40 |
$149.40 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$149.40 |
$149.40 |
$149.40 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$149.40 |
$149.40 |
$149.40 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$432.00 |
$432.00 |
$432.00 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$149.40 |
$149.40 |
$149.40 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$404.40 |
$404.40 |
$404.40 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$149.40 |
$149.40 |
$149.40 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$149.40 |
$149.40 |
$149.40 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$2,184.08
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$149.40 |
$149.40 |
$149.40 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$149.40 |
$149.40 |
$149.40 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$149.40 |
$149.40 |
$149.40 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$149.40 |
$149.40 |
$149.40 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$149.40 |
$149.40 |
$149.40 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$432.00 |
$432.00 |
$432.00 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$149.40 |
$149.40 |
$149.40 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$149.40 |
$149.40 |
$149.40 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$149.40 |
$149.40 |
$149.40 |
$520.38
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$149.40 |
$149.40 |
$149.40 |
$566.72
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$404.40 |
$404.40 |
$404.40 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$149.40 |
$149.40 |
$149.40 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$149.40 |
$149.40 |
$149.40 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$149.40 |
$149.40 |
$149.40 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$432.00 |
$432.00 |
$432.00 |
$452.40
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$149.40 |
$149.40 |
$149.40 |
$496.61
|
|
Cls tx of heel fracture w/manip 28405
|
$149.40 |
$149.40 |
$149.40 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,032.60 |
$1,032.60 |
$1,032.60 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$2,437.00
|
|
Cltx post ankle fx w/mnpj
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,893.86
|
|
#cmvcul-virus inoculation shell
|
$72.60 |
$72.60 |
$72.60 |
$100.80
|
|
Cmv pcr-sendout
|
$129.60 |
$129.60 |
$129.60 |
$177.50
|
|
Coagulation time activated teg
|
$16.80 |
$16.80 |
$16.80 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$1,036.83 |
$1,036.83 |
$1,036.83 |
$629.41
|
|
Coch imp ext proc/contr rplc
|
$47,285.03 |
$47,285.03 |
$47,285.03 |
$20,146.35
|
|
Coch implant microphone repl
|
$1,167.58 |
$1,167.58 |
$1,167.58 |
$977.17
|
|
Cold agglutinin screen (arc)
|
$28.20 |
$28.20 |
$28.20 |
$45.00
|
|
Cold agglutinin titer
|
$32.40 |
$32.40 |
$32.40 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$336.42 |
$336.42 |
$336.42 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$225.60 |
$225.60 |
$225.60 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$544.05 |
$544.05 |
$544.05 |
$213.89
|
|
Collar cerv patriot adlt
|
$372.88 |
$372.88 |
$372.88 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$169.20 |
$169.20 |
$169.20 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$208.80 |
$208.80 |
$208.80 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$15.00 |
$15.00 |
$15.00 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$2,948.81 |
$2,948.81 |
$2,948.81 |
$1,899.00
|
|
Colonoscopy submucous njx
|
$4,585.18 |
$4,585.18 |
$4,585.18 |
$2,080.00
|
|
Colonoscopy (with biopsy)
|
$8,094.75 |
$8,094.75 |
$8,094.75 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$3,422.65 |
$3,422.65 |
$3,422.65 |
$2,288.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$2,035.80 |
$2,035.80 |
$2,035.80 |
$3,762.53
|
|
Combination bilateral ho
|
$6,900.80 |
$6,900.80 |
$6,900.80 |
$4,575.46
|
|
Compatibility test each unit electronic
|
$480.00 |
$480.00 |
$480.00 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$93.60 |
$93.60 |
$93.60 |
$169.52
|
|
Complement antigen each component c3
|
$46.80 |
$46.80 |
$46.80 |
$108.55
|