|
Change ureter stent percut
|
$9,998.09 |
$9,998.09 |
$9,998.09 |
$3,863.60
|
|
Chest 2 vws w oblique
|
$888.90 |
$888.90 |
$888.90 |
$377.06
|
|
Chest apical lordotic proj
|
$266.70 |
$266.70 |
$266.70 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,960.60 |
$3,960.60 |
$3,960.60 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$4,011.30 |
$4,011.30 |
$4,011.30 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$1,350.03
|
|
Chest X-ray
|
$806.40 |
$806.40 |
$806.40 |
$294.06
|
|
Chest X-ray (single view)
|
$351.60 |
$351.60 |
$351.60 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$63.30 |
$63.30 |
$63.30 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$187.80 |
$187.80 |
$187.80 |
$511.59
|
|
Chimerism anal w/cell select
|
$410.70 |
$410.70 |
$410.70 |
$585.60
|
|
Chlamydia culture
|
$30.90 |
$30.90 |
$30.90 |
$93.90
|
|
Chlamydia type
|
$8.70 |
$8.70 |
$8.70 |
$34.20
|
|
Chloride 24 hour urine
|
$56.70 |
$56.70 |
$56.70 |
$49.50
|
|
Chloroprocaine hcl injection
|
$358.67 |
$358.67 |
$358.67 |
$61.51
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$336.97 |
$336.97 |
$336.97 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$113.71 |
$113.71 |
$113.71 |
$78.43
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,210.60 |
$3,210.60 |
$3,210.60 |
$3,690.60
|
|
Cholesterol
|
$37.80 |
$37.80 |
$37.80 |
$45.76
|
|
Cholesterol body fluid
|
$54.30 |
$54.30 |
$54.30 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$189.00 |
$189.00 |
$189.00 |
$115.80
|
|
Cholinesterase
|
$12.30 |
$12.30 |
$12.30 |
$38.69
|
|
Chromatography
|
$165.90 |
$165.90 |
$165.90 |
$81.25
|
|
Chromosome karyotype study
|
$240.30 |
$240.30 |
$240.30 |
$119.87
|
|
Chronic urticaria - sendout
|
$86.10 |
$86.10 |
$86.10 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$106.20 |
$106.20 |
$106.20 |
$124.15
|
|
Cilastatin sodium injection
|
$101.00 |
$101.00 |
$101.00 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$48.00 |
$48.00 |
$48.00 |
$34.88
|
|
Circum 28 days or older
|
$12,055.05 |
$12,055.05 |
$12,055.05 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$651.60 |
$651.60 |
$651.60 |
$1,219.20
|
|
Circumcision (newborn)
|
$1,932.60 |
$1,932.60 |
$1,932.60 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$607.20 |
$607.20 |
$607.20 |
$192.66
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$533.23 |
$533.23 |
$533.23 |
$569.55
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$29,287.50 |
$29,287.50 |
$29,287.50 |
$15,390.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$142.68 |
$142.68 |
$142.68 |
$55.20
|
|
Clip ligating vesolock lg
|
$5,138.62 |
$5,138.62 |
$5,138.62 |
$4,320.00
|
|
Cllr miami j sm
|
$911.21 |
$911.21 |
$911.21 |
$566.23
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$48.00 |
$48.00 |
$48.00 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$86.40 |
$86.40 |
$86.40 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$597.90 |
$597.90 |
$597.90 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$597.90 |
$597.90 |
$597.90 |
$2,211.05
|
|
Closed tx humerus fx w/manip 24505
|
$597.90 |
$597.90 |
$597.90 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$86.40 |
$86.40 |
$86.40 |
$376.96
|
|
Closed tx orbit without manipulj
|
$190.50 |
$190.50 |
$190.50 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,519.50 |
$1,519.50 |
$1,519.50 |
$2,520.60
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$87.00 |
$87.00 |
$87.00 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$1,023.90 |
$1,023.90 |
$1,023.90 |
$2,326.08
|
|
Closure paravalvlr leak pq
|
$4,641.30 |
$4,641.30 |
$4,641.30 |
$7,723.17
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$86.40 |
$86.40 |
$86.40 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$86.40 |
$86.40 |
$86.40 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$86.40 |
$86.40 |
$86.40 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$86.40 |
$86.40 |
$86.40 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$597.90 |
$597.90 |
$597.90 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$238.20 |
$238.20 |
$238.20 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$86.40 |
$86.40 |
$86.40 |
$388.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$86.40 |
$86.40 |
$86.40 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$215.70 |
$215.70 |
$215.70 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$86.40 |
$86.40 |
$86.40 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$597.90 |
$597.90 |
$597.90 |
$2,184.08
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$86.40 |
$86.40 |
$86.40 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$86.40 |
$86.40 |
$86.40 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$597.90 |
$597.90 |
$597.90 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$86.40 |
$86.40 |
$86.40 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$597.90 |
$597.90 |
$597.90 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$86.40 |
$86.40 |
$86.40 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$86.40 |
$86.40 |
$86.40 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$226.80 |
$226.80 |
$226.80 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$86.40 |
$86.40 |
$86.40 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$86.40 |
$86.40 |
$86.40 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$86.40 |
$86.40 |
$86.40 |
$520.38
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$10,894.70 |
$10,894.70 |
$10,894.70 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$597.90 |
$597.90 |
$597.90 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$86.40 |
$86.40 |
$86.40 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$215.70 |
$215.70 |
$215.70 |
$475.68
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$597.90 |
$597.90 |
$597.90 |
$2,146.20
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$86.40 |
$86.40 |
$86.40 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$597.90 |
$597.90 |
$597.90 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$597.90 |
$597.90 |
$597.90 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$597.90 |
$597.90 |
$597.90 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$597.90 |
$597.90 |
$597.90 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$86.40 |
$86.40 |
$86.40 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$86.40 |
$86.40 |
$86.40 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$597.90 |
$597.90 |
$597.90 |
$1,565.74
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$86.40 |
$86.40 |
$86.40 |
$496.61
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$238.20 |
$238.20 |
$238.20 |
$474.50
|
|
Cls tx of heel fracture w/manip 28405
|
$86.40 |
$86.40 |
$86.40 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$597.90 |
$597.90 |
$597.90 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,023.90 |
$1,023.90 |
$1,023.90 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$597.90 |
$597.90 |
$597.90 |
$2,437.00
|
|
Cltx post ankle fx w/mnpj
|
$597.90 |
$597.90 |
$597.90 |
$1,893.86
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,494.60 |
$1,494.60 |
$1,494.60 |
$2,021.04
|
|
#cmvcul-virus inoculation shell
|
$90.90 |
$90.90 |
$90.90 |
$100.80
|
|
Cmv pcr-sendout
|
$128.40 |
$128.40 |
$128.40 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$63,646.50 |
$63,646.50 |
$63,646.50 |
$8,980.00
|
|
Coagulation time activated teg
|
$27.90 |
$27.90 |
$27.90 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$829.29 |
$829.29 |
$829.29 |
$629.41
|
|
Coch imp ext proc/contr rplc
|
$31,808.89 |
$31,808.89 |
$31,808.89 |
$20,146.35
|
|
Coch implant microphone repl
|
$785.44 |
$785.44 |
$785.44 |
$977.17
|
|
Cold agglutinin screen (arc)
|
$36.00 |
$36.00 |
$36.00 |
$45.00
|
|
Colistimethate sodium inj
|
$275.52 |
$275.52 |
$275.52 |
$68.47
|