|
Chemodenerv trunk musc 1-5 64646
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,250.60
|
|
Chemo extend IV infus w/pump
|
$1,296.60 |
$1,296.60 |
$1,296.60 |
$737.10
|
|
Chest 2 vws w oblique
|
$362.40 |
$362.40 |
$362.40 |
$377.06
|
|
Chest apical lordotic proj
|
$279.60 |
$279.60 |
$279.60 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,013.80 |
$3,013.80 |
$3,013.80 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,256.40 |
$1,256.40 |
$1,256.40 |
$1,350.03
|
|
Chest X-ray
|
$252.00 |
$252.00 |
$252.00 |
$294.06
|
|
Chest X-ray (single view)
|
$179.40 |
$179.40 |
$179.40 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$375.60 |
$375.60 |
$375.60 |
$511.59
|
|
Chimerism anal w/cell select
|
$821.40 |
$821.40 |
$821.40 |
$585.60
|
|
Chlamydia culture
|
$110.40 |
$110.40 |
$110.40 |
$93.90
|
|
Chloramphenicol sodium injec
|
$312.34 |
$312.34 |
$312.34 |
$113.84
|
|
Chloride
|
$49.20 |
$49.20 |
$49.20 |
$40.95
|
|
Chloride 24 hour urine
|
$55.80 |
$55.80 |
$55.80 |
$49.50
|
|
Chloroprocaine hcl injection
|
$205.31 |
$205.31 |
$205.31 |
$61.51
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$74.19 |
$74.19 |
$74.19 |
$78.43
|
|
Cholangiogram percutaneous compl
|
$5,515.20 |
$5,515.20 |
$5,515.20 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$961.80 |
$961.80 |
$961.80 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,379.20 |
$3,379.20 |
$3,379.20 |
$3,690.60
|
|
Cholesterol
|
$70.80 |
$70.80 |
$70.80 |
$45.76
|
|
Cholesterol body fluid
|
$98.40 |
$98.40 |
$98.40 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$226.20 |
$226.20 |
$226.20 |
$115.80
|
|
Cholinesterase
|
$24.60 |
$24.60 |
$24.60 |
$38.69
|
|
Chromatography
|
$112.80 |
$112.80 |
$112.80 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$843.00 |
$843.00 |
$843.00 |
$247.59
|
|
Chromosome analys amniotic
|
$805.20 |
$805.20 |
$805.20 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$1,086.60 |
$1,086.60 |
$1,086.60 |
$512.20
|
|
Chromosome analysis 5
|
$867.00 |
$867.00 |
$867.00 |
$644.80
|
|
Chromosome analys placenta
|
$975.00 |
$975.00 |
$975.00 |
$618.60
|
|
Chromosome count additional
|
$51.60 |
$51.60 |
$51.60 |
$92.45
|
|
Chromosome karyotype study
|
$205.80 |
$205.80 |
$205.80 |
$119.87
|
|
Chromosome study additional
|
$410.40 |
$410.40 |
$410.40 |
$147.03
|
|
Chronic urticaria - sendout
|
$61.80 |
$61.80 |
$61.80 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$192.60 |
$192.60 |
$192.60 |
$124.15
|
|
Cilastatin sodium injection
|
$38.42 |
$38.42 |
$38.42 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$24.00 |
$24.00 |
$24.00 |
$34.88
|
|
Circum 28 days or older
|
$17,726.50 |
$17,726.50 |
$17,726.50 |
$3,860.64
|
|
Cisplatin 1 mg/ml desensitization
|
$323.83 |
$323.83 |
$323.83 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$1,262.40 |
$1,262.40 |
$1,262.40 |
$655.00
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$546.62 |
$546.62 |
$546.62 |
$569.55
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$47,487.00 |
$47,487.00 |
$47,487.00 |
$15,390.00
|
|
Clearance of airways
|
$264.00 |
$264.00 |
$264.00 |
$208.86
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$68.69 |
$68.69 |
$68.69 |
$55.20
|
|
Clip ligating vesolock lg
|
$8,331.81 |
$8,331.81 |
$8,331.81 |
$4,320.00
|
|
Cllr miami j sm
|
$1,477.45 |
$1,477.45 |
$1,477.45 |
$566.23
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$445.80 |
$445.80 |
$445.80 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$2,211.05
|
|
Closed tx humerus fx w/manip 24505
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$445.80 |
$445.80 |
$445.80 |
$376.96
|
|
Closed tx orbit without manipulj
|
$634.80 |
$634.80 |
$634.80 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,989.20 |
$2,989.20 |
$2,989.20 |
$2,520.60
|
|
Closed tx septal&nose fx
|
$16,312.96 |
$16,312.96 |
$16,312.96 |
$3,624.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$289.20 |
$289.20 |
$289.20 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$1,929.00 |
$1,929.00 |
$1,929.00 |
$2,326.08
|
|
Closure paravalvlr leak pq
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$7,723.17
|
|
Clot factor xii hageman
|
$211.80 |
$211.80 |
$211.80 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$97.20 |
$97.20 |
$97.20 |
$55.44
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$445.80 |
$445.80 |
$445.80 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$445.80 |
$445.80 |
$445.80 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$445.80 |
$445.80 |
$445.80 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$445.80 |
$445.80 |
$445.80 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,893.86
|
|
Clsd tx coccygeal fracture 27200
|
$445.80 |
$445.80 |
$445.80 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$445.80 |
$445.80 |
$445.80 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$445.80 |
$445.80 |
$445.80 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$445.80 |
$445.80 |
$445.80 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$2,184.08
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$445.80 |
$445.80 |
$445.80 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$445.80 |
$445.80 |
$445.80 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$23,989.96 |
$23,989.96 |
$23,989.96 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$445.80 |
$445.80 |
$445.80 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$445.80 |
$445.80 |
$445.80 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$445.80 |
$445.80 |
$445.80 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$453.60 |
$453.60 |
$453.60 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$445.80 |
$445.80 |
$445.80 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$445.80 |
$445.80 |
$445.80 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$445.80 |
$445.80 |
$445.80 |
$520.38
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$9,768.79 |
$9,768.79 |
$9,768.79 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$445.80 |
$445.80 |
$445.80 |
$566.72
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$2,146.20
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$445.80 |
$445.80 |
$445.80 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$445.80 |
$445.80 |
$445.80 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$445.80 |
$445.80 |
$445.80 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,565.74
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$445.80 |
$445.80 |
$445.80 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$453.60 |
$453.60 |
$453.60 |
$600.60
|
|
Cls tx of heel fracture w/manip 28405
|
$445.80 |
$445.80 |
$445.80 |
$748.00
|
|
Cltx carpl scphd fx w/mnpj
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$2,437.00
|