|
Cholinesterase
|
$124.00 |
$124.00 |
$124.00 |
$40.80
|
|
Chrom analysis
|
$197.50 |
$197.50 |
$197.50 |
$142.00
|
|
Chromatography
|
$127.00 |
$127.00 |
$127.00 |
$77.00
|
|
Chromo high res and frag x - sendout
|
$305.50 |
$305.50 |
$305.50 |
$244.40
|
|
Chromosome analys amniotic
|
$1,001.50 |
$1,001.50 |
$1,001.50 |
$450.00
|
|
Chromosome analysis 100
|
$184.00 |
$184.00 |
$184.00 |
$422.50
|
|
Chromosome analysis 15-20 cell count
|
$1,010.50 |
$1,010.50 |
$1,010.50 |
$448.80
|
|
Chromosome analysis 5
|
$1,066.50 |
$1,066.50 |
$1,066.50 |
$644.80
|
|
Chromosome analysis 50-100
|
$179.50 |
$179.50 |
$179.50 |
$405.00
|
|
Chromosome analys placenta
|
$132.50 |
$132.50 |
$132.50 |
$593.05
|
|
Chromosome count additional
|
$115.50 |
$115.50 |
$115.50 |
$101.92
|
|
Chromosome karyotype study
|
$291.00 |
$291.00 |
$291.00 |
$110.94
|
|
Chromosome study additional
|
$245.00 |
$245.00 |
$245.00 |
$147.03
|
|
Chronic urticaria - sendout
|
$53.00 |
$53.00 |
$53.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$21.00 |
$21.00 |
$21.00 |
$122.85
|
|
Ciliary transsleral therapy
|
$1,826.00 |
$1,826.00 |
$1,826.00 |
$2,760.73
|
|
Circum 28 days or older
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$3,986.00
|
|
Circumcise/surg/28 days or < 54160
|
$1,510.50 |
$1,510.50 |
$1,510.50 |
$1,510.50
|
|
Circumcision (newborn)
|
$1,510.50 |
$1,510.50 |
$1,510.50 |
$1,422.04
|
|
C-kit mutation liquid tumor - sendout
|
$878.50 |
$878.50 |
$878.50 |
$659.20
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$5,029.06 |
$5,029.06 |
$5,029.06 |
$15,050.75
|
|
Clearance of tear duct
|
$318.00 |
$318.00 |
$318.00 |
$656.38
|
|
C-lens fitg corneosclrl lens
|
$165.50 |
$165.50 |
$165.50 |
$152.54
|
|
C-lens fitg tech aphakia 1
|
$165.50 |
$165.50 |
$165.50 |
$165.50
|
|
C-lens fitg tech aphakia ou
|
$165.50 |
$165.50 |
$165.50 |
$197.60
|
|
C-lens fitg tech corneosclrl
|
$107.50 |
$107.50 |
$107.50 |
$107.50
|
|
Clip ligating vesolock lg
|
$1,757.50 |
$1,757.50 |
$1,757.50 |
$4,404.05
|
|
Cllr miami j sm
|
$210.62 |
$210.62 |
$210.62 |
$552.23
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$158.00 |
$158.00 |
$158.00 |
$535.76
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$838.50 |
$838.50 |
$838.50 |
$1,815.75
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$433.00 |
$433.00 |
$433.00 |
$1,642.82
|
|
Closed tx/acetabululm without manip 27220
|
$177.50 |
$177.50 |
$177.50 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$1,433.50 |
$1,433.50 |
$1,433.50 |
$2,274.40
|
|
Closed tx humerus fx without manip 23600
|
$393.50 |
$393.50 |
$393.50 |
$487.48
|
|
Closed tx humerus fx w/manip 24505
|
$838.50 |
$838.50 |
$838.50 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$298.50 |
$298.50 |
$298.50 |
$388.00
|
|
Closed tx orbit without manipulj
|
$891.00 |
$891.00 |
$891.00 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,935.00 |
$1,935.00 |
$1,935.00 |
$2,562.40
|
|
Closed tx septal&nose fx
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$445.50 |
$445.50 |
$445.50 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$298.50 |
$298.50 |
$298.50 |
$439.95
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$498.00 |
$498.00 |
$498.00 |
$487.69
|
|
Close tear duct opening
|
$970.00 |
$970.00 |
$970.00 |
$462.80
|
|
Close tear duct opening
|
$191.00 |
$191.00 |
$191.00 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$2,266.00 |
$2,266.00 |
$2,266.00 |
$2,403.33
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,781.50 |
$1,781.50 |
$1,781.50 |
$1,208.93
|
|
Closure of eyelid by suture
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$1,599.00
|
|
Clot factor fletcher fact
|
$119.50 |
$119.50 |
$119.50 |
$116.82
|
|
Clot factor viii reltd antgn
|
$47.50 |
$47.50 |
$47.50 |
$140.42
|
|
Clot factor wght kininogen
|
$119.50 |
$119.50 |
$119.50 |
$157.50
|
|
Clot factor xii hageman
|
$26.00 |
$26.00 |
$26.00 |
$126.00
|
|
Clot factor xiii fibrin scrn
|
$28.50 |
$28.50 |
$28.50 |
$51.91
|
|
Clot factor xiii fibrin stab
|
$81.50 |
$81.50 |
$81.50 |
$99.23
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$686.40
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$263.00 |
$263.00 |
$263.00 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$270.00 |
$270.00 |
$270.00 |
$503.40
|
|
Clsd tx clavicle dislocation without manip 23540
|
$393.50 |
$393.50 |
$393.50 |
$419.73
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,149.50 |
$2,149.50 |
$2,149.50 |
$1,916.00
|
|
Clsd tx/clavicular fx without manip 23500
|
$393.50 |
$393.50 |
$393.50 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$198.00 |
$198.00 |
$198.00 |
$394.20
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$401.00 |
$401.00 |
$401.00 |
$413.40
|
|
Clsd tx dist fib fx w/manip 27788
|
$239.00 |
$239.00 |
$239.00 |
$691.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$374.00 |
$374.00 |
$374.00 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$202.00 |
$202.00 |
$202.00 |
$494.90
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,571.00 |
$2,571.00 |
$2,571.00 |
$2,319.00
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$2,637.00 |
$2,637.00 |
$2,637.00 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$198.00 |
$198.00 |
$198.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$264.00 |
$264.00 |
$264.00 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$379.00 |
$379.00 |
$379.00 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$338.00 |
$338.00 |
$338.00 |
$546.00
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$401.00 |
$401.00 |
$401.00 |
$510.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$382.50 |
$382.50 |
$382.50 |
$450.10
|
|
Clsd tx hip disloc without anes 27265
|
$325.50 |
$325.50 |
$325.50 |
$665.60
|
|
Clsd tx humeral fract without manip 24530
|
$198.00 |
$198.00 |
$198.00 |
$542.52
|
|
Clsd tx humerus fract without manip 24500
|
$343.50 |
$343.50 |
$343.50 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$2,379.50 |
$2,379.50 |
$2,379.50 |
$944.80
|
|
Clsd tx mandibular fx without manip 21450
|
$401.50 |
$401.50 |
$401.50 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$369.50 |
$369.50 |
$369.50 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$212.00 |
$212.00 |
$212.00 |
$519.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$599.00 |
$599.00 |
$599.00 |
$670.40
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$633.50 |
$633.50 |
$633.50 |
$533.60
|
|
Clsd tx/metatarsal fx without manip 28470
|
$290.50 |
$290.50 |
$290.50 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,606.50 |
$3,606.50 |
$3,606.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$838.50 |
$838.50 |
$838.50 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$215.00 |
$215.00 |
$215.00 |
$577.20
|
|
Clsd tx/patellar fx without manip 27520
|
$380.00 |
$380.00 |
$380.00 |
$478.40
|
|
Clsd tx pelvic ring fx
|
$198.00 |
$198.00 |
$198.00 |
$424.50
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,863.50 |
$2,863.50 |
$2,863.50 |
$2,275.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$280.50 |
$280.50 |
$280.50 |
$408.85
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$375.00 |
$375.00 |
$375.00 |
$459.90
|
|
Clsd tx radius fracture w/manip 24655
|
$838.50 |
$838.50 |
$838.50 |
$1,806.10
|
|
Clsd tx/scapular fx without manip 23570
|
$382.50 |
$382.50 |
$382.50 |
$452.00
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,935.00 |
$1,935.00 |
$1,935.00 |
$1,851.78
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,687.50 |
$1,687.50 |
$1,687.50 |
$1,771.43
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,534.50 |
$1,534.50 |
$1,534.50 |
$2,287.20
|
|
Clsd tx temporomandibular dislocat 21480
|
$148.50 |
$148.50 |
$148.50 |
$445.15
|
|
Clsd tx toe dislocation without anes28660
|
$221.50 |
$221.50 |
$221.50 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$263.00 |
$263.00 |
$263.00 |
$501.20
|
