|
Chg radiologic exam esophagus double contrast
|
$607.31 |
$607.31 |
$607.31 |
$512.00
|
|
Chimerism anal no cell selec
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$380.00
|
|
Chimerism anal w/cell select
|
$456.40 |
$456.40 |
$456.40 |
$585.60
|
|
Chlamydia culture
|
$49.60 |
$49.60 |
$95.14 |
$92.16
|
|
Chlamydia trachomatis ag if
|
$55.97 |
$55.97 |
$55.97 |
$67.20
|
|
Chlamydia type
|
$14.00 |
$14.00 |
$63.33 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$276.40 |
$276.40 |
$288.13 |
$301.40
|
|
Chloramphenicol sodium injec
|
$31.45 |
$31.45 |
$31.45 |
$113.84
|
|
Chloride
|
$11.60 |
$11.60 |
$11.60 |
$40.95
|
|
Chloride 24 hour urine
|
$12.40 |
$12.40 |
$94.82 |
$50.40
|
|
Chloroprocaine hcl injection
|
$0.38 |
$0.38 |
$137.52 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$288.72 |
$352.32 |
$529.64 |
$369.74
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$32.38 |
$68.66 |
$120.60 |
$78.43
|
|
Chlorpromazine 100 mg tablet
|
$25.62 |
$25.62 |
$25.62 |
$6.96
|
|
Cholangiogram percutaneous compl
|
$1,511.63 |
$2,587.20 |
$2,587.20 |
$3,384.15
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$392.40 |
$392.40 |
$546.46 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,367.59 |
$5,677.20 |
$5,677.20 |
$3,739.81
|
|
Cholesterol
|
$11.20 |
$11.20 |
$23.06 |
$45.50
|
|
Cholesterol body fluid
|
$50.82 |
$628.40 |
$628.40 |
$88.65
|
|
Cholesterol (Lipid) Test
|
$33.60 |
$33.60 |
$73.89 |
$115.80
|
|
Cholinesterase
|
$20.00 |
$20.00 |
$36.85 |
$39.32
|
|
Chrom analysis
|
$78.00 |
$78.00 |
$156.70 |
$156.00
|
|
Chromatography
|
$45.20 |
$45.20 |
$124.18 |
$81.25
|
|
Chromogenic substrate assay
|
$32.40 |
$32.40 |
$32.40 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$218.53 |
$310.40 |
$310.40 |
$250.00
|
|
Chromosome analys amniotic
|
$405.20 |
$405.20 |
$405.20 |
$450.00
|
|
Chromosome analysis 100
|
$439.20 |
$439.20 |
$439.20 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$280.00 |
$280.00 |
$388.05 |
$512.20
|
|
Chromosome analysis 45
|
$237.20 |
$237.20 |
$402.00 |
$380.91
|
|
Chromosome analysis 5
|
$415.06 |
$489.60 |
$489.60 |
$644.80
|
|
Chromosome analys placenta
|
$424.40 |
$424.40 |
$429.98 |
$572.99
|
|
Chromosome banding study
|
$88.19 |
$102.40 |
$102.40 |
$183.91
|
|
Chromosome count additional
|
$53.60 |
$53.60 |
$81.16 |
$92.45
|
|
Chromosome karyotype study
|
$66.00 |
$66.00 |
$126.21 |
$120.00
|
|
Chromosome study additional
|
$77.60 |
$77.60 |
$123.12 |
$152.86
|
|
Chronic urticaria - sendout
|
$75.09 |
$75.09 |
$75.09 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$54.00 |
$54.00 |
$278.89 |
$135.10
|
|
Cidofovir injection
|
$2,889.80 |
$2,889.80 |
$2,889.80 |
$1,447.81
|
|
Cilastatin sodium injection
|
$291.44 |
$291.44 |
$291.44 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$21.24 |
$33.36 |
$246.15 |
$36.23
|
|
Circum 28 days or older
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$3,786.00
|
|
Circumcise/surg/28 days or < 54160
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$1,219.20
|
|
Circumcision (newborn)
|
$879.08 |
$3,442.80 |
$3,442.80 |
$1,358.70
|
|
Cisplatin 1 mg/ml desensitization
|
$511.30 |
$595.46 |
$1,364.87 |
$198.28
|
|
C-kit mutation liquid tumor - sendout
|
$301.87 |
$624.40 |
$624.40 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$854.33 |
$854.33 |
$854.33 |
$586.54
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$18,200.00 |
$18,200.00 |
$19,866.00 |
$15,779.40
|
|
Clearance of airways
|
$97.10 |
$128.00 |
$128.00 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$21.57 |
$33.08 |
$372.45 |
$55.20
|
|
Clip ligating vesolock lg
|
$1,633.95 |
$4,900.00 |
$4,900.00 |
$4,194.00
|
|
Clip phn wireless f/baha4 proc
|
$179.60 |
$179.60 |
$179.60 |
$474.43
|
|
Cllr miami j sm
|
$106.76 |
$169.20 |
$169.20 |
$552.23
|
|
Clofarabine 1 mg/ml intravenous solution
|
$10,603.62 |
$10,603.62 |
$10,603.62 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$30.18 |
$30.18 |
$49.25 |
$83.14
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$275.26 |
$275.26 |
$275.26 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$700.96 |
$700.96 |
$700.96 |
$1,806.01
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$199.39 |
$199.39 |
$199.39 |
$386.40
|
|
Closed tx orbit without manipulj
|
$631.48 |
$631.48 |
$631.48 |
$998.40
|
|
Closed tx septal&nose fx
|
$1,193.23 |
$1,193.23 |
$1,193.23 |
$3,624.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$256.61 |
$256.61 |
$256.61 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$892.57 |
$892.57 |
$892.57 |
$2,377.50
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$573.01 |
$573.01 |
$573.01 |
$1,244.64
|
|
Closure paravalvlr leak pq
|
$1,531.60 |
$1,531.60 |
$3,256.40 |
$8,455.19
|
|
Clot factor fletcher fact
|
$52.40 |
$52.40 |
$52.40 |
$116.82
|
|
Clot factor viii reltd antgn
|
$50.40 |
$50.40 |
$50.40 |
$159.06
|
|
Clot factor wght kininogen
|
$52.40 |
$52.40 |
$52.40 |
$157.50
|
|
Clot factor xii hageman
|
$48.40 |
$48.40 |
$188.41 |
$135.01
|
|
Clot factor xiii fibrin scrn
|
$22.40 |
$22.40 |
$104.00 |
$57.75
|
|
Clot factor xiii fibrin stab
|
$39.60 |
$39.60 |
$39.60 |
$106.26
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$289.02 |
$289.02 |
$289.02 |
$484.80
|
|
Clsd tx coccygeal fracture 27200
|
$223.30 |
$223.30 |
$223.30 |
$375.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$221.65 |
$221.65 |
$221.65 |
$416.16
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$791.01 |
$791.01 |
$791.01 |
$2,464.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$223.30 |
$223.30 |
$223.30 |
$373.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$311.72 |
$1,046.00 |
$1,046.00 |
$448.80
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$763.59 |
$763.59 |
$763.59 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$333.48 |
$333.48 |
$333.48 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$277.58 |
$277.58 |
$277.58 |
$506.10
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$1,193.23 |
$5,009.20 |
$5,009.20 |
$3,678.17
|
|
Clsd tx pelvic ring fx
|
$756.90 |
$756.90 |
$756.90 |
$660.40
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$303.99 |
$303.99 |
$303.99 |
$414.40
|
|
Clsd tx toe dislocation without anes28660
|
$168.29 |
$168.29 |
$168.29 |
$412.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$348.06 |
$348.06 |
$348.06 |
$648.34
|
|
Cltx humrl cndylr fx w/mnpj
|
$700.96 |
$700.96 |
$700.96 |
$1,851.78
|
|
Cltx lunate dislc w/mnpj
|
$733.38 |
$733.38 |
$733.38 |
$2,384.00
|
|
Cltx mndblr fx w/mnpj
|
$934.56 |
$934.56 |
$934.56 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$1,720.34 |
$1,720.34 |
$1,720.34 |
$3,837.72
|
|
Cltx palatal/max fx wire fix
|
$1,720.34 |
$1,720.34 |
$1,720.34 |
$4,377.24
|
|
C motor evoked lwr limbs
|
$550.91 |
$550.91 |
$550.91 |
$627.89
|
|
C motor evoked uppr limbs
|
$550.91 |
$550.91 |
$550.91 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$609.44 |
$609.44 |
$609.44 |
$1,308.00
|
|
#cms hgb-sulfhemoglobin
|
$22.40 |
$22.40 |
$22.40 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$48.40 |
$48.40 |
$69.93 |
$87.75
|
|
Cmv pcr-sendout
|
$88.40 |
$88.40 |
$163.69 |
$177.50
|
|
Cnbp gene detc abnor allele
|
$260.00 |
$260.00 |
$260.00 |
$313.60
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$39,685.25 |
$39,685.25 |
$39,685.25 |
$12,560.76
|
|
Coagulation time activated teg
|
$11.20 |
$11.20 |
$48.93 |
$53.55
|
|
Coagulation time otr method
|
$10.00 |
$10.00 |
$10.00 |
$20.00
|
|
Cocaine 4 % nasal solution
|
$1.79 |
$1.79 |
$1.79 |
$629.41
|
|
Cold agglutinin titer
|
$20.40 |
$20.40 |
$40.05 |
$51.60
|
