|
Chest X-ray
|
$219.00 |
$219.00 |
$219.00 |
$294.06
|
|
Chest X-ray (single view)
|
$170.50 |
$170.50 |
$170.50 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$76.50 |
$76.50 |
$76.50 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$281.00 |
$281.00 |
$281.00 |
$511.59
|
|
Chiropractic manj 5 regions
|
$43.00 |
$43.00 |
$43.00 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$20.50 |
$20.50 |
$20.50 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$31.50 |
$31.50 |
$31.50 |
$56.99
|
|
Chiropract manj xtrspinl 1/>
|
$22.00 |
$22.00 |
$22.00 |
$65.52
|
|
Chloride
|
$27.50 |
$27.50 |
$27.50 |
$40.95
|
|
Chloride 24 hour urine
|
$17.00 |
$17.00 |
$17.00 |
$49.50
|
|
Chlorpromazine 100 mg tablet
|
$0.73 |
$0.73 |
$0.73 |
$3.95
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$284.50 |
$284.50 |
$284.50 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$1,246.50 |
$1,246.50 |
$1,246.50 |
$1,963.37
|
|
Cholecystostomy complete w/supervision & interpretation
|
$330.50 |
$330.50 |
$330.50 |
$3,690.60
|
|
Cholesterol
|
$19.00 |
$19.00 |
$19.00 |
$45.76
|
|
Cholesterol body fluid
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$62.50 |
$62.50 |
$62.50 |
$115.80
|
|
Cholinesterase
|
$5.50 |
$5.50 |
$5.50 |
$38.69
|
|
Chrnc care mgmt phys 1st 30
|
$74.50 |
$74.50 |
$74.50 |
$156.00
|
|
Chromatography
|
$159.50 |
$159.50 |
$159.50 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$510.50 |
$510.50 |
$510.50 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$366.00 |
$366.00 |
$366.00 |
$512.20
|
|
Chromosome banding study
|
$74.00 |
$74.00 |
$74.00 |
$184.24
|
|
Chromosome count additional
|
$62.50 |
$62.50 |
$62.50 |
$92.45
|
|
Chronic urticaria - sendout
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$88.00 |
$88.00 |
$88.00 |
$124.15
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$8.40 |
$8.40 |
$8.40 |
$34.88
|
|
Circum 28 days or older
|
$215.50 |
$215.50 |
$215.50 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$668.00 |
$668.00 |
$668.00 |
$1,219.20
|
|
Circumcision (newborn)
|
$2,788.50 |
$2,788.50 |
$2,788.50 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$31.81 |
$31.81 |
$31.81 |
$192.66
|
|
Claviculectomy partial
|
$630.00 |
$630.00 |
$630.00 |
$3,594.44
|
|
Clearance of airways
|
$215.00 |
$215.00 |
$215.00 |
$208.86
|
|
Clearance of airways
|
$81.50 |
$81.50 |
$81.50 |
$666.23
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$13.28 |
$13.28 |
$13.28 |
$55.20
|
|
Clip ligating vesolock lg
|
$406.88 |
$406.88 |
$406.88 |
$4,320.00
|
|
Clip phn wireless f/baha4 proc
|
$1,113.50 |
$1,113.50 |
$1,113.50 |
$538.82
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$2.50 |
$2.50 |
$2.50 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$421.00 |
$421.00 |
$421.00 |
$508.45
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$804.50 |
$804.50 |
$804.50 |
$1,615.35
|
|
Closed tx/acetabululm without manip 27220
|
$440.00 |
$440.00 |
$440.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$486.50 |
$486.50 |
$486.50 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$507.50 |
$507.50 |
$507.50 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$237.50 |
$237.50 |
$237.50 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,053.50 |
$2,053.50 |
$2,053.50 |
$2,520.60
|
|
Closed tx sesamoid fx 28530
|
$110.50 |
$110.50 |
$110.50 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$236.50 |
$236.50 |
$236.50 |
$421.40
|
|
Close tear duct opening
|
$138.50 |
$138.50 |
$138.50 |
$436.44
|
|
Close tear duct opening
|
$828.00 |
$828.00 |
$828.00 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$61.50 |
$61.50 |
$61.50 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$963.50 |
$963.50 |
$963.50 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$1,719.00 |
$1,719.00 |
$1,719.00 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$1,934.40
|
|
Closure of eyelid by suture
|
$1,613.00 |
$1,613.00 |
$1,613.00 |
$1,613.00
|
|
Closure ureter/skin fistula
|
$910.50 |
$910.50 |
$910.50 |
$1,149.29
|
|
Clot factor xii hageman
|
$157.50 |
$157.50 |
$157.50 |
$134.39
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$918.00 |
$918.00 |
$918.00 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$345.50 |
$345.50 |
$345.50 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$393.00 |
$393.00 |
$393.00 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$277.50 |
$277.50 |
$277.50 |
$419.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$366.00 |
$366.00 |
$366.00 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$302.00 |
$302.00 |
$302.00 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$456.50 |
$456.50 |
$456.50 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$353.00 |
$353.00 |
$353.00 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$237.50 |
$237.50 |
$237.50 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$858.50 |
$858.50 |
$858.50 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$415.00 |
$415.00 |
$415.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$236.50 |
$236.50 |
$236.50 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$236.50 |
$236.50 |
$236.50 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$509.50 |
$509.50 |
$509.50 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$296.00 |
$296.00 |
$296.00 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,613.00 |
$1,613.00 |
$1,613.00 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$397.00 |
$397.00 |
$397.00 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$543.00 |
$543.00 |
$543.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$574.00 |
$574.00 |
$574.00 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$378.50 |
$378.50 |
$378.50 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$391.00 |
$391.00 |
$391.00 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$355.00 |
$355.00 |
$355.00 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$454.50 |
$454.50 |
$454.50 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$496.50 |
$496.50 |
$496.50 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$356.00 |
$356.00 |
$356.00 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$236.50 |
$236.50 |
$236.50 |
$418.20
|
|
Clsd tx of ankle fracture w/manip 28435
|
$360.50 |
$360.50 |
$360.50 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$435.50 |
$435.50 |
$435.50 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$489.00 |
$489.00 |
$489.00 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$236.50 |
$236.50 |
$236.50 |
$416.35
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$302.00 |
$302.00 |
$302.00 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$370.50 |
$370.50 |
$370.50 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$484.50 |
$484.50 |
$484.50 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$395.50 |
$395.50 |
$395.50 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,088.00 |
$2,088.00 |
$2,088.00 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$567.50 |
$567.50 |
$567.50 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,927.50 |
$1,927.50 |
$1,927.50 |
$2,211.05
|
|
Clsd tx/talotarsal dislocat/anes 28575
|
$373.00 |
$373.00 |
$373.00 |
$3,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$362.50 |
$362.50 |
$362.50 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$112.50 |
$112.50 |
$112.50 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$340.50 |
$340.50 |
$340.50 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,613.00 |
$1,613.00 |
$1,613.00 |
$1,565.74
|
