|
Chloride 24 hour urine
|
$32.50 |
$32.50 |
$32.50 |
$49.50
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$48.23 |
$48.23 |
$48.23 |
$78.43
|
|
Chlorpromazine 100 mg tablet
|
$11.46 |
$11.46 |
$11.46 |
$3.95
|
|
Cholangiogram percutaneous compl
|
$3,332.50 |
$3,332.50 |
$3,332.50 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$613.50 |
$613.50 |
$613.50 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,799.00 |
$3,799.00 |
$3,799.00 |
$3,690.60
|
|
Cholesterol
|
$28.00 |
$28.00 |
$28.00 |
$45.76
|
|
Cholesterol body fluid
|
$998.00 |
$998.00 |
$998.00 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$86.00 |
$86.00 |
$86.00 |
$115.80
|
|
Chorion biopsy
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$1,086.00
|
|
Chorionic gonadotropin/1000u
|
$387.21 |
$387.21 |
$387.21 |
$548.36
|
|
Chrnc care mgmt phys 1st 30
|
$178.50 |
$178.50 |
$178.50 |
$156.00
|
|
Chromatography
|
$159.50 |
$159.50 |
$159.50 |
$81.25
|
|
Chromogenic substrate assay
|
$284.50 |
$284.50 |
$284.50 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$156.50 |
$156.50 |
$156.50 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$791.50 |
$791.50 |
$791.50 |
$512.20
|
|
Chromosome analysis 5
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$644.80
|
|
Chromosome banding study
|
$74.00 |
$74.00 |
$74.00 |
$184.24
|
|
Chromosome count additional
|
$111.50 |
$111.50 |
$111.50 |
$92.45
|
|
Chromosome karyotype study
|
$159.50 |
$159.50 |
$159.50 |
$119.87
|
|
Chromosome study additional
|
$69.00 |
$69.00 |
$69.00 |
$147.03
|
|
Chronic urticaria - sendout
|
$122.00 |
$122.00 |
$122.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$88.00 |
$88.00 |
$88.00 |
$124.15
|
|
Cidofovir injection
|
$405.10 |
$405.10 |
$405.10 |
$1,295.73
|
|
Ciliary transsleral therapy
|
$6,744.50 |
$6,744.50 |
$6,744.50 |
$3,269.14
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$45.00 |
$45.00 |
$45.00 |
$34.88
|
|
Circum 28 days or older
|
$16,079.50 |
$16,079.50 |
$16,079.50 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$801.50 |
$801.50 |
$801.50 |
$1,219.20
|
|
Circumcision (newborn)
|
$3,284.50 |
$3,284.50 |
$3,284.50 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$70.86 |
$70.86 |
$70.86 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$685.00 |
$685.00 |
$685.00 |
$655.00
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,010.00 |
$6,010.00 |
$6,010.00 |
$15,390.00
|
|
Claviculectomy partial
|
$5,008.92 |
$5,008.92 |
$5,008.92 |
$3,594.44
|
|
Clean out mastoid cavity
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$1,033.60
|
|
Clearance of airways
|
$246.50 |
$246.50 |
$246.50 |
$208.86
|
|
Clearance of tear duct
|
$368.00 |
$368.00 |
$368.00 |
$656.38
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$32.07 |
$32.07 |
$32.07 |
$55.20
|
|
Clip ligating vesolock lg
|
$1,361.00 |
$1,361.00 |
$1,361.00 |
$4,320.00
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$28.35 |
$28.35 |
$28.35 |
$81.90
|
|
Closed tx/acetabululm without manip 27220
|
$880.00 |
$880.00 |
$880.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$1,867.50 |
$1,867.50 |
$1,867.50 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$659.00 |
$659.00 |
$659.00 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$10,837.00 |
$10,837.00 |
$10,837.00 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$313.50 |
$313.50 |
$313.50 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,276.50 |
$3,276.50 |
$3,276.50 |
$2,520.60
|
|
Closed tx sesamoid fx 28530
|
$286.50 |
$286.50 |
$286.50 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$480.50 |
$480.50 |
$480.50 |
$421.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$324.00 |
$324.00 |
$324.00 |
$481.80
|
|
Close tear duct opening
|
$659.50 |
$659.50 |
$659.50 |
$436.44
|
|
Clos txnose fx without stablz 21315
|
$5,738.00 |
$5,738.00 |
$5,738.00 |
$2,326.08
|
|
Clot factor xii hageman
|
$59.00 |
$59.00 |
$59.00 |
$134.39
|
|
Clot factor xiii fibrin stab
|
$61.50 |
$61.50 |
$61.50 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$747.50 |
$747.50 |
$747.50 |
$526.35
|
|
Clsd tx clavicle dislocation without manip 23540
|
$471.50 |
$471.50 |
$471.50 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,867.50 |
$1,867.50 |
$1,867.50 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$474.50 |
$474.50 |
$474.50 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$288.50 |
$288.50 |
$288.50 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$371.50 |
$371.50 |
$371.50 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$868.00 |
$868.00 |
$868.00 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$447.00 |
$447.00 |
$447.00 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$293.00 |
$293.00 |
$293.00 |
$462.80
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$1,867.50 |
$1,867.50 |
$1,867.50 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$548.50 |
$548.50 |
$548.50 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$292.50 |
$292.50 |
$292.50 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$286.50 |
$286.50 |
$286.50 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$9,010.50 |
$9,010.50 |
$9,010.50 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$565.50 |
$565.50 |
$565.50 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,867.50 |
$1,867.50 |
$1,867.50 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$547.50 |
$547.50 |
$547.50 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$858.00 |
$858.00 |
$858.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$786.50 |
$786.50 |
$786.50 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$728.00 |
$728.00 |
$728.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$768.00 |
$768.00 |
$768.00 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$286.50 |
$286.50 |
$286.50 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$707.00 |
$707.00 |
$707.00 |
$606.00
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$3,799.50 |
$3,799.50 |
$3,799.50 |
$3,839.54
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$4,000.50 |
$4,000.50 |
$4,000.50 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$887.00 |
$887.00 |
$887.00 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$4,287.00 |
$4,287.00 |
$4,287.00 |
$3,678.17
|
|
Clsd tx patella disloc without anes 27560
|
$711.00 |
$711.00 |
$711.00 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$655.50 |
$655.50 |
$655.50 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$286.50 |
$286.50 |
$286.50 |
$416.35
|
|
Clsd tx pelvic ring fx
|
$286.50 |
$286.50 |
$286.50 |
$660.40
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$550.50 |
$550.50 |
$550.50 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,867.50 |
$1,867.50 |
$1,867.50 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$474.00 |
$474.00 |
$474.00 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,879.50 |
$1,879.50 |
$1,879.50 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,954.00 |
$1,954.00 |
$1,954.00 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,867.50 |
$1,867.50 |
$1,867.50 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$337.00 |
$337.00 |
$337.00 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$286.50 |
$286.50 |
$286.50 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$627.50 |
$627.50 |
$627.50 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,367.50 |
$2,367.50 |
$2,367.50 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$1,979.17 |
$1,979.17 |
$1,979.17 |
$452.40
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$838.00 |
$838.00 |
$838.00 |
$674.68
|
|
Clsd tx wrist carpal fx without manip 25630
|
$575.50 |
$575.50 |
$575.50 |
$476.00
|