|
Chest Physiotherapy (first session)
|
$266.20 |
$266.20 |
$512.21 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$168.30 |
$168.30 |
$206.34 |
$134.50
|
|
Chest Ultrasound
|
$748.00 |
$748.00 |
$919.47 |
$463.88
|
|
Chest X-ray
|
$266.20 |
$266.20 |
$527.92 |
$294.06
|
|
Chest X-ray (single view)
|
$244.20 |
$244.20 |
$516.45 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$153.45 |
$153.45 |
$429.77 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$571.45 |
$571.45 |
$962.20 |
$520.80
|
|
Chlamydia culture
|
$33.00 |
$33.00 |
$83.20 |
$91.00
|
|
Chlamydia type
|
$24.80 |
$24.80 |
$30.25 |
$34.98
|
|
Chloride
|
$34.65 |
$34.65 |
$62.44 |
$42.63
|
|
Chloride 24 hour urine
|
$41.25 |
$41.25 |
$67.94 |
$50.88
|
|
Chloroprocaine hcl injection
|
$0.66 |
$0.66 |
$0.66 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$270.88 |
$270.88 |
$270.88 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$125.49 |
$125.49 |
$125.49 |
$79.74
|
|
Cholangiogram percutaneous compl
|
$2,403.50 |
$2,403.50 |
$5,277.99 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$382.40 |
$382.40 |
$1,159.95 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$5,332.80 |
$5,332.80 |
$5,332.80 |
$1,963.37
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,396.25 |
$3,396.25 |
$7,247.07 |
$3,856.84
|
|
Cholera vaccine live oral
|
$360.00 |
$360.00 |
$360.00 |
$481.60
|
|
Cholesterol
|
$37.95 |
$37.95 |
$58.77 |
$45.76
|
|
Cholesterol body fluid
|
$48.51 |
$48.51 |
$876.15 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$124.85 |
$124.85 |
$231.55 |
$115.80
|
|
Cholinesterase
|
$12.10 |
$12.10 |
$55.20 |
$39.48
|
|
Chorion biopsy
|
$986.70 |
$986.70 |
$2,117.47 |
$1,392.05
|
|
Chrom analysis
|
$87.29 |
$87.29 |
$324.50 |
$156.00
|
|
Chromatography
|
$189.20 |
$189.20 |
$214.76 |
$84.60
|
|
Chromogenic substrate assay
|
$119.20 |
$119.20 |
$119.20 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$235.20 |
$235.20 |
$574.20 |
$250.00
|
|
Chromosome analys amniotic
|
$521.03 |
$521.03 |
$521.03 |
$450.00
|
|
Chromosome analysis 100
|
$489.73 |
$489.73 |
$489.73 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$503.80 |
$503.80 |
$796.80 |
$517.11
|
|
Chromosome analysis 45
|
$429.28 |
$429.28 |
$429.28 |
$382.85
|
|
Chromosome analysis 5
|
$137.50 |
$137.50 |
$433.96 |
$644.80
|
|
Chromosome analysis 50-100
|
$26.40 |
$26.40 |
$26.40 |
$434.40
|
|
Chromosome analys placenta
|
$336.05 |
$336.05 |
$377.38 |
$572.99
|
|
Chromosome karyotype study
|
$72.49 |
$72.49 |
$336.05 |
$120.00
|
|
Chromosome study additional
|
$251.35 |
$251.35 |
$553.25 |
$151.09
|
|
Chronic urticaria - sendout
|
$169.73 |
$169.73 |
$169.73 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$244.00 |
$244.00 |
$244.00 |
$136.09
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$74.64 |
$74.64 |
$74.64 |
$35.65
|
|
Circum 28 days or older
|
$562.40 |
$562.40 |
$562.40 |
$4,074.80
|
|
Circumcision (newborn)
|
$375.65 |
$375.65 |
$1,983.20 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$45.61 |
$45.61 |
$45.61 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$1,038.04 |
$1,038.04 |
$1,714.90 |
$666.60
|
|
C-laminoplasty w/graft/plate
|
$9,949.60 |
$9,949.60 |
$9,949.60 |
$4,108.00
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$11,975.38 |
$11,975.38 |
$11,975.38 |
$15,560.16
|
|
Claviculectomy partial
|
$6,040.80 |
$6,040.80 |
$6,040.80 |
$3,839.54
|
|
Claviculectomy total
|
$8,821.60 |
$8,821.60 |
$8,821.60 |
$4,499.12
|
|
Clean out mastoid cavity
|
$2,588.80 |
$2,588.80 |
$2,588.80 |
$1,033.60
|
|
Clearance of airways
|
$258.50 |
$258.50 |
$408.41 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$72.28 |
$72.28 |
$72.28 |
$55.20
|
|
Clip ligating vesolock lg
|
$508.07 |
$508.07 |
$624.00 |
$4,320.00
|
|
Cllr miami j sm
|
$178.59 |
$178.59 |
$1,040.00 |
$536.64
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$73.00 |
$73.00 |
$73.00 |
$85.37
|
|
Close bronchial fistula 32815
|
$9,928.00 |
$9,928.00 |
$9,928.00 |
$6,816.80
|
|
Close chest after drainage
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
$2,191.20
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$590.70 |
$590.70 |
$2,424.80 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,217.15 |
$1,217.15 |
$3,319.20 |
$1,806.01
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$6,616.00 |
$6,616.00 |
$6,616.00 |
$1,642.82
|
|
Closed tx/acetabululm without manip 27220
|
$4,904.80 |
$4,904.80 |
$4,904.80 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$1,409.10 |
$1,409.10 |
$8,206.40 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$2,451.20 |
$2,451.20 |
$2,451.20 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$2,234.10 |
$2,234.10 |
$4,216.80 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$503.80 |
$503.80 |
$582.40 |
$386.40
|
|
Closed tx nose/jaw fx
|
$4,389.60 |
$4,389.60 |
$4,389.60 |
$2,903.97
|
|
Closed tx orbit without manipulj
|
$1,964.81 |
$1,964.81 |
$1,964.81 |
$998.40
|
|
Closed tx orbit w/manipulj
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
$3,136.80
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,068.45 |
$3,068.45 |
$5,204.05 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$6,589.52 |
$6,589.52 |
$6,589.52 |
$3,651.90
|
|
Closed tx sesamoid fx 28530
|
$873.60 |
$873.60 |
$873.60 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$897.05 |
$897.05 |
$1,635.20 |
$442.80
|
|
Closed tx vert fx w/manj
|
$3,741.65 |
$3,741.65 |
$4,720.00 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$595.10 |
$595.10 |
$788.80 |
$472.50
|
|
Close median sternotomy separation 21750
|
$3,810.40 |
$3,810.40 |
$3,810.40 |
$1,660.00
|
|
Clos txnose fx without stablz 21315
|
$1,841.95 |
$1,841.95 |
$6,227.12 |
$2,392.80
|
|
Closure enterostomy lg/sm intestine 44620
|
$3,472.00 |
$3,472.00 |
$3,472.00 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$6,925.60 |
$6,925.60 |
$6,925.60 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$4,544.00 |
$4,544.00 |
$4,544.00 |
$1,934.40
|
|
Closure intestinal cutaneous fistula 44640
|
$4,020.00 |
$4,020.00 |
$4,020.00 |
$3,443.20
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,152.80 |
$1,152.80 |
$2,415.60 |
$1,259.62
|
|
Closure of eyelid by suture
|
$3,650.16 |
$3,650.16 |
$3,650.16 |
$1,701.96
|
|
Closure of salivary fistula
|
$1,988.80 |
$1,988.80 |
$1,988.80 |
$3,169.60
|
|
Closure paravalvlr leak pq
|
$516.45 |
$516.45 |
$516.45 |
$9,434.46
|
|
Clot factor xii hageman
|
$96.25 |
$96.25 |
$135.20 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$26.03 |
$26.03 |
$47.30 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$48.54 |
$48.54 |
$258.50 |
$106.40
|
|
Clotting assay whole blood
|
$53.00 |
$53.00 |
$53.00 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$746.35 |
$746.35 |
$2,039.20 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$2,112.80 |
$2,112.80 |
$2,112.80 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,096.70 |
$1,096.70 |
$1,316.80 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$1,980.00
|
|
Clsd tx clavicle dislocation without manip 23540
|
$1,748.00 |
$1,748.00 |
$1,748.00 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,912.80 |
$2,912.80 |
$2,912.80 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$1,004.85 |
$1,004.85 |
$1,279.20 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$962.40 |
$962.40 |
$1,004.85 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$897.05 |
$897.05 |
$898.40 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$397.10 |
$397.10 |
$3,284.00 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$2,112.80 |
$2,112.80 |
$2,112.80 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$746.35 |
$746.35 |
$1,167.82 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$3,352.80 |
$3,352.80 |
$4,880.00 |
$2,211.05
|
