|
Cholesterol
|
$11.40 |
$51.48 |
$147.24 |
|
|
Cholesterol body fluid
|
$41.87 |
$62.50 |
$1,262.25 |
|
|
Cholesterol (Lipid) Test
|
$50.73 |
$125.00 |
$320.23 |
|
|
Cholinesterase
|
$12.10 |
$300.00 |
$300.00 |
|
|
Chorion biopsy
|
$668.25 |
$1,525.70 |
$2,117.47 |
|
|
Chorionic gonadotropin/1000u
|
$30.21 |
$30.21 |
$45.85 |
|
|
Chrom analysis
|
$87.29 |
$245.00 |
$398.64 |
|
|
Chromatogram assay sugars
|
$64.13 |
$64.13 |
$64.13 |
|
|
Chromatography
|
$57.50 |
$58.30 |
$214.76 |
|
|
Chromogenic substrate assay
|
$40.81 |
$137.50 |
$444.84 |
|
|
Chromo high res and frag x - sendout
|
$235.20 |
$250.00 |
$804.65 |
|
|
Chromosome analys amniotic
|
$235.85 |
$635.00 |
$1,978.49 |
|
|
Chromosome analysis 100
|
$339.24 |
$339.24 |
$489.73 |
|
|
Chromosome analysis 15-20 cell count
|
$346.62 |
$640.00 |
$2,496.45 |
|
|
Chromosome analysis 45
|
$429.28 |
$487.07 |
$2,744.50 |
|
|
Chromosome analysis 5
|
$133.65 |
$455.00 |
$499.79 |
|
|
Chromosome analysis 50-100
|
$26.40 |
$405.00 |
$405.00 |
|
|
Chromosome analys placenta
|
$327.80 |
$720.00 |
$720.00 |
|
|
Chromosome banding study
|
$81.62 |
$235.00 |
$235.00 |
|
|
Chromosome count additional
|
$46.17 |
$82.50 |
$82.50 |
|
|
Chromosome karyotype study
|
$55.00 |
$100.00 |
$389.40 |
|
|
Chromosome study additional
|
$111.30 |
$117.50 |
$553.25 |
|
|
Chronic urticaria - sendout
|
$52.47 |
$56.43 |
$169.73 |
|
|
Chylomicron screen, bf - sendout
|
$111.10 |
$145.00 |
$244.00 |
|
|
Cilastatin sodium injection
|
$25.08 |
$27.81 |
$31.92 |
|
|
Cinacalcet 30 mg tablet
|
$2.30 |
$2.30 |
$2.30 |
|
|
Cine/video x-rays
|
$292.56 |
$335.94 |
$374.00 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$4.66 |
$27.26 |
$308.47 |
|
|
Circum 28 days or older
|
$403.56 |
$403.56 |
$562.40 |
|
|
Circumcise/surg/28 days or < 54160
|
$185.50 |
$185.50 |
$185.50 |
|
|
Circumcision (newborn)
|
$94.60 |
$120.00 |
$1,983.20 |
|
|
Cisplatin 1 mg/ml desensitization
|
$7.27 |
$9.28 |
$316.43 |
|
|
C-kit mutation liquid tumor - sendout
|
$495.00 |
$1,153.81 |
$2,401.30 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$69.23 |
$75.58 |
$2,340.55 |
|
|
C-laminoplasty w/graft/plate
|
$9,949.60 |
$9,949.60 |
$9,949.60 |
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$1,685.72 |
$12,844.00 |
$30,525.00 |
|
|
Claviculectomy partial
|
$6,040.80 |
$6,040.80 |
$6,040.80 |
|
|
Claviculectomy total
|
$8,821.60 |
$8,821.60 |
$8,821.60 |
|
|
Clean out mastoid cavity
|
$184.44 |
$542.07 |
$2,588.80 |
|
|
Clearance of airways
|
$70.00 |
$121.55 |
$425.59 |
|
|
Clearance of airways
|
$337.50 |
$337.50 |
$337.50 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$10.70 |
$30.43 |
$426.60 |
|
|
Clip ligating vesolock lg
|
$296.72 |
$565.00 |
$9,657.20 |
|
|
Cllr miami j sm
|
$70.00 |
$70.00 |
$1,040.00 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$6.69 |
$27.59 |
$204.60 |
|
|
Close bronchial fistula 32815
|
$9,928.00 |
$9,928.00 |
$9,928.00 |
|
|
Close chest after drainage
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$352.55 |
$590.70 |
$2,424.80 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,099.45 |
$1,848.66 |
$3,319.20 |
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$6,616.00 |
$6,616.00 |
$6,616.00 |
|
|
Closed tx/acetabululm without manip 27220
|
$4,904.80 |
$4,904.80 |
$4,904.80 |
|
|
Closed tx humerus fx with manip 23605
|
$149.05 |
$3,024.99 |
$8,206.40 |
|
|
Closed tx humerus fx without manip 23600
|
$473.67 |
$473.67 |
$2,451.20 |
|
|
Closed tx humerus fx w/manip 24505
|
$803.55 |
$1,848.66 |
$4,216.80 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$99.64 |
$526.35 |
$758.45 |
|
|
Closed tx nose/jaw fx
|
$4,389.60 |
$4,389.60 |
$4,389.60 |
|
|
Closed tx orbit without manipulj
|
$1,964.81 |
$1,964.81 |
$1,964.81 |
|
|
Closed tx orbit w/manipulj
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$880.65 |
$1,848.66 |
$5,204.05 |
|
|
Closed tx septal&nose fx
|
$4,821.96 |
$4,821.96 |
$6,589.52 |
|
|
Closed tx sesamoid fx 28530
|
$340.29 |
$340.29 |
$873.60 |
|
|
Closed tx/talus fracture without manip 28430
|
$381.70 |
$523.05 |
$1,635.20 |
|
|
Closed tx vert fx w/manj
|
$3,741.65 |
$3,741.65 |
$4,720.00 |
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$481.80 |
$583.44 |
$788.80 |
|
|
Close median sternotomy separation 21750
|
$3,810.40 |
$3,810.40 |
$3,810.40 |
|
|
Clostridium toxin a w/optic
|
$40.81 |
$40.81 |
$40.81 |
|
|
Clos txnose fx without stablz 21315
|
$213.40 |
$2,895.42 |
$6,227.12 |
|
|
Closure enterostomy lg/sm intestine 44620
|
$3,472.00 |
$3,472.00 |
$3,472.00 |
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$3,246.15 |
$3,246.15 |
$6,925.60 |
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,997.28 |
$1,997.28 |
$4,544.00 |
|
|
Closure intestinal cutaneous fistula 44640
|
$203.28 |
$203.28 |
$4,020.00 |
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,121.34 |
$1,121.34 |
$2,415.60 |
|
|
Closure of eyelid by suture
|
$157.41 |
$157.41 |
$3,650.16 |
|
|
Closure of salivary fistula
|
$1,936.62 |
$1,936.62 |
$1,988.80 |
|
|
Closure paravalvlr leak pq
|
$516.45 |
$1,136.52 |
$23,443.20 |
|
|
Clot factor viii reltd antgn
|
$71.02 |
$71.02 |
$71.02 |
|
|
Clot factor xii hageman
|
$46.74 |
$144.16 |
$170.00 |
|
|
Clot factor xiii fibrin scrn
|
$15.95 |
$49.50 |
$75.35 |
|
|
Clot factor xiii fibrin stab
|
$25.97 |
$105.00 |
$258.50 |
|
|
Clotting assay whole blood
|
$44.52 |
$172.50 |
$172.50 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$270.05 |
$819.72 |
$2,300.33 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$959.31 |
$959.31 |
$2,112.80 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$448.80 |
$510.18 |
$1,316.80 |
|
|
Clsd tx clav dislc without manip 23520
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$1,748.00 |
$1,748.00 |
$1,748.00 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,912.80 |
$2,912.80 |
$2,912.80 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$149.05 |
$471.70 |
$1,279.20 |
|
|
Clsd tx coccygeal fracture 27200
|
$311.30 |
$426.25 |
$1,004.85 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$189.75 |
$473.67 |
$898.40 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$149.05 |
$503.58 |
$3,284.00 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$2,112.80 |
$2,112.80 |
$2,112.80 |
|
|
Clsd tx elbow dislocation child 24640
|
$84.27 |
$486.75 |
$1,849.58 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,360.70 |
$3,110.80 |
$4,880.00 |
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$417.24 |
$417.24 |
$417.24 |
|
|
Clsd tx fracture of radius 25500
|
$441.18 |
$492.25 |
$1,715.20 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$114.95 |
$387.03 |
$738.40 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$159.50 |
$526.35 |
$1,167.82 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$99.55 |
$551.10 |
$1,981.60 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$189.75 |
$1,607.10 |
$8,711.83 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$613.80 |
$613.80 |
$1,875.20 |
|
