|
Cholesterol (Lipid) Test
|
$22.68 |
$62.73 |
$67.83 |
|
|
Cholinesterase
|
$25.62 |
$25.62 |
$37.52 |
|
|
Chrom analysis
|
$140.70 |
$140.70 |
$140.70 |
|
|
Chromatography
|
$23.10 |
$33.83 |
$36.58 |
|
|
Chromogenic substrate assay
|
$42.59 |
$42.59 |
$42.59 |
|
|
Chromo high res and frag x - sendout
|
$72.24 |
$103.72 |
$184.73 |
|
|
Chromosome analys amniotic
|
$218.82 |
$218.82 |
$218.82 |
|
|
Chromosome analysis 100
|
$218.40 |
$218.40 |
$218.40 |
|
|
Chromosome analysis 15-20 cell count
|
$223.44 |
$338.88 |
$389.42 |
|
|
Chromosome analysis 45
|
$189.42 |
$189.42 |
$189.42 |
|
|
Chromosome analysis 5
|
$333.48 |
$333.48 |
$505.78 |
|
|
Chromosome count additional
|
$34.02 |
$34.02 |
$59.29 |
|
|
Chromosome karyotype study
|
$42.42 |
$42.42 |
$42.42 |
|
|
Chromosome study additional
|
$43.68 |
$43.68 |
$43.68 |
|
|
Chronic urticaria - sendout
|
$26.88 |
$44.54 |
$75.71 |
|
|
Chylomicron screen, bf - sendout
|
$77.70 |
$113.77 |
$123.03 |
|
|
Circumcision (newborn)
|
$206.64 |
$386.10 |
$459.29 |
|
|
Cisplatin 1 mg/ml desensitization
|
$4.19 |
$4.19 |
$4.19 |
|
|
C-kit mutation liquid tumor - sendout
|
$415.38 |
$415.38 |
$1,062.19 |
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$10,171.14 |
$10,171.14 |
$16,190.16 |
|
|
Clip ligating vesolock lg
|
$1,395.58 |
$9,199.68 |
$21,794.48 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$578.88 |
$646.92 |
$662.04 |
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,402.26 |
$1,402.26 |
$1,402.26 |
|
|
Closed tx humerus fx with manip 23605
|
$795.47 |
$795.47 |
$795.47 |
|
|
Closed tx humerus fx without manip 23600
|
$578.63 |
$578.63 |
$578.63 |
|
|
Closed tx humerus fx w/manip 24505
|
$750.94 |
$839.20 |
$858.81 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$138.37 |
$138.37 |
$138.37 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,115.05 |
$1,115.05 |
$1,115.05 |
|
|
Closed tx septal&nose fx
|
$364.19 |
$364.19 |
$372.70 |
|
|
Clos txnose fx without stablz 21315
|
$186.89 |
$186.89 |
$186.89 |
|
|
Closure paravalvlr leak pq
|
$1,784.58 |
$1,784.58 |
$1,784.58 |
|
|
Clot factor xii hageman
|
$31.92 |
$48.34 |
$52.21 |
|
|
Clot factor xiii fibrin scrn
|
$11.76 |
$17.81 |
$19.24 |
|
|
Clot factor xiii fibrin stab
|
$41.16 |
$62.33 |
$67.33 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$485.62 |
$542.69 |
$555.38 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$564.26 |
$564.26 |
$564.26 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$383.96 |
$383.96 |
$383.96 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$557.98 |
$623.56 |
$638.13 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$418.70 |
$418.70 |
$428.49 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$231.81 |
$231.81 |
$231.81 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$644.27 |
$720.00 |
$736.83 |
|
|
Clsd tx elbow dislocation child 24640
|
$131.32 |
$146.76 |
$150.18 |
|
|
Clsd tx fracture of radius 25500
|
$470.21 |
$470.21 |
$470.21 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$230.61 |
$230.61 |
$230.61 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$158.12 |
$176.70 |
$180.84 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$587.62 |
$587.62 |
$587.62 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$854.92 |
$955.40 |
$977.74 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$424.51 |
$424.51 |
$474.41 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$776.66 |
$867.95 |
$888.24 |
|
|
Clsd tx hip disloc without anes 27265
|
$676.97 |
$756.54 |
$774.22 |
|
|
Clsd tx humeral fract without manip 24530
|
$646.32 |
$646.32 |
$646.32 |
|
|
Clsd tx humerus fract without manip 24500
|
$613.98 |
$613.98 |
$613.98 |
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$385.38 |
$430.68 |
$440.75 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$348.62 |
$348.62 |
$348.62 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$326.96 |
$365.39 |
$373.93 |
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$252.46 |
$252.46 |
$282.13 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$253.38 |
$253.38 |
$253.38 |
|
|
Clsd tx of ankle fracture w/manip 28435
|
$603.79 |
$603.79 |
$617.90 |
|
|
Clsd tx patella disloc without anes 27560
|
$573.52 |
$640.93 |
$655.91 |
|
|
Clsd tx/patellar fx without manip 27520
|
$554.07 |
$554.07 |
$567.02 |
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$230.02 |
$230.02 |
$230.02 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$451.65 |
$451.65 |
$451.65 |
|
|
Clsd tx radius fracture w/manip 24655
|
$666.25 |
$744.56 |
$761.96 |
|
|
Clsd tx/scapular fx without manip 23570
|
$446.85 |
$446.85 |
$446.85 |
|
|
Clsd tx shoulder dislc/fx 23665
|
$740.36 |
$740.36 |
$740.36 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$675.90 |
$755.34 |
$772.99 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$53.60 |
$59.90 |
$61.30 |
|
|
Clsd tx toe dislocation without anes28660
|
$113.81 |
$113.81 |
$116.47 |
|
|
Clsd tx trimall ankle fx without manip 27816
|
$542.69 |
$542.69 |
$555.38 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$727.89 |
$813.44 |
$832.45 |
|
|
Clsd tx wrist carpal fx without manip 25630
|
$351.61 |
$351.61 |
$351.61 |
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$523.53 |
$523.53 |
$523.53 |
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$564.26 |
$564.26 |
$564.26 |
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$494.77 |
$494.77 |
$494.77 |
|
|
Cltx humrl cndylr fx w/mnpj
|
$943.42 |
$943.42 |
$943.42 |
|
|
Cltx mndblr/max alv ridge fx
|
$624.76 |
$624.76 |
$639.36 |
|
|
Cltx scap fx w/mnpj +-tractj
|
$703.23 |
$703.23 |
$719.66 |
|
|
#cms hgb-sulfhemoglobin
|
$72.24 |
$72.24 |
$72.24 |
|
|
#cmvcul-virus inoculation shell
|
$44.52 |
$66.67 |
$75.05 |
|
|
Cmv pcr-sendout
|
$44.52 |
$66.67 |
$75.05 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$0.56 |
$0.56 |
$0.56 |
|
|
Coagulation time activated teg
|
$23.10 |
$23.10 |
$23.10 |
|
|
Coil axium 3d 14mmx40cm qc
|
$249.48 |
$249.48 |
$434.81 |
|
|
Cold agglutinin screen (arc)
|
$10.50 |
$18.90 |
$29.58 |
|
|
Cold agglutinin titer
|
$24.36 |
$40.37 |
$68.61 |
|
|
Collagen imp urinary 2.5 ml
|
$8,463.84 |
$8,463.84 |
$20,051.24 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$78.96 |
$249.22 |
$271.16 |
|
|
Collection blood specimen from completely implantable venous access device
|
$87.78 |
$170.80 |
$199.78 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$78.54 |
$120.96 |
$141.48 |
|
|
Compatibility test each unit antiglobulin technique
|
$143.64 |
$224.63 |
$264.19 |
|
|
Compatibility test each unit electronic
|
$143.64 |
$224.63 |
$264.19 |
|
|
Compatibility test each unit immediate spin technique
|
$143.64 |
$224.63 |
$264.19 |
|
|
Compatibility test incubate
|
$143.64 |
$143.64 |
$143.64 |
|
|
Complement antigen each component c3
|
$122.64 |
$203.23 |
$345.44 |
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$258.89 |
$289.32 |
$296.08 |
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$276.58 |
$276.58 |
$309.08 |
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$313.02 |
$349.82 |
$357.99 |
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$377.34 |
$421.70 |
$431.55 |
|
|
Complx repair enel addl 5cm/< 13153
|
$174.31 |
$174.31 |
$174.31 |
|
|
Complx repair fccmnaxghf 13131
|
$272.82 |
$304.89 |
$312.02 |
|
