|
Bronchoscopy w/fb removal 31635
|
$3,116.88 |
$3,116.88 |
$3,116.88 |
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$50.70 |
$50.70 |
$50.70 |
|
|
Buprenorphine and metabolite - sendout
|
$85.02 |
$85.02 |
$85.02 |
|
|
Burr hole implant ventricular cath/other device
|
$6,340.62 |
$6,340.62 |
$6,340.62 |
|
|
Burr hole skull & remove clot 61154
|
$6,340.62 |
$6,340.62 |
$6,340.62 |
|
|
Bx of breast open 19101
|
$688.74 |
$688.74 |
$688.74 |
|
|
Bx perianal mass
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
|
|
Bx skin incisnl ea sep/add l les
|
$583.44 |
$583.44 |
$583.44 |
|
|
Bx skin punch ea sep/ addl les
|
$370.50 |
$370.50 |
$370.50 |
|
|
Bx skin tangential ea sep/ addl les
|
$186.42 |
$186.42 |
$186.42 |
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,493.70 |
$1,493.70 |
$1,493.70 |
|
|
C1 esterase inhibitor func - sendout
|
$42.12 |
$42.12 |
$42.12 |
|
|
Calcium 24 hour urine
|
$12.48 |
$12.48 |
$12.48 |
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$50.70 |
$50.70 |
$50.70 |
|
|
Calcium ionized
|
$166.92 |
$166.92 |
$166.92 |
|
|
Calcium total
|
$61.62 |
$61.62 |
$61.62 |
|
|
Calprotectin fecal
|
$319.02 |
$319.02 |
$319.02 |
|
|
Candida dna
|
$28.08 |
$28.08 |
$28.08 |
|
|
Canthotomy 67715
|
$3,332.16 |
$3,332.16 |
$3,332.16 |
|
|
Carbamazepine total therapeutic drug level
|
$170.82 |
$170.82 |
$170.82 |
|
|
Carbohydrate deficient transf - sendout
|
$159.12 |
$159.12 |
$159.12 |
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$671.11 |
$671.11 |
$671.11 |
|
|
Carboxyhemoglobin quantitative
|
$260.52 |
$260.52 |
$260.52 |
|
|
Carcinoembryonic ag (cea)
|
$253.50 |
$253.50 |
$253.50 |
|
|
Cardiolipin antibody iga
|
$132.60 |
$132.60 |
$132.60 |
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,308.02 |
$2,308.02 |
$2,308.02 |
|
|
Carotene
|
$42.12 |
$42.12 |
$42.12 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,018.68 |
$1,018.68 |
$1,018.68 |
|
|
Carpal Tunnel Release Surgery
|
$3,505.32 |
$3,505.32 |
$3,505.32 |
|
|
Catheter insert artery
|
$3,336.84 |
$3,336.84 |
$3,336.84 |
|
|
Cathj umbilical vein dx/ther nb
|
$11,525.28 |
$11,525.28 |
$11,525.28 |
|
|
Cath place 1st order venous 36011
|
$1,297.14 |
$1,297.14 |
$1,297.14 |
|
|
Cauterization chemical granulation tissue
|
$351.78 |
$351.78 |
$351.78 |
|
|
Cauterization of cervix 57510
|
$5,513.82 |
$5,513.82 |
$5,513.82 |
|
|
Cdna analysis for variants
|
$351.00 |
$351.00 |
$351.00 |
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$50.70 |
$50.70 |
$50.70 |
|
|
Cefepime 1 gram solution for injection
|
$50.70 |
$50.70 |
$50.70 |
|
|
Ceftriaxone 1 gram solution for injection
|
$50.70 |
$50.70 |
$50.70 |
|
|
#celiac hla-dq2
|
$85.80 |
$85.80 |
$85.80 |
|
|
Cell count body fluid
|
$102.18 |
$102.18 |
$102.18 |
|
|
Cell count w differential body fluid
|
$67.86 |
$67.86 |
$67.86 |
|
|
Cell function assay w/stim
|
$131.04 |
$131.04 |
$131.04 |
|
|
#cf-97variants
|
$478.92 |
$478.92 |
$478.92 |
|
|
Change cystostomy tube; complex 51710
|
$1,219.14 |
$1,219.14 |
$1,219.14 |
|
|
Change cystostomy tube simple
|
$1,079.52 |
$1,079.52 |
$1,079.52 |
|
|
Change of windpipe airway 31502
|
$624.78 |
$624.78 |
$624.78 |
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$211.38 |
$211.38 |
$211.38 |
|
|
Chemodenerv 1 extremity 1-4 64642
|
$328.38 |
$328.38 |
$328.38 |
|
|
Chemotherapy injection 96542
|
$534.30 |
$534.30 |
$534.30 |
|
|
Chemotx admn pertl cav impl
|
$1,609.14 |
$1,609.14 |
$1,609.14 |
|
|
Chest apical lordotic proj
|
$171.60 |
$171.60 |
$171.60 |
|
|
Chest CT scan (with and without contrast)
|
$4,165.98 |
$4,165.98 |
$4,165.98 |
|
|
Chest CT scan (with contrast)
|
$3,786.90 |
$3,786.90 |
$3,786.90 |
|
|
Chest CT scan (without contrast)
|
$3,442.14 |
$3,442.14 |
$3,442.14 |
|
|
Chest X-ray
|
$428.22 |
$428.22 |
$428.22 |
|
|
Chest X-ray (single view)
|
$368.94 |
$368.94 |
$368.94 |
|
|
Chloride 24 hour urine
|
$11.70 |
$11.70 |
$11.70 |
|
|
Cholesterol
|
$55.38 |
$55.38 |
$55.38 |
|
|
Cholesterol body fluid
|
$56.94 |
$56.94 |
$56.94 |
|
|
Cholesterol (Lipid) Test
|
$86.58 |
$86.58 |
$86.58 |
|
|
Cholinesterase
|
$26.52 |
$26.52 |
$26.52 |
|
|
Chromatography
|
$36.66 |
$36.66 |
$36.66 |
|
|
Chromogenic substrate assay
|
$171.60 |
$171.60 |
$171.60 |
|
|
Clearance of airways
|
$373.62 |
$373.62 |
$373.62 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$107.64 |
$107.64 |
$107.64 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,618.50 |
$1,618.50 |
$1,618.50 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,943.76 |
$1,943.76 |
$1,943.76 |
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,364.22 |
$1,364.22 |
$1,364.22 |
|
|
Closed tx/acetabululm without manip 27220
|
$464.88 |
$464.88 |
$464.88 |
|
|
Closed tx humerus fx with manip 23605
|
$6,421.74 |
$6,421.74 |
$6,421.74 |
|
|
Closed tx humerus fx without manip 23600
|
$1,587.30 |
$1,587.30 |
$1,587.30 |
|
|
Closed tx humerus fx w/manip 24505
|
$2,712.06 |
$2,712.06 |
$2,712.06 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$1,078.74 |
$1,078.74 |
$1,078.74 |
|
|
Closed tx orbit without manipulj
|
$890.76 |
$890.76 |
$890.76 |
|
|
Closed tx orbit w/manipulj
|
$2,706.60 |
$2,706.60 |
$2,706.60 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,702.66 |
$3,702.66 |
$3,702.66 |
|
|
Closed tx septal&nose fx
|
$5,548.14 |
$5,548.14 |
$5,548.14 |
|
|
Closed tx sesamoid fx 28530
|
$404.04 |
$404.04 |
$404.04 |
|
|
Closed tx/talus fracture without manip 28430
|
$840.06 |
$840.06 |
$840.06 |
|
|
Closed tx vert fx w/manj
|
$6,675.24 |
$6,675.24 |
$6,675.24 |
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$1,754.22 |
$1,754.22 |
$1,754.22 |
|
|
Clos txnose fx without stablz 21315
|
$6,179.16 |
$6,179.16 |
$6,179.16 |
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$3,219.06 |
$3,219.06 |
$3,219.06 |
|
|
Closure of eyelid by suture
|
$1,701.96 |
$1,701.96 |
$1,701.96 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,388.40 |
$1,388.40 |
$1,388.40 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$1,078.74 |
$1,078.74 |
$1,078.74 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$3,137.16 |
$3,137.16 |
$3,137.16 |
|
|
Clsd tx clav dislc without manip 23520
|
$5,633.16 |
$5,633.16 |
$5,633.16 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$1,078.74 |
$1,078.74 |
$1,078.74 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,531.06 |
$3,531.06 |
$3,531.06 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$1,042.86 |
$1,042.86 |
$1,042.86 |
|
|
Clsd tx coccygeal fracture 27200
|
$893.10 |
$893.10 |
$893.10 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$840.06 |
$840.06 |
$840.06 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$2,519.40 |
$2,519.40 |
$2,519.40 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$1,619.28 |
$1,619.28 |
$1,619.28 |
|
|
Clsd tx elbow dislocation child 24640
|
$1,078.74 |
$1,078.74 |
$1,078.74 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$8,101.08 |
$8,101.08 |
$8,101.08 |
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$2,797.08 |
$2,797.08 |
$2,797.08 |
|
|
Clsd tx fracture of radius 25500
|
$840.06 |
$840.06 |
$840.06 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$840.06 |
$840.06 |
$840.06 |
|
