|
Cell count w differential body fluid
|
$10.35 |
$10.35 |
$10.35 |
$92.56
|
|
Cell function assay w/stim
|
$216.24 |
$216.24 |
$216.24 |
$325.76
|
|
Cell marker study
|
$405.10 |
$405.10 |
$405.10 |
$239.85
|
|
Cesarean section delivery only 59514
|
$1,620.38 |
$1,620.38 |
$1,620.38 |
$2,194.65
|
|
#cf-97variants
|
$1,935.53 |
$1,935.53 |
$1,935.53 |
$639.44
|
|
Change cystostomy tube simple
|
$200.99 |
$200.99 |
$200.99 |
$477.60
|
|
Chest 2 vws w oblique
|
$402.07 |
$402.07 |
$402.07 |
$375.60
|
|
Chest apical lordotic proj
|
$316.73 |
$316.73 |
$316.73 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,196.73 |
$2,196.73 |
$2,196.73 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,830.80 |
$1,830.80 |
$1,830.80 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,464.29 |
$1,464.29 |
$1,464.29 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$73.59 |
$73.59 |
$73.59 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$94.81 |
$94.81 |
$94.81 |
$134.50
|
|
Chest Ultrasound
|
$426.32 |
$426.32 |
$426.32 |
$463.88
|
|
Chest X-ray
|
$301.70 |
$301.70 |
$301.70 |
$294.06
|
|
Chest X-ray (single view)
|
$260.23 |
$260.23 |
$260.23 |
$236.60
|
|
Chimerism anal no cell selec
|
$722.06 |
$722.06 |
$722.06 |
$393.74
|
|
Chimerism anal w/cell select
|
$907.50 |
$907.50 |
$907.50 |
$649.00
|
|
Chlamydia culture
|
$39.76 |
$39.76 |
$39.76 |
$91.00
|
|
Chlamydia type
|
$31.92 |
$31.92 |
$31.92 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$293.02 |
$293.02 |
$293.02 |
$281.18
|
|
Chloride
|
$20.76 |
$20.76 |
$20.76 |
$42.63
|
|
Chloride 24 hour urine
|
$10.10 |
$10.10 |
$10.10 |
$50.88
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$394.77 |
$394.77 |
$394.77 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$1,998.47 |
$1,998.47 |
$1,998.47 |
$1,963.37
|
|
Cholesterol
|
$31.42 |
$31.42 |
$31.42 |
$45.76
|
|
Cholesterol body fluid
|
$38.15 |
$38.15 |
$38.15 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$57.22 |
$57.22 |
$57.22 |
$115.80
|
|
Cholinesterase
|
$33.66 |
$33.66 |
$33.66 |
$39.48
|
|
Chrom analysis
|
$70.89 |
$70.89 |
$70.89 |
$156.00
|
|
Chromatography
|
$30.86 |
$30.86 |
$30.86 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$199.35 |
$199.35 |
$199.35 |
$250.00
|
|
Chromosome analys amniotic
|
$351.76 |
$351.76 |
$351.76 |
$450.00
|
|
Chromosome analysis 100
|
$351.08 |
$351.08 |
$351.08 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$359.19 |
$359.19 |
$359.19 |
$517.11
|
|
Chromosome analysis 5
|
$536.08 |
$536.08 |
$536.08 |
$644.80
|
|
Chromosome analys placenta
|
$382.14 |
$382.14 |
$382.14 |
$572.99
|
|
Chromosome count additional
|
$54.69 |
$54.69 |
$54.69 |
$96.50
|
|
Chromosome karyotype study
|
$68.19 |
$68.19 |
$68.19 |
$120.00
|
|
Chromosome study additional
|
$70.22 |
$70.22 |
$70.22 |
$151.09
|
|
Chronic urticaria - sendout
|
$33.92 |
$33.92 |
$33.92 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$103.79 |
$103.79 |
$103.79 |
$136.09
|
|
Cine/video x-rays add-on
|
$92.09 |
$92.09 |
$92.09 |
$293.05
|
|
Circum 28 days or older
|
$241.62 |
$241.62 |
$241.62 |
$4,074.80
|
|
Circumcision (newborn)
|
$322.05 |
$322.05 |
$322.05 |
$1,364.88
|
|
C-kit mutation liquid tumor - sendout
|
$1,146.25 |
$1,146.25 |
$1,146.25 |
$666.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,059.31 |
$6,059.31 |
$6,059.31 |
$15,560.16
|
|
Clip ligating vesolock lg
|
$12,047.20 |
$12,047.20 |
$12,047.20 |
$4,320.00
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$2,835.00
|
|
Clot factor fletcher fact
|
$90.97 |
$90.97 |
$90.97 |
$119.50
|
|
Clot factor viii reltd antgn
|
$33.98 |
$33.98 |
$33.98 |
$140.42
|
|
Clot factor xii hageman
|
$41.65 |
$41.65 |
$41.65 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$15.34 |
$15.34 |
$15.34 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$53.70 |
$53.70 |
$53.70 |
$106.40
|
|
#cmvcul-virus inoculation shell
|
$35.84 |
$35.84 |
$35.84 |
$89.76
|
|
Cmv pcr-sendout
|
$59.36 |
$59.36 |
$59.36 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$3.76 |
$3.76 |
$3.76 |
$11,888.50
|
|
Coil axium 3d 14mmx40cm qc
|
$388.48 |
$388.48 |
$388.48 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$13.25 |
$13.25 |
$13.25 |
$48.10
|
|
Cold agglutinin titer
|
$13.25 |
$13.25 |
$13.25 |
$52.00
|
|
Colectomy partial w/anastomosis 44140
|
$2,380.61 |
$2,380.61 |
$2,380.61 |
$2,510.73
|
|
Colectomy prtl abdominal + transanal appr 44147
|
$3,435.89 |
$3,435.89 |
$3,435.89 |
$3,652.20
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$3,231.32 |
$3,231.32 |
$3,231.32 |
$3,270.00
|
|
Collagen imp urinary 2.5 ml
|
$11,083.60 |
$11,083.60 |
$11,083.60 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$298.17 |
$298.17 |
$298.17 |
$303.73
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$144.16 |
$144.16 |
$144.16 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$227.49 |
$227.49 |
$227.49 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$280.72 |
$280.72 |
$280.72 |
$2,288.00
|
|
Colonoscopy submucous njx
|
$246.33 |
$246.33 |
$246.33 |
$2,080.00
|
|
Colonoscopy w/ablation
|
$333.00 |
$333.00 |
$333.00 |
$3,029.00
|
|
Colonoscopy (with biopsy)
|
$246.33 |
$246.33 |
$246.33 |
$2,214.00
|
|
Colonoscopy (with polyp removal)
|
$312.74 |
$312.74 |
$312.74 |
$2,288.00
|
|
Colpopexy intraperitoneal
|
$215.25 |
$215.25 |
$215.25 |
$7,212.40
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$143.17 |
$143.17 |
$143.17 |
$314.00
|
|
Compatibility test each unit antiglobulin technique
|
$222.28 |
$222.28 |
$222.28 |
$173.50
|
|
Compatibility test each unit electronic
|
$222.28 |
$222.28 |
$222.28 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$222.28 |
$222.28 |
$222.28 |
$169.52
|
|
Complement antigen each component c3
|
$154.76 |
$154.76 |
$154.76 |
$110.00
|
|
Complement fixation each
|
$16.43 |
$16.43 |
$16.43 |
$29.12
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$284.01 |
$284.01 |
$284.01 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$303.79 |
$303.79 |
$303.79 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$343.83 |
$343.83 |
$343.83 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$414.01 |
$414.01 |
$414.01 |
$1,212.00
|
|
Complx repair fccmnaxghf 13131
|
$299.56 |
$299.56 |
$299.56 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$374.44 |
$374.44 |
$374.44 |
$1,107.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$103.15 |
$103.15 |
$103.15 |
$508.44
|
|
Complx repair trunk addl 5cm/< 13102
|
$89.49 |
$89.49 |
$89.49 |
$537.00
|
|
Concentration infection agents any type
|
$71.68 |
$71.68 |
$71.68 |
$51.32
|
|
Conization/cerv/loop electrode exc 57522
|
$943.66 |
$943.66 |
$943.66 |
$4,840.07
|
|
Consultation pathology during surgery
|
$75.56 |
$75.56 |
$75.56 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,155.87 |
$1,155.87 |
$1,155.87 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$42.24 |
$42.24 |
$42.24 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$217.17 |
$217.17 |
$217.17 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$67.83 |
$67.83 |
$67.83 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$49.98 |
$49.98 |
$49.98 |
$176.28
|
|
Consult comp w/report rfrd material
|
$217.17 |
$217.17 |
$217.17 |
$374.40
|
|
Contrast baths charges
|
$32.66 |
$32.66 |
$32.66 |
$75.60
|
|
Contrast x-ray gallbladder
|
$280.14 |
$280.14 |
$280.14 |
$341.00
|
|
Contrast x-ray of hip
|
$216.06 |
$216.06 |
$216.06 |
$796.38
|
|
Contrast x-ray of knee joint
|
$180.74 |
$180.74 |
$180.74 |
$790.50
|
