|
Change nephroureteral cath
|
$1,003.12 |
$1,003.12 |
$1,003.12 |
$3,083.97
|
|
Change of ureter tube/stent
|
$553.15 |
$553.15 |
$553.15 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$104.91 |
$104.91 |
$104.91 |
$401.50
|
|
Change ureter stent percut
|
$2,194.96 |
$2,194.96 |
$2,194.96 |
$3,886.89
|
|
Chemo adm cns w/lmbr punct
|
$129.60 |
$129.60 |
$129.60 |
$720.20
|
|
Chemodenerv musc neck dyston 64616
|
$310.96 |
$310.96 |
$310.96 |
$719.20
|
|
Chemo ia push tecnique
|
$82.17 |
$82.17 |
$82.17 |
$499.50
|
|
Chemo intralesional over 7
|
$90.86 |
$90.86 |
$90.86 |
$346.29
|
|
Chemo intralesional up to 7 96405
|
$58.28 |
$58.28 |
$58.28 |
$163.80
|
|
Chest 2 vws w oblique
|
$94.36 |
$94.36 |
$94.36 |
$375.60
|
|
Chest apical lordotic proj
|
$77.96 |
$77.96 |
$77.96 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$559.84 |
$559.84 |
$559.84 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$466.51 |
$466.51 |
$466.51 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$373.17 |
$373.17 |
$373.17 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$58.71 |
$58.71 |
$58.71 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$61.80 |
$61.80 |
$61.80 |
$134.50
|
|
Chest Ultrasound
|
$65.27 |
$65.27 |
$65.27 |
$463.88
|
|
Chest X-ray
|
$69.86 |
$69.86 |
$69.86 |
$294.06
|
|
Chest X-ray (single view)
|
$57.94 |
$57.94 |
$57.94 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$72.12 |
$72.12 |
$72.12 |
$150.40
|
|
Chimerism anal no cell selec
|
$227.00 |
$227.00 |
$227.00 |
$393.74
|
|
Chimerism anal w/cell select
|
$285.34 |
$285.34 |
$285.34 |
$649.00
|
|
Chlamydia culture
|
$12.92 |
$12.92 |
$12.92 |
$91.00
|
|
Chlamydia type
|
$10.37 |
$10.37 |
$10.37 |
$34.98
|
|
Chloride
|
$12.08 |
$12.08 |
$12.08 |
$42.63
|
|
Chloride 24 hour urine
|
$2.72 |
$2.72 |
$2.72 |
$50.88
|
|
Cholangiogram percutaneous compl
|
$840.41 |
$840.41 |
$840.41 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$163.48 |
$163.48 |
$163.48 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,453.38 |
$1,453.38 |
$1,453.38 |
$3,856.84
|
|
Cholesterol
|
$8.46 |
$8.46 |
$8.46 |
$45.76
|
|
Cholesterol body fluid
|
$24.61 |
$24.61 |
$24.61 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$46.66 |
$46.66 |
$46.66 |
$115.80
|
|
Cholinesterase
|
$9.06 |
$9.06 |
$9.06 |
$39.48
|
|
Chrom analysis
|
$36.29 |
$36.29 |
$36.29 |
$156.00
|
|
Chromatography
|
$8.30 |
$8.30 |
$8.30 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$62.43 |
$62.43 |
$62.43 |
$250.00
|
|
Chromosome analys amniotic
|
$180.79 |
$180.79 |
$180.79 |
$450.00
|
|
Chromosome analysis 100
|
$180.36 |
$180.36 |
$180.36 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$130.68 |
$130.68 |
$130.68 |
$517.11
|
|
Chromosome analysis 5
|
$171.50 |
$171.50 |
$171.50 |
$644.80
|
|
Chromosome analys placenta
|
$122.26 |
$122.26 |
$122.26 |
$572.99
|
|
Chromosome count additional
|
$28.08 |
$28.08 |
$28.08 |
$96.50
|
|
Chromosome karyotype study
|
$34.99 |
$34.99 |
$34.99 |
$120.00
|
|
Chromosome study additional
|
$35.86 |
$35.86 |
$35.86 |
$151.09
|
|
Chronic urticaria - sendout
|
$11.71 |
$11.71 |
$11.71 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$27.93 |
$27.93 |
$27.93 |
$136.09
|
|
C-kit mutation liquid tumor - sendout
|
$360.48 |
$360.48 |
$360.48 |
$666.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,013.49 |
$6,013.49 |
$6,013.49 |
$15,560.16
|
|
Clip ligating vesolock lg
|
$5,388.38 |
$5,388.38 |
$5,388.38 |
$4,320.00
|
|
Clot factor fletcher fact
|
$30.71 |
$30.71 |
$30.71 |
$119.50
|
|
Clot factor viii reltd antgn
|
$11.47 |
$11.47 |
$11.47 |
$140.42
|
|
Clot factor wght kininogen
|
$42.37 |
$42.37 |
$42.37 |
$157.50
|
|
Clot factor xii hageman
|
$14.06 |
$14.06 |
$14.06 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$5.18 |
$5.18 |
$5.18 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$18.13 |
$18.13 |
$18.13 |
$106.40
|
|
#cmvcul-virus inoculation shell
|
$19.29 |
$19.29 |
$19.29 |
$89.76
|
|
Cmv pcr-sendout
|
$19.29 |
$19.29 |
$19.29 |
$175.70
|
|
Coagulation time activated teg
|
$10.18 |
$10.18 |
$10.18 |
$52.47
|
|
Coil axium 3d 14mmx40cm qc
|
$92.66 |
$92.66 |
$92.66 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$4.58 |
$4.58 |
$4.58 |
$48.10
|
|
Cold agglutinin titer
|
$4.58 |
$4.58 |
$4.58 |
$52.00
|
|
Collagen imp urinary 2.5 ml
|
$4,957.39 |
$4,957.39 |
$4,957.39 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$78.08 |
$78.08 |
$78.08 |
$303.73
|
|
Compatibility test each unit antiglobulin technique
|
$58.76 |
$58.76 |
$58.76 |
$173.50
|
|
Compatibility test each unit electronic
|
$58.76 |
$58.76 |
$58.76 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$58.76 |
$58.76 |
$58.76 |
$169.52
|
|
Complement antigen each component c3
|
$53.44 |
$53.44 |
$53.44 |
$110.00
|
|
Complement fixation each
|
$5.67 |
$5.67 |
$5.67 |
$29.12
|
|
Concentration infection agents any type
|
$23.30 |
$23.30 |
$23.30 |
$51.32
|
|
Connector tis 2x10mm
|
$2,848.68 |
$2,848.68 |
$2,848.68 |
$4,024.34
|
|
Consultation pathology during surgery
|
$45.55 |
$45.55 |
$45.55 |
$100.89
|
|
Consultation pathology during surgery frozen section each additional block
|
$23.65 |
$23.65 |
$23.65 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$79.94 |
$79.94 |
$79.94 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$70.96 |
$70.96 |
$70.96 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$107.09 |
$107.09 |
$107.09 |
$176.28
|
|
Consult comp w/report rfrd material
|
$168.41 |
$168.41 |
$168.41 |
$374.40
|
|
Contrast baths charges
|
$18.40 |
$18.40 |
$18.40 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$1,358.75 |
$1,358.75 |
$1,358.75 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$1,404.56 |
$1,404.56 |
$1,404.56 |
$3,745.00
|
|
Contrast x-ray of ankle
|
$265.52 |
$265.52 |
$265.52 |
$684.00
|
|
Contrast x-ray of elbow
|
$265.52 |
$265.52 |
$265.52 |
$708.00
|
|
Contrast x-ray of hip
|
$299.04 |
$299.04 |
$299.04 |
$796.38
|
|
Contrast x-ray of knee joint
|
$265.52 |
$265.52 |
$265.52 |
$790.50
|
|
Contrast x-ray of wrist
|
$262.86 |
$262.86 |
$262.86 |
$667.50
|
|
Controller infinity pt dbs
|
$3,418.17 |
$3,418.17 |
$3,418.17 |
$4,836.44
|
|
Conversion ext bil drg cath
|
$1,540.66 |
$1,540.66 |
$1,540.66 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$1,785.73 |
$1,785.73 |
$1,785.73 |
$2,777.60
|
|
Coombs direct
|
$23.24 |
$23.24 |
$23.24 |
$76.80
|
|
Coombs indirect titer reference
|
$66.80 |
$66.80 |
$66.80 |
$156.71
|
|
Core ndl bx lng/med perq
|
$2,523.40 |
$2,523.40 |
$2,523.40 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$3,876.57 |
$3,876.57 |
$3,876.57 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$4,920.48 |
$4,920.48 |
$4,920.48 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$4,267.81 |
$4,267.81 |
$4,267.81 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$2,664.23 |
$2,664.23 |
$2,664.23 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,600.01 |
$2,600.01 |
$2,600.01 |
$7,988.40
|
|
Cortisol total am
|
$48.77 |
$48.77 |
$48.77 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$2.32 |
$2.32 |
$2.32 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$30.87 |
$30.87 |
$30.87 |
$112.00
|
|
Coveredge 32 lead kit 40cm 48
|
$2,336.02 |
$2,336.02 |
$2,336.02 |
$4,180.79
|
|
#covid19rsv-rsv
|
$38.40 |
$38.40 |
$38.40 |
$145.60
|
