|
Brief alcohol misuse counsel
|
$14.27 |
$14.27 |
$14.27 |
$102.38
|
|
Br punct aspir ea add, l
|
$114.37 |
$114.37 |
$114.37 |
$380.50
|
|
Bundled special stain group 1 microorganisms
|
$39.99 |
$39.99 |
$39.99 |
$165.10
|
|
Bundled special stain group 2
|
$67.25 |
$67.25 |
$67.25 |
$169.00
|
|
Bx bone trocar/ndl deep
|
$1,071.27 |
$1,071.27 |
$1,071.27 |
$2,271.01
|
|
Bx breast pq tomo guide
|
$1,603.09 |
$1,603.09 |
$1,603.09 |
$5,383.86
|
|
Bx pancreas pq ndl
|
$894.77 |
$894.77 |
$894.77 |
$1,780.47
|
|
Bx pleura pq ndl
|
$686.93 |
$686.93 |
$686.93 |
$1,742.30
|
|
C-1 esterase, cinryze
|
$3,902.07 |
$3,902.07 |
$3,902.07 |
$65.73
|
|
Calcium 24 hour urine
|
$17.83 |
$17.83 |
$17.83 |
$51.75
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$8.47 |
$8.47 |
$8.47 |
$55.47
|
|
Calcium ionized
|
$40.76 |
$40.76 |
$40.76 |
$88.40
|
|
Calcium total
|
$21.15 |
$21.15 |
$21.15 |
$48.75
|
|
Calprotectin fecal
|
$30.57 |
$30.57 |
$30.57 |
$169.20
|
|
Cannula ercp contour 5-4-3 tip
|
$4,329.90 |
$4,329.90 |
$4,329.90 |
$24,994.69
|
|
Canthotomy 67715
|
$1,001.49 |
$1,001.49 |
$1,001.49 |
$3,228.00
|
|
Capecitabine, oral, 50 mg
|
$25.38 |
$25.38 |
$25.38 |
$50.86
|
|
Cap nerve 2x15mm
|
$2,274.19 |
$2,274.19 |
$2,274.19 |
$24,467.86
|
|
Cap trach decann 15mm
|
$332.13 |
$332.13 |
$332.13 |
$3,283.80
|
|
Carbamazepine total therapeutic drug level
|
$34.39 |
$34.39 |
$34.39 |
$117.74
|
|
Carbon dioxide
|
$16.56 |
$16.56 |
$16.56 |
$45.65
|
|
Carboxyhemoglobin quantitative
|
$33.63 |
$33.63 |
$33.63 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$49.93 |
$49.93 |
$49.93 |
$146.25
|
|
Cardiac MRI w/stress img
|
$769.20 |
$769.20 |
$769.20 |
$1,392.95
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$50.18 |
$50.18 |
$50.18 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$50.18 |
$50.18 |
$50.18 |
$205.57
|
|
Cardiolipin antibody iga
|
$53.75 |
$53.75 |
$53.75 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$459.74 |
$459.74 |
$459.74 |
$1,519.00
|
|
Card MRI veloc flow mapping
|
$286.03 |
$286.03 |
$286.03 |
$490.39
|
|
Carotene
|
$10.45 |
$10.45 |
$10.45 |
$45.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$340.28 |
$340.28 |
$340.28 |
$1,068.06
|
|
Catecholamines,fractionated, urine
|
$34.90 |
$34.90 |
$34.90 |
$55.20
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$66.23 |
$66.23 |
$66.23 |
$838.30
|
|
Cath ablt rx lasr 2.0mm turbo
|
$1,891.15 |
$1,891.15 |
$1,891.15 |
$5,960.05
|
|
Cath acuity innr ic130 6f 63cm
|
$469.16 |
$469.16 |
$469.16 |
$8,379.00
|
|
Cath blazer dx/20 2-10-2 space
|
$1,693.25 |
$1,693.25 |
$1,693.25 |
$4,012.78
|
|
Cath cv dl inj 7fx16cm
|
$220.07 |
$220.07 |
$220.07 |
$4,834.73
|
|
Cath epdrl brevi-stf 12in .043
|
$475.28 |
$475.28 |
$475.28 |
$1,877.15
|
|
Cath groshong MRI 8fr plstc port
|
$326.02 |
$326.02 |
$326.02 |
$1,758.92
|
|
Cath indw foley 3 way
|
$13.76 |
$13.76 |
$13.76 |
$42.28
|
|
Cath malecot 28fr 4-wing ltx
|
$3,151.41 |
$3,151.41 |
$3,151.41 |
$2,507.46
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$176.51 |
$176.51 |
$176.51 |
$474.40
|
|
Cath uret open tp 6fx70cm
|
$560.09 |
$560.09 |
$560.09 |
$505.37
|
|
Cauterization chemical granulation tissue
|
$85.58 |
$85.58 |
$85.58 |
$369.60
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$15.19 |
$15.19 |
$15.19 |
$39.48
|
|
Cefoxitin 1 gram intravenous solution
|
$47.16 |
$47.16 |
$47.16 |
$71.13
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$416.27 |
$416.27 |
$416.27 |
$634.46
|
|
Ceftriaxone 1 gram solution for injection
|
$8.47 |
$8.47 |
$8.47 |
$97.32
|
|
Cell count w differential body fluid
|
$62.66 |
$62.66 |
$62.66 |
$97.83
|
|
Cell marker study
|
$37.19 |
$37.19 |
$37.19 |
$234.58
|
|
Change cystostomy tube simple
|
$171.93 |
$171.93 |
$171.93 |
$527.34
|
|
Change of ureter tube/stent
|
$670.88 |
$670.88 |
$670.88 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$112.58 |
$112.58 |
$112.58 |
$412.00
|
|
Chemo adm cns w/lmbr punct
|
$253.43 |
$253.43 |
$253.43 |
$742.20
|
|
Chest apical lordotic proj
|
$134.23 |
$134.23 |
$134.23 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$845.35 |
$845.35 |
$845.35 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$728.70 |
$728.70 |
$728.70 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$597.53 |
$597.53 |
$597.53 |
$1,350.03
|
|
Chest X-ray
|
$122.52 |
$122.52 |
$122.52 |
$302.90
|
|
Chest X-ray (single view)
|
$111.05 |
$111.05 |
$111.05 |
$246.94
|
|
Chlamydia culture
|
$39.74 |
$39.74 |
$39.74 |
$94.90
|
|
Chlnggrphy intraop addl s&i
|
$155.12 |
$155.12 |
$155.12 |
$280.00
|
|
Chloride
|
$16.56 |
$16.56 |
$16.56 |
$39.05
|
|
Chloride 24 hour urine
|
$16.56 |
$16.56 |
$16.56 |
$46.13
|
|
Chloroprocaine hcl injection
|
$22.61 |
$22.61 |
$22.61 |
$69.08
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$324.49 |
$324.49 |
$324.49 |
$625.60
|
|
Cholesterol
|
$15.03 |
$15.03 |
$15.03 |
$46.15
|
|
Cholesterol body fluid
|
$18.60 |
$18.60 |
$18.60 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$31.59 |
$31.59 |
$31.59 |
$115.70
|
|
Cholinesterase
|
$26.49 |
$26.49 |
$26.49 |
$38.68
|
|
Chromatography
|
$14.52 |
$14.52 |
$14.52 |
$77.00
|
|
Cine/video x-rays add-on
|
$64.19 |
$64.19 |
$64.19 |
$219.00
|
|
Cisplatin 1 mg/ml desensitization
|
$0.58 |
$0.58 |
$0.58 |
$175.08
|
|
Clearance of airways
|
$121.75 |
$121.75 |
$121.75 |
$234.60
|
|
Clip ligating vesolock lg
|
$157.92 |
$157.92 |
$157.92 |
$5,000.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$154.86 |
$154.86 |
$154.86 |
$432.80
|
|
Clos txnose fx without stablz 21315
|
$920.75 |
$920.75 |
$920.75 |
$2,596.00
|
|
Clot factor xii hageman
|
$39.23 |
$39.23 |
$39.23 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$18.09 |
$18.09 |
$18.09 |
$50.41
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$153.33 |
$153.33 |
$153.33 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$154.86 |
$154.86 |
$154.86 |
$543.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$346.65 |
$346.65 |
$346.65 |
$2,211.05
|
|
Clsd tx elbow dislocation child 24640
|
$126.59 |
$126.59 |
$126.59 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$978.05 |
$978.05 |
$978.05 |
$2,748.90
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$205.55 |
$205.55 |
$205.55 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$205.55 |
$205.55 |
$205.55 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$420.51 |
$420.51 |
$420.51 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$320.93 |
$320.93 |
$320.93 |
$1,827.71
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$891.45 |
$891.45 |
$891.45 |
$1,014.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$215.74 |
$215.74 |
$215.74 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$205.55 |
$205.55 |
$205.55 |
$580.30
|
|
Clsd tx patella disloc without anes 27560
|
$205.55 |
$205.55 |
$205.55 |
$705.60
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,026.70 |
$1,026.70 |
$1,026.70 |
$2,557.07
|
|
Clsd tx radius fracture w/manip 24655
|
$346.65 |
$346.65 |
$346.65 |
$1,884.74
|
|
Clsd tx shoulder dislc/fx 23665
|
$346.65 |
$346.65 |
$346.65 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$346.65 |
$346.65 |
$346.65 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,188.69 |
$1,188.69 |
$1,188.69 |
$2,466.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$167.60 |
$167.60 |
$167.60 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$154.86 |
$154.86 |
$154.86 |
$436.70
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$381.29 |
$381.29 |
$381.29 |
$1,707.42
|
