|
Cannula ercp contour 5-4-3 tip
|
$4,303.03 |
$4,303.03 |
$4,303.03 |
$51,677.49
|
|
Cap nerve 2x15mm
|
$3,310.02 |
$3,310.02 |
$3,310.02 |
$24,217.08
|
|
Capsulotomy mpj ea joint (sep proc)
|
$616.72 |
$616.72 |
$616.72 |
$3,591.33
|
|
Carbamazepine free
|
$7.87 |
$7.87 |
$7.87 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$148.52 |
$148.52 |
$148.52 |
$117.74
|
|
Carbon dioxide
|
$47.29 |
$47.29 |
$47.29 |
$45.65
|
|
Carboplatin 10 mg/ml desensitization
|
$41.96 |
$41.96 |
$41.96 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$86.58 |
$86.58 |
$86.58 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$165.84 |
$165.84 |
$165.84 |
$146.25
|
|
Cardiac perf planar mult/ef/wm
|
$7,123.54 |
$7,123.54 |
$7,123.54 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$4,827.84 |
$4,827.84 |
$4,827.84 |
$1,961.32
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$5,461.20 |
$5,461.20 |
$5,461.20 |
$2,752.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$217.79 |
$217.79 |
$217.79 |
$258.10
|
|
Cardiac shunt imaging
|
$2,770.56 |
$2,770.56 |
$2,770.56 |
$860.63
|
|
Cardiolipin antibody iga
|
$75.93 |
$75.93 |
$75.93 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$889.78 |
$889.78 |
$889.78 |
$1,519.00
|
|
Carotene
|
$8.92 |
$8.92 |
$8.92 |
$45.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$6,036.63 |
$6,036.63 |
$6,036.63 |
$1,068.06
|
|
Carpal Tunnel Release Surgery
|
$742.59 |
$742.59 |
$742.59 |
$3,639.36
|
|
Ca screen;flexi sigmoidscope
|
$103.23 |
$103.23 |
$103.23 |
$1,078.88
|
|
Cath cv dl inj 7fx16cm
|
$305.70 |
$305.70 |
$305.70 |
$4,691.52
|
|
Catheterization collection of specimen single patient all places of service
|
$25.98 |
$25.98 |
$25.98 |
$44.40
|
|
Cath groshong MRI 8fr plstc port
|
$1,321.35 |
$1,321.35 |
$1,321.35 |
$2,323.56
|
|
Cath malecot 28fr 4-wing ltx
|
$374.30 |
$374.30 |
$374.30 |
$2,744.00
|
|
Cath uret open tp 6fx70cm
|
$23.98 |
$23.98 |
$23.98 |
$505.37
|
|
Cauterization chemical granulation tissue
|
$94.58 |
$94.58 |
$94.58 |
$369.60
|
|
Cdna analysis for variants
|
$113.22 |
$113.22 |
$113.22 |
$547.30
|
|
Cefoxitin 1 gram intravenous solution
|
$109.46 |
$109.46 |
$109.46 |
$63.20
|
|
Cell count body fluid
|
$45.29 |
$45.29 |
$45.29 |
$63.63
|
|
Cell count w differential body fluid
|
$97.24 |
$97.24 |
$97.24 |
$97.83
|
|
Cell function assay w/stim
|
$53.85 |
$53.85 |
$53.85 |
$331.65
|
|
Cerebrospinal fld flw imag
|
$5,602.40 |
$5,602.40 |
$5,602.40 |
$895.95
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$7,061.16 |
$7,061.16 |
$7,061.16 |
$13,638.94
|
|
Cervical or vaginal cancer screening g0101
|
$108.56 |
$108.56 |
$108.56 |
$108.93
|
|
Cesarean section delivery only 59514
|
$1,781.55 |
$1,781.55 |
$1,781.55 |
$4,472.25
|
|
#cf-97variants
|
$94.36 |
$94.36 |
$94.36 |
$597.75
|
|
Cftr gene dup/delet variants
|
$724.40 |
$724.40 |
$724.40 |
$870.40
|
|
Cftr gene known fam variants
|
$161.88 |
$161.88 |
$161.88 |
$161.88
|
|
Change cystostomy tube simple
|
$99.90 |
$99.90 |
$99.90 |
$527.34
|
|
Chemo adm cns w/lmbr punct
|
$453.55 |
$453.55 |
$453.55 |
$742.20
|
|
Chemodenervation anal musc
|
$444.89 |
$444.89 |
$444.89 |
$2,359.53
|
|
Chemodenervation/face muscl/unilat 64612
|
$222.45 |
$222.45 |
$222.45 |
$672.49
|
|
Chemodenerv musc migraine 64615
|
$1,688.98 |
$1,688.98 |
$1,688.98 |
$560.56
|
|
Chemodenerv musc neck dyston 64616
|
$201.80 |
$201.80 |
$201.80 |
$808.84
|
|
Chemotherapy injection 96542
|
$177.16 |
$177.16 |
$177.16 |
$426.40
|
|
Chemotx admn pertl cav impl
|
$344.99 |
$344.99 |
$344.99 |
$507.17
|
|
Chest 2 vws w oblique
|
$727.28 |
$727.28 |
$727.28 |
$377.06
|
|
Chest apical lordotic proj
|
$580.76 |
$580.76 |
$580.76 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$7,020.98 |
$7,020.98 |
$7,020.98 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$5,617.05 |
$5,617.05 |
$5,617.05 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$4,437.56 |
$4,437.56 |
$4,437.56 |
$1,350.03
|
|
Chest X-ray
|
$460.88 |
$460.88 |
$460.88 |
$302.90
|
|
Chest X-ray (single view)
|
$341.00 |
$341.00 |
$341.00 |
$246.94
|
|
Chg pr pul rehab for copd patients
|
$266.40 |
$266.40 |
$266.40 |
$150.00
|
|
Chloride
|
$47.29 |
$47.29 |
$47.29 |
$39.05
|
|
Chloride 24 hour urine
|
$263.74 |
$263.74 |
$263.74 |
$46.13
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$407.12 |
$407.12 |
$407.12 |
$313.25
|
|
Cholecystectomy w/cholangiography 47605
|
$1,963.37 |
$1,963.37 |
$1,963.37 |
$2,758.40
|
|
Cholesterol
|
$70.60 |
$70.60 |
$70.60 |
$46.15
|
|
Cholesterol body fluid
|
$21.32 |
$21.32 |
$21.32 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$139.20 |
$139.20 |
$139.20 |
$115.70
|
|
Cholinesterase
|
$13.11 |
$13.11 |
$13.11 |
$38.68
|
|
Chrom analysis
|
$78.21 |
$78.21 |
$78.21 |
$128.25
|
|
Chromatography
|
$111.89 |
$111.89 |
$111.89 |
$77.00
|
|
Chromo high res and frag x - sendout
|
$94.35 |
$94.35 |
$94.35 |
$261.30
|
|
Chromosome analysis 15-20 cell count
|
$103.23 |
$103.23 |
$103.23 |
$433.01
|
|
Chromosome analysis 45
|
$137.00 |
$137.00 |
$137.00 |
$377.60
|
|
Chromosome karyotype study
|
$23.31 |
$23.31 |
$23.31 |
$102.00
|
|
Circum 28 days or older
|
$358.98 |
$358.98 |
$358.98 |
$4,074.80
|
|
C-kit mutation liquid tumor - sendout
|
$163.17 |
$163.17 |
$163.17 |
$606.06
|
|
Claviculectomy partial
|
$1,019.65 |
$1,019.65 |
$1,019.65 |
$3,821.05
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$470.87 |
$470.87 |
$470.87 |
$619.45
|
|
Closed tx/acetabululm without manip 27220
|
$974.36 |
$974.36 |
$974.36 |
$527.80
|
|
Closed tx humerus fx with manip 23605
|
$813.19 |
$813.19 |
$813.19 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$709.29 |
$709.29 |
$709.29 |
$498.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$764.57 |
$764.57 |
$764.57 |
$2,864.00
|
|
Closed tx/talus fracture without manip 28430
|
$478.19 |
$478.19 |
$478.19 |
$442.80
|
|
Clos txnose fx without stablz 21315
|
$532.14 |
$532.14 |
$532.14 |
$2,596.00
|
|
Closure enterostomy lg/sm intestine 44620
|
$1,527.14 |
$1,527.14 |
$1,527.14 |
$2,134.40
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$2,821.18 |
$2,821.18 |
$2,821.18 |
$3,936.80
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,816.19 |
$1,816.19 |
$1,816.19 |
$2,504.80
|
|
Clot factor fletcher fact
|
$67.48 |
$67.48 |
$67.48 |
$88.20
|
|
Clot factor wght kininogen
|
$118.89 |
$118.89 |
$118.89 |
$134.81
|
|
Clot factor xii hageman
|
$26.45 |
$26.45 |
$26.45 |
$125.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$385.62 |
$385.62 |
$385.62 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$600.74 |
$600.74 |
$600.74 |
$611.10
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,256.08 |
$1,256.08 |
$1,256.08 |
$2,211.05
|
|
Clsd tx/clavicular fx without manip 23500
|
$418.25 |
$418.25 |
$418.25 |
$488.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$169.83 |
$169.83 |
$169.83 |
$444.36
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$554.12 |
$554.12 |
$554.12 |
$490.00
|
|
Clsd tx elbow dislocation child 24640
|
$185.15 |
$185.15 |
$185.15 |
$525.28
|
|
Clsd tx fracture of radius 25500
|
$480.19 |
$480.19 |
$480.19 |
$445.40
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$243.76 |
$243.76 |
$243.76 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$275.73 |
$275.73 |
$275.73 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$525.48 |
$525.48 |
$525.48 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$863.81 |
$863.81 |
$863.81 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$517.49 |
$517.49 |
$517.49 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,038.30 |
$1,038.30 |
$1,038.30 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$722.61 |
$722.61 |
$722.61 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$660.68 |
$660.68 |
$660.68 |
$623.93
|
