|
Chlamydia type
|
$66.54 |
$66.54 |
$66.54 |
$34.75
|
|
Chlnggrphy intraop addl s&i
|
$305.60 |
$305.60 |
$305.60 |
$280.00
|
|
Chloride
|
$116.63 |
$116.63 |
$116.63 |
$38.50
|
|
Chloride 24 hour urine
|
$49.69 |
$49.69 |
$49.69 |
$46.13
|
|
Chloroprocaine hcl injection
|
$40.76 |
$40.76 |
$40.76 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$75.62 |
$75.62 |
$75.62 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$139.86 |
$139.86 |
$139.86 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,580.81 |
$1,580.81 |
$1,580.81 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$6,432.86 |
$6,432.86 |
$6,432.86 |
$3,856.84
|
|
Cholesterol
|
$68.57 |
$68.57 |
$68.57 |
$46.15
|
|
Cholesterol body fluid
|
$35.05 |
$35.05 |
$35.05 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$327.17 |
$327.17 |
$327.17 |
$115.70
|
|
Chromatography
|
$31.04 |
$31.04 |
$31.04 |
$80.60
|
|
Chromo high res and frag x - sendout
|
$198.09 |
$198.09 |
$198.09 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$363.18 |
$363.18 |
$363.18 |
$448.80
|
|
Chromosome karyotype study
|
$40.52 |
$40.52 |
$40.52 |
$102.72
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$77.71 |
$77.71 |
$77.71 |
$45.27
|
|
Cisplatin 1 mg/ml desensitization
|
$346.07 |
$346.07 |
$346.07 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$2,617.69 |
$2,617.69 |
$2,617.69 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$102.78 |
$102.78 |
$102.78 |
$61.26
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$26.79 |
$26.79 |
$26.79 |
$81.02
|
|
Closed tx humerus fx w/manip 24505
|
$4,704.96 |
$4,704.96 |
$4,704.96 |
$1,592.00
|
|
Clot factor xii hageman
|
$65.14 |
$65.14 |
$65.14 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$40.74 |
$40.74 |
$40.74 |
$47.30
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$3,520.92 |
$3,520.92 |
$3,520.92 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$696.23 |
$696.23 |
$696.23 |
$543.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$696.23 |
$696.23 |
$696.23 |
$728.00
|
|
Clsd tx elbow dislocation child 24640
|
$1,762.03 |
$1,762.03 |
$1,762.03 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$4,704.96 |
$4,704.96 |
$4,704.96 |
$2,587.60
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$734.16 |
$734.16 |
$734.16 |
$469.10
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$696.23 |
$696.23 |
$696.23 |
$597.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,566.51 |
$1,566.51 |
$1,566.51 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$4,704.96 |
$4,704.96 |
$4,704.96 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$3,520.92 |
$3,520.92 |
$3,520.92 |
$716.95
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$734.16 |
$734.16 |
$734.16 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$734.16 |
$734.16 |
$734.16 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$734.16 |
$734.16 |
$734.16 |
$580.30
|
|
Clsd tx of ankle fracture w/manip 28435
|
$4,704.96 |
$4,704.96 |
$4,704.96 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$1,762.03 |
$1,762.03 |
$1,762.03 |
$665.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$4,704.96 |
$4,704.96 |
$4,704.96 |
$2,055.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,974.34 |
$3,974.34 |
$3,974.34 |
$2,423.85
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$4,704.96 |
$4,704.96 |
$4,704.96 |
$1,707.42
|
|
Cltx post ankle fx w/mnpj
|
$4,704.96 |
$4,704.96 |
$4,704.96 |
$2,316.80
|
|
Cltx tmprmand dislc comp
|
$4,569.44 |
$4,569.44 |
$4,569.44 |
$3,786.00
|
|
Cmv pcr-sendout
|
$101.57 |
$101.57 |
$101.57 |
$172.25
|
|
Coagulation time activated teg
|
$192.96 |
$192.96 |
$192.96 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$795.23 |
$795.23 |
$795.23 |
$781.82
|
|
Cold agglutinin screen (arc)
|
$7.70 |
$7.70 |
$7.70 |
$47.19
|
|
Collection blood specimen from completely implantable venous access device
|
$200.55 |
$200.55 |
$200.55 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$163.07 |
$163.07 |
$163.07 |
$163.07
|
|
Collection of venous blood by venipuncture
|
$34.39 |
$34.39 |
$34.39 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$372.42 |
$372.42 |
$372.42 |
$165.00
|
|
Compatibility test each unit electronic
|
$372.42 |
$372.42 |
$372.42 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$151.47 |
$151.47 |
$151.47 |
$159.95
|
|
Complement antigen each component c3
|
$49.67 |
$49.67 |
$49.67 |
$113.13
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,769.15 |
$1,769.15 |
$1,769.15 |
$1,357.20
|
|
Complx repair fccmnaxghf 13131
|
$2,302.50 |
$2,302.50 |
$2,302.50 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$2,302.50 |
$2,302.50 |
$2,302.50 |
$1,212.00
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,302.50 |
$2,302.50 |
$2,302.50 |
$590.20
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,769.15 |
$1,769.15 |
$1,769.15 |
$741.60
|
|
Concentration infection agents any type
|
$81.53 |
$81.53 |
$81.53 |
$50.70
|
|
Condylomata destruction 56420
|
$1,999.46 |
$1,999.46 |
$1,999.46 |
$503.67
|
|
Consultation pathology during surgery cytological exam initial site
|
$226.82 |
$226.82 |
$226.82 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$209.53 |
$209.53 |
$209.53 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$313.23 |
$313.23 |
$313.23 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$468.74 |
$468.74 |
$468.74 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$453.60 |
$453.60 |
$453.60 |
$176.15
|
|
Consult comp w/report rfrd material
|
$548.66 |
$548.66 |
$548.66 |
$345.71
|
|
Contrast exam abdominl aorta 75625-26
|
$9,453.57 |
$9,453.57 |
$9,453.57 |
$3,389.09
|
|
Contrast x-ray gallbladder
|
$887.95 |
$887.95 |
$887.95 |
$276.65
|
|
Contrast x-ray of hip
|
$944.76 |
$944.76 |
$944.76 |
$770.88
|
|
Control nosebleed pack+caut 30905
|
$380.89 |
$380.89 |
$380.89 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$380.89 |
$380.89 |
$380.89 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$378.01 |
$378.01 |
$378.01 |
$385.45
|
|
Convert nephrostomy catheter
|
$1,844.99 |
$1,844.99 |
$1,844.99 |
$3,927.00
|
|
Coombs direct
|
$112.85 |
$112.85 |
$112.85 |
$71.74
|
|
Coombs indirect titer reference
|
$148.24 |
$148.24 |
$148.24 |
$143.40
|
|
Core ndl bx lng/med perq
|
$4,748.84 |
$4,748.84 |
$4,748.84 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$17,572.72 |
$17,572.72 |
$17,572.72 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$15,262.80 |
$15,262.80 |
$15,262.80 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$23,214.22 |
$23,214.22 |
$23,214.22 |
$11,240.08
|
|
Coronary art/grft angio s&i
|
$16,106.41 |
$16,106.41 |
$16,106.41 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$13,796.53 |
$13,796.53 |
$13,796.53 |
$7,697.25
|
|
Cortisol total am
|
$213.02 |
$213.02 |
$213.02 |
$122.00
|
|
Co-treatment - group 15 mins, st
|
$123.20 |
$123.20 |
$123.20 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$100.93 |
$100.93 |
$100.93 |
$57.60
|
|
#coxa-coxsackie a serotype a16
|
$202.50 |
$202.50 |
$202.50 |
$65.36
|
|
C-peptide
|
$57.36 |
$57.36 |
$57.36 |
$100.26
|
|
C-reactive protein
|
$154.09 |
$154.09 |
$154.09 |
$61.10
|
|
C-reactive protein high sensitivity
|
$194.90 |
$194.90 |
$194.90 |
$91.20
|
|
C-reactive protein, quantitative
|
$14.63 |
$14.63 |
$14.63 |
$63.07
|
|
Creatine kinase
|
$180.31 |
$180.31 |
$180.31 |
$58.30
|
|
Creatine kinase isoenzymes
|
$18.89 |
$18.89 |
$18.89 |
$49.40
|
|
Creatine kinase mb
|
$340.75 |
$340.75 |
$340.75 |
$105.95
|
|
Creatine - sendout
|
$247.97 |
$247.97 |
$247.97 |
$40.59
|
|
Creatinine
|
$133.28 |
$133.28 |
$133.28 |
$42.50
|
|
Creatinine 24 hour urine
|
$121.53 |
$121.53 |
$121.53 |
$59.80
|
|
Creatinine clearance urine
|
$272.33 |
$272.33 |
$272.33 |
$85.80
|
|
#creutz-prot.,western blot
|
$96.61 |
$96.61 |
$96.61 |
$179.28
|
|
Critical care 30-74 minutes
|
$4,947.41 |
$4,947.41 |
$4,947.41 |
$2,595.34
|