|
Chest CT scan (with and without contrast)
|
$4,208.85 |
$4,208.85 |
$4,208.85 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$3,970.98 |
$3,970.98 |
$3,970.98 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$3,223.38 |
$3,223.38 |
$3,223.38 |
$1,350.03
|
|
Chest X-ray
|
$595.49 |
$595.49 |
$595.49 |
$294.06
|
|
Chest X-ray (single view)
|
$438.53 |
$438.53 |
$438.53 |
$229.08
|
|
Chg pr pul rehab for copd patients
|
$141.03 |
$141.03 |
$141.03 |
$150.00
|
|
Chloride
|
$99.97 |
$99.97 |
$99.97 |
$38.50
|
|
Chloride 24 hour urine
|
$14.99 |
$14.99 |
$14.99 |
$46.13
|
|
Chloroprocaine hcl injection
|
$46.34 |
$46.34 |
$46.34 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$94.79 |
$94.79 |
$94.79 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$183.25 |
$183.25 |
$183.25 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$614.92 |
$614.92 |
$614.92 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,153.85 |
$5,153.85 |
$5,153.85 |
$3,856.84
|
|
Cholesterol
|
$58.77 |
$58.77 |
$58.77 |
$46.15
|
|
Cholesterol body fluid
|
$94.92 |
$94.92 |
$94.92 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$311.59 |
$311.59 |
$311.59 |
$115.70
|
|
Chromatography
|
$96.75 |
$96.75 |
$96.75 |
$80.60
|
|
Chromosome analysis 15-20 cell count
|
$326.86 |
$326.86 |
$326.86 |
$448.80
|
|
Chromosome karyotype study
|
$123.83 |
$123.83 |
$123.83 |
$102.72
|
|
Chylomicron screen, bf - sendout
|
$119.20 |
$119.20 |
$119.20 |
$123.20
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$109.39 |
$109.39 |
$109.39 |
$45.27
|
|
Cisplatin 1 mg/ml desensitization
|
$481.49 |
$481.49 |
$481.49 |
$127.11
|
|
C-kit mutation liquid tumor - sendout
|
$1,089.86 |
$1,089.86 |
$1,089.86 |
$640.41
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$4,229.22 |
$4,229.22 |
$4,229.22 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$147.24 |
$147.24 |
$147.24 |
$61.26
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$26.05 |
$26.05 |
$26.05 |
$81.02
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$5,410.70 |
$5,410.70 |
$5,410.70 |
$2,864.00
|
|
Clot factor xii hageman
|
$135.01 |
$135.01 |
$135.01 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$26.38 |
$26.38 |
$26.38 |
$47.30
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$994.01 |
$994.01 |
$994.01 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$800.66 |
$800.66 |
$800.66 |
$543.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,043.72 |
$1,043.72 |
$1,043.72 |
$728.00
|
|
Clsd tx elbow dislocation child 24640
|
$1,043.72 |
$1,043.72 |
$1,043.72 |
$525.28
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$1,043.72 |
$1,043.72 |
$1,043.72 |
$469.10
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,410.70 |
$5,410.70 |
$5,410.70 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$5,410.70 |
$5,410.70 |
$5,410.70 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$994.01 |
$994.01 |
$994.01 |
$716.95
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,043.72 |
$1,043.72 |
$1,043.72 |
$716.95
|
|
Clsd tx patella disloc without anes 27560
|
$1,043.72 |
$1,043.72 |
$1,043.72 |
$665.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$5,410.70 |
$5,410.70 |
$5,410.70 |
$2,055.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$4,194.11 |
$4,194.11 |
$4,194.11 |
$2,423.85
|
|
Clsd tx temporomandibular dislocat 21480
|
$1,043.72 |
$1,043.72 |
$1,043.72 |
$506.40
|
|
Clsd tx toe dislocation without anes28660
|
$702.86 |
$702.86 |
$702.86 |
$415.20
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$5,410.70 |
$5,410.70 |
$5,410.70 |
$1,707.42
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$800.66 |
$800.66 |
$800.66 |
$692.03
|
|
Cltx carpl scphd fx w/mnpj
|
$5,410.70 |
$5,410.70 |
$5,410.70 |
$2,368.00
|
|
Cltx scap fx w/mnpj +-tractj
|
$5,410.70 |
$5,410.70 |
$5,410.70 |
$2,050.29
|
|
Cltx tmprmand dislc comp
|
$5,254.86 |
$5,254.86 |
$5,254.86 |
$3,786.00
|
|
Cmv pcr-sendout
|
$107.57 |
$107.57 |
$107.57 |
$172.25
|
|
Coagulation time activated teg
|
$192.96 |
$192.96 |
$192.96 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$865.78 |
$865.78 |
$865.78 |
$781.82
|
|
Cold agglutinin screen (arc)
|
$27.72 |
$27.72 |
$27.72 |
$47.19
|
|
Collection blood specimen from completely implantable venous access device
|
$211.63 |
$211.63 |
$211.63 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$231.40 |
$231.40 |
$231.40 |
$163.07
|
|
Collection of venous blood by venipuncture
|
$28.15 |
$28.15 |
$28.15 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$319.22 |
$319.22 |
$319.22 |
$165.00
|
|
Compatibility test each unit electronic
|
$178.01 |
$178.01 |
$178.01 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$319.22 |
$319.22 |
$319.22 |
$159.95
|
|
Complement antigen each component c3
|
$48.20 |
$48.20 |
$48.20 |
$113.13
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$2,034.52 |
$2,034.52 |
$2,034.52 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,034.52 |
$2,034.52 |
$2,034.52 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$1,564.77 |
$1,564.77 |
$1,564.77 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$2,034.52 |
$2,034.52 |
$2,034.52 |
$1,212.00
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,564.77 |
$1,564.77 |
$1,564.77 |
$590.20
|
|
Concentration infection agents any type
|
$72.94 |
$72.94 |
$72.94 |
$50.70
|
|
Condylomata destruction 56420
|
$2,430.50 |
$2,430.50 |
$2,430.50 |
$503.67
|
|
Consultation pathology during surgery
|
$73.17 |
$73.17 |
$73.17 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,650.05 |
$1,650.05 |
$1,650.05 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$90.05 |
$90.05 |
$90.05 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$159.00 |
$159.00 |
$159.00 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$513.39 |
$513.39 |
$513.39 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$169.00 |
$169.00 |
$169.00 |
$176.15
|
|
Consult comp w/report rfrd material
|
$298.31 |
$298.31 |
$298.31 |
$345.71
|
|
Contrast exam abdominl aorta 75625-26
|
$4,061.29 |
$4,061.29 |
$4,061.29 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$6,670.38 |
$6,670.38 |
$6,670.38 |
$3,780.00
|
|
Contrast x-ray of hip
|
$1,018.52 |
$1,018.52 |
$1,018.52 |
$770.88
|
|
Contrast x-ray of knee joint
|
$2,458.01 |
$2,458.01 |
$2,458.01 |
$655.05
|
|
Contrast x-ray of wrist
|
$1,430.50 |
$1,430.50 |
$1,430.50 |
$558.71
|
|
Control nosebleed pack+caut 30905
|
$438.02 |
$438.02 |
$438.02 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$438.02 |
$438.02 |
$438.02 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$326.88 |
$326.88 |
$326.88 |
$385.45
|
|
Convert nephrostomy catheter
|
$2,064.79 |
$2,064.79 |
$2,064.79 |
$3,927.00
|
|
Coombs direct
|
$58.27 |
$58.27 |
$58.27 |
$71.74
|
|
Core ndl bx lng/med perq
|
$5,461.17 |
$5,461.17 |
$5,461.17 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$12,571.47 |
$12,571.47 |
$12,571.47 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$12,571.47 |
$12,571.47 |
$12,571.47 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$12,571.47 |
$12,571.47 |
$12,571.47 |
$11,240.08
|
|
Coronary art/grft angio s&i
|
$8,686.18 |
$8,686.18 |
$8,686.18 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$8,686.18 |
$8,686.18 |
$8,686.18 |
$7,697.25
|
|
Cortisol total am
|
$167.18 |
$167.18 |
$167.18 |
$122.00
|
|
Co-treatment - group 15 mins, st
|
$137.76 |
$137.76 |
$137.76 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$138.00 |
$138.00 |
$138.00 |
$57.60
|
|
#covid19rsv-rsv
|
$270.21 |
$270.21 |
$270.21 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$35.92 |
$35.92 |
$35.92 |
$65.36
|
|
C-peptide
|
$54.21 |
$54.21 |
$54.21 |
$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
|
$39.55 |
$39.55 |
$39.55 |
$63.07
|
|
Creatine kinase
|
$111.45 |
$111.45 |
$111.45 |
$58.30
|
|
Creatine kinase isoenzymes
|
$84.23 |
$84.23 |
$84.23 |
$49.40
|