|
Chest apical lordotic proj
|
$2,557.73 |
$2,557.73 |
$2,557.73 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$5,267.33 |
$5,267.33 |
$5,267.33 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$4,583.87 |
$4,583.87 |
$4,583.87 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$3,818.23 |
$3,818.23 |
$3,818.23 |
$1,350.03
|
|
Chest X-ray
|
$1,274.94 |
$1,274.94 |
$1,274.94 |
$294.06
|
|
Chest X-ray (single view)
|
$674.53 |
$674.53 |
$674.53 |
$229.08
|
|
Chg pr pul rehab for copd patients
|
$156.70 |
$156.70 |
$156.70 |
$150.00
|
|
Chlnggrphy intraop addl s&i
|
$630.72 |
$630.72 |
$630.72 |
$280.00
|
|
Chloride
|
$116.63 |
$116.63 |
$116.63 |
$38.50
|
|
Chloride 24 hour urine
|
$128.76 |
$128.76 |
$128.76 |
$46.13
|
|
Chloroprocaine hcl injection
|
$27.60 |
$27.60 |
$27.60 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$84.05 |
$84.05 |
$84.05 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$158.43 |
$158.43 |
$158.43 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,174.47 |
$1,174.47 |
$1,174.47 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$7,758.31 |
$7,758.31 |
$7,758.31 |
$3,856.84
|
|
Cholesterol
|
$68.57 |
$68.57 |
$68.57 |
$46.15
|
|
Cholesterol body fluid
|
$151.03 |
$151.03 |
$151.03 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$327.17 |
$327.17 |
$327.17 |
$115.70
|
|
Chromatography
|
$31.04 |
$31.04 |
$31.04 |
$80.60
|
|
Chromogenic substrate assay
|
$154.69 |
$154.69 |
$154.69 |
$183.52
|
|
Chromosome analysis 15-20 cell count
|
$381.34 |
$381.34 |
$381.34 |
$448.80
|
|
Chromosome karyotype study
|
$108.94 |
$108.94 |
$108.94 |
$102.72
|
|
Chylomicron screen, bf - sendout
|
$186.89 |
$186.89 |
$186.89 |
$123.20
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$81.07 |
$81.07 |
$81.07 |
$45.27
|
|
Cisplatin 1 mg/ml desensitization
|
$226.52 |
$226.52 |
$226.52 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$3,644.51 |
$3,644.51 |
$3,644.51 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$104.37 |
$104.37 |
$104.37 |
$61.26
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$16.13 |
$16.13 |
$16.13 |
$81.02
|
|
Closed tx humerus fx with manip 23605
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$517.83 |
$517.83 |
$517.83 |
$498.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,864.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$750.38 |
$750.38 |
$750.38 |
$480.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,604.13 |
$1,604.13 |
$1,604.13 |
$1,183.65
|
|
Clot factor xii hageman
|
$289.38 |
$289.38 |
$289.38 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$43.24 |
$43.24 |
$43.24 |
$47.30
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,092.69 |
$1,092.69 |
$1,092.69 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$731.04 |
$731.04 |
$731.04 |
$543.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$731.04 |
$731.04 |
$731.04 |
$728.00
|
|
Clsd tx elbow dislocation child 24640
|
$849.82 |
$849.82 |
$849.82 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,587.60
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$731.04 |
$731.04 |
$731.04 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$692.10 |
$692.10 |
$692.10 |
$469.10
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$731.04 |
$731.04 |
$731.04 |
$597.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,637.03 |
$1,637.03 |
$1,637.03 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$1,092.69 |
$1,092.69 |
$1,092.69 |
$716.95
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$855.66 |
$855.66 |
$855.66 |
$1,014.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$692.10 |
$692.10 |
$692.10 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$731.04 |
$731.04 |
$731.04 |
$580.30
|
|
Clsd tx patella disloc without anes 27560
|
$849.82 |
$849.82 |
$849.82 |
$665.50
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$659.69 |
$659.69 |
$659.69 |
$501.80
|
|
Clsd tx radius fracture w/manip 24655
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$1,868.38
|
|
Clsd tx shoulder dislc/fx 23665
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,055.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$4,811.30 |
$4,811.30 |
$4,811.30 |
$2,423.85
|
|
Clsd tx temporomandibular dislocat 21480
|
$849.82 |
$849.82 |
$849.82 |
$506.40
|
|
Clsd tx toe dislocation without anes28660
|
$607.04 |
$607.04 |
$607.04 |
$415.20
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$1,707.42
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$731.04 |
$731.04 |
$731.04 |
$692.03
|
|
Cltx humrl cndylr fx w/mnpj
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$1,877.71
|
|
Cltx lunate dislc w/mnpj
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,884.30
|
|
Cltx post ankle fx w/mnpj
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,316.80
|
|
Cltx tmprmand dislc comp
|
$4,797.91 |
$4,797.91 |
$4,797.91 |
$3,786.00
|
|
Cmv pcr-sendout
|
$155.64 |
$155.64 |
$155.64 |
$172.25
|
|
Coagulation time activated teg
|
$202.61 |
$202.61 |
$202.61 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$700.06 |
$700.06 |
$700.06 |
$781.82
|
|
Cold agglutinin screen (arc)
|
$23.36 |
$23.36 |
$23.36 |
$47.19
|
|
Collection blood specimen from completely implantable venous access device
|
$242.78 |
$242.78 |
$242.78 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$197.40 |
$197.40 |
$197.40 |
$163.07
|
|
Collection of venous blood by venipuncture
|
$25.50 |
$25.50 |
$25.50 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$363.32 |
$363.32 |
$363.32 |
$165.00
|
|
Compatibility test each unit electronic
|
$363.32 |
$363.32 |
$363.32 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$363.32 |
$363.32 |
$363.32 |
$159.95
|
|
Complement antigen each component c3
|
$60.18 |
$60.18 |
$60.18 |
$113.13
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$2,134.27 |
$2,134.27 |
$2,134.27 |
$913.68
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,857.61 |
$1,857.61 |
$1,857.61 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$2,134.27 |
$2,134.27 |
$2,134.27 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,134.27 |
$2,134.27 |
$2,134.27 |
$1,252.90
|
|
Complx repair enel addl 5cm/< 13153
|
$1,857.61 |
$1,857.61 |
$1,857.61 |
$486.20
|
|
Complx repair fccmnaxghf 13131
|
$2,134.27 |
$2,134.27 |
$2,134.27 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$2,134.27 |
$2,134.27 |
$2,134.27 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$2,134.27 |
$2,134.27 |
$2,134.27 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,134.27 |
$2,134.27 |
$2,134.27 |
$590.20
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,857.61 |
$1,857.61 |
$1,857.61 |
$741.60
|
|
Concentration infection agents any type
|
$98.78 |
$98.78 |
$98.78 |
$50.70
|
|
Condylomata destruction 56420
|
$1,142.11 |
$1,142.11 |
$1,142.11 |
$503.67
|
|
Consultation pathology during surgery
|
$124.75 |
$124.75 |
$124.75 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$46.66 |
$46.66 |
$46.66 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$783.67 |
$783.67 |
$783.67 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$783.67 |
$783.67 |
$783.67 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$184.29 |
$184.29 |
$184.29 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$492.75 |
$492.75 |
$492.75 |
$176.15
|
|
Consult comp w/report rfrd material
|
$1.63 |
$1.63 |
$1.63 |
$345.71
|
|
Contrast exam abdominl aorta 75625-26
|
$6,440.61 |
$6,440.61 |
$6,440.61 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$9,926.25 |
$9,926.25 |
$9,926.25 |
$3,780.00
|
|
Contrast x-ray gallbladder
|
$1,243.79 |
$1,243.79 |
$1,243.79 |
$276.65
|
|
Contrast x-ray of ankle
|
$781.01 |
$781.01 |
$781.01 |
$566.28
|
|
Contrast x-ray of elbow
|
$1,224.60 |
$1,224.60 |
$1,224.60 |
$609.40
|
|
Contrast x-ray of hip
|
$1,222.46 |
$1,222.46 |
$1,222.46 |
$770.88
|
|
Contrast x-ray of knee joint
|
$1,370.11 |
$1,370.11 |
$1,370.11 |
$655.05
|
|
Contrast x-ray of wrist
|
$818.76 |
$818.76 |
$818.76 |
$558.71
|