|
Chlamydia type
|
$36.73 |
$36.73 |
$36.73 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$1,413.30 |
$1,413.30 |
$1,413.30 |
$280.00
|
|
Chloride
|
$31.16 |
$31.16 |
$31.16 |
$39.05
|
|
Chloride 24 hour urine
|
$43.09 |
$43.09 |
$43.09 |
$46.13
|
|
Chloroprocaine hcl injection
|
$392.08 |
$392.08 |
$392.08 |
$70.66
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$916.36 |
$916.36 |
$916.36 |
$91.92
|
|
Cholangiogram percutaneous compl
|
$9,317.59 |
$9,317.59 |
$9,317.59 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$3,313.80 |
$3,313.80 |
$3,313.80 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$14,828.50 |
$14,828.50 |
$14,828.50 |
$3,913.80
|
|
Cholesterol
|
$32.01 |
$32.01 |
$32.01 |
$46.15
|
|
Cholesterol body fluid
|
$18.92 |
$18.92 |
$18.92 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$98.48 |
$98.48 |
$98.48 |
$115.70
|
|
Cholinesterase
|
$52.31 |
$52.31 |
$52.31 |
$38.68
|
|
Chorion biopsy
|
$2,660.70 |
$2,660.70 |
$2,660.70 |
$1,030.40
|
|
Chrom analysis
|
$232.62 |
$232.62 |
$232.62 |
$128.25
|
|
Chromatography
|
$132.94 |
$132.94 |
$132.94 |
$77.00
|
|
Chromo high res and frag x - sendout
|
$380.65 |
$380.65 |
$380.65 |
$261.30
|
|
Chromosome analysis 15-20 cell count
|
$926.93 |
$926.93 |
$926.93 |
$433.01
|
|
Chromosome analysis 5
|
$1,765.22 |
$1,765.22 |
$1,765.22 |
$663.30
|
|
Chromosome analys placenta
|
$1,258.80 |
$1,258.80 |
$1,258.80 |
$660.00
|
|
Chromosome count additional
|
$179.19 |
$179.19 |
$179.19 |
$110.00
|
|
Chromosome karyotype study
|
$247.42 |
$247.42 |
$247.42 |
$102.00
|
|
Chromosome study additional
|
$230.39 |
$230.39 |
$230.39 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$410.70 |
$410.70 |
$410.70 |
$123.20
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$379.40 |
$379.40 |
$379.40 |
$60.00
|
|
Circumcise/surg/28 days or < 54160
|
$627.73 |
$627.73 |
$627.73 |
$1,533.00
|
|
Cisplatin 1 mg/ml desensitization
|
$300.05 |
$300.05 |
$300.05 |
$148.77
|
|
C-kit mutation liquid tumor - sendout
|
$2,200.40 |
$2,200.40 |
$2,200.40 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$376.23 |
$376.23 |
$376.23 |
$572.12
|
|
Clearance of airways
|
$350.83 |
$350.83 |
$350.83 |
$234.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$412.05 |
$412.05 |
$412.05 |
$66.73
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$350.49 |
$350.49 |
$350.49 |
$81.90
|
|
Closed tx humerus fx w/manip 24505
|
$5,639.73 |
$5,639.73 |
$5,639.73 |
$1,610.40
|
|
Clot factor xii hageman
|
$129.11 |
$129.11 |
$129.11 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$61.22 |
$61.22 |
$61.22 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$109.07 |
$109.07 |
$109.07 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$716.95
|
|
Clsd tx elbow dislocation child 24640
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$525.28
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,023.06 |
$5,023.06 |
$5,023.06 |
$1,893.86
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$473.20
|
|
Clsd tx hip disloc without anes 27265
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$716.95
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$716.95
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$484.00
|
|
Clsd tx temporomandibular dislocat 21480
|
$5,105.33 |
$5,105.33 |
$5,105.33 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$1,536.71 |
$1,536.71 |
$1,536.71 |
$436.70
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,707.42
|
|
C motor evoked lwr limbs
|
$2,202.19 |
$2,202.19 |
$2,202.19 |
$627.89
|
|
C motor evoked uppr limbs
|
$4,152.67 |
$4,152.67 |
$4,152.67 |
$780.00
|
|
#cmvcul-virus inoculation shell
|
$144.02 |
$144.02 |
$144.02 |
$102.57
|
|
Cmv pcr-sendout
|
$259.73 |
$259.73 |
$259.73 |
$173.25
|
|
Coagulation time activated teg
|
$32.01 |
$32.01 |
$32.01 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$1,199.19 |
$1,199.19 |
$1,199.19 |
$807.71
|
|
Cold agglutinin screen (arc)
|
$51.33 |
$51.33 |
$51.33 |
$47.19
|
|
Cold agglutinin titer
|
$53.42 |
$53.42 |
$53.42 |
$48.57
|
|
Collection blood specimen from completely implantable venous access device
|
$498.62 |
$498.62 |
$498.62 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$498.62 |
$498.62 |
$498.62 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$22.15 |
$22.15 |
$22.15 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$1,101.73 |
$1,101.73 |
$1,101.73 |
$173.25
|
|
Compatibility test each unit electronic
|
$1,101.73 |
$1,101.73 |
$1,101.73 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$1,101.73 |
$1,101.73 |
$1,101.73 |
$169.52
|
|
Compatibility test incubate
|
$1,101.73 |
$1,101.73 |
$1,101.73 |
$143.65
|
|
Complement antigen each component c3
|
$88.63 |
$88.63 |
$88.63 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$940.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$1,388.40
|
|
Complx repair fccmnaxghf 13131
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$2,532.12 |
$2,532.12 |
$2,532.12 |
$1,244.09
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$576.66
|
|
Computed tomographic angiography head and neck with contrast
|
$21,139.06 |
$21,139.06 |
$21,139.06 |
$2,313.35
|
|
Concentration infection agents any type
|
$29.30 |
$29.30 |
$29.30 |
$51.32
|
|
Condylomata destruction 56420
|
$3,266.79 |
$3,266.79 |
$3,266.79 |
$509.81
|
|
Consultation pathology during surgery
|
$249.89 |
$249.89 |
$249.89 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,921.63 |
$2,921.63 |
$2,921.63 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$551.47 |
$551.47 |
$551.47 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$734.89 |
$734.89 |
$734.89 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$368.07 |
$368.07 |
$368.07 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$225.94 |
$225.94 |
$225.94 |
$176.15
|
|
Consult comp w/report rfrd material
|
$996.14 |
$996.14 |
$996.14 |
$359.87
|
|
Contrast exam abdominl aorta 75625-26
|
$17,287.81 |
$17,287.81 |
$17,287.81 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$14,290.40 |
$14,290.40 |
$14,290.40 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$21,537.68 |
$21,537.68 |
$21,537.68 |
$4,178.00
|
|
Contrast x-ray of brain
|
$6,841.46 |
$6,841.46 |
$6,841.46 |
$930.42
|
|
Contrast x-ray of elbow
|
$1,638.34 |
$1,638.34 |
$1,638.34 |
$637.14
|
|
Contrast x-ray of hip
|
$1,659.48 |
$1,659.48 |
$1,659.48 |
$768.00
|
|
Contrast x-ray of knee joint
|
$1,638.34 |
$1,638.34 |
$1,638.34 |
$683.20
|
|
Contrast x-ray of wrist
|
$1,638.34 |
$1,638.34 |
$1,638.34 |
$623.50
|
|
Control nosebleed pack+caut 30905
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,242.59 |
$1,242.59 |
$1,242.59 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$385.45
|
|
Coombs direct
|
$411.14 |
$411.14 |
$411.14 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$996.14 |
$996.14 |
$996.14 |
$94.90
|
|
Coombs indirect titer reference
|
$996.14 |
$996.14 |
$996.14 |
$146.00
|
|
Core ndl bx lng/med perq
|
$6,927.94 |
$6,927.94 |
$6,927.94 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$25,679.30 |
$25,679.30 |
$25,679.30 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$22,114.75 |
$22,114.75 |
$22,114.75 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$21,444.05 |
$21,444.05 |
$21,444.05 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$17,261.65 |
$17,261.65 |
$17,261.65 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$14,269.43 |
$14,269.43 |
$14,269.43 |
$7,769.30
|