|
Chest X-ray
|
$1,133.53 |
$1,133.53 |
$1,133.53 |
$294.06
|
|
Chest X-ray (single view)
|
$906.16 |
$906.16 |
$906.16 |
$229.08
|
|
Chg pr pul rehab for copd patients
|
$768.81 |
$768.81 |
$768.81 |
$150.00
|
|
Chloride
|
$49.22 |
$49.22 |
$49.22 |
$38.50
|
|
Chloride 24 hour urine
|
$110.96 |
$110.96 |
$110.96 |
$46.13
|
|
Chloroprocaine hcl injection
|
$108.61 |
$108.61 |
$108.61 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$218.29 |
$218.29 |
$218.29 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$422.15 |
$422.15 |
$422.15 |
$89.81
|
|
Cholecystostomy complete w/supervision & interpretation
|
$9,906.19 |
$9,906.19 |
$9,906.19 |
$3,856.84
|
|
Cholesterol
|
$96.47 |
$96.47 |
$96.47 |
$46.15
|
|
Cholesterol body fluid
|
$34.33 |
$34.33 |
$34.33 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$287.84 |
$287.84 |
$287.84 |
$115.70
|
|
Chromatography
|
$193.24 |
$193.24 |
$193.24 |
$80.60
|
|
Chromosome karyotype study
|
$358.13 |
$358.13 |
$358.13 |
$102.72
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$218.80 |
$218.80 |
$218.80 |
$45.27
|
|
Cisplatin 1 mg/ml desensitization
|
$850.75 |
$850.75 |
$850.75 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$6,851.08 |
$6,851.08 |
$6,851.08 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$299.87 |
$299.87 |
$299.87 |
$61.26
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$60.93 |
$60.93 |
$60.93 |
$81.02
|
|
Closed tx humerus fx with manip 23605
|
$18,750.12 |
$18,750.12 |
$18,750.12 |
$2,460.00
|
|
Closed tx humerus fx w/manip 24505
|
$18,750.12 |
$18,750.12 |
$18,750.12 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$803.30 |
$803.30 |
$803.30 |
$413.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$2,929.17 |
$2,929.17 |
$2,929.17 |
$480.80
|
|
Clos txnose fx without stablz 21315
|
$4,910.50 |
$4,910.50 |
$4,910.50 |
$2,587.20
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$6,330.58 |
$6,330.58 |
$6,330.58 |
$1,183.65
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$625.13
|
|
Clsd tx coccygeal fracture 27200
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$336.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$728.00
|
|
Clsd tx elbow dislocation child 24640
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$525.28
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$803.30 |
$803.30 |
$803.30 |
$469.10
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$597.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,180.25 |
$5,180.25 |
$5,180.25 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$5,180.25 |
$5,180.25 |
$5,180.25 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$716.95
|
|
Clsd tx humerus fract without manip 24500
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$546.86
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$3,413.79 |
$3,413.79 |
$3,413.79 |
$1,014.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$580.30
|
|
Clsd tx patella disloc without anes 27560
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$665.50
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$18,750.12 |
$18,750.12 |
$18,750.12 |
$2,370.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$18,750.12 |
$18,750.12 |
$18,750.12 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$18,750.12 |
$18,750.12 |
$18,750.12 |
$1,797.83
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$18,750.12 |
$18,750.12 |
$18,750.12 |
$2,423.85
|
|
Clsd tx temporomandibular dislocat 21480
|
$834.47 |
$834.47 |
$834.47 |
$506.40
|
|
Clsd tx toe dislocation without anes28660
|
$1,415.36 |
$1,415.36 |
$1,415.36 |
$415.20
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$18,750.12 |
$18,750.12 |
$18,750.12 |
$1,707.42
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$18,750.12 |
$18,750.12 |
$18,750.12 |
$2,558.00
|
|
Cltx tmprmand dislc comp
|
$4,910.50 |
$4,910.50 |
$4,910.50 |
$3,786.00
|
|
C motor evoked upr&lwr limbs
|
$3,685.86 |
$3,685.86 |
$3,685.86 |
$1,273.61
|
|
Cmv pcr-sendout
|
$375.46 |
$375.46 |
$375.46 |
$172.25
|
|
Coagulation time activated teg
|
$156.37 |
$156.37 |
$156.37 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$1,945.39 |
$1,945.39 |
$1,945.39 |
$781.82
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$1,436.07 |
$1,436.07 |
$1,436.07 |
$163.07
|
|
Collection of venous blood by venipuncture
|
$53.03 |
$53.03 |
$53.03 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$531.02 |
$531.02 |
$531.02 |
$165.00
|
|
Compatibility test each unit electronic
|
$531.02 |
$531.02 |
$531.02 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$531.02 |
$531.02 |
$531.02 |
$159.95
|
|
Complement antigen each component c3
|
$128.40 |
$128.40 |
$128.40 |
$113.13
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$7,214.14 |
$7,214.14 |
$7,214.14 |
$913.68
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$2,104.06 |
$2,104.06 |
$2,104.06 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$7,214.14 |
$7,214.14 |
$7,214.14 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$7,214.14 |
$7,214.14 |
$7,214.14 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$7,214.14 |
$7,214.14 |
$7,214.14 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$1,686.57 |
$1,686.57 |
$1,686.57 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,004.56 |
$2,004.56 |
$2,004.56 |
$590.20
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$2,104.06 |
$2,104.06 |
$2,104.06 |
$1,193.40
|
|
Concentration infection agents any type
|
$71.48 |
$71.48 |
$71.48 |
$50.70
|
|
Condylomata destruction 56420
|
$4,186.05 |
$4,186.05 |
$4,186.05 |
$503.67
|
|
Consultation pathology during surgery
|
$389.36 |
$389.36 |
$389.36 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,669.63 |
$2,669.63 |
$2,669.63 |
$402.05
|
|
Consultation pathology during surgery frozen section first tissue block
|
$531.02 |
$531.02 |
$531.02 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$938.80 |
$938.80 |
$938.80 |
$235.95
|
|
Contrast exam abdominl aorta 75625-26
|
$9,324.35 |
$9,324.35 |
$9,324.35 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$53,471.29 |
$53,471.29 |
$53,471.29 |
$3,780.00
|
|
Contrast x-ray of elbow
|
$4,108.74 |
$4,108.74 |
$4,108.74 |
$609.40
|
|
Contrast x-ray of hip
|
$2,448.97 |
$2,448.97 |
$2,448.97 |
$770.88
|
|
Contrast x-ray of knee joint
|
$5,347.75 |
$5,347.75 |
$5,347.75 |
$655.05
|
|
Contrast x-ray of wrist
|
$5,347.75 |
$5,347.75 |
$5,347.75 |
$558.71
|
|
Control nosebleed pack+caut 30905
|
$1,436.07 |
$1,436.07 |
$1,436.07 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$1,436.07 |
$1,436.07 |
$1,436.07 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$1,436.07 |
$1,436.07 |
$1,436.07 |
$385.45
|
|
Convert nephrostomy catheter
|
$21,570.24 |
$21,570.24 |
$21,570.24 |
$3,927.00
|
|
Coombs direct
|
$196.49 |
$196.49 |
$196.49 |
$71.74
|
|
Coombs indirect titer reference
|
$1,911.37 |
$1,911.37 |
$1,911.37 |
$143.40
|
|
Core ndl bx lng/med perq
|
$11,292.15 |
$11,292.15 |
$11,292.15 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$17,638.98 |
$17,638.98 |
$17,638.98 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$16,822.55 |
$16,822.55 |
$16,822.55 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$17,118.81 |
$17,118.81 |
$17,118.81 |
$11,240.08
|
|
Coronary art/grft angio s&i
|
$10,667.35 |
$10,667.35 |
$10,667.35 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,595.45 |
$9,595.45 |
$9,595.45 |
$7,697.25
|
|
Cortisol total am
|
$57.05 |
$57.05 |
$57.05 |
$122.00
|
|
Co-treatment - group 15 mins, st
|
$288.13 |
$288.13 |
$288.13 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$372.93 |
$372.93 |
$372.93 |
$57.60
|
|
#coxa-coxsackie a serotype a16
|
$139.42 |
$139.42 |
$139.42 |
$65.36
|
|
C-peptide
|
$72.84 |
$72.84 |
$72.84 |
$100.26
|
|
C-reactive protein
|
$207.61 |
$207.61 |
$207.61 |
$61.10
|
|
C-reactive protein high sensitivity
|
$254.66 |
$254.66 |
$254.66 |
$91.20
|