|
Chromosome analysis 5
|
$1,513.05 |
$1,513.05 |
$1,513.05 |
$663.30
|
|
Chromosome count additional
|
$161.72 |
$161.72 |
$161.72 |
$110.00
|
|
Chromosome karyotype study
|
$181.11 |
$181.11 |
$181.11 |
$102.00
|
|
Chylomicron screen, bf - sendout
|
$105.40 |
$105.40 |
$105.40 |
$123.20
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$255.32 |
$255.32 |
$255.32 |
$60.00
|
|
Cisplatin 1 mg/ml desensitization
|
$332.68 |
$332.68 |
$332.68 |
$148.77
|
|
C-kit mutation liquid tumor - sendout
|
$2,805.44 |
$2,805.44 |
$2,805.44 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$2,491.84 |
$2,491.84 |
$2,491.84 |
$572.12
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$351.52 |
$351.52 |
$351.52 |
$66.73
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$81.25 |
$81.25 |
$81.25 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,371.94 |
$1,371.94 |
$1,371.94 |
$619.45
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$9,062.32 |
$9,062.32 |
$9,062.32 |
$2,864.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,344.36 |
$2,344.36 |
$2,344.36 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,371.94 |
$1,371.94 |
$1,371.94 |
$543.00
|
|
Clsd tx elbow dislocation child 24640
|
$1,884.98 |
$1,884.98 |
$1,884.98 |
$525.28
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$1,511.98 |
$1,511.98 |
$1,511.98 |
$508.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$8,878.56 |
$8,878.56 |
$8,878.56 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$8,962.32 |
$8,962.32 |
$8,962.32 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$2,344.36 |
$2,344.36 |
$2,344.36 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$1,371.94 |
$1,371.94 |
$1,371.94 |
$623.93
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,472.70 |
$1,472.70 |
$1,472.70 |
$716.95
|
|
Clsd tx/metatarsal fx without manip 28470
|
$1,371.94 |
$1,371.94 |
$1,371.94 |
$446.40
|
|
Clsd tx patella disloc without anes 27560
|
$1,884.98 |
$1,884.98 |
$1,884.98 |
$705.60
|
|
Clsd tx radius fracture w/manip 24655
|
$8,878.56 |
$8,878.56 |
$8,878.56 |
$1,884.74
|
|
Clsd tx shoulder dislc/fx 23665
|
$8,878.56 |
$8,878.56 |
$8,878.56 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$8,962.32 |
$8,962.32 |
$8,962.32 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$11,064.43 |
$11,064.43 |
$11,064.43 |
$2,466.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$3,629.47 |
$3,629.47 |
$3,629.47 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$1,885.66 |
$1,885.66 |
$1,885.66 |
$436.70
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$8,962.32 |
$8,962.32 |
$8,962.32 |
$1,707.42
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$8,962.32 |
$8,962.32 |
$8,962.32 |
$2,558.00
|
|
Cmv pcr-sendout
|
$517.05 |
$517.05 |
$517.05 |
$173.25
|
|
Coagulation time activated teg
|
$186.18 |
$186.18 |
$186.18 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$2,401.79 |
$2,401.79 |
$2,401.79 |
$807.71
|
|
Cold agglutinin screen (arc)
|
$119.02 |
$119.02 |
$119.02 |
$47.19
|
|
Collection blood specimen from completely implantable venous access device
|
$560.35 |
$560.35 |
$560.35 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$236.86 |
$236.86 |
$236.86 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$36.86 |
$36.86 |
$36.86 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$541.47 |
$541.47 |
$541.47 |
$173.25
|
|
Compatibility test each unit electronic
|
$327.88 |
$327.88 |
$327.88 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$539.71 |
$539.71 |
$539.71 |
$169.52
|
|
Complement antigen each component c3
|
$456.41 |
$456.41 |
$456.41 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,653.57 |
$1,653.57 |
$1,653.57 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$5,122.22 |
$5,122.22 |
$5,122.22 |
$1,357.20
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$3,620.77 |
$3,620.77 |
$3,620.77 |
$1,388.40
|
|
Complx repair fccmnaxghf 13131
|
$2,824.66 |
$2,824.66 |
$2,824.66 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$3,017.03 |
$3,017.03 |
$3,017.03 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$1,859.60 |
$1,859.60 |
$1,859.60 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,166.03 |
$2,166.03 |
$2,166.03 |
$576.66
|
|
Concentration infection agents any type
|
$101.04 |
$101.04 |
$101.04 |
$51.32
|
|
Condylomata destruction 56420
|
$1,787.87 |
$1,787.87 |
$1,787.87 |
$509.81
|
|
Consultation pathology during surgery
|
$407.55 |
$407.55 |
$407.55 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$409.48 |
$409.48 |
$409.48 |
$428.00
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,470.45 |
$1,470.45 |
$1,470.45 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$1,710.34 |
$1,710.34 |
$1,710.34 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$1,618.13 |
$1,618.13 |
$1,618.13 |
$176.15
|
|
Consult comp w/report rfrd material
|
$1,516.73 |
$1,516.73 |
$1,516.73 |
$359.87
|
|
Contrast x-ray of ankle
|
$4,181.81 |
$4,181.81 |
$4,181.81 |
$602.40
|
|
Contrast x-ray of elbow
|
$1,877.76 |
$1,877.76 |
$1,877.76 |
$637.14
|
|
Contrast x-ray of hip
|
$2,731.98 |
$2,731.98 |
$2,731.98 |
$768.00
|
|
Contrast x-ray of knee joint
|
$2,608.40 |
$2,608.40 |
$2,608.40 |
$683.20
|
|
Contrast x-ray of wrist
|
$1,791.24 |
$1,791.24 |
$1,791.24 |
$623.50
|
|
Control nosebleed pack+caut 30905
|
$923.73 |
$923.73 |
$923.73 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$924.85 |
$924.85 |
$924.85 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$958.56 |
$958.56 |
$958.56 |
$385.45
|
|
Coombs direct
|
$196.26 |
$196.26 |
$196.26 |
$73.26
|
|
Coombs indirect titer reference
|
$162.85 |
$162.85 |
$162.85 |
$146.00
|
|
Core ndl bx lng/med perq
|
$4,973.66 |
$4,973.66 |
$4,973.66 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$25,191.46 |
$25,191.46 |
$25,191.46 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$25,653.42 |
$25,653.42 |
$25,653.42 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$26,469.93 |
$26,469.93 |
$26,469.93 |
$11,280.10
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$15,600.43 |
$15,600.43 |
$15,600.43 |
$7,769.30
|
|
Cortisol total am
|
$275.04 |
$275.04 |
$275.04 |
$122.20
|
|
Counseling smoke cess interm >10mins
|
$153.88 |
$153.88 |
$153.88 |
$57.85
|
|
#coxa-coxsackie a serotype a16
|
$134.51 |
$134.51 |
$134.51 |
$65.36
|
|
C-peptide
|
$127.58 |
$127.58 |
$127.58 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$4,485.70 |
$4,485.70 |
$4,485.70 |
$1,466.97
|
|
C-reactive protein
|
$300.70 |
$300.70 |
$300.70 |
$63.00
|
|
C-reactive protein high sensitivity
|
$197.71 |
$197.71 |
$197.71 |
$91.65
|
|
Creatine kinase
|
$234.79 |
$234.79 |
$234.79 |
$59.78
|
|
Creatine kinase isoenzymes
|
$412.24 |
$412.24 |
$412.24 |
$46.34
|
|
Creatine kinase mb
|
$391.57 |
$391.57 |
$391.57 |
$111.00
|
|
Creatine - sendout
|
$108.53 |
$108.53 |
$108.53 |
$39.00
|
|
Creatinine
|
$152.87 |
$152.87 |
$152.87 |
$44.10
|
|
Creatinine 24 hour urine
|
$219.70 |
$219.70 |
$219.70 |
$59.80
|
|
Creatinine clearance urine
|
$294.93 |
$294.93 |
$294.93 |
$87.50
|
|
#creutz-prot.,western blot
|
$347.90 |
$347.90 |
$347.90 |
$173.00
|
|
Critical care 30-74 minutes
|
$9,199.72 |
$9,199.72 |
$9,199.72 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,627.99 |
$1,627.99 |
$1,627.99 |
$777.00
|
|
Cryoprecipitate each unit
|
$536.21 |
$536.21 |
$536.21 |
$185.64
|
|
Crystal identification light microscopy
|
$207.50 |
$207.50 |
$207.50 |
$65.25
|
|
Cta abdomen without & /or w/contrast
|
$2,239.28 |
$2,239.28 |
$2,239.28 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,551.38 |
$2,551.38 |
$2,551.38 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,714.29 |
$3,714.29 |
$3,714.29 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$2,801.09 |
$2,801.09 |
$2,801.09 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,301.91 |
$4,301.91 |
$4,301.91 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,160.09 |
$1,160.09 |
$1,160.09 |
$1,955.80
|
|
CT Angiogram of the Head
|
$2,844.31 |
$2,844.31 |
$2,844.31 |
$2,021.40
|
|
Cta upper extremity w &/or without contrast left
|
$3,410.60 |
$3,410.60 |
$3,410.60 |
$1,652.25
|
|
CT guidance for needle placement
|
$6,425.30 |
$6,425.30 |
$6,425.30 |
$1,506.04
|