|
Cath plc art ang/grft lt/rt hr
|
$16,789.80 |
$16,789.80 |
$16,789.80 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$9,149.40 |
$9,149.40 |
$9,149.40 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$10,808.40 |
$10,808.40 |
$10,808.40 |
$10,389.60
|
|
Cath right heart w/o2 sat & card
|
$7,082.40 |
$7,082.40 |
$7,082.40 |
$6,406.86
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$1,330.20 |
$1,330.20 |
$1,330.20 |
$469.09
|
|
Cauterization chemical granulation tissue
|
$517.80 |
$517.80 |
$517.80 |
$340.90
|
|
Cdna analysis for variants
|
$937.20 |
$937.20 |
$937.20 |
$525.00
|
|
Cebpa gene full sequence
|
$768.60 |
$768.60 |
$768.60 |
$484.90
|
|
Cell count body fluid
|
$103.20 |
$103.20 |
$103.20 |
$63.63
|
|
Cell count w differential body fluid
|
$103.20 |
$103.20 |
$103.20 |
$93.23
|
|
Cell cryopreserve/storage
|
$803.40 |
$803.40 |
$803.40 |
$62.72
|
|
Cell function assay w/stim
|
$411.00 |
$411.00 |
$411.00 |
$314.25
|
|
Cell marker study
|
$741.60 |
$741.60 |
$741.60 |
$247.20
|
|
#cf-97variants
|
$1,614.60 |
$1,614.60 |
$1,614.60 |
$622.20
|
|
Cftr gene dup/delet variants
|
$1,546.20 |
$1,546.20 |
$1,546.20 |
$779.35
|
|
Change cystostomy tube simple
|
$589.80 |
$589.80 |
$589.80 |
$451.00
|
|
Change of windpipe airway 31502
|
$821.40 |
$821.40 |
$821.40 |
$388.00
|
|
Chemo extend IV infus w/pump
|
$1,177.20 |
$1,177.20 |
$1,177.20 |
$737.10
|
|
Chest 2 vws w oblique
|
$409.80 |
$409.80 |
$409.80 |
$377.06
|
|
Chest apical lordotic proj
|
$332.40 |
$332.40 |
$332.40 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,764.80 |
$2,764.80 |
$2,764.80 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,601.00 |
$2,601.00 |
$2,601.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$2,334.60 |
$2,334.60 |
$2,334.60 |
$1,350.03
|
|
Chest X-ray
|
$279.60 |
$279.60 |
$279.60 |
$294.06
|
|
Chest X-ray (single view)
|
$236.40 |
$236.40 |
$236.40 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$1,207.80 |
$1,207.80 |
$1,207.80 |
$511.59
|
|
Chlamydia culture
|
$206.40 |
$206.40 |
$206.40 |
$93.90
|
|
Chlamydia type
|
$59.40 |
$59.40 |
$59.40 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$447.00 |
$447.00 |
$447.00 |
$301.40
|
|
Chloride
|
$52.80 |
$52.80 |
$52.80 |
$40.95
|
|
Chloride 24 hour urine
|
$55.80 |
$55.80 |
$55.80 |
$49.50
|
|
Cholangiogram percutaneous compl
|
$3,195.60 |
$3,195.60 |
$3,195.60 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$855.60 |
$855.60 |
$855.60 |
$602.40
|
|
Cholesterol
|
$54.60 |
$54.60 |
$54.60 |
$45.76
|
|
Cholesterol body fluid
|
$189.60 |
$189.60 |
$189.60 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$185.40 |
$185.40 |
$185.40 |
$115.80
|
|
Cholinesterase
|
$27.60 |
$27.60 |
$27.60 |
$38.69
|
|
Chromatography
|
$675.00 |
$675.00 |
$675.00 |
$81.25
|
|
Chromogenic substrate assay
|
$811.20 |
$811.20 |
$811.20 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$870.00 |
$870.00 |
$870.00 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$618.60 |
$618.60 |
$618.60 |
$512.20
|
|
Chromosome karyotype study
|
$305.40 |
$305.40 |
$305.40 |
$119.87
|
|
Chronic urticaria - sendout
|
$406.20 |
$406.20 |
$406.20 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$177.00 |
$177.00 |
$177.00 |
$124.15
|
|
Circumcise/surg/28 days or < 54160
|
$2,812.80 |
$2,812.80 |
$2,812.80 |
$1,219.20
|
|
Circumcision (newborn)
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$1,395.20
|
|
Clearance of airways
|
$290.40 |
$290.40 |
$290.40 |
$208.86
|
|
Cllr miami j sm
|
$307.80 |
$307.80 |
$307.80 |
$566.23
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,806.00 |
$1,806.00 |
$1,806.00 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$1,651.20 |
$1,651.20 |
$1,651.20 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$952.20 |
$952.20 |
$952.20 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$1,909.80 |
$1,909.80 |
$1,909.80 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$309.60 |
$309.60 |
$309.60 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,520.60
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$1,642.80 |
$1,642.80 |
$1,642.80 |
$2,326.08
|
|
Clot factor xii hageman
|
$152.40 |
$152.40 |
$152.40 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$361.20 |
$361.20 |
$361.20 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$385.80 |
$385.80 |
$385.80 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$828.00 |
$828.00 |
$828.00 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$821.40 |
$821.40 |
$821.40 |
$476.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$952.20 |
$952.20 |
$952.20 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$877.20 |
$877.20 |
$877.20 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$600.00 |
$600.00 |
$600.00 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$877.20 |
$877.20 |
$877.20 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,806.00 |
$1,806.00 |
$1,806.00 |
$2,184.08
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$300.00 |
$300.00 |
$300.00 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$821.40 |
$821.40 |
$821.40 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$280.20 |
$280.20 |
$280.20 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$320.40 |
$320.40 |
$320.40 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$426.00 |
$426.00 |
$426.00 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$640.20 |
$640.20 |
$640.20 |
$630.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$821.40 |
$821.40 |
$821.40 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$877.20 |
$877.20 |
$877.20 |
$606.00
|
|
Clsd tx patella disloc without anes 27560
|
$877.20 |
$877.20 |
$877.20 |
$566.72
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$877.20 |
$877.20 |
$877.20 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$877.20 |
$877.20 |
$877.20 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,909.80 |
$1,909.80 |
$1,909.80 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,917.00 |
$1,917.00 |
$1,917.00 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,547.40 |
$1,547.40 |
$1,547.40 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$897.00 |
$897.00 |
$897.00 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$301.80 |
$301.80 |
$301.80 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$279.00 |
$279.00 |
$279.00 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$300.00 |
$300.00 |
$300.00 |
$452.40
|
|
Cltx mndblr fx w/mnpj
|
$1,870.80 |
$1,870.80 |
$1,870.80 |
$2,343.00
|
|
Cltx mndblr/max alv ridge fx
|
$3,907.80 |
$3,907.80 |
$3,907.80 |
$3,990.33
|
|
Cltx post ankle fx w/mnpj
|
$1,989.60 |
$1,989.60 |
$1,989.60 |
$1,893.86
|
|
#cmvcul-virus inoculation shell
|
$382.20 |
$382.20 |
$382.20 |
$100.80
|
|
Cmv pcr-sendout
|
$164.40 |
$164.40 |
$164.40 |
$177.50
|
|
Coagulation time activated teg
|
$103.80 |
$103.80 |
$103.80 |
$53.72
|
|
Coch imp ext proc/contr rplc
|
$33,111.00 |
$33,111.00 |
$33,111.00 |
$20,146.35
|
|
Cold agglutinin titer
|
$109.80 |
$109.80 |
$109.80 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$307.80 |
$307.80 |
$307.80 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$85.20 |
$85.20 |
$85.20 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$85.20 |
$85.20 |
$85.20 |
$213.89
|
