|
Bx breast add lesion Ultrasound imag
|
$1,483.92 |
$1,483.92 |
$1,483.92 |
$1,692.64
|
|
Bx thyroid/percutan core needle 60100
|
$1,659.60 |
$1,659.60 |
$1,659.60 |
$964.62
|
|
C1 esterase inhibitor func - sendout
|
$98.64 |
$98.64 |
$98.64 |
$96.72
|
|
Cad breast MRI w/r&i
|
$127.44 |
$127.44 |
$127.44 |
$122.40
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,764.80 |
$2,764.80 |
$2,764.80 |
$2,111.64
|
|
Calcium 24 hour urine
|
$134.64 |
$134.64 |
$134.64 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$0.09 |
$0.09 |
$0.09 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.35 |
$0.35 |
$0.35 |
$64.49
|
|
Calcium ionized
|
$95.76 |
$95.76 |
$95.76 |
$90.00
|
|
Calcium total
|
$82.80 |
$82.80 |
$82.80 |
$50.00
|
|
Caloric vstblr test w/rec
|
$406.08 |
$406.08 |
$406.08 |
$310.00
|
|
Calprotectin fecal
|
$202.32 |
$202.32 |
$202.32 |
$169.95
|
|
Canthotomy 67715
|
$3,319.20 |
$3,319.20 |
$3,319.20 |
$2,956.50
|
|
Carbamazepine free
|
$64.80 |
$64.80 |
$64.80 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$123.12 |
$123.12 |
$123.12 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$128.16 |
$128.16 |
$128.16 |
$139.00
|
|
Carbon dioxide
|
$104.40 |
$104.40 |
$104.40 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$102.96 |
$102.96 |
$102.96 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$67.68 |
$67.68 |
$67.68 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,409.76 |
$1,409.76 |
$1,409.76 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$154.80 |
$154.80 |
$154.80 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$136.08 |
$136.08 |
$136.08 |
$196.50
|
|
Cardiolipin antibody iga
|
$138.96 |
$138.96 |
$138.96 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$989.28 |
$989.28 |
$989.28 |
$1,396.00
|
|
Carotene
|
$51.12 |
$51.12 |
$51.12 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,164.24 |
$1,164.24 |
$1,164.24 |
$1,018.68
|
|
Cath ablt rx lasr 2.0mm turbo
|
$108.00 |
$108.00 |
$108.00 |
$6,463.80
|
|
Cath cv dl inj 7fx16cm
|
$648.00 |
$648.00 |
$648.00 |
$3,889.06
|
|
Catheterization collection of specimen single patient all places of service
|
$168.48 |
$168.48 |
$168.48 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$540.00 |
$540.00 |
$540.00 |
$1,653.00
|
|
Cathj umbilical vein dx/ther nb
|
$748.80 |
$748.80 |
$748.80 |
$254.80
|
|
Cath malecot 28fr 4-wing ltx
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$2,173.58
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$226.08 |
$226.08 |
$226.08 |
$469.09
|
|
Cath uret open tp 6fx70cm
|
$54.00 |
$54.00 |
$54.00 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$505.44 |
$505.44 |
$505.44 |
$340.90
|
|
Cdna analysis for variants
|
$578.88 |
$578.88 |
$578.88 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$12.96 |
$12.96 |
$12.96 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$9.86 |
$9.86 |
$9.86 |
$44.03
|
|
Cefoxitin 1 gram intravenous solution
|
$20.74 |
$20.74 |
$20.74 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$7.78 |
$7.78 |
$7.78 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$6.48 |
$6.48 |
$6.48 |
$84.18
|
|
#celiac hla-dq2
|
$910.08 |
$910.08 |
$910.08 |
$225.12
|
|
#celiac hla-dq8
|
$910.08 |
$910.08 |
$910.08 |
$246.88
|
|
Cell count body fluid
|
$89.28 |
$89.28 |
$89.28 |
$63.63
|
|
Cell count w differential body fluid
|
$140.40 |
$140.40 |
$140.40 |
$93.23
|
|
Cell marker study
|
$545.76 |
$545.76 |
$545.76 |
$247.20
|
|
#cf-97variants
|
$1,100.88 |
$1,100.88 |
$1,100.88 |
$622.20
|
|
Change cystostomy tube simple
|
$765.36 |
$765.36 |
$765.36 |
$451.00
|
|
Change of windpipe airway 31502
|
$548.64 |
$548.64 |
$548.64 |
$388.00
|
|
Chest 2 vws w oblique
|
$519.12 |
$519.12 |
$519.12 |
$377.06
|
|
Chest apical lordotic proj
|
$519.12 |
$519.12 |
$519.12 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,054.24 |
$3,054.24 |
$3,054.24 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,862.00 |
$2,862.00 |
$2,862.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$2,305.44 |
$2,305.44 |
$2,305.44 |
$1,350.03
|
|
Chest X-ray
|
$472.32 |
$472.32 |
$472.32 |
$294.06
|
|
Chest X-ray (single view)
|
$348.48 |
$348.48 |
$348.48 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$166.32 |
$166.32 |
$166.32 |
$147.95
|
|
Chlamydia culture
|
$130.32 |
$130.32 |
$130.32 |
$93.90
|
|
Chlamydia type
|
$46.08 |
$46.08 |
$46.08 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$244.80 |
$244.80 |
$244.80 |
$301.40
|
|
Chloride
|
$45.36 |
$45.36 |
$45.36 |
$40.95
|
|
Chloride 24 hour urine
|
$82.08 |
$82.08 |
$82.08 |
$49.50
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$732.96 |
$732.96 |
$732.96 |
$602.40
|
|
Cholesterol
|
$77.04 |
$77.04 |
$77.04 |
$45.76
|
|
Cholesterol body fluid
|
$7.20 |
$7.20 |
$7.20 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$228.96 |
$228.96 |
$228.96 |
$115.80
|
|
Cholinesterase
|
$51.12 |
$51.12 |
$51.12 |
$38.69
|
|
Chromatography
|
$55.44 |
$55.44 |
$55.44 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$437.04 |
$437.04 |
$437.04 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$465.12 |
$465.12 |
$465.12 |
$512.20
|
|
Chromosome analysis 5
|
$333.36 |
$333.36 |
$333.36 |
$644.80
|
|
Chromosome count additional
|
$55.44 |
$55.44 |
$55.44 |
$92.45
|
|
Chromosome karyotype study
|
$74.88 |
$74.88 |
$74.88 |
$119.87
|
|
Chromosome study additional
|
$100.08 |
$100.08 |
$100.08 |
$147.03
|
|
Chronic urticaria - sendout
|
$265.68 |
$265.68 |
$265.68 |
$75.00
|
|
Circumcise/surg/28 days or < 54160
|
$627.12 |
$627.12 |
$627.12 |
$1,219.20
|
|
Circumcision (newborn)
|
$5,152.32 |
$5,152.32 |
$5,152.32 |
$1,395.20
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$32.76 |
$32.76 |
$32.76 |
$55.20
|
|
Closed tx humerus fx with manip 23605
|
$3,744.72 |
$3,744.72 |
$3,744.72 |
$2,211.05
|
|
Closed tx humerus fx w/manip 24505
|
$1,728.72 |
$1,728.72 |
$1,728.72 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$645.12 |
$645.12 |
$645.12 |
$376.96
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$589.68 |
$589.68 |
$589.68 |
$481.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,122.48 |
$1,122.48 |
$1,122.48 |
$1,259.62
|
|
Clot factor xii hageman
|
$37.44 |
$37.44 |
$37.44 |
$134.39
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$332.64 |
$332.64 |
$332.64 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$534.96 |
$534.96 |
$534.96 |
$476.80
|
|
Clsd tx coccygeal fracture 27200
|
$620.64 |
$620.64 |
$620.64 |
$388.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$586.08 |
$586.08 |
$586.08 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$277.92 |
$277.92 |
$277.92 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$4,079.52 |
$4,079.52 |
$4,079.52 |
$2,184.08
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$645.12 |
$645.12 |
$645.12 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$591.84 |
$591.84 |
$591.84 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,728.72 |
$1,728.72 |
$1,728.72 |
$1,656.90
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,954.24 |
$3,954.24 |
$3,954.24 |
$1,571.25
|
|
Clsd tx hip disloc without anes 27265
|
$948.96 |
$948.96 |
$948.96 |
$630.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$749.52 |
$749.52 |
$749.52 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$855.36 |
$855.36 |
$855.36 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$349.20 |
$349.20 |
$349.20 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$333.36 |
$333.36 |
$333.36 |
$418.20
|
|
Clsd tx of ankle fracture w/manip 28435
|
$3,615.12 |
$3,615.12 |
$3,615.12 |
$1,893.86
|
