|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$37.10 |
$37.10 |
$37.10 |
$196.50
|
|
Cardiolipin antibody iga
|
$231.00 |
$231.00 |
$231.00 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,374.10 |
$1,374.10 |
$1,374.10 |
$1,396.00
|
|
Carotene
|
$85.40 |
$85.40 |
$85.40 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$2,284.10 |
$2,284.10 |
$2,284.10 |
$1,018.68
|
|
Car seat/bed test 60 minutes
|
$41.30 |
$41.30 |
$41.30 |
$111.28
|
|
Car seat/bed test additional 30 minutes
|
$21.00 |
$21.00 |
$21.00 |
$65.00
|
|
Cath combo lt&rt heart w/inj/s
|
$6,754.30 |
$6,754.30 |
$6,754.30 |
$8,899.15
|
|
Cath left heart/lv gram
|
$6,754.30 |
$6,754.30 |
$6,754.30 |
$7,685.82
|
|
Cath plc art ang/grft lt/rt hr
|
$6,754.30 |
$6,754.30 |
$6,754.30 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$6,754.30 |
$6,754.30 |
$6,754.30 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$6,754.30 |
$6,754.30 |
$6,754.30 |
$10,389.60
|
|
Cath right heart w/o2 sat & card
|
$6,754.30 |
$6,754.30 |
$6,754.30 |
$6,406.86
|
|
Cauterization chemical granulation tissue
|
$403.20 |
$403.20 |
$403.20 |
$340.90
|
|
Cdna analysis for variants
|
$1,145.20 |
$1,145.20 |
$1,145.20 |
$525.00
|
|
#celiac hla-dq2
|
$875.70 |
$875.70 |
$875.70 |
$225.12
|
|
#celiac hla-dq8
|
$1,008.70 |
$1,008.70 |
$1,008.70 |
$246.88
|
|
Cell count w differential body fluid
|
$88.20 |
$88.20 |
$88.20 |
$93.23
|
|
#cf-97variants
|
$1,497.30 |
$1,497.30 |
$1,497.30 |
$622.20
|
|
Change cystostomy tube simple
|
$555.10 |
$555.10 |
$555.10 |
$451.00
|
|
Chemodenerv musc neck dyston 64616
|
$620.20 |
$620.20 |
$620.20 |
$698.60
|
|
Chest apical lordotic proj
|
$400.40 |
$400.40 |
$400.40 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,569.00 |
$2,569.00 |
$2,569.00 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,118.20 |
$2,118.20 |
$2,118.20 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,350.03
|
|
Chest X-ray
|
$441.00 |
$441.00 |
$441.00 |
$294.06
|
|
Chest X-ray (single view)
|
$400.40 |
$400.40 |
$400.40 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$124.60 |
$124.60 |
$124.60 |
$147.95
|
|
Chlamydia culture
|
$231.70 |
$231.70 |
$231.70 |
$93.90
|
|
Chlamydia type
|
$77.00 |
$77.00 |
$77.00 |
$34.20
|
|
Chloride
|
$51.10 |
$51.10 |
$51.10 |
$40.95
|
|
Chloride 24 hour urine
|
$70.70 |
$70.70 |
$70.70 |
$49.50
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,295.70 |
$1,295.70 |
$1,295.70 |
$602.40
|
|
Cholesterol
|
$56.70 |
$56.70 |
$56.70 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$193.20 |
$193.20 |
$193.20 |
$115.80
|
|
Chromatography
|
$211.40 |
$211.40 |
$211.40 |
$81.25
|
|
Chromogenic substrate assay
|
$416.50 |
$416.50 |
$416.50 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$718.90 |
$718.90 |
$718.90 |
$247.59
|
|
Chromosome karyotype study
|
$237.30 |
$237.30 |
$237.30 |
$119.87
|
|
Chromosome study additional
|
$297.50 |
$297.50 |
$297.50 |
$147.03
|
|
Circumcision (newborn)
|
$2,509.50 |
$2,509.50 |
$2,509.50 |
$1,395.20
|
|
C-kit mutation liquid tumor - sendout
|
$2,767.80 |
$2,767.80 |
$2,767.80 |
$655.00
|
|
Clearance of airways
|
$213.50 |
$213.50 |
$213.50 |
$208.86
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$547.40 |
$547.40 |
$547.40 |
$508.45
|
|
Closed tx humerus fx without manip 23600
|
$687.40 |
$687.40 |
$687.40 |
$494.15
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,651.90 |
$3,651.90 |
$3,651.90 |
$2,520.60
|
|
Closed tx sesamoid fx 28530
|
$547.40 |
$547.40 |
$547.40 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$547.40 |
$547.40 |
$547.40 |
$421.40
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,162.00 |
$1,162.00 |
$1,162.00 |
$1,259.62
|
|
Clot factor xii hageman
|
$249.20 |
$249.20 |
$249.20 |
$134.39
|
|
Clot factor xiii fibrin stab
|
$471.10 |
$471.10 |
$471.10 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$602.00 |
$602.00 |
$602.00 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$547.40 |
$547.40 |
$547.40 |
$476.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$547.40 |
$547.40 |
$547.40 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$547.40 |
$547.40 |
$547.40 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$547.40 |
$547.40 |
$547.40 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$602.00 |
$602.00 |
$602.00 |
$462.80
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$547.40 |
$547.40 |
$547.40 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$691.60 |
$691.60 |
$691.60 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$4,017.30 |
$4,017.30 |
$4,017.30 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$594.30 |
$594.30 |
$594.30 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$4,017.30 |
$4,017.30 |
$4,017.30 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$557.20 |
$557.20 |
$557.20 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$547.40 |
$547.40 |
$547.40 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$517.30 |
$517.30 |
$517.30 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$547.40 |
$547.40 |
$547.40 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$602.00 |
$602.00 |
$602.00 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$547.40 |
$547.40 |
$547.40 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$547.40 |
$547.40 |
$547.40 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$7,400.40 |
$7,400.40 |
$7,400.40 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$4,378.50 |
$4,378.50 |
$4,378.50 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$602.00 |
$602.00 |
$602.00 |
$566.72
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$547.40 |
$547.40 |
$547.40 |
$412.00
|
|
Clsd tx shoulder dislc/fx 23665
|
$3,651.90 |
$3,651.90 |
$3,651.90 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$3,651.90 |
$3,651.90 |
$3,651.90 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,651.90 |
$3,651.90 |
$3,651.90 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$547.40 |
$547.40 |
$547.40 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$547.40 |
$547.40 |
$547.40 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$4,017.30 |
$4,017.30 |
$4,017.30 |
$1,565.74
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$547.40 |
$547.40 |
$547.40 |
$523.53
|
|
Cltx carpl scphd fx w/mnpj
|
$3,651.90 |
$3,651.90 |
$3,651.90 |
$1,893.86
|
|
Cltx lunate dislc w/mnpj
|
$4,522.70 |
$4,522.70 |
$4,522.70 |
$2,437.00
|
|
Cmptr ophth img optic nerve
|
$44.10 |
$44.10 |
$44.10 |
$119.00
|
|
#cmvcul-virus inoculation shell
|
$210.70 |
$210.70 |
$210.70 |
$100.80
|
|
Cmv pcr-sendout
|
$268.80 |
$268.80 |
$268.80 |
$177.50
|
|
Cold agglutinin screen (arc)
|
$67.90 |
$67.90 |
$67.90 |
$45.00
|
|
Cold agglutinin titer
|
$89.60 |
$89.60 |
$89.60 |
$50.00
|
|
Collection blood specimen from completely implantable venous access device
|
$261.80 |
$261.80 |
$261.80 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$261.80 |
$261.80 |
$261.80 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$30.10 |
$30.10 |
$30.10 |
$21.00
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$257.60 |
$257.60 |
$257.60 |
$312.90
|
|
Colposcopy w/biopsy of cervix 57455
|
$331.10 |
$331.10 |
$331.10 |
$502.80
|
|
Compatibility test each unit antiglobulin technique
|
$611.80 |
$611.80 |
$611.80 |
$170.05
|
|
Compatibility test each unit immediate spin technique
|
$364.70 |
$364.70 |
$364.70 |
$169.52
|
|
Compatibility test incubate
|
$409.50 |
$409.50 |
$409.50 |
$155.40
|
|
Complement antigen each component c3
|
$161.70 |
$161.70 |
$161.70 |
$108.55
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,397.20 |
$1,397.20 |
$1,397.20 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,397.20 |
$1,397.20 |
$1,397.20 |
$1,194.25
|
|
Complx repair fccmnaxghf 13131
|
$911.40 |
$911.40 |
$911.40 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$1,397.20 |
$1,397.20 |
$1,397.20 |
$1,107.60
|
