|
Cholinesterase
|
$62.64 |
$62.64 |
$62.64 |
$38.69
|
|
Chromo high res and frag x - sendout
|
$355.68 |
$355.68 |
$355.68 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$478.80 |
$478.80 |
$478.80 |
$512.20
|
|
Chromosome study additional
|
$102.24 |
$102.24 |
$102.24 |
$147.03
|
|
Chronic urticaria - sendout
|
$249.84 |
$249.84 |
$249.84 |
$75.00
|
|
Cine/video x-rays add-on
|
$465.84 |
$465.84 |
$465.84 |
$219.00
|
|
Clearance of airways
|
$219.60 |
$219.60 |
$219.60 |
$208.86
|
|
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
|
$3,186.72 |
$3,186.72 |
$3,186.72 |
$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
|
$486.72 |
$486.72 |
$486.72 |
$376.96
|
|
Clot factor xii hageman
|
$38.88 |
$38.88 |
$38.88 |
$134.39
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$480.24 |
$480.24 |
$480.24 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$523.44 |
$523.44 |
$523.44 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$429.84 |
$429.84 |
$429.84 |
$419.29
|
|
Clsd tx dist fib fx w/manip 27788
|
$636.48 |
$636.48 |
$636.48 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$480.24 |
$480.24 |
$480.24 |
$462.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,405.60 |
$3,405.60 |
$3,405.60 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$438.48 |
$438.48 |
$438.48 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,496.16 |
$1,496.16 |
$1,496.16 |
$1,571.25
|
|
Clsd tx hip disloc without anes 27265
|
$440.64 |
$440.64 |
$440.64 |
$630.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$438.48 |
$438.48 |
$438.48 |
$606.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$3,076.56 |
$3,076.56 |
$3,076.56 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$438.48 |
$438.48 |
$438.48 |
$566.72
|
|
Clsd tx radius fracture w/manip 24655
|
$3,307.68 |
$3,307.68 |
$3,307.68 |
$1,782.86
|
|
Clsd tx toe dislocation without anes28660
|
$429.84 |
$429.84 |
$429.84 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,728.72 |
$1,728.72 |
$1,728.72 |
$1,565.74
|
|
Cltx post ankle fx w/mnpj
|
$2,458.80 |
$2,458.80 |
$2,458.80 |
$1,893.86
|
|
#cmvcul-virus inoculation shell
|
$117.36 |
$117.36 |
$117.36 |
$100.80
|
|
Cmv pcr-sendout
|
$664.56 |
$664.56 |
$664.56 |
$177.50
|
|
Cold agglutinin titer
|
$199.44 |
$199.44 |
$199.44 |
$50.00
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$11.52 |
$11.52 |
$11.52 |
$60.84
|
|
Collection blood specimen from completely implantable venous access device
|
$159.84 |
$159.84 |
$159.84 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$159.84 |
$159.84 |
$159.84 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$24.48 |
$24.48 |
$24.48 |
$21.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$5,794.56 |
$5,794.56 |
$5,794.56 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$216.00 |
$216.00 |
$216.00 |
$170.05
|
|
Compatibility test each unit immediate spin technique
|
$189.36 |
$189.36 |
$189.36 |
$169.52
|
|
Complement antigen each component c3
|
$146.88 |
$146.88 |
$146.88 |
$108.55
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,016.72 |
$2,016.72 |
$2,016.72 |
$502.50
|
|
Composite drsg <= 16 sq in
|
$7.92 |
$7.92 |
$7.92 |
$6.62
|
|
Concentration infection agents any type
|
$71.28 |
$71.28 |
$71.28 |
$49.95
|
|
Condylomata destruction 56420
|
$443.52 |
$443.52 |
$443.52 |
$469.00
|
|
Cont gluc mntr analysis i&r 95251
|
$76.32 |
$76.32 |
$76.32 |
$65.70
|
|
Contrast exam abdominl aorta 75625-26
|
$7,365.60 |
$7,365.60 |
$7,365.60 |
$3,458.54
|
|
Contrast x-ray of hip
|
$1,192.32 |
$1,192.32 |
$1,192.32 |
$771.12
|
|
Contrast x-ray of knee joint
|
$1,136.16 |
$1,136.16 |
$1,136.16 |
$769.88
|
|
Contrast x-ray of wrist
|
$1,136.16 |
$1,136.16 |
$1,136.16 |
$637.00
|
|
Control nosebleed pack+caut 30905
|
$292.32 |
$292.32 |
$292.32 |
$392.60
|
|
Control of nosebleedantersmpl 30901
|
$236.88 |
$236.88 |
$236.88 |
$355.50
|
|
Coombs direct
|
$87.84 |
$87.84 |
$87.84 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$203.76 |
$203.76 |
$203.76 |
$102.90
|
|
Coombs indirect titer reference
|
$216.00 |
$216.00 |
$216.00 |
$146.40
|
|
Cortisol total am
|
$30.24 |
$30.24 |
$30.24 |
$120.63
|
|
#coxa-coxsackie a serotype a16
|
$28.08 |
$28.08 |
$28.08 |
$60.00
|
|
C-peptide
|
$130.32 |
$130.32 |
$130.32 |
$97.30
|
|
C-reactive protein
|
$100.80 |
$100.80 |
$100.80 |
$68.38
|
|
C-reactive protein high sensitivity
|
$108.00 |
$108.00 |
$108.00 |
$85.00
|
|
Creatine kinase
|
$120.24 |
$120.24 |
$120.24 |
$66.30
|
|
Creatine kinase isoenzymes
|
$39.60 |
$39.60 |
$39.60 |
$56.80
|
|
Creatine kinase mb
|
$36.00 |
$36.00 |
$36.00 |
$114.00
|
|
Creatinine
|
$71.28 |
$71.28 |
$71.28 |
$44.72
|
|
Creatinine 24 hour urine
|
$87.84 |
$87.84 |
$87.84 |
$58.85
|
|
Creatinine clearance urine
|
$89.28 |
$89.28 |
$89.28 |
$89.50
|
|
#creutz-prot.,western blot
|
$95.04 |
$95.04 |
$95.04 |
$166.20
|
|
Critical care 30-74 minutes
|
$1,781.28 |
$1,781.28 |
$1,781.28 |
$2,505.60
|
|
Cryptococcus abs qn - sendout
|
$18.72 |
$18.72 |
$18.72 |
$89.70
|
|
Crystal identification light microscopy
|
$67.68 |
$67.68 |
$67.68 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$925.20 |
$925.20 |
$925.20 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,196.72 |
$2,196.72 |
$2,196.72 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,778.48 |
$2,778.48 |
$2,778.48 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,547.36 |
$2,547.36 |
$2,547.36 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,838.24 |
$2,838.24 |
$2,838.24 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,664.80 |
$3,664.80 |
$3,664.80 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,860.56 |
$2,860.56 |
$2,860.56 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$398.88 |
$398.88 |
$398.88 |
$1,500.38
|
|
CT angio pelvis
|
$2,196.72 |
$2,196.72 |
$2,196.72 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,547.36 |
$2,547.36 |
$2,547.36 |
$1,698.00
|
|
CT bone density axial
|
$313.20 |
$313.20 |
$313.20 |
$387.62
|
|
CT guidance for needle placement
|
$1,514.16 |
$1,514.16 |
$1,514.16 |
$1,494.00
|
|
CT hrt w/3d image
|
$398.88 |
$398.88 |
$398.88 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$180.72 |
$180.72 |
$180.72 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,220.48 |
$2,220.48 |
$2,220.48 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,826.64 |
$1,826.64 |
$1,826.64 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$2,494.08 |
$2,494.08 |
$2,494.08 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$2,553.12 |
$2,553.12 |
$2,553.12 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$1,917.36 |
$1,917.36 |
$1,917.36 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$2,612.88 |
$2,612.88 |
$2,612.88 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,612.88 |
$2,612.88 |
$2,612.88 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,325.60 |
$2,325.60 |
$2,325.60 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,761.84 |
$1,761.84 |
$1,761.84 |
$1,360.00
|
|
Ctrl nosebld postir subsq 30906
|
$300.24 |
$300.24 |
$300.24 |
$437.04
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,347.44 |
$5,347.44 |
$5,347.44 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,667.76 |
$4,667.76 |
$4,667.76 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,777.84 |
$3,777.84 |
$3,777.84 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$2,787.84 |
$2,787.84 |
$2,787.84 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$2,348.64 |
$2,348.64 |
$2,348.64 |
$1,464.00
|
|
CT thorax low dose for lung screening without contrast
|
$221.76 |
$221.76 |
$221.76 |
$331.50
|
|
CT t-spine w /wo contrast
|
$2,987.28 |
$2,987.28 |
$2,987.28 |
$2,027.52
|