|
Carboxyhemoglobin quantitative
|
$113.76 |
$113.76 |
$113.76 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$201.60 |
$201.60 |
$201.60 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,980.80 |
$2,980.80 |
$2,980.80 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$169.92 |
$169.92 |
$169.92 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$138.96 |
$138.96 |
$138.96 |
$196.50
|
|
Cardiolipin antibody iga
|
$185.04 |
$185.04 |
$185.04 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,356.48 |
$1,356.48 |
$1,356.48 |
$1,396.00
|
|
Carotene
|
$64.08 |
$64.08 |
$64.08 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,018.68
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$648.00 |
$648.00 |
$648.00 |
$830.58
|
|
Cath ablt clsfast 7fx100cmx
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$2,808.00
|
|
Cath acuity innr ic130 6f 63cm
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$9,236.50
|
|
Cath adherent clot 10mm 6f 10
|
$7,128.00 |
$7,128.00 |
$7,128.00 |
$18,560.00
|
|
Cath combo lt&rt heart w/inj/s
|
$11,171.52 |
$11,171.52 |
$11,171.52 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$1,031.76 |
$1,031.76 |
$1,031.76 |
$3,889.06
|
|
Cath del ampltz 12f 45d 80cm
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$2,337.00
|
|
Catheterization collection of specimen single patient all places of service
|
$255.60 |
$255.60 |
$255.60 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$1,653.00
|
|
Cath hawkone s directional
|
$7,128.00 |
$7,128.00 |
$7,128.00 |
$6,996.60
|
|
Cath imag ivus pv 8.5fx90 .035
|
$4,536.00 |
$4,536.00 |
$4,536.00 |
$4,160.00
|
|
Cathj umbilical vein dx/ther nb
|
$133.92 |
$133.92 |
$133.92 |
$254.80
|
|
Cath left heart/lv gram
|
$8,231.04 |
$8,231.04 |
$8,231.04 |
$7,685.82
|
|
Cath malecot 28fr 4-wing ltx
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$2,173.58
|
|
Cath place 1st order venous 36011
|
$1,689.12 |
$1,689.12 |
$1,689.12 |
$1,377.75
|
|
Cath plc art ang/grft lt/rt hr
|
$14,226.48 |
$14,226.48 |
$14,226.48 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$9,581.76 |
$9,581.76 |
$9,581.76 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$10,733.04 |
$10,733.04 |
$10,733.04 |
$10,389.60
|
|
Cath ptca pcltxl agent 3x20mm
|
$11,556.00 |
$11,556.00 |
$11,556.00 |
$11,356.50
|
|
Cath right heart w/o2 sat & card
|
$7,435.44 |
$7,435.44 |
$7,435.44 |
$6,406.86
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$590.40 |
$590.40 |
$590.40 |
$469.09
|
|
Cath steerable flex adv 12f
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$2,925.00
|
|
Cath stripping venous s&i
|
$1,106.64 |
$1,106.64 |
$1,106.64 |
$682.34
|
|
Cath temp pace flo bipol 5fr electrd
|
$270.00 |
$270.00 |
$270.00 |
$1,518.52
|
|
Cath uret open tp 6fx70cm
|
$115.20 |
$115.20 |
$115.20 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$388.80 |
$388.80 |
$388.80 |
$340.90
|
|
Cdna analysis for variants
|
$503.28 |
$503.28 |
$503.28 |
$525.00
|
|
Cebpa gene full sequence
|
$650.16 |
$650.16 |
$650.16 |
$484.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$29.10 |
$29.10 |
$29.10 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$30.17 |
$30.17 |
$30.17 |
$44.03
|
|
Cefoxitin 1 gram intravenous solution
|
$74.02 |
$74.02 |
$74.02 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$29.11 |
$29.11 |
$29.11 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$101.33 |
$101.33 |
$101.33 |
$84.18
|
|
Cell count w differential body fluid
|
$182.88 |
$182.88 |
$182.88 |
$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
|
|
Cftr gene dup/delet variants
|
$813.60 |
$813.60 |
$813.60 |
$779.35
|
|
Cftr gene known fam variants
|
$122.40 |
$122.40 |
$122.40 |
$195.20
|
|
Change cystostomy tube simple
|
$547.92 |
$547.92 |
$547.92 |
$451.00
|
|
Change nephroureteral cath
|
$2,396.88 |
$2,396.88 |
$2,396.88 |
$2,969.25
|
|
Change of windpipe airway 31502
|
$457.20 |
$457.20 |
$457.20 |
$388.00
|
|
Chemodenerv musc migraine 64615
|
$882.72 |
$882.72 |
$882.72 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$549.36 |
$549.36 |
$549.36 |
$698.60
|
|
Chest 2 vws w oblique
|
$539.28 |
$539.28 |
$539.28 |
$377.06
|
|
Chest apical lordotic proj
|
$450.72 |
$450.72 |
$450.72 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,512.88 |
$3,512.88 |
$3,512.88 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,668.32 |
$2,668.32 |
$2,668.32 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$2,284.56 |
$2,284.56 |
$2,284.56 |
$1,350.03
|
|
Chest X-ray
|
$439.20 |
$439.20 |
$439.20 |
$294.06
|
|
Chest X-ray (single view)
|
$345.60 |
$345.60 |
$345.60 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$125.28 |
$125.28 |
$125.28 |
$147.95
|
|
Chlamydia culture
|
$187.20 |
$187.20 |
$187.20 |
$93.90
|
|
Chlamydia type
|
$7.92 |
$7.92 |
$7.92 |
$34.20
|
|
Chloride
|
$61.20 |
$61.20 |
$61.20 |
$40.95
|
|
Chloride 24 hour urine
|
$61.92 |
$61.92 |
$61.92 |
$49.50
|
|
Chloroprocaine hcl injection
|
$0.56 |
$0.56 |
$0.56 |
$61.51
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$350.35 |
$350.35 |
$350.35 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,193.04 |
$1,193.04 |
$1,193.04 |
$602.40
|
|
Cholesterol
|
$61.20 |
$61.20 |
$61.20 |
$45.76
|
|
Cholesterol body fluid
|
$692.64 |
$692.64 |
$692.64 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$169.92 |
$169.92 |
$169.92 |
$115.80
|
|
Chromatography
|
$109.44 |
$109.44 |
$109.44 |
$81.25
|
|
Chromosome analysis 15-20 cell count
|
$835.20 |
$835.20 |
$835.20 |
$512.20
|
|
Chromosome study additional
|
$133.20 |
$133.20 |
$133.20 |
$147.03
|
|
Chronic urticaria - sendout
|
$163.44 |
$163.44 |
$163.44 |
$75.00
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$37.04 |
$37.04 |
$37.04 |
$34.88
|
|
Circum 28 days or older
|
$3,860.64 |
$3,860.64 |
$3,860.64 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$781.20 |
$781.20 |
$781.20 |
$1,219.20
|
|
Circumcision (newborn)
|
$2,084.40 |
$2,084.40 |
$2,084.40 |
$1,395.20
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$15,390.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$65.51 |
$65.51 |
$65.51 |
$55.20
|
|
Clip ligating vesolock lg
|
$756.00 |
$756.00 |
$756.00 |
$4,320.00
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$465.70 |
$465.70 |
$465.70 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$627.84 |
$627.84 |
$627.84 |
$508.45
|
|
Closed tx humerus fx with manip 23605
|
$3,093.84 |
$3,093.84 |
$3,093.84 |
$2,211.05
|
|
Closed tx humerus fx w/manip 24505
|
$2,914.56 |
$2,914.56 |
$2,914.56 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$547.92 |
$547.92 |
$547.92 |
$376.96
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$423.36 |
$423.36 |
$423.36 |
$481.80
|
|
Clot factor xii hageman
|
$87.12 |
$87.12 |
$87.12 |
$134.39
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$630.00 |
$630.00 |
$630.00 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$442.08 |
$442.08 |
$442.08 |
$476.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$468.72 |
$468.72 |
$468.72 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$591.84 |
$591.84 |
$591.84 |
$462.80
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$547.92 |
$547.92 |
$547.92 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$425.52 |
$425.52 |
$425.52 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,103.12 |
$2,103.12 |
$2,103.12 |
$1,656.90
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,036.96 |
$3,036.96 |
$3,036.96 |
$1,571.25
|
|
Clsd tx hip disloc without anes 27265
|
$464.40 |
$464.40 |
$464.40 |
$630.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$499.68 |
$499.68 |
$499.68 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$447.84 |
$447.84 |
$447.84 |
$520.38
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,986.56 |
$2,986.56 |
$2,986.56 |
$1,893.86
|
