|
Clsd tx patella disloc without anes 27560
|
$433.44 |
$433.44 |
$433.44 |
$566.72
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,874.24 |
$2,874.24 |
$2,874.24 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,817.36 |
$2,817.36 |
$2,817.36 |
$1,690.70
|
|
Clsd tx temporomandibular dislocat 21480
|
$332.64 |
$332.64 |
$332.64 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$447.84 |
$447.84 |
$447.84 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$425.52 |
$425.52 |
$425.52 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,242.80 |
$2,242.80 |
$2,242.80 |
$1,565.74
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,874.24 |
$2,874.24 |
$2,874.24 |
$2,317.60
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,874.24 |
$2,874.24 |
$2,874.24 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$2,874.24 |
$2,874.24 |
$2,874.24 |
$2,437.00
|
|
C motor evoked lwr limbs
|
$620.64 |
$620.64 |
$620.64 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,190.16 |
$1,190.16 |
$1,190.16 |
$824.67
|
|
#cmvcul-virus inoculation shell
|
$162.00 |
$162.00 |
$162.00 |
$100.80
|
|
Cmv pcr-sendout
|
$143.28 |
$143.28 |
$143.28 |
$177.50
|
|
Coagulation time activated teg
|
$95.04 |
$95.04 |
$95.04 |
$53.72
|
|
Cold agglutinin titer
|
$133.20 |
$133.20 |
$133.20 |
$50.00
|
|
Collagen drsg>16<=48 sq in
|
$61.20 |
$61.20 |
$61.20 |
$24.71
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$78.48 |
$78.48 |
$78.48 |
$60.84
|
|
Collection blood specimen from completely implantable venous access device
|
$170.64 |
$170.64 |
$170.64 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$150.48 |
$150.48 |
$150.48 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$23.04 |
$23.04 |
$23.04 |
$21.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,860.00 |
$4,860.00 |
$4,860.00 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$187.92 |
$187.92 |
$187.92 |
$170.05
|
|
Compatibility test each unit immediate spin technique
|
$195.84 |
$195.84 |
$195.84 |
$169.52
|
|
Compatibility test incubate
|
$216.00 |
$216.00 |
$216.00 |
$155.40
|
|
Complement antigen each component c3
|
$118.08 |
$118.08 |
$118.08 |
$108.55
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,102.32 |
$1,102.32 |
$1,102.32 |
$1,194.25
|
|
Complx repair sal addl 5 cm/> 13122
|
$1,033.92 |
$1,033.92 |
$1,033.92 |
$502.50
|
|
Composite drsg <= 16 sq in
|
$13.68 |
$13.68 |
$13.68 |
$6.62
|
|
Concentration infection agents any type
|
$61.20 |
$61.20 |
$61.20 |
$49.95
|
|
Condylomata destruction 56420
|
$344.88 |
$344.88 |
$344.88 |
$469.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$3,988.94 |
$3,988.94 |
$3,988.94 |
$871.08
|
|
Consultation pathology during surgery
|
$141.84 |
$141.84 |
$141.84 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,355.04 |
$1,355.04 |
$1,355.04 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$118.80 |
$118.80 |
$118.80 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$889.20 |
$889.20 |
$889.20 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$315.36 |
$315.36 |
$315.36 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$134.64 |
$134.64 |
$134.64 |
$171.65
|
|
Contrast baths charges
|
$89.28 |
$89.28 |
$89.28 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$4,811.04 |
$4,811.04 |
$4,811.04 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$4,477.68 |
$4,477.68 |
$4,477.68 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$6,324.48 |
$6,324.48 |
$6,324.48 |
$3,728.24
|
|
Contrast x-ray of ankle
|
$516.24 |
$516.24 |
$516.24 |
$612.30
|
|
Contrast x-ray of elbow
|
$454.32 |
$454.32 |
$454.32 |
$649.80
|
|
Contrast x-ray of hip
|
$820.08 |
$820.08 |
$820.08 |
$771.12
|
|
Contrast x-ray of knee joint
|
$784.08 |
$784.08 |
$784.08 |
$769.88
|
|
Contrast x-ray of wrist
|
$593.28 |
$593.28 |
$593.28 |
$637.00
|
|
Controller infinity pt dbs
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$332.64 |
$332.64 |
$332.64 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$231.12 |
$231.12 |
$231.12 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$387.36 |
$387.36 |
$387.36 |
$355.50
|
|
Conversion ext bil drg cath
|
$5,393.52 |
$5,393.52 |
$5,393.52 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$3,731.04 |
$3,731.04 |
$3,731.04 |
$2,777.60
|
|
Coombs direct
|
$64.80 |
$64.80 |
$64.80 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$187.92 |
$187.92 |
$187.92 |
$102.90
|
|
Core ndl bx lng/med perq
|
$2,904.48 |
$2,904.48 |
$2,904.48 |
$2,678.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$12,233.52 |
$12,233.52 |
$12,233.52 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$10,246.32 |
$10,246.32 |
$10,246.32 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$13,218.48 |
$13,218.48 |
$13,218.48 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$10,141.20 |
$10,141.20 |
$10,141.20 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$8,955.36 |
$8,955.36 |
$8,955.36 |
$7,914.00
|
|
Coronary thrombolysis/iv infusion 92977
|
$865.44 |
$865.44 |
$865.44 |
$476.00
|
|
Cortisol total am
|
$201.60 |
$201.60 |
$201.60 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,128.06 |
$1,128.06 |
$1,128.06 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$3,908.16
|
|
#coxa-coxsackie a serotype a16
|
$45.36 |
$45.36 |
$45.36 |
$60.00
|
|
C-peptide
|
$195.12 |
$195.12 |
$195.12 |
$97.30
|
|
C-reactive protein
|
$145.44 |
$145.44 |
$145.44 |
$68.38
|
|
C-reactive protein high sensitivity
|
$122.40 |
$122.40 |
$122.40 |
$85.00
|
|
C-reactive protein, quantitative
|
$56.16 |
$56.16 |
$56.16 |
$71.06
|
|
Creatine kinase
|
$94.32 |
$94.32 |
$94.32 |
$66.30
|
|
Creatine kinase isoenzymes
|
$92.16 |
$92.16 |
$92.16 |
$56.80
|
|
Creatine kinase mb
|
$218.88 |
$218.88 |
$218.88 |
$114.00
|
|
Creatinine
|
$61.20 |
$61.20 |
$61.20 |
$44.72
|
|
Creatinine 24 hour urine
|
$125.28 |
$125.28 |
$125.28 |
$58.85
|
|
Creatinine clearance urine
|
$182.16 |
$182.16 |
$182.16 |
$89.50
|
|
#creutz-prot.,western blot
|
$182.16 |
$182.16 |
$182.16 |
$166.20
|
|
Critical care 30-74 minutes
|
$2,249.28 |
$2,249.28 |
$2,249.28 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$1,087.92 |
$1,087.92 |
$1,087.92 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$44.64 |
$44.64 |
$44.64 |
$52.50
|
|
Cryoprecipitate each unit
|
$106.56 |
$106.56 |
$106.56 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$90.72 |
$90.72 |
$90.72 |
$89.70
|
|
Crystal identification light microscopy
|
$84.96 |
$84.96 |
$84.96 |
$62.50
|
|
Csf leakage imaging
|
$3,209.04 |
$3,209.04 |
$3,209.04 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$897.12 |
$897.12 |
$897.12 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$3,059.28 |
$3,059.28 |
$3,059.28 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$4,887.36 |
$4,887.36 |
$4,887.36 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$5,018.40 |
$5,018.40 |
$5,018.40 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,334.96 |
$2,334.96 |
$2,334.96 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,999.76 |
$5,999.76 |
$5,999.76 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$4,502.88 |
$4,502.88 |
$4,502.88 |
$1,940.00
|
|
CT Angiogram of the Head
|
$4,331.52 |
$4,331.52 |
$4,331.52 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$2,366.64 |
$2,366.64 |
$2,366.64 |
$1,500.38
|
|
CT angio pelvis
|
$4,276.80 |
$4,276.80 |
$4,276.80 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$4,170.24 |
$4,170.24 |
$4,170.24 |
$1,698.00
|
|
CT guidance for needle placement
|
$3,738.96 |
$3,738.96 |
$3,738.96 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,964.88 |
$1,964.88 |
$1,964.88 |
$1,178.52
|
|
CT hrt w/3d image
|
$1,807.20 |
$1,807.20 |
$1,807.20 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$1,233.36 |
$1,233.36 |
$1,233.36 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,500.56 |
$2,500.56 |
$2,500.56 |
$1,652.00
|