|
Chest apical lordotic proj
|
$520.30 |
$520.30 |
$520.30 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$2,359.50 |
$2,359.50 |
$2,359.50 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$2,178.55 |
$2,178.55 |
$2,178.55 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$1,996.50 |
$1,996.50 |
$1,996.50 |
$1,350.03
|
|
Chest X-ray
|
$391.05 |
$391.05 |
$391.05 |
$302.90
|
|
Chest X-ray (single view)
|
$260.70 |
$260.70 |
$260.70 |
$246.94
|
|
Chg pr pul rehab for copd patients
|
$84.15 |
$84.15 |
$84.15 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$1,790.25 |
$1,790.25 |
$1,790.25 |
$548.90
|
|
Chlamydia culture
|
$196.90 |
$196.90 |
$196.90 |
$94.90
|
|
Chlamydia type
|
$57.20 |
$57.20 |
$57.20 |
$34.80
|
|
Chloride
|
$63.80 |
$63.80 |
$63.80 |
$39.05
|
|
Chloride 24 hour urine
|
$67.10 |
$67.10 |
$67.10 |
$46.13
|
|
Cholangiogram percutaneous compl
|
$5,471.40 |
$5,471.40 |
$5,471.40 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$598.95 |
$598.95 |
$598.95 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,730.55 |
$4,730.55 |
$4,730.55 |
$3,913.80
|
|
Cholesterol
|
$117.70 |
$117.70 |
$117.70 |
$46.15
|
|
Cholesterol body fluid
|
$243.65 |
$243.65 |
$243.65 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$143.55 |
$143.55 |
$143.55 |
$115.70
|
|
Cholinesterase
|
$99.55 |
$99.55 |
$99.55 |
$38.68
|
|
Chromatography
|
$271.15 |
$271.15 |
$271.15 |
$77.00
|
|
Chromogenic substrate assay
|
$371.80 |
$371.80 |
$371.80 |
$177.45
|
|
Chromosome analys amniotic
|
$418.55 |
$418.55 |
$418.55 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$1,512.50 |
$1,512.50 |
$1,512.50 |
$433.01
|
|
Chromosome analysis 5
|
$653.95 |
$653.95 |
$653.95 |
$663.30
|
|
Chromosome analysis 50-100
|
$942.70 |
$942.70 |
$942.70 |
$434.40
|
|
Chromosome karyotype study
|
$614.35 |
$614.35 |
$614.35 |
$102.00
|
|
Chromosome study additional
|
$479.05 |
$479.05 |
$479.05 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$99.55 |
$99.55 |
$99.55 |
$123.20
|
|
Circumcision (newborn)
|
$2,295.70 |
$2,295.70 |
$2,295.70 |
$1,549.50
|
|
Clean out mastoid cavity
|
$714.45 |
$714.45 |
$714.45 |
$1,033.60
|
|
Clearance of airways
|
$146.30 |
$146.30 |
$146.30 |
$234.60
|
|
Clip ligating vesolock lg
|
$788.84 |
$788.84 |
$788.84 |
$1,690.58
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$330.00 |
$330.00 |
$330.00 |
$619.45
|
|
Closed tx humerus fx with manip 23605
|
$2,132.35 |
$2,132.35 |
$2,132.35 |
$2,460.00
|
|
Closed tx humerus fx w/manip 24505
|
$1,397.00 |
$1,397.00 |
$1,397.00 |
$1,610.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$329.45 |
$329.45 |
$329.45 |
$432.80
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,531.75 |
$1,531.75 |
$1,531.75 |
$2,864.00
|
|
Clos txnose fx without stablz 21315
|
$1,947.00 |
$1,947.00 |
$1,947.00 |
$2,596.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$820.60 |
$820.60 |
$820.60 |
$1,181.99
|
|
Closure paravalvlr leak pq
|
$1,709.95 |
$1,709.95 |
$1,709.95 |
$10,497.50
|
|
Clot factor xii hageman
|
$118.25 |
$118.25 |
$118.25 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$39.60 |
$39.60 |
$39.60 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$81.95 |
$81.95 |
$81.95 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$901.45 |
$901.45 |
$901.45 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$381.15 |
$381.15 |
$381.15 |
$543.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,403.05 |
$1,403.05 |
$1,403.05 |
$2,211.05
|
|
Clsd tx/clavicular fx without manip 23500
|
$667.15 |
$667.15 |
$667.15 |
$488.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$381.15 |
$381.15 |
$381.15 |
$731.04
|
|
Clsd tx elbow dislocation child 24640
|
$381.15 |
$381.15 |
$381.15 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,037.75 |
$2,037.75 |
$2,037.75 |
$2,748.90
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$381.15 |
$381.15 |
$381.15 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$287.10 |
$287.10 |
$287.10 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,531.75 |
$1,531.75 |
$1,531.75 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,531.75 |
$1,531.75 |
$1,531.75 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$381.15 |
$381.15 |
$381.15 |
$716.95
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$284.35 |
$284.35 |
$284.35 |
$506.10
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$381.15 |
$381.15 |
$381.15 |
$716.95
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$1,181.95 |
$1,181.95 |
$1,181.95 |
$580.30
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$2,498.10 |
$2,498.10 |
$2,498.10 |
$3,678.17
|
|
Clsd tx patella disloc without anes 27560
|
$346.50 |
$346.50 |
$346.50 |
$705.60
|
|
Clsd tx pelvic ring fx
|
$5,072.65 |
$5,072.65 |
$5,072.65 |
$705.60
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,473.45 |
$1,473.45 |
$1,473.45 |
$2,557.07
|
|
Clsd tx radius fracture w/manip 24655
|
$1,403.05 |
$1,403.05 |
$1,403.05 |
$1,884.74
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,523.50 |
$1,523.50 |
$1,523.50 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,523.50 |
$1,523.50 |
$1,523.50 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,611.50 |
$1,611.50 |
$1,611.50 |
$2,466.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$401.50 |
$401.50 |
$401.50 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$346.50 |
$346.50 |
$346.50 |
$436.70
|
|
Clsd tx trimall ankle fx without manip 27816
|
$287.10 |
$287.10 |
$287.10 |
$594.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,531.75 |
$1,531.75 |
$1,531.75 |
$1,707.42
|
|
Cls tx of heel fracture w/manip 28405
|
$304.70 |
$304.70 |
$304.70 |
$857.50
|
|
Cltx humrl cndylr fx w/mnpj
|
$1,397.00 |
$1,397.00 |
$1,397.00 |
$1,893.86
|
|
C motor evoked lwr limbs
|
$1,281.50 |
$1,281.50 |
$1,281.50 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,328.80 |
$1,328.80 |
$1,328.80 |
$780.00
|
|
#cmvcul-virus inoculation shell
|
$278.85 |
$278.85 |
$278.85 |
$102.57
|
|
Cmv pcr-sendout
|
$284.35 |
$284.35 |
$284.35 |
$173.25
|
|
Coagulation time activated teg
|
$62.15 |
$62.15 |
$62.15 |
$50.05
|
|
Cold agglutinin titer
|
$107.80 |
$107.80 |
$107.80 |
$48.57
|
|
Collection blood specimen from completely implantable venous access device
|
$253.00 |
$253.00 |
$253.00 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$99.00 |
$99.00 |
$99.00 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$22.00 |
$22.00 |
$22.00 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$204.05 |
$204.05 |
$204.05 |
$173.25
|
|
Compatibility test each unit electronic
|
$124.85 |
$124.85 |
$124.85 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$105.60 |
$105.60 |
$105.60 |
$169.52
|
|
Compatibility test incubate
|
$149.60 |
$149.60 |
$149.60 |
$143.65
|
|
Complement antigen each component c3
|
$225.50 |
$225.50 |
$225.50 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$543.95 |
$543.95 |
$543.95 |
$940.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$572.00 |
$572.00 |
$572.00 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$841.50 |
$841.50 |
$841.50 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$455.40 |
$455.40 |
$455.40 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$450.45 |
$450.45 |
$450.45 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$841.50 |
$841.50 |
$841.50 |
$1,244.09
|
|
Complx repair fccmnaxghf 13133
|
$532.40 |
$532.40 |
$532.40 |
$753.35
|
|
Complx repair sal addl 5 cm/> 13122
|
$366.85 |
$366.85 |
$366.85 |
$576.66
|
|
Concentration infection agents any type
|
$40.70 |
$40.70 |
$40.70 |
$51.32
|
|
Condylomata destruction 56420
|
$233.75 |
$233.75 |
$233.75 |
$509.81
|
|
Connect omega .5mm
|
$351.34 |
$351.34 |
$351.34 |
$1,069.43
|
|
Consultation pathology during surgery cytological exam initial site
|
$603.35 |
$603.35 |
$603.35 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$132.00 |
$132.00 |
$132.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$282.70 |
$282.70 |
$282.70 |
$214.00
|
