|
Change stent via transureth
|
$6,201.30 |
$6,201.30 |
$6,201.30 |
$3,807.55
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$701.40 |
$701.40 |
$701.40 |
$574.56
|
|
Chemodenerv 1 extremity 1-4 64642
|
$1,084.30 |
$1,084.30 |
$1,084.30 |
$988.50
|
|
Chemodenervation anal musc
|
$3,590.30 |
$3,590.30 |
$3,590.30 |
$2,535.40
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,827.70 |
$1,827.70 |
$1,827.70 |
$1,253.20
|
|
Chemo ia infusion up to 1 hr
|
$725.90 |
$725.90 |
$725.90 |
$572.00
|
|
Chemo intralesional over 7
|
$301.70 |
$301.70 |
$301.70 |
$321.50
|
|
Chest 2 vws w oblique
|
$966.00 |
$966.00 |
$966.00 |
$373.60
|
|
Chest apical lordotic proj
|
$900.20 |
$900.20 |
$900.20 |
$309.65
|
|
Chest CT scan (with and without contrast)
|
$3,416.00 |
$3,416.00 |
$3,416.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$3,173.80 |
$3,173.80 |
$3,173.80 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,611.00 |
$2,611.00 |
$2,611.00 |
$1,350.03
|
|
Chest X-ray
|
$325.50 |
$325.50 |
$325.50 |
$295.03
|
|
Chest X-ray (single view)
|
$240.10 |
$240.10 |
$240.10 |
$241.20
|
|
Chg radiologic exam esophagus double contrast
|
$855.40 |
$855.40 |
$855.40 |
$512.00
|
|
Chimerism anal no cell selec
|
$847.00 |
$847.00 |
$847.00 |
$380.00
|
|
Chimerism anal w/cell select
|
$896.00 |
$896.00 |
$896.00 |
$585.60
|
|
Chlamydia type
|
$46.90 |
$46.90 |
$46.90 |
$34.98
|
|
Chloride 24 hour urine
|
$51.10 |
$51.10 |
$51.10 |
$50.40
|
|
Chloroprocaine hcl injection
|
$181.65 |
$181.65 |
$181.65 |
$69.08
|
|
Chmotx admn plrl cav thrcnts
|
$728.70 |
$728.70 |
$728.70 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$5,539.80 |
$5,539.80 |
$5,539.80 |
$3,384.15
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$921.20 |
$921.20 |
$921.20 |
$602.40
|
|
Cholesterol
|
$54.60 |
$54.60 |
$54.60 |
$45.50
|
|
Cholesterol body fluid
|
$1,131.20 |
$1,131.20 |
$1,131.20 |
$88.65
|
|
Cholesterol (Lipid) Test
|
$184.10 |
$184.10 |
$184.10 |
$115.80
|
|
Cholinesterase
|
$42.70 |
$42.70 |
$42.70 |
$39.32
|
|
Chorion biopsy
|
$1,399.30 |
$1,399.30 |
$1,399.30 |
$1,392.05
|
|
Chromatography
|
$281.40 |
$281.40 |
$281.40 |
$81.25
|
|
Chromogenic substrate assay
|
$480.20 |
$480.20 |
$480.20 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$1,273.30 |
$1,273.30 |
$1,273.30 |
$250.00
|
|
Chromosome analys amniotic
|
$1,143.10 |
$1,143.10 |
$1,143.10 |
$450.00
|
|
Chromosome analysis 100
|
$208.60 |
$208.60 |
$208.60 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$665.70 |
$665.70 |
$665.70 |
$512.20
|
|
Chromosome analysis 45
|
$315.70 |
$315.70 |
$315.70 |
$380.91
|
|
Chromosome analysis 5
|
$976.50 |
$976.50 |
$976.50 |
$644.80
|
|
Chromosome analysis 50-100
|
$1,129.10 |
$1,129.10 |
$1,129.10 |
$434.40
|
|
Chromosome analys placenta
|
$396.20 |
$396.20 |
$396.20 |
$572.99
|
|
Chromosome count additional
|
$149.80 |
$149.80 |
$149.80 |
$92.45
|
|
Chromosome karyotype study
|
$188.30 |
$188.30 |
$188.30 |
$120.00
|
|
Chromosome study additional
|
$385.70 |
$385.70 |
$385.70 |
$152.86
|
|
Chronic urticaria - sendout
|
$100.10 |
$100.10 |
$100.10 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$171.50 |
$171.50 |
$171.50 |
$135.10
|
|
Ciliary transsleral therapy
|
$5,567.80 |
$5,567.80 |
$5,567.80 |
$3,078.36
|
|
Cine/video x-rays
|
$440.30 |
$440.30 |
$440.30 |
$327.75
|
|
Circumcise/surg/28 days or < 54160
|
$4,342.10 |
$4,342.10 |
$4,342.10 |
$1,219.20
|
|
C-kit mutation liquid tumor - sendout
|
$739.20 |
$739.20 |
$739.20 |
$659.20
|
|
Clearance of airways
|
$397.60 |
$397.60 |
$397.60 |
$208.00
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,339.80 |
$1,339.80 |
$1,339.80 |
$1,806.01
|
|
Closed tx septal&nose fx
|
$4,728.50 |
$4,728.50 |
$4,728.50 |
$3,624.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$445.20 |
$445.20 |
$445.20 |
$472.50
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,115.10 |
$1,115.10 |
$1,115.10 |
$1,244.64
|
|
Closure paravalvlr leak pq
|
$41,293.70 |
$41,293.70 |
$41,293.70 |
$8,455.19
|
|
Clot factor fletcher fact
|
$242.90 |
$242.90 |
$242.90 |
$116.82
|
|
Clot factor viii reltd antgn
|
$377.30 |
$377.30 |
$377.30 |
$159.06
|
|
Clot factor wght kininogen
|
$262.50 |
$262.50 |
$262.50 |
$157.50
|
|
Clot factor xii hageman
|
$143.50 |
$143.50 |
$143.50 |
$135.01
|
|
Clot factor xiii fibrin scrn
|
$86.10 |
$86.10 |
$86.10 |
$57.75
|
|
Clot factor xiii fibrin stab
|
$148.40 |
$148.40 |
$148.40 |
$106.26
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,256.40 |
$3,256.40 |
$3,256.40 |
$1,893.86
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$808.50 |
$808.50 |
$808.50 |
$473.00
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$336.70 |
$336.70 |
$336.70 |
$373.11
|
|
Clsd tx fx radius/ulna without manip 25560
|
$930.30 |
$930.30 |
$930.30 |
$487.20
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,141.70 |
$1,141.70 |
$1,141.70 |
$883.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$829.50 |
$829.50 |
$829.50 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$829.50 |
$829.50 |
$829.50 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,790.50 |
$3,790.50 |
$3,790.50 |
$3,678.17
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$5,644.80 |
$5,644.80 |
$5,644.80 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$609.00 |
$609.00 |
$609.00 |
$414.40
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,084.20 |
$3,084.20 |
$3,084.20 |
$2,331.50
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$760.90 |
$760.90 |
$760.90 |
$487.15
|
|
Cltx carpl scphd fx w/mnpj
|
$829.50 |
$829.50 |
$829.50 |
$1,893.86
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,967.30 |
$2,967.30 |
$2,967.30 |
$1,851.78
|
|
Cltx post ankle fx
|
$525.00 |
$525.00 |
$525.00 |
$483.60
|
|
Cltx thigh fx w/mnpj
|
$2,366.70 |
$2,366.70 |
$2,366.70 |
$3,276.70
|
|
#cmvcul-virus inoculation shell
|
$179.90 |
$179.90 |
$179.90 |
$87.75
|
|
Cmv pcr-sendout
|
$257.60 |
$257.60 |
$257.60 |
$177.50
|
|
Cnbp gene detc abnor allele
|
$434.00 |
$434.00 |
$434.00 |
$313.60
|
|
Co2 monitor per day
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$459.20
|
|
Cold agglutinin screen (arc)
|
$81.90 |
$81.90 |
$81.90 |
$45.00
|
|
Cold agglutinin titer
|
$58.80 |
$58.80 |
$58.80 |
$51.60
|
|
Colistimethate sodium inj
|
$96.25 |
$96.25 |
$96.25 |
$71.09
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$178.50 |
$178.50 |
$178.50 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$6,898.85 |
$6,898.85 |
$6,898.85 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$2,524.90 |
$2,524.90 |
$2,524.90 |
$1,899.00
|
|
Colonoscopy w/decompression
|
$1,572.20 |
$1,572.20 |
$1,572.20 |
$1,572.20
|
|
Colonoscopy w/dilation
|
$1,415.40 |
$1,415.40 |
$1,415.40 |
$2,495.25
|
|
Colonoscopy w/endoscope Ultrasound
|
$4,094.30 |
$4,094.30 |
$4,094.30 |
$1,645.43
|
|
Colonoscopy with ablation
|
$4,067.00 |
$4,067.00 |
$4,067.00 |
$3,290.95
|
|
Colonoscopy (with biopsy)
|
$4,094.30 |
$4,094.30 |
$4,094.30 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$4,094.30 |
$4,094.30 |
$4,094.30 |
$2,288.00
|
|
Colonoscopy w/ndl aspir/bx
|
$5,565.70 |
$5,565.70 |
$5,565.70 |
$2,495.25
|
|
Colonoscopy w/ultrasound
|
$1,449.00 |
$1,449.00 |
$1,449.00 |
$2,636.40
|
|
Colposcopy/cervix/ conization 57461
|
$3,504.90 |
$3,504.90 |
$3,504.90 |
$3,744.41
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$327.60 |
$327.60 |
$327.60 |
$314.00
|
|
Colposcopy vulva 56820
|
$676.90 |
$676.90 |
$676.90 |
$333.20
|
|
Compatibility test each unit antiglobulin technique
|
$205.80 |
$205.80 |
$205.80 |
$172.00
|
|
Compatibility test each unit electronic
|
$150.50 |
$150.50 |
$150.50 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$112.70 |
$112.70 |
$112.70 |
$167.17
|
|
Compatibility test incubate
|
$125.30 |
$125.30 |
$125.30 |
$149.60
|
