|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$78.80 |
$120.00 |
$173.55 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$69.60 |
$69.60 |
$120.00 |
|
|
Cardiac Stress Test
|
$74.40 |
$74.40 |
$74.40 |
|
|
Cardiolipin antibody iga
|
$75.20 |
$81.60 |
$159.25 |
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$599.20 |
$981.50 |
$1,180.40 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$48.75 |
$48.75 |
$48.75 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$24.70 |
$24.70 |
$24.70 |
|
|
Carotene
|
$48.80 |
$48.80 |
$48.80 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$297.60 |
$448.80 |
$514.80 |
|
|
Carpal Tunnel Release Surgery
|
$11,122.40 |
$11,122.40 |
$11,122.40 |
|
|
Car seat/bed test 60 minutes
|
$88.40 |
$88.40 |
$88.40 |
|
|
Car seat/bed test additional 30 minutes
|
$49.40 |
$49.40 |
$49.40 |
|
|
Cataract Surgery
|
$6,967.37 |
$6,967.37 |
$6,967.37 |
|
|
Cath combo lt&rt heart w/inj/s
|
$5,727.80 |
$5,727.80 |
$5,727.80 |
|
|
Catheterization collection of specimen single patient all places of service
|
$59.15 |
$59.15 |
$59.15 |
|
|
Catheter stripping venous
|
$10,398.84 |
$10,398.84 |
$10,398.84 |
|
|
Cath left heart/lv gram
|
$4,777.50 |
$4,777.50 |
$4,777.50 |
|
|
Cath left heart transseptal punc
|
$4,777.50 |
$4,777.50 |
$4,777.50 |
|
|
Cath plc art ang/grft lt/rt hr
|
$4,659.60 |
$4,659.60 |
$4,659.60 |
|
|
Cath plc art/angio/rt hrt cath
|
$4,000.00 |
$4,000.00 |
$5,508.10 |
|
|
Cath plc art/grft/angio right hrt
|
$4,594.00 |
$4,594.00 |
$4,594.00 |
|
|
Cath right heart w/o2 sat & card
|
$2,258.00 |
$2,258.00 |
$4,044.95 |
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$341.60 |
$341.60 |
$1,819.49 |
|
|
Cdna analysis for variants
|
$215.60 |
$215.60 |
$237.60 |
|
|
Cebpa gene full sequence
|
$254.80 |
$254.80 |
$254.80 |
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$35.91 |
$35.91 |
$35.91 |
|
|
Cefepime 1 gram solution for injection
|
$41.40 |
$41.40 |
$41.40 |
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$40.36 |
$40.36 |
$40.36 |
|
|
Ceftazidime and avibactam
|
$1,842.67 |
$1,842.67 |
$1,842.67 |
|
|
Ceftriaxone 1 gram solution for injection
|
$19.01 |
$19.01 |
$80.80 |
|
|
Cell count body fluid
|
$104.65 |
$104.65 |
$104.65 |
|
|
Cell count w differential body fluid
|
$82.00 |
$107.25 |
$113.60 |
|
|
Cell enumeration & id
|
$522.80 |
$522.80 |
$522.80 |
|
|
Cell function assay w/stim
|
$115.20 |
$115.20 |
$115.20 |
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$20,268.49 |
$20,268.49 |
$20,268.49 |
|
|
#cf-97variants
|
$1,136.40 |
$1,136.40 |
$1,136.40 |
|
|
Change cystostomy tube simple
|
$173.20 |
$173.20 |
$11,253.22 |
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$87.60 |
$87.60 |
$87.60 |
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$352.80 |
$352.80 |
$352.80 |
|
|
Chemodenerv 1 extremity 1-4 64642
|
$360.00 |
$360.00 |
$360.00 |
|
|
Chemodenervation/face muscl/unilat 64612
|
$308.80 |
$308.80 |
$308.80 |
|
|
Chemodenerv musc migraine 64615
|
$241.60 |
$241.60 |
$253.60 |
|
|
Chemodenerv musc neck dyston 64616
|
$201.60 |
$201.60 |
$201.60 |
|
|
Chemodenerv saliv glands bilat 64611
|
$161.20 |
$161.20 |
$161.20 |
|
|
Chemodenerv trunk musc 1-5 64646
|
$490.80 |
$490.80 |
$490.80 |
|
|
Chemo extend IV infus w/pump
|
$307.45 |
$307.45 |
$307.45 |
|
|
Chemo intralesional over 7
|
$182.65 |
$182.65 |
$182.65 |
|
|
Chemo intralesional up to 7 96405
|
$135.85 |
$135.85 |
$135.85 |
|
|
Chest 2 vws w oblique
|
$71.20 |
$71.20 |
$386.10 |
|
|
Chest apical lordotic proj
|
$71.20 |
$71.20 |
$358.15 |
|
|
Chest CT scan (with and without contrast)
|
$896.40 |
$1,100.00 |
$2,416.05 |
|
|
Chest CT scan (with contrast)
|
$944.00 |
$1,015.20 |
$1,981.85 |
|
|
Chest CT scan (without contrast)
|
$454.00 |
$850.40 |
$1,835.60 |
|
|
Chest X-ray
|
$219.20 |
$291.20 |
$336.70 |
|
|
Chest X-ray (single view)
|
$149.20 |
$168.80 |
$305.50 |
|
|
Chg pr pul rehab for copd patients
|
$235.20 |
$235.20 |
$235.20 |
|
|
Chlamydia culture
|
$52.40 |
$52.40 |
$64.40 |
|
|
Chlamydia type
|
$13.20 |
$13.20 |
$34.80 |
|
|
Chlnggrphy intraop addl s&i
|
$335.20 |
$335.20 |
$335.20 |
|
|
Chloride
|
$14.00 |
$14.00 |
$32.50 |
|
|
Chloride 24 hour urine
|
$18.00 |
$22.80 |
$40.30 |
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$364.00 |
$364.00 |
$364.00 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$242.00 |
$242.00 |
$414.00 |
|
|
Cholesterol
|
$27.20 |
$50.70 |
$50.80 |
|
|
Cholesterol body fluid
|
$16.80 |
$16.80 |
$16.80 |
|
|
Cholesterol (Lipid) Test
|
$82.80 |
$88.00 |
$111.80 |
|
|
Cholinesterase
|
$70.20 |
$70.20 |
$70.20 |
|
|
Chromatography
|
$30.80 |
$30.80 |
$52.00 |
|
|
Chromogenic substrate assay
|
$17.60 |
$17.60 |
$17.60 |
|
|
Chromosome analysis 15-20 cell count
|
$314.80 |
$349.60 |
$396.50 |
|
|
Chromosome karyotype study
|
$117.60 |
$117.60 |
$117.60 |
|
|
Chylomicron screen, bf - sendout
|
$54.40 |
$54.40 |
$54.40 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$29.57 |
$29.57 |
$29.57 |
|
|
Circum 28 days or older
|
$9,518.35 |
$9,518.35 |
$9,518.35 |
|
|
Circumcision (newborn)
|
$570.70 |
$570.70 |
$1,395.20 |
|
|
Cisplatin 1 mg/ml desensitization
|
$901.55 |
$901.55 |
$901.55 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$454.67 |
$454.67 |
$454.67 |
|
|
Clearance of airways
|
$332.40 |
$332.40 |
$482.30 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$61.26 |
$61.26 |
$61.26 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$402.40 |
$402.40 |
$402.40 |
|
|
Clot factor xii hageman
|
$84.40 |
$84.40 |
$84.40 |
|
|
Clot factor xiii fibrin stab
|
$33.60 |
$33.60 |
$53.60 |
|
|
Clozapine, 25 mg
|
$7.51 |
$7.51 |
$7.51 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$446.40 |
$446.40 |
$446.40 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$43.60 |
$43.60 |
$43.60 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$723.20 |
$723.20 |
$723.20 |
|
|
Clsd tx elbow dislocation child 24640
|
$402.40 |
$402.40 |
$402.40 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$55.60 |
$55.60 |
$55.60 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$278.80 |
$278.80 |
$278.80 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$68.00 |
$68.00 |
$171.60 |
|
|
Clsd tx fx radius/ulna without manip 25560
|
$63.20 |
$63.20 |
$63.20 |
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$215.20 |
$215.20 |
$215.20 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$402.40 |
$402.40 |
$402.40 |
|
|
Clsd tx/metatarsal fx without manip 28470
|
$63.20 |
$63.20 |
$63.20 |
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$63.20 |
$63.20 |
$402.40 |
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$273.20 |
$273.20 |
$273.20 |
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$287.60 |
$287.60 |
$287.60 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$194.00 |
$194.00 |
$194.00 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$374.40 |
$374.40 |
$374.40 |
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$63.20 |
$63.20 |
$63.20 |
|
