|
Carotene
|
$89.15 |
$89.15 |
$89.15 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,291.35 |
$1,291.35 |
$1,291.35 |
$1,024.32
|
|
Car seat/bed test 60 minutes
|
$233.25 |
$233.25 |
$233.25 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$233.25 |
$233.25 |
$233.25 |
$65.00
|
|
Cath adherent clot 10mm 6f 10
|
$278.00 |
$278.00 |
$278.00 |
$19,800.55
|
|
Catheterization collection of specimen single patient all places of service
|
$25.00 |
$25.00 |
$25.00 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$290.00 |
$290.00 |
$290.00 |
$1,690.71
|
|
Cath malecot 28fr 4-wing ltx
|
$751.77 |
$751.77 |
$751.77 |
$2,549.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$392.25 |
$392.25 |
$392.25 |
$462.80
|
|
Cdna analysis for variants
|
$1,319.75 |
$1,319.75 |
$1,319.75 |
$542.87
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$82.31 |
$82.31 |
$82.31 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$31.98 |
$31.98 |
$31.98 |
$45.47
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$116.21 |
$116.21 |
$116.21 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$146.32 |
$146.32 |
$146.32 |
$83.39
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$35.57 |
$35.57 |
$35.57 |
$30.66
|
|
Cell count body fluid
|
$36.40 |
$36.40 |
$36.40 |
$63.52
|
|
Cell count w differential body fluid
|
$63.40 |
$63.40 |
$63.40 |
$92.56
|
|
Cell enumeration & id
|
$60.00 |
$60.00 |
$60.00 |
$542.40
|
|
Cell enumeration phys interp
|
$60.00 |
$60.00 |
$60.00 |
$82.32
|
|
Cell function assay w/stim
|
$223.45 |
$223.45 |
$223.45 |
$325.76
|
|
Cell marker study
|
$273.70 |
$273.70 |
$273.70 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$1,910.10 |
$1,910.10 |
$1,910.10 |
$952.82
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$2,470.08 |
$2,470.08 |
$2,470.08 |
$3,011.40
|
|
#cf-97variants
|
$1,201.15 |
$1,201.15 |
$1,201.15 |
$639.44
|
|
Change cystostomy tube; complex 51710
|
$1,915.35 |
$1,915.35 |
$1,915.35 |
$1,527.00
|
|
Change cystostomy tube simple
|
$347.80 |
$347.80 |
$347.80 |
$477.60
|
|
Chemodenervation/face muscl/unilat 64612
|
$252.00 |
$252.00 |
$252.00 |
$600.00
|
|
Chemodenerv musc migraine 64615
|
$834.35 |
$834.35 |
$834.35 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$834.35 |
$834.35 |
$834.35 |
$719.20
|
|
Chemo extend IV infus w/pump
|
$1,032.25 |
$1,032.25 |
$1,032.25 |
$748.55
|
|
Chest 2 vws w oblique
|
$374.70 |
$374.70 |
$374.70 |
$375.60
|
|
Chest apical lordotic proj
|
$337.05 |
$337.05 |
$337.05 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,504.65 |
$2,504.65 |
$2,504.65 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,049.00 |
$2,049.00 |
$2,049.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,430.20 |
$1,430.20 |
$1,430.20 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$179.35 |
$179.35 |
$179.35 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$171.25 |
$171.25 |
$171.25 |
$134.50
|
|
Chest Ultrasound
|
$430.10 |
$430.10 |
$430.10 |
$463.88
|
|
Chest X-ray
|
$253.35 |
$253.35 |
$253.35 |
$294.06
|
|
Chest X-ray (single view)
|
$183.25 |
$183.25 |
$183.25 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$181.95 |
$181.95 |
$181.95 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$756.20 |
$756.20 |
$756.20 |
$520.80
|
|
Chlamydia culture
|
$188.95 |
$188.95 |
$188.95 |
$91.00
|
|
Chlamydia type
|
$34.75 |
$34.75 |
$34.75 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$248.05 |
$248.05 |
$248.05 |
$281.18
|
|
Chloride
|
$52.55 |
$52.55 |
$52.55 |
$42.63
|
|
Chloride 24 hour urine
|
$52.45 |
$52.45 |
$52.45 |
$50.88
|
|
Chloroprocaine hcl injection
|
$135.50 |
$135.50 |
$135.50 |
$69.08
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$161.09 |
$161.09 |
$161.09 |
$79.74
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$416.55 |
$416.55 |
$416.55 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$8,233.75 |
$8,233.75 |
$8,233.75 |
$3,856.84
|
|
Cholesterol
|
$60.60 |
$60.60 |
$60.60 |
$45.76
|
|
Cholesterol body fluid
|
$207.75 |
$207.75 |
$207.75 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$146.95 |
$146.95 |
$146.95 |
$115.80
|
|
Chromatography
|
$128.35 |
$128.35 |
$128.35 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$406.75 |
$406.75 |
$406.75 |
$250.00
|
|
Chromosome analys amniotic
|
$1,083.65 |
$1,083.65 |
$1,083.65 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$755.60 |
$755.60 |
$755.60 |
$517.11
|
|
Chromosome analys placenta
|
$1,176.65 |
$1,176.65 |
$1,176.65 |
$572.99
|
|
Chromosome karyotype study
|
$119.00 |
$119.00 |
$119.00 |
$120.00
|
|
Circumcision (newborn)
|
$91.60 |
$91.60 |
$91.60 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$204.29 |
$204.29 |
$204.29 |
$205.56
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,596.74 |
$1,596.74 |
$1,596.74 |
$576.60
|
|
Clearance of airways
|
$650.85 |
$650.85 |
$650.85 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$80.86 |
$80.86 |
$80.86 |
$55.20
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$10.65 |
$10.65 |
$10.65 |
$85.37
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$874.60 |
$874.60 |
$874.60 |
$520.80
|
|
Closed tx humerus fx with manip 23605
|
$3,878.20 |
$3,878.20 |
$3,878.20 |
$2,291.20
|
|
Closed tx humerus fx w/manip 24505
|
$1,155.55 |
$1,155.55 |
$1,155.55 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$461.00 |
$461.00 |
$461.00 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,780.95 |
$2,780.95 |
$2,780.95 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$9,255.70 |
$9,255.70 |
$9,255.70 |
$3,651.90
|
|
Clos txnose fx without stablz 21315
|
$5,354.35 |
$5,354.35 |
$5,354.35 |
$2,392.80
|
|
Clot factor xii hageman
|
$210.35 |
$210.35 |
$210.35 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$56.85 |
$56.85 |
$56.85 |
$56.85
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,043.45 |
$1,043.45 |
$1,043.45 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$1,033.90 |
$1,033.90 |
$1,033.90 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$886.95 |
$886.95 |
$886.95 |
$489.60
|
|
Clsd tx clavicle fracture w/manip 23505
|
$4,637.30 |
$4,637.30 |
$4,637.30 |
$1,893.86
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,376.30 |
$1,376.30 |
$1,376.30 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$977.30 |
$977.30 |
$977.30 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$357.20 |
$357.20 |
$357.20 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$4,930.15 |
$4,930.15 |
$4,930.15 |
$2,211.05
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$469.10 |
$469.10 |
$469.10 |
$464.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,911.75 |
$2,911.75 |
$2,911.75 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,911.75 |
$2,911.75 |
$2,911.75 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$1,325.05 |
$1,325.05 |
$1,325.05 |
$630.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$4,830.00 |
$4,830.00 |
$4,830.00 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,005.65 |
$1,005.65 |
$1,005.65 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$672.15 |
$672.15 |
$672.15 |
$522.78
|
|
Clsd tx of ankle fracture w/manip 28435
|
$4,930.10 |
$4,930.10 |
$4,930.10 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$1,139.10 |
$1,139.10 |
$1,139.10 |
$573.52
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$4,930.15 |
$4,930.15 |
$4,930.15 |
$2,222.00
|
|
Clsd tx radius fracture w/manip 24655
|
$1,618.95 |
$1,618.95 |
$1,618.95 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$700.95 |
$700.95 |
$700.95 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$4,709.90 |
$4,709.90 |
$4,709.90 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,235.05 |
$2,235.05 |
$2,235.05 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$475.90 |
$475.90 |
$475.90 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$283.10 |
$283.10 |
$283.10 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,300.85 |
$1,300.85 |
$1,300.85 |
$1,592.00
|
