|
Calcium 24 hour urine
|
$115.20 |
$115.20 |
$115.20 |
$53.00
|
|
Calcium ionized
|
$174.40 |
$174.40 |
$174.40 |
$90.00
|
|
Calcium total
|
$109.60 |
$109.60 |
$109.60 |
$50.00
|
|
Calprotectin fecal
|
$843.20 |
$843.20 |
$843.20 |
$170.00
|
|
Carbamazepine free -sendout
|
$75.20 |
$75.20 |
$75.20 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$301.60 |
$301.60 |
$301.60 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$211.20 |
$211.20 |
$211.20 |
$116.40
|
|
Carbon dioxide
|
$56.80 |
$56.80 |
$56.80 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$143.20 |
$143.20 |
$143.20 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$934.40 |
$934.40 |
$934.40 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,568.80 |
$1,568.80 |
$1,568.80 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$309.60 |
$309.60 |
$309.60 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$253.60 |
$253.60 |
$253.60 |
$204.54
|
|
Cardiolipin antibody iga
|
$227.20 |
$227.20 |
$227.20 |
$107.25
|
|
Cardioversion/elective/internal 92961
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$1,158.00
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,091.20 |
$1,091.20 |
$1,091.20 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$112.00 |
$112.00 |
$112.00 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$56.00 |
$56.00 |
$56.00 |
$51.52
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,136.00 |
$1,136.00 |
$1,136.00 |
$1,024.32
|
|
Cath place 1st order venous 36011
|
$2,366.40 |
$2,366.40 |
$2,366.40 |
$1,313.25
|
|
Cath plc art ang/grft lt/rt hr
|
$16,943.20 |
$16,943.20 |
$16,943.20 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$14,000.00 |
$14,000.00 |
$14,000.00 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$16,109.60 |
$16,109.60 |
$16,109.60 |
$10,429.27
|
|
Cath right heart w/o2 sat & card
|
$8,914.40 |
$8,914.40 |
$8,914.40 |
$6,406.86
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$836.80 |
$836.80 |
$836.80 |
$462.80
|
|
Cauterization chemical granulation tissue
|
$348.80 |
$348.80 |
$348.80 |
$340.90
|
|
Cdna analysis for variants
|
$1,604.80 |
$1,604.80 |
$1,604.80 |
$542.87
|
|
Cebpa gene full sequence
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$493.21
|
|
Cell count body fluid
|
$326.40 |
$326.40 |
$326.40 |
$63.52
|
|
Cell count w differential body fluid
|
$177.60 |
$177.60 |
$177.60 |
$92.56
|
|
Cell cryopreserve/storage
|
$1,262.40 |
$1,262.40 |
$1,262.40 |
$62.72
|
|
Cell function assay w/stim
|
$666.40 |
$666.40 |
$666.40 |
$325.76
|
|
Cell marker study
|
$1,110.40 |
$1,110.40 |
$1,110.40 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$1,561.60 |
$1,561.60 |
$1,561.60 |
$952.82
|
|
Cervical or vaginal cancer screening g0101
|
$97.60 |
$97.60 |
$97.60 |
$109.46
|
|
#cf-97variants
|
$2,896.00 |
$2,896.00 |
$2,896.00 |
$639.44
|
|
Cftr gene dup/delet variants
|
$3,720.80 |
$3,720.80 |
$3,720.80 |
$757.25
|
|
Cftr gene known fam variants
|
$2,128.80 |
$2,128.80 |
$2,128.80 |
$195.20
|
|
Change cystostomy tube simple
|
$792.00 |
$792.00 |
$792.00 |
$477.60
|
|
Change g-tube to g-j perc
|
$3,294.40 |
$3,294.40 |
$3,294.40 |
$2,198.81
|
|
Change of windpipe airway 31502
|
$769.60 |
$769.60 |
$769.60 |
$401.50
|
|
Chemo extend IV infus w/pump
|
$536.80 |
$536.80 |
$536.80 |
$748.55
|
|
Chest 2 vws w oblique
|
$426.40 |
$426.40 |
$426.40 |
$375.60
|
|
Chest apical lordotic proj
|
$376.80 |
$376.80 |
$376.80 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,525.60 |
$2,525.60 |
$2,525.60 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,777.60 |
$1,777.60 |
$1,777.60 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$136.00 |
$136.00 |
$136.00 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$136.00 |
$136.00 |
$136.00 |
$134.50
|
|
Chest Ultrasound
|
$894.40 |
$894.40 |
$894.40 |
$463.88
|
|
Chest X-ray
|
$316.80 |
$316.80 |
$316.80 |
$294.06
|
|
Chest X-ray (single view)
|
$268.80 |
$268.80 |
$268.80 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$281.60 |
$281.60 |
$281.60 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$1,524.80 |
$1,524.80 |
$1,524.80 |
$520.80
|
|
Chlamydia culture
|
$309.60 |
$309.60 |
$309.60 |
$91.00
|
|
Chlamydia type
|
$106.40 |
$106.40 |
$106.40 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$636.80 |
$636.80 |
$636.80 |
$281.18
|
|
Chloride
|
$67.20 |
$67.20 |
$67.20 |
$42.63
|
|
Chloride 24 hour urine
|
$108.00 |
$108.00 |
$108.00 |
$50.88
|
|
Cholangiogram percutaneous compl
|
$3,123.20 |
$3,123.20 |
$3,123.20 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$905.60 |
$905.60 |
$905.60 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$6,045.60 |
$6,045.60 |
$6,045.60 |
$3,856.84
|
|
Cholesterol
|
$94.40 |
$94.40 |
$94.40 |
$45.76
|
|
Cholesterol body fluid
|
$288.00 |
$288.00 |
$288.00 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$208.00 |
$208.00 |
$208.00 |
$115.80
|
|
Cholinesterase
|
$333.60 |
$333.60 |
$333.60 |
$39.48
|
|
Chrom analysis
|
$592.80 |
$592.80 |
$592.80 |
$156.00
|
|
Chromatography
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$84.60
|
|
Chromogenic substrate assay
|
$1,227.20 |
$1,227.20 |
$1,227.20 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$1,710.40 |
$1,710.40 |
$1,710.40 |
$250.00
|
|
Chromosome analys amniotic
|
$1,166.40 |
$1,166.40 |
$1,166.40 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$1,297.60 |
$1,297.60 |
$1,297.60 |
$517.11
|
|
Chromosome analysis 45
|
$887.20 |
$887.20 |
$887.20 |
$382.85
|
|
Chromosome count additional
|
$504.00 |
$504.00 |
$504.00 |
$96.50
|
|
Chromosome karyotype study
|
$359.20 |
$359.20 |
$359.20 |
$120.00
|
|
Chromosome study additional
|
$433.60 |
$433.60 |
$433.60 |
$151.09
|
|
Chronic urticaria - sendout
|
$641.60 |
$641.60 |
$641.60 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$265.60 |
$265.60 |
$265.60 |
$136.09
|
|
Circumcision (newborn)
|
$4,535.20 |
$4,535.20 |
$4,535.20 |
$1,364.88
|
|
Clearance of airways
|
$125.60 |
$125.60 |
$125.60 |
$213.07
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,429.60 |
$1,429.60 |
$1,429.60 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,524.80 |
$1,524.80 |
$1,524.80 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$3,429.60 |
$3,429.60 |
$3,429.60 |
$2,291.20
|
|
Closed tx humerus fx w/manip 24505
|
$1,964.80 |
$1,964.80 |
$1,964.80 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$832.00 |
$832.00 |
$832.00 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$2,569.28
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$967.20 |
$967.20 |
$967.20 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$6,029.60 |
$6,029.60 |
$6,029.60 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$1,259.62
|
|
Clot factor xii hageman
|
$325.60 |
$325.60 |
$325.60 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$541.60 |
$541.60 |
$541.60 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$663.20 |
$663.20 |
$663.20 |
$106.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,596.80 |
$1,596.80 |
$1,596.80 |
$648.96
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$360.00 |
$360.00 |
$360.00 |
$489.60
|
|
Clsd tx/clavicular fx without manip 23500
|
$1,116.00 |
$1,116.00 |
$1,116.00 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$1,249.60 |
$1,249.60 |
$1,249.60 |
$378.60
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,794.40 |
$1,794.40 |
$1,794.40 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$588.80 |
$588.80 |
$588.80 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$4,160.80 |
$4,160.80 |
$4,160.80 |
$2,211.05
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$385.60 |
$385.60 |
$385.60 |
$373.15
|
