|
Cath stripping venous s&i
|
$886.00 |
$886.00 |
$886.00 |
$682.34
|
|
Cauterization chemical granulation tissue
|
$724.00 |
$724.00 |
$724.00 |
$346.40
|
|
Ccnd1/igh translocation alys
|
$518.00 |
$518.00 |
$518.00 |
$295.60
|
|
Cdna analysis for variants
|
$602.00 |
$602.00 |
$602.00 |
$542.87
|
|
#celiac hla-dq8
|
$872.00 |
$872.00 |
$872.00 |
$249.60
|
|
Cell count body fluid
|
$36.00 |
$36.00 |
$36.00 |
$63.52
|
|
Cell count w differential body fluid
|
$43.00 |
$43.00 |
$43.00 |
$92.56
|
|
Cell cryopreserve/storage
|
$40.00 |
$40.00 |
$40.00 |
$62.72
|
|
Cell function assay w/stim
|
$94.69 |
$94.69 |
$94.69 |
$325.76
|
|
Cerebrospinal fld flw imag
|
$1,828.00 |
$1,828.00 |
$1,828.00 |
$952.82
|
|
#cf-97variants
|
$145.00 |
$145.00 |
$145.00 |
$639.44
|
|
Change cystostomy tube; complex 51710
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$1,527.00
|
|
Change cystostomy tube simple
|
$972.00 |
$972.00 |
$972.00 |
$480.15
|
|
Change g-tube to g-j perc
|
$8,552.00 |
$8,552.00 |
$8,552.00 |
$2,198.81
|
|
Change nephroureteral cath
|
$7,327.00 |
$7,327.00 |
$7,327.00 |
$3,102.44
|
|
Change of ureter tube/stent
|
$5,253.00 |
$5,253.00 |
$5,253.00 |
$2,436.00
|
|
Change of windpipe airway 31502
|
$821.00 |
$821.00 |
$821.00 |
$406.80
|
|
Change ureter stent percut
|
$7,327.00 |
$7,327.00 |
$7,327.00 |
$4,006.80
|
|
Chemo adm cns w/lmbr punct
|
$1,637.00 |
$1,637.00 |
$1,637.00 |
$720.20
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$617.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$988.50
|
|
Chemodenervation anal musc
|
$7,004.00 |
$7,004.00 |
$7,004.00 |
$2,762.67
|
|
Chemodenervation/face muscl/unilat 64612
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$652.80
|
|
Chemodenerv musc migraine 64615
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$1,239.00 |
$1,239.00 |
$1,239.00 |
$760.00
|
|
Chemo intralesional up to 7 96405
|
$203.00 |
$203.00 |
$203.00 |
$164.33
|
|
Chemotherapy injection 96542
|
$879.00 |
$879.00 |
$879.00 |
$442.50
|
|
Chemotx admn pertl cav impl
|
$999.00 |
$999.00 |
$999.00 |
$590.00
|
|
Chest 2 vws w oblique
|
$516.00 |
$516.00 |
$516.00 |
$377.00
|
|
Chest apical lordotic proj
|
$448.00 |
$448.00 |
$448.00 |
$314.50
|
|
Chest CT scan (with and without contrast)
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$1,949.58
|
|
Chest CT scan (with contrast)
|
$2,934.00 |
$2,934.00 |
$2,934.00 |
$1,669.00
|
|
Chest CT scan (without contrast)
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$295.00 |
$295.00 |
$295.00 |
$161.77
|
|
Chest Physiotherapy (follow-up session)
|
$450.00 |
$450.00 |
$450.00 |
$135.10
|
|
Chest Ultrasound
|
$796.00 |
$796.00 |
$796.00 |
$467.16
|
|
Chest X-ray
|
$384.00 |
$384.00 |
$384.00 |
$294.06
|
|
Chest X-ray (single view)
|
$306.00 |
$306.00 |
$306.00 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$659.00 |
$659.00 |
$659.00 |
$520.80
|
|
Chloride
|
$19.00 |
$19.00 |
$19.00 |
$41.58
|
|
Chloride 24 hour urine
|
$22.00 |
$22.00 |
$22.00 |
$50.40
|
|
Cholangiogram percutaneous compl
|
$10,472.00 |
$10,472.00 |
$10,472.00 |
$3,427.55
|
|
Cholecystostomy complete w/supervision & interpretation
|
$10,996.00 |
$10,996.00 |
$10,996.00 |
$3,870.00
|
|
Cholesterol
|
$20.00 |
$20.00 |
$20.00 |
$45.50
|
|
Cholesterol body fluid
|
$23.15 |
$23.15 |
$23.15 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$63.00 |
$63.00 |
$63.00 |
$115.70
|
|
Cholinesterase
|
$99.99 |
$99.99 |
$99.99 |
$40.80
|
|
Chorion biopsy
|
$2,549.00 |
$2,549.00 |
$2,549.00 |
$1,392.05
|
|
Chrom analysis
|
$426.00 |
$426.00 |
$426.00 |
$156.00
|
|
Chromatography
|
$77.00 |
$77.00 |
$77.00 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$252.00 |
$252.00 |
$252.00 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$908.00 |
$908.00 |
$908.00 |
$517.11
|
|
Chromosome analys placenta
|
$660.00 |
$660.00 |
$660.00 |
$572.99
|
|
Chromosome count additional
|
$166.00 |
$166.00 |
$166.00 |
$96.40
|
|
Chromosome karyotype study
|
$166.00 |
$166.00 |
$166.00 |
$120.00
|
|
Cine/video x-rays
|
$313.00 |
$313.00 |
$313.00 |
$313.00
|
|
Circumcision (newborn)
|
$3,882.00 |
$3,882.00 |
$3,882.00 |
$1,366.04
|
|
Clearance of airways
|
$443.00 |
$443.00 |
$443.00 |
$214.40
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$893.00 |
$893.00 |
$893.00 |
$518.40
|
|
Closed tx humerus fx with manip 23605
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$893.00 |
$893.00 |
$893.00 |
$524.54
|
|
Closed tx humerus fx w/manip 24505
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$413.00 |
$413.00 |
$413.00 |
$389.50
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$6,486.00 |
$6,486.00 |
$6,486.00 |
$2,569.28
|
|
Closed tx/talus fracture without manip 28430
|
$893.00 |
$893.00 |
$893.00 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$639.00 |
$639.00 |
$639.00 |
$480.80
|
|
Close tear duct opening
|
$1,018.00 |
$1,018.00 |
$1,018.00 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$5,471.00 |
$5,471.00 |
$5,471.00 |
$2,377.50
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$1,292.85
|
|
Closure of eyelid by suture
|
$3,338.00 |
$3,338.00 |
$3,338.00 |
$1,802.40
|
|
Closure paravalvlr leak pq
|
$17,009.00 |
$17,009.00 |
$17,009.00 |
$9,608.00
|
|
Clot factor fletcher fact
|
$116.82 |
$116.82 |
$116.82 |
$119.40
|
|
Clot factor wght kininogen
|
$178.50 |
$178.50 |
$178.50 |
$157.50
|
|
Clot factor xii hageman
|
$67.00 |
$67.00 |
$67.00 |
$135.01
|
|
Clot factor xiii fibrin scrn
|
$20.00 |
$20.00 |
$20.00 |
$55.44
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$893.00 |
$893.00 |
$893.00 |
$657.28
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$536.00 |
$536.00 |
$536.00 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$503.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,326.00 |
$2,326.00 |
$2,326.00 |
$1,912.68
|
|
Clsd tx/clavicular fx without manip 23500
|
$893.00 |
$893.00 |
$893.00 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$869.00 |
$869.00 |
$869.00 |
$422.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$893.00 |
$893.00 |
$893.00 |
$478.40
|
|
Clsd tx elbow dislocation child 24640
|
$893.00 |
$893.00 |
$893.00 |
$480.24
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$4,985.00 |
$4,985.00 |
$4,985.00 |
$2,237.40
|
|
Clsd tx fracture of radius 25500
|
$630.00 |
$630.00 |
$630.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$583.00 |
$583.00 |
$583.00 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$893.00 |
$893.00 |
$893.00 |
$467.35
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$893.00 |
$893.00 |
$893.00 |
$546.00
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,749.06
|
|
Clsd tx fx radius/ulna without manip 25560
|
$893.00 |
$893.00 |
$893.00 |
$494.15
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$893.00 |
$893.00 |
$893.00 |
$453.60
|
|
Clsd tx hip disloc without anes 27265
|
$630.00 |
$630.00 |
$630.00 |
$630.00
|