|
Bronchial challenge
|
$385.00 |
$385.00 |
$385.00 |
$820.05
|
|
Br punct aspir ea add, l
|
$358.00 |
$358.00 |
$358.00 |
$357.51
|
|
Bundled special stain group 1 microorganisms
|
$288.00 |
$288.00 |
$288.00 |
$159.00
|
|
Bundled special stain group 2
|
$254.00 |
$254.00 |
$254.00 |
$173.40
|
|
Buprenorphine and metabolite - sendout
|
$7.00 |
$7.00 |
$7.00 |
$80.64
|
|
Bx bone trocar/ndl deep
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
$2,388.00
|
|
Bx breast 1st lesion strtctc
|
$2,815.00 |
$2,815.00 |
$2,815.00 |
$3,536.63
|
|
Bx breast add lesion Ultrasound imag
|
$3,116.00 |
$3,116.00 |
$3,116.00 |
$1,670.79
|
|
Bx pleura pq ndl
|
$1,732.00 |
$1,732.00 |
$1,732.00 |
$1,608.00
|
|
Bx skin punch ea sep/ addl les
|
$110.00 |
$110.00 |
$110.00 |
$230.75
|
|
Bypass temp external fem-fem
|
$3,020.00 |
$3,020.00 |
$3,020.00 |
$1,938.60
|
|
Cad breast MRI w/r&i
|
$563.00 |
$563.00 |
$563.00 |
$100.80
|
|
Cadd pump refill
|
$360.00 |
$360.00 |
$360.00 |
$386.60
|
|
Calcium 24 hour urine
|
$27.00 |
$27.00 |
$27.00 |
$53.00
|
|
Calcium ionized
|
$61.00 |
$61.00 |
$61.00 |
$90.00
|
|
Calcium total
|
$51.00 |
$51.00 |
$51.00 |
$50.00
|
|
Calprotectin fecal
|
$67.00 |
$67.00 |
$67.00 |
$170.00
|
|
Carbamazepine total therapeutic drug level
|
$123.00 |
$123.00 |
$123.00 |
$122.85
|
|
Carbon dioxide
|
$53.00 |
$53.00 |
$53.00 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$115.00 |
$115.00 |
$115.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$99.00 |
$99.00 |
$99.00 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,064.00 |
$2,064.00 |
$2,064.00 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$298.00 |
$298.00 |
$298.00 |
$249.60
|
|
Cardiolipin antibody iga
|
$189.00 |
$189.00 |
$189.00 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,396.00 |
$1,396.00 |
$1,396.00 |
$1,431.36
|
|
Carotid Artery Ultrasound (Duplex)
|
$748.00 |
$748.00 |
$748.00 |
$1,024.32
|
|
Car seat/bed test 60 minutes
|
$125.00 |
$125.00 |
$125.00 |
$111.15
|
|
Car seat/bed test additional 30 minutes
|
$54.00 |
$54.00 |
$54.00 |
$65.00
|
|
Cath combo lt&rt heart w/inj/s
|
$7,546.00 |
$7,546.00 |
$7,546.00 |
$9,316.35
|
|
Catheter insert artery
|
$481.00 |
$481.00 |
$481.00 |
$388.85
|
|
Catheter stripping venous
|
$3,430.00 |
$3,430.00 |
$3,430.00 |
$3,193.94
|
|
Cathj umbilical vein dx/ther nb
|
$453.00 |
$453.00 |
$453.00 |
$246.00
|
|
Cath left heart transseptal punc
|
$10,092.00 |
$10,092.00 |
$10,092.00 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$586.00 |
$586.00 |
$586.00 |
$1,273.15
|
|
Cath plc art ang/grft lt/rt hr
|
$9,076.00 |
$9,076.00 |
$9,076.00 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$6,422.00 |
$6,422.00 |
$6,422.00 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$8,518.00 |
$8,518.00 |
$8,518.00 |
$10,429.27
|
|
Cath right heart w/o2 sat & card
|
$5,033.00 |
$5,033.00 |
$5,033.00 |
$6,406.86
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$346.00 |
$346.00 |
$346.00 |
$462.80
|
|
Cath segmntl pulm art
|
$935.00 |
$935.00 |
$935.00 |
$1,294.19
|
|
Cath stripping venous s&i
|
$692.00 |
$692.00 |
$692.00 |
$682.34
|
|
Cauterization chemical granulation tissue
|
$264.00 |
$264.00 |
$264.00 |
$340.90
|
|
Cell count body fluid
|
$29.00 |
$29.00 |
$29.00 |
$63.52
|
|
Cell count w differential body fluid
|
$46.00 |
$46.00 |
$46.00 |
$92.56
|
|
Change cystostomy tube simple
|
$387.00 |
$387.00 |
$387.00 |
$477.60
|
|
Change g-tube to g-j perc
|
$1,660.00 |
$1,660.00 |
$1,660.00 |
$2,198.81
|
|
Change nephroureteral cath
|
$3,492.00 |
$3,492.00 |
$3,492.00 |
$3,083.97
|
|
Change of windpipe airway 31502
|
$349.00 |
$349.00 |
$349.00 |
$401.50
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$101.00 |
$101.00 |
$101.00 |
$617.60
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$609.00 |
$609.00 |
$609.00 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$568.00 |
$568.00 |
$568.00 |
$988.50
|
|
Chemodenervation/face muscl/unilat 64612
|
$319.00 |
$319.00 |
$319.00 |
$600.00
|
|
Chemodenerv musc migraine 64615
|
$276.00 |
$276.00 |
$276.00 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$276.00 |
$276.00 |
$276.00 |
$719.20
|
|
Chemo extend IV infus w/pump
|
$601.00 |
$601.00 |
$601.00 |
$748.55
|
|
Chemotherapy injection 96542
|
$571.00 |
$571.00 |
$571.00 |
$442.20
|
|
Chest 2 vws w oblique
|
$496.00 |
$496.00 |
$496.00 |
$375.60
|
|
Chest CT scan (with and without contrast)
|
$2,846.00 |
$2,846.00 |
$2,846.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,559.00 |
$2,559.00 |
$2,559.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$137.00 |
$137.00 |
$137.00 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$97.00 |
$97.00 |
$97.00 |
$134.50
|
|
Chest Ultrasound
|
$478.00 |
$478.00 |
$478.00 |
$463.88
|
|
Chest X-ray
|
$390.00 |
$390.00 |
$390.00 |
$294.06
|
|
Chest X-ray (single view)
|
$329.00 |
$329.00 |
$329.00 |
$236.60
|
|
Chloride
|
$44.00 |
$44.00 |
$44.00 |
$42.63
|
|
Chloride 24 hour urine
|
$22.00 |
$22.00 |
$22.00 |
$50.88
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$518.00 |
$518.00 |
$518.00 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,550.00 |
$5,550.00 |
$5,550.00 |
$3,856.84
|
|
Cholesterol
|
$47.00 |
$47.00 |
$47.00 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$78.00 |
$78.00 |
$78.00 |
$115.80
|
|
Chrom analysis
|
$295.00 |
$295.00 |
$295.00 |
$156.00
|
|
Chromatography
|
$76.00 |
$76.00 |
$76.00 |
$84.60
|
|
Chromosome analysis 15-20 cell count
|
$548.00 |
$548.00 |
$548.00 |
$517.11
|
|
Circumcision (newborn)
|
$1,641.00 |
$1,641.00 |
$1,641.00 |
$1,364.88
|
|
Closed tx humerus fx with manip 23605
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$2,291.20
|
|
Closed tx humerus fx w/manip 24505
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$241.00 |
$241.00 |
$241.00 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$2,569.28
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$284.00 |
$284.00 |
$284.00 |
$472.50
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$282.00 |
$282.00 |
$282.00 |
$648.96
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$378.00 |
$378.00 |
$378.00 |
$489.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$282.00 |
$282.00 |
$282.00 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$201.00 |
$201.00 |
$201.00 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$282.00 |
$282.00 |
$282.00 |
$465.21
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$313.00 |
$313.00 |
$313.00 |
$464.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$282.00 |
$282.00 |
$282.00 |
$630.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$282.00 |
$282.00 |
$282.00 |
$620.32
|
|
Clsd tx patella disloc without anes 27560
|
$282.00 |
$282.00 |
$282.00 |
$573.52
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$282.00 |
$282.00 |
$282.00 |
$414.40
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$295.00 |
$295.00 |
$295.00 |
$424.38
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$1,592.00
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,806.00 |
$2,806.00 |
$2,806.00 |
$2,274.40
|
|
#cmvcul-virus inoculation shell
|
$46.00 |
$46.00 |
$46.00 |
$89.76
|
|
Coagulation time activated teg
|
$32.00 |
$32.00 |
$32.00 |
$52.47
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$352.00 |
$352.00 |
$352.00 |
$303.73
|
|
Colposcopy vulva 56820
|
$109.00 |
$109.00 |
$109.00 |
$333.20
|
