|
Cath right hrt mnpul art
|
$801.46 |
$801.46 |
$1,457.20 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$182.60 |
$182.60 |
$332.00 |
$469.09
|
|
Cauterization chemical granulation tissue
|
$115.28 |
$115.28 |
$209.60 |
$340.90
|
|
Cdna analysis for variants
|
$126.94 |
$126.94 |
$230.80 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$96.30 |
$96.30 |
$175.09 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$30.53 |
$30.53 |
$55.51 |
$44.03
|
|
Cefotaxime sodium injection
|
$38.38 |
$38.38 |
$69.79 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$153.18 |
$153.18 |
$278.50 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$33.58 |
$33.58 |
$61.06 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$310.53 |
$310.53 |
$564.60 |
$84.18
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$107.35 |
$107.35 |
$195.17 |
$29.45
|
|
Cell count w differential body fluid
|
$20.68 |
$20.68 |
$37.60 |
$93.23
|
|
Cell function assay w/stim
|
$83.38 |
$83.38 |
$151.60 |
$314.25
|
|
Cell marker study
|
$26.18 |
$26.18 |
$47.60 |
$247.20
|
|
Change cystostomy tube simple
|
$79.64 |
$79.64 |
$144.80 |
$451.00
|
|
Change g-tube to g-j perc
|
$629.64 |
$629.64 |
$1,144.80 |
$2,198.40
|
|
Change of windpipe airway 31502
|
$81.84 |
$81.84 |
$148.80 |
$388.00
|
|
Chemo adm cns w/lmbr punct
|
$810.70 |
$810.70 |
$1,474.00 |
$665.40
|
|
Chemo ia push tecnique
|
$197.78 |
$197.78 |
$359.60 |
$493.25
|
|
Chest CT scan (with and without contrast)
|
$358.82 |
$358.82 |
$652.40 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$286.88 |
$286.88 |
$521.60 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$239.14 |
$239.14 |
$434.80 |
$1,350.03
|
|
Chest X-ray
|
$77.44 |
$77.44 |
$140.80 |
$294.06
|
|
Chest X-ray (single view)
|
$79.20 |
$79.20 |
$144.00 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$45.54 |
$45.54 |
$82.80 |
$147.95
|
|
Chloramphenicol sodium injec
|
$118.87 |
$118.87 |
$216.12 |
$113.84
|
|
Chloride
|
$6.38 |
$6.38 |
$11.60 |
$40.95
|
|
Chloride 24 hour urine
|
$24.64 |
$24.64 |
$44.80 |
$49.50
|
|
Chloroprocaine hcl injection
|
$61.51 |
$61.51 |
$111.84 |
$61.51
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$192.56 |
$192.56 |
$350.11 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$87.19 |
$87.19 |
$158.52 |
$78.43
|
|
Cholangiogram percutaneous compl
|
$1,327.04 |
$1,327.04 |
$2,412.80 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$125.18 |
$125.18 |
$227.60 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,560.02 |
$1,560.02 |
$2,836.40 |
$3,690.60
|
|
Cholesterol
|
$35.86 |
$35.86 |
$65.20 |
$45.76
|
|
Cholesterol body fluid
|
$70.62 |
$70.62 |
$128.40 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$12.54 |
$12.54 |
$22.80 |
$115.80
|
|
Cholinesterase
|
$5.28 |
$5.28 |
$9.60 |
$38.69
|
|
Chrom analysis
|
$23.32 |
$23.32 |
$42.40 |
$156.00
|
|
Chromatography
|
$33.44 |
$33.44 |
$60.80 |
$81.25
|
|
Chromogenic substrate assay
|
$83.38 |
$83.38 |
$151.60 |
$148.68
|
|
Chromosome analysis 15-20 cell count
|
$95.70 |
$95.70 |
$174.00 |
$512.20
|
|
Chromosome count additional
|
$14.08 |
$14.08 |
$25.60 |
$92.45
|
|
Chromosome karyotype study
|
$166.54 |
$166.54 |
$302.80 |
$119.87
|
|
Chylomicron screen, bf - sendout
|
$17.60 |
$17.60 |
$32.00 |
$124.15
|
|
Cidofovir injection
|
$894.60 |
$894.60 |
$1,626.55 |
$1,295.73
|
|
Cilastatin sodium injection
|
$64.68 |
$64.68 |
$117.60 |
$77.40
|
|
Cinacalcet 30 mg tablet
|
$41.88 |
$41.88 |
$76.15 |
$41.25
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$22.00 |
$22.00 |
$40.00 |
$34.88
|
|
Ciprofloxacin otic susp 6 mg
|
$5.01 |
$5.01 |
$9.10 |
$63.31
|
|
Circumcise/surg/28 days or < 54160
|
$72.60 |
$72.60 |
$132.00 |
$1,219.20
|
|
Circumcision (newborn)
|
$519.42 |
$519.42 |
$944.40 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$610.57 |
$610.57 |
$1,110.12 |
$192.66
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$427.40 |
$427.40 |
$777.10 |
$569.55
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$70.29 |
$70.29 |
$127.80 |
$55.20
|
|
Clofarabine 1 mg/ml intravenous solution
|
$3,092.89 |
$3,092.89 |
$5,623.44 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$128.27 |
$128.27 |
$233.22 |
$81.90
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$76.34 |
$76.34 |
$138.80 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$563.42 |
$563.42 |
$1,024.40 |
$2,520.60
|
|
Clot factor xii hageman
|
$30.36 |
$30.36 |
$55.20 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$9.02 |
$9.02 |
$16.40 |
$55.44
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$81.84 |
$81.84 |
$148.80 |
$641.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$69.08 |
$69.08 |
$125.60 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$78.76 |
$78.76 |
$143.20 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$549.12 |
$549.12 |
$998.40 |
$2,184.08
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$343.20 |
$343.20 |
$624.00 |
$1,656.90
|
|
Clsd tx hip disloc without anes 27265
|
$69.08 |
$69.08 |
$125.60 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$78.76 |
$78.76 |
$143.20 |
$492.99
|
|
Clsd tx of ankle fracture w/manip 28435
|
$78.76 |
$78.76 |
$143.20 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$78.76 |
$78.76 |
$143.20 |
$566.72
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$78.76 |
$78.76 |
$143.20 |
$412.00
|
|
Clsd tx radius fracture w/manip 24655
|
$78.76 |
$78.76 |
$143.20 |
$1,782.86
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$950.40 |
$950.40 |
$1,728.00 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$56.10 |
$56.10 |
$102.00 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$78.76 |
$78.76 |
$143.20 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$385.44 |
$385.44 |
$700.80 |
$1,565.74
|
|
Cltx post ankle fx w/mnpj
|
$266.42 |
$266.42 |
$484.40 |
$1,893.86
|
|
Cmv pcr-sendout
|
$36.96 |
$36.96 |
$67.20 |
$177.50
|
|
Coagulation time activated teg
|
$14.08 |
$14.08 |
$25.60 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$2,542.37 |
$2,542.37 |
$4,622.50 |
$629.41
|
|
Cold agglutinin titer
|
$12.32 |
$12.32 |
$22.40 |
$50.00
|
|
Colistimethate sodium inj
|
$85.49 |
$85.49 |
$155.43 |
$68.47
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$49.72 |
$49.72 |
$90.40 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$1.76 |
$1.76 |
$3.20 |
$21.00
|
|
Compatibility test each unit immediate spin technique
|
$80.08 |
$80.08 |
$145.60 |
$169.52
|
|
Complement antigen each component c3
|
$23.10 |
$23.10 |
$42.00 |
$108.55
|
|
Complex uroflowmetry (electronic) 51741
|
$129.36 |
$129.36 |
$235.20 |
$346.71
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$140.36 |
$140.36 |
$255.20 |
$1,194.25
|
|
Complx repair fccmnaxghf 13132
|
$203.28 |
$203.28 |
$369.60 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$101.64 |
$101.64 |
$184.80 |
$490.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$170.50 |
$170.50 |
$310.00 |
$1,000.00
|
|
Concentration infection agents any type
|
$8.80 |
$8.80 |
$16.00 |
$49.95
|
|
Condylomata destruction 56420
|
$83.16 |
$83.16 |
$151.20 |
$469.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$12.98 |
$12.98 |
$23.60 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$13.64 |
$13.64 |
$24.80 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$44.66 |
$44.66 |
$81.20 |
$225.96
|
|
Contrast exam abdominl aorta 75625-26
|
$1,354.10 |
$1,354.10 |
$2,462.00 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$2,251.04 |
$2,251.04 |
$4,092.80 |
$3,728.24
|
|
Contrast x-ray of elbow
|
$248.16 |
$248.16 |
$451.20 |
$649.80
|
|
Control nosebleed pack+caut 30905
|
$56.10 |
$56.10 |
$102.00 |
$392.60
|
