|
Bx pancreas pq ndl
|
$600.10 |
$600.10 |
$600.10 |
$1,588.50
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$965.76 |
$965.76 |
$965.76 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$399.04 |
$399.04 |
$399.04 |
$964.62
|
|
C1 esterase inhibitor func - sendout
|
$25.60 |
$25.60 |
$25.60 |
$96.72
|
|
Caffeine citrate 20 mg/ml inj for po
|
$130.05 |
$130.05 |
$130.05 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$7,817.72 |
$7,817.72 |
$7,817.72 |
$2,111.64
|
|
Calcium 24 hour urine
|
$16.83 |
$16.83 |
$16.83 |
$53.00
|
|
Calcium ionized
|
$36.99 |
$36.99 |
$36.99 |
$90.00
|
|
Calcium total
|
$25.60 |
$25.60 |
$25.60 |
$50.00
|
|
Calprotectin fecal
|
$35.84 |
$35.84 |
$35.84 |
$169.95
|
|
Capsaicin 8% patch
|
$8,962.28 |
$8,962.28 |
$8,962.28 |
$4,719.65
|
|
Carbamazepine total therapeutic drug level
|
$73.92 |
$73.92 |
$73.92 |
$120.25
|
|
Carbon dioxide
|
$23.55 |
$23.55 |
$23.55 |
$44.00
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,048.53 |
$1,048.53 |
$1,048.53 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$118.40 |
$118.40 |
$118.40 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$80.64 |
$80.64 |
$80.64 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$755.52 |
$755.52 |
$755.52 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$188.80 |
$188.80 |
$188.80 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$32.00 |
$32.00 |
$32.00 |
$196.50
|
|
Cardiolipin antibody iga
|
$228.48 |
$228.48 |
$228.48 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$881.92 |
$881.92 |
$881.92 |
$1,396.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$328.96 |
$328.96 |
$328.96 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$758.40 |
$758.40 |
$758.40 |
$3,608.80
|
|
Caspofungin acetate
|
$1,107.73 |
$1,107.73 |
$1,107.73 |
$615.86
|
|
Cauterization chemical granulation tissue
|
$279.04 |
$279.04 |
$279.04 |
$340.90
|
|
Ceftazidime and avibactam
|
$979.18 |
$979.18 |
$979.18 |
$904.66
|
|
Cell count body fluid
|
$23.55 |
$23.55 |
$23.55 |
$63.63
|
|
Cell count w differential body fluid
|
$44.80 |
$44.80 |
$44.80 |
$93.23
|
|
Cell marker study
|
$75.52 |
$75.52 |
$75.52 |
$247.20
|
|
#cf-97variants
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$622.20
|
|
Change cystostomy tube simple
|
$387.84 |
$387.84 |
$387.84 |
$451.00
|
|
Change of windpipe airway 31502
|
$344.96 |
$344.96 |
$344.96 |
$388.00
|
|
Chest 2 vws w oblique
|
$163.52 |
$163.52 |
$163.52 |
$377.06
|
|
Chest apical lordotic proj
|
$88.64 |
$88.64 |
$88.64 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$698.88 |
$698.88 |
$698.88 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$672.00 |
$672.00 |
$672.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$626.56 |
$626.56 |
$626.56 |
$1,350.03
|
|
Chest X-ray
|
$153.60 |
$153.60 |
$153.60 |
$294.06
|
|
Chest X-ray (single view)
|
$137.60 |
$137.60 |
$137.60 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$112.00 |
$112.00 |
$112.00 |
$147.95
|
|
Chloride
|
$23.55 |
$23.55 |
$23.55 |
$40.95
|
|
Cholesterol
|
$23.55 |
$23.55 |
$23.55 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$41.60 |
$41.60 |
$41.60 |
$115.80
|
|
Chromosome analysis 15-20 cell count
|
$196.80 |
$196.80 |
$196.80 |
$512.20
|
|
Circumcision (newborn)
|
$320.00 |
$320.00 |
$320.00 |
$1,395.20
|
|
Claviculectomy partial
|
$1,030.40 |
$1,030.40 |
$1,030.40 |
$3,594.44
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$166.93 |
$166.93 |
$166.93 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$380.03 |
$380.03 |
$380.03 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$2,199.68 |
$2,199.68 |
$2,199.68 |
$1,806.01
|
|
Closed tx humerus fx without manip 23600
|
$584.32 |
$584.32 |
$584.32 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$961.60 |
$961.60 |
$961.60 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$376.96 |
$376.96 |
$376.96 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$801.60 |
$801.60 |
$801.60 |
$2,520.60
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$460.80 |
$460.80 |
$460.80 |
$481.80
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$589.60 |
$589.60 |
$589.60 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$633.60 |
$633.60 |
$633.60 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$380.03 |
$380.03 |
$380.03 |
$476.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$729.60 |
$729.60 |
$729.60 |
$1,893.86
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$346.24 |
$346.24 |
$346.24 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$760.00 |
$760.00 |
$760.00 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$376.96 |
$376.96 |
$376.96 |
$462.80
|
|
Clsd tx fracture of radius 25500
|
$450.40 |
$450.40 |
$450.40 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$258.56 |
$258.56 |
$258.56 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$380.03 |
$380.03 |
$380.03 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$489.60 |
$489.60 |
$489.60 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,199.68 |
$2,199.68 |
$2,199.68 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$451.20 |
$451.20 |
$451.20 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,199.68 |
$2,199.68 |
$2,199.68 |
$1,571.25
|
|
Clsd tx hip disloc without anes 27265
|
$552.00 |
$552.00 |
$552.00 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$565.76 |
$565.76 |
$565.76 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$416.00 |
$416.00 |
$416.00 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$605.60 |
$605.60 |
$605.60 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$531.20 |
$531.20 |
$531.20 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$426.88 |
$426.88 |
$426.88 |
$418.20
|
|
Clsd tx patella disloc without anes 27560
|
$650.40 |
$650.40 |
$650.40 |
$566.72
|
|
Clsd tx/patellar fx without manip 27520
|
$572.00 |
$572.00 |
$572.00 |
$475.68
|
|
Clsd tx pelvic ring fx
|
$869.60 |
$869.60 |
$869.60 |
$416.35
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,199.68 |
$2,199.68 |
$2,199.68 |
$2,146.20
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$320.64 |
$320.64 |
$320.64 |
$412.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$459.52 |
$459.52 |
$459.52 |
$445.80
|
|
Clsd tx radius fracture w/manip 24655
|
$2,199.68 |
$2,199.68 |
$2,199.68 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,199.68 |
$2,199.68 |
$2,199.68 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$664.00 |
$664.00 |
$664.00 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,199.68 |
$2,199.68 |
$2,199.68 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$376.96 |
$376.96 |
$376.96 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$376.96 |
$376.96 |
$376.96 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,199.68 |
$2,199.68 |
$2,199.68 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$428.80 |
$428.80 |
$428.80 |
$452.40
|
|
Clsd tx wrist carpal fx without manip 25630
|
$513.60 |
$513.60 |
$513.60 |
$476.00
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$478.72 |
$478.72 |
$478.72 |
$474.50
|
|
Cltx hum epcndylr fx wo mnpj
|
$523.20 |
$523.20 |
$523.20 |
$520.80
|
|
Collar cerv adlt perfit ace extric
|
$6.72 |
$6.72 |
$6.72 |
$70.00
|
|
Collection blood specimen from completely implantable venous access device
|
$178.56 |
$178.56 |
$178.56 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$178.56 |
$178.56 |
$178.56 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$7.23 |
$7.23 |
$7.23 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$649.60 |
$649.60 |
$649.60 |
$1,899.00
|
|
Colonoscopy (with biopsy)
|
$739.20 |
$739.20 |
$739.20 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$808.32 |
$808.32 |
$808.32 |
$2,288.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$3,954.56 |
$3,954.56 |
$3,954.56 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$60.80 |
$60.80 |
$60.80 |
$170.05
|
