|
Cath lt/rt pulm art
|
$539.00 |
$539.00 |
$539.00 |
$1,527.00
|
|
Cath malecot 28fr 4-wing ltx
|
$804.69 |
$804.69 |
$804.69 |
$1,882.80
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$11,759.61 |
$11,759.61 |
$11,759.61 |
$15,826.01
|
|
Cath place 1st order venous 36011
|
$1,071.40 |
$1,071.40 |
$1,071.40 |
$1,492.70
|
|
Cath place cardio brachytx
|
$2,978.25 |
$2,978.25 |
$2,978.25 |
$3,404.95
|
|
Cath plc art ang/grft lt/rt hr
|
$7,130.75 |
$7,130.75 |
$7,130.75 |
$11,689.44
|
|
Cath plc art/angio/rt hrt cath
|
$5,206.85 |
$5,206.85 |
$5,206.85 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$5,275.60 |
$5,275.60 |
$5,275.60 |
$10,673.00
|
|
Cath right heart w/o2 sat & card
|
$6,356.90 |
$6,356.90 |
$6,356.90 |
$6,306.85
|
|
Cath right hrt mnpul art
|
$435.60 |
$435.60 |
$435.60 |
$1,210.00
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$418.00 |
$418.00 |
$418.00 |
$474.40
|
|
Cath segmntl pulm art
|
$387.20 |
$387.20 |
$387.20 |
$1,500.33
|
|
Cath steerable flex adv 12f
|
$1,263.50 |
$1,263.50 |
$1,263.50 |
$2,139.50
|
|
Cath stripping venous s&i
|
$762.30 |
$762.30 |
$762.30 |
$602.40
|
|
Cath uret open tp 6fx70cm
|
$365.57 |
$365.57 |
$365.57 |
$347.98
|
|
Cauterization chemical granulation tissue
|
$531.85 |
$531.85 |
$531.85 |
$351.78
|
|
#cbg+cort-cbg
|
$66.55 |
$66.55 |
$66.55 |
$66.55
|
|
Cdna analysis for variants
|
$478.50 |
$478.50 |
$478.50 |
$564.86
|
|
#celiac hla-dq2
|
$364.65 |
$364.65 |
$364.65 |
$226.28
|
|
#celiac hla-dq8
|
$364.65 |
$364.65 |
$364.65 |
$246.88
|
|
Cell count body fluid
|
$24.75 |
$24.75 |
$24.75 |
$63.52
|
|
Cell count w differential body fluid
|
$56.65 |
$56.65 |
$56.65 |
$95.55
|
|
Cell cryopreserve/storage
|
$298.65 |
$298.65 |
$298.65 |
$74.50
|
|
Cell function assay w/stim
|
$331.65 |
$331.65 |
$331.65 |
$335.20
|
|
Cell marker study
|
$116.05 |
$116.05 |
$116.05 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$731.50 |
$731.50 |
$731.50 |
$884.00
|
|
Cervical or vaginal cancer screening g0101
|
$33.55 |
$33.55 |
$33.55 |
$108.93
|
|
Cesarean section delivery only 59514
|
$4,325.75 |
$4,325.75 |
$4,325.75 |
$4,472.25
|
|
#cf-97variants
|
$549.45 |
$549.45 |
$549.45 |
$612.26
|
|
Cftr gene known fam variants
|
$400.40 |
$400.40 |
$400.40 |
$161.88
|
|
Change cystostomy tube; complex 51710
|
$2,251.70 |
$2,251.70 |
$2,251.70 |
$1,546.40
|
|
Change cystostomy tube simple
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$479.00
|
|
Change g-tube to g-j perc
|
$1,820.50 |
$1,820.50 |
$1,820.50 |
$2,206.00
|
|
Change nephroureteral cath
|
$4,282.85 |
$4,282.85 |
$4,282.85 |
$2,969.25
|
|
Change of ureter tube/stent
|
$2,196.70 |
$2,196.70 |
$2,196.70 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$883.30 |
$883.30 |
$883.30 |
$412.00
|
|
Change ureter stent percut
|
$3,854.40 |
$3,854.40 |
$3,854.40 |
$3,930.55
|
|
Chemo adm cns w/lmbr punct
|
$827.75 |
$827.75 |
$827.75 |
$722.70
|
|
Chemodener muscle larynx emg
|
$754.60 |
$754.60 |
$754.60 |
$765.43
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$621.50 |
$621.50 |
$621.50 |
$510.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$654.50 |
$654.50 |
$654.50 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$1,177.55 |
$1,177.55 |
$1,177.55 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$889.35 |
$889.35 |
$889.35 |
$988.50
|
|
Chemodenervation/face muscl/unilat 64612
|
$909.70 |
$909.70 |
$909.70 |
$672.49
|
|
Chemodenerv eccrine glands 64650
|
$583.55 |
$583.55 |
$583.55 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$600.60 |
$600.60 |
$600.60 |
$556.86
|
|
Chemodenerv musc neck dyston 64616
|
$1,515.80 |
$1,515.80 |
$1,515.80 |
$808.84
|
|
Chemodenerv trunk musc 1-5 64646
|
$895.95 |
$895.95 |
$895.95 |
$970.61
|
|
Chemodenerv trunk musc 6/] 64647
|
$949.30 |
$949.30 |
$949.30 |
$1,234.53
|
|
Chemo extend IV infus w/pump
|
$724.35 |
$724.35 |
$724.35 |
$527.40
|
|
Chemo ia push tecnique
|
$383.35 |
$383.35 |
$383.35 |
$500.20
|
|
Chemotherapy injection 96542
|
$246.40 |
$246.40 |
$246.40 |
$422.37
|
|
Chemotx admn pertl cav impl
|
$586.85 |
$586.85 |
$586.85 |
$507.17
|
|
Chest 2 vws w oblique
|
$211.20 |
$211.20 |
$211.20 |
$373.20
|
|
Chest apical lordotic proj
|
$203.50 |
$203.50 |
$203.50 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$1,018.60 |
$1,018.60 |
$1,018.60 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$815.10 |
$815.10 |
$815.10 |
$1,350.03
|
|
Chest X-ray
|
$201.85 |
$201.85 |
$201.85 |
$294.06
|
|
Chest X-ray (single view)
|
$138.60 |
$138.60 |
$138.60 |
$229.08
|
|
Chg pr pul rehab for copd patients
|
$301.95 |
$301.95 |
$301.95 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$314.60 |
$314.60 |
$314.60 |
$520.80
|
|
Chimerism anal w/cell select
|
$710.60 |
$710.60 |
$710.60 |
$585.60
|
|
Chlamydia culture
|
$212.30 |
$212.30 |
$212.30 |
$94.90
|
|
Chlamydia type
|
$24.75 |
$24.75 |
$24.75 |
$34.75
|
|
Chlnggrphy intraop addl s&i
|
$301.40 |
$301.40 |
$301.40 |
$280.00
|
|
Chloride
|
$38.50 |
$38.50 |
$38.50 |
$38.50
|
|
Chloride 24 hour urine
|
$31.35 |
$31.35 |
$31.35 |
$46.13
|
|
Cholangiogram percutaneous compl
|
$3,384.15 |
$3,384.15 |
$3,384.15 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$358.60 |
$358.60 |
$358.60 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,275.25 |
$3,275.25 |
$3,275.25 |
$3,856.84
|
|
Cholesterol
|
$28.60 |
$28.60 |
$28.60 |
$46.15
|
|
Cholesterol body fluid
|
$58.30 |
$58.30 |
$58.30 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$60.50 |
$60.50 |
$60.50 |
$115.70
|
|
Cholinesterase
|
$69.30 |
$69.30 |
$69.30 |
$38.69
|
|
Chorion biopsy
|
$1,392.05 |
$1,392.05 |
$1,392.05 |
$1,030.40
|
|
Chrom analysis
|
$127.60 |
$127.60 |
$127.60 |
$127.86
|
|
Chromatography
|
$132.55 |
$132.55 |
$132.55 |
$80.60
|
|
Chromo high res and frag x - sendout
|
$322.85 |
$322.85 |
$322.85 |
$264.25
|
|
Chromosome analys amniotic
|
$171.75 |
$171.75 |
$171.75 |
$436.00
|
|
Chromosome analysis 100
|
$528.00 |
$528.00 |
$528.00 |
$321.44
|
|
Chromosome analysis 15-20 cell count
|
$290.40 |
$290.40 |
$290.40 |
$448.80
|
|
Chromosome analysis 5
|
$447.70 |
$447.70 |
$447.70 |
$644.80
|
|
Chromosome analys placenta
|
$1,877.15 |
$1,877.15 |
$1,877.15 |
$642.00
|
|
Chromosome count additional
|
$45.65 |
$45.65 |
$45.65 |
$110.00
|
|
Chromosome karyotype study
|
$57.75 |
$57.75 |
$57.75 |
$102.72
|
|
Chronic urticaria - sendout
|
$62.70 |
$62.70 |
$62.70 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$258.50 |
$258.50 |
$258.50 |
$123.20
|
|
Circumcise/surg/28 days or < 54160
|
$3,434.20 |
$3,434.20 |
$3,434.20 |
$1,995.50
|
|
Circumcision (newborn)
|
$3,748.25 |
$3,748.25 |
$3,748.25 |
$1,549.50
|
|
C-kit mutation liquid tumor - sendout
|
$725.45 |
$725.45 |
$725.45 |
$640.41
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$2,066.12 |
$2,066.12 |
$2,066.12 |
$8,873.40
|
|
Clearance of airways
|
$206.80 |
$206.80 |
$206.80 |
$206.80
|
|
Clip ligating vesolock lg
|
$293.91 |
$293.91 |
$293.91 |
$977.62
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$475.20 |
$475.20 |
$475.20 |
$612.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$1,819.00
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,615.35 |
$1,615.35 |
$1,615.35 |
$1,966.30
|
|
Closed tx humerus fx with manip 23605
|
$2,929.30 |
$2,929.30 |
$2,929.30 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$697.40 |
$697.40 |
$697.40 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$1,592.00
|
