|
Cannula declotting 36861
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,271.13
|
|
Canthotomy 67715
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,228.00
|
|
Capsular contracture release
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,705.22
|
|
Capsulotomy; interphalangeal joint, each joint (separate proc)
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,958.40
|
|
Capsulotomy mpj ea joint (sep proc)
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,545.97
|
|
Carbamazepine free
|
$14.58 |
$14.58 |
$14.58 |
$66.43
|
|
Carbamazepine free -sendout
|
$20.50 |
$20.50 |
$20.50 |
$53.25
|
|
Carbamazepine total therapeutic drug level
|
$16.03 |
$16.03 |
$16.03 |
$115.05
|
|
Carbohydrate deficient transf - sendout
|
$19.87 |
$19.87 |
$19.87 |
$118.80
|
|
Carbohydrate urine - sendout
|
$6.05 |
$6.05 |
$6.05 |
$50.40
|
|
Carbon dioxide
|
$5.37 |
$5.37 |
$5.37 |
$45.65
|
|
Carboxyhemoglobin quantitative
|
$13.55 |
$13.55 |
$13.55 |
$86.45
|
|
Carcinoembryonic ag (cea)
|
$20.86 |
$20.86 |
$20.86 |
$147.71
|
|
Cardiac MRI w/stress img
|
$715.91 |
$715.91 |
$715.91 |
$1,392.95
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$784.17 |
$784.17 |
$784.17 |
$2,913.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$89.05 |
$89.05 |
$89.05 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$55.57 |
$55.57 |
$55.57 |
$198.24
|
|
Cardiolipin antibody iga
|
$28.00 |
$28.00 |
$28.00 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$949.81 |
$949.81 |
$949.81 |
$1,511.94
|
|
Card MRI veloc flow mapping
|
$406.53 |
$406.53 |
$406.53 |
$492.05
|
|
Car ion chnnlpath inc 10 gns
|
$643.39 |
$643.39 |
$643.39 |
$962.80
|
|
Car ion chnnlpath inc 2 gns
|
$643.39 |
$643.39 |
$643.39 |
$1,091.81
|
|
Carotene
|
$10.14 |
$10.14 |
$10.14 |
$48.75
|
|
Carotid Artery Ultrasound (Duplex)
|
$407.18 |
$407.18 |
$407.18 |
$1,079.81
|
|
Carpal Tunnel Release Surgery
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,899.19
|
|
Cataract Surgery
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,160.80
|
|
Cataract surg w/iol 1 stage
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,068.80
|
|
Catecholamines,fractionated, urine
|
$30.03 |
$30.03 |
$30.03 |
$55.20
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$66.85 |
$66.85 |
$66.85 |
$459.03
|
|
Cath acuity innr ic130 6f 63cm
|
$22.39 |
$22.39 |
$22.39 |
$3,803.52
|
|
Cath combo lt&rt heart w/inj/s
|
$3,674.08 |
$3,674.08 |
$3,674.08 |
$8,832.72
|
|
Catheter declot mechanical
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,833.28
|
|
Catheterization collection of specimen single patient all places of service
|
$9.71 |
$9.71 |
$9.71 |
$57.20
|
|
Catheter stripping venous
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,414.00
|
|
Cath left heart/lv gram
|
$3,087.70 |
$3,087.70 |
$3,087.70 |
$7,524.72
|
|
Cath lt/rt pulm art
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,527.00
|
|
Cath place 1st order venous 36011
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,492.70
|
|
Cath plc art ang/grft lt/rt hr
|
$6,144.56 |
$6,144.56 |
$6,144.56 |
$11,883.50
|
|
Cath plc art/angio/rt hrt cath
|
$5,219.91 |
$5,219.91 |
$5,219.91 |
$10,201.75
|
|
Cath plc art/grft/angio right hrt
|
$5,629.06 |
$5,629.06 |
$5,629.06 |
$10,673.00
|
|
Cath right heart w/o2 sat & card
|
$2,847.46 |
$2,847.46 |
$2,847.46 |
$6,356.90
|
|
Cath right hrt mnpul art
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,210.00
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$474.40
|
|
Cath segmntl pulm art
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,500.33
|
|
Cath stripping venous s&i
|
$275.25 |
$275.25 |
$275.25 |
$602.40
|
|
Cauterization chemical granulation tissue
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$354.00
|
|
Cauterization of cervix 57510
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,474.84
|
|
#cbg+cort-cbg
|
$19.80 |
$19.80 |
$19.80 |
$66.55
|
|
Ccnd1/igh translocation alys
|
$228.04 |
$228.04 |
$228.04 |
$230.14
|
|
Cdna analysis for variants
|
$203.72 |
$203.72 |
$203.72 |
$581.00
|
|
Cebpa gene full sequence
|
$266.09 |
$266.09 |
$266.09 |
$488.22
|
|
#celiac hla-dq2
|
$104.21 |
$104.21 |
$104.21 |
$226.28
|
|
#celiac hla-dq8
|
$120.04 |
$120.04 |
$120.04 |
$246.88
|
|
Cell count body fluid
|
$5.19 |
$5.19 |
$5.19 |
$63.52
|
|
Cell count w differential body fluid
|
$6.16 |
$6.16 |
$6.16 |
$97.83
|
|
Cell cryopreserve/storage
|
$14.38 |
$14.38 |
$14.38 |
$74.50
|
|
Cell enumeration & id
|
$275.86 |
$275.86 |
$275.86 |
$542.40
|
|
Cell function assay w/stim
|
$149.45 |
$149.45 |
$149.45 |
$335.20
|
|
Centralization wrist on ulna
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,641.60
|
|
Cerclage of uterine cervix nonob 57700
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,519.29
|
|
Cerebrospinal fld flw imag
|
$517.02 |
$517.02 |
$517.02 |
$895.95
|
|
Cervical lymphadenectomy 38720
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,633.60
|
|
#cf-97variants
|
$612.26 |
$612.26 |
$612.26 |
$612.26
|
|
Cftr gene dup/delet variants
|
$478.58 |
$478.58 |
$478.58 |
$870.40
|
|
Cftr gene intron poly t
|
$185.63 |
$185.63 |
$185.63 |
$285.75
|
|
Cftr gene known fam variants
|
$106.94 |
$106.94 |
$106.94 |
$195.20
|
|
Change cystostomy tube; complex 51710
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,645.15
|
|
Change cystostomy tube simple
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$497.50
|
|
Change gastric port open
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,001.00
|
|
Change g-tube to g-j perc
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,198.81
|
|
Change nephroureteral cath
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,969.25
|
|
Change of ureter tube/stent
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,412.45
|
|
Change of windpipe airway 31502
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$412.00
|
|
Change stent via transureth
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,413.60
|
|
Change ureter stent percut
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,099.50
|
|
Chemical exfoliation acne 17360
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$247.80
|
|
Chemical peel face epiderm 15788
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$779.35
|
|
Chemical peel nonfacial 15793
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$470.51
|
|
Chemical peel nonfacial; epidermal
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$823.80
|
|
Chemo adm cns w/lmbr punct
|
$654.21 |
$654.21 |
$654.21 |
$732.00
|
|
Chemodener muscle larynx emg
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$765.43
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$988.50
|
|
Chemodenervation anal musc
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,359.53
|
|
Chemodenervation/face muscl/unilat 64612
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$677.98
|
|
Chemodenervation nerve of eye muscle 67345
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$717.07
|
|
Chemodenerv eccrine glands
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$379.38
|
|
Chemodenerv eccrine glands 64650
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$565.50
|
|
Chemodenerv musc neck dyston 64616
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$808.84
|
|
Chemodenerv saliv glands bilat 64611
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$430.50
|
|
Chemodenerv trunk musc 1-5 64646
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,234.53
|
|
Chemotaxis assay
|
$17.59 |
$17.59 |
$17.59 |
$21.31
|
|
Chemotherapy injection 96542
|
$140.68 |
$140.68 |
$140.68 |
$434.00
|
|
Chemotx admn pertl cav impl
|
$250.30 |
$250.30 |
$250.30 |
$507.17
|
|
Chest 2 vws w oblique
|
$127.99 |
$127.99 |
$127.99 |
$377.06
|
|
Chest apical lordotic proj
|
$118.37 |
$118.37 |
$118.37 |
$291.20
|
|
Chest CT scan (with and without contrast)
|
$799.05 |
$799.05 |
$799.05 |
$2,105.40
|
|
Chest CT scan (with contrast)
|
$652.68 |
$652.68 |
$652.68 |
$1,707.60
|
