|
Carpal Tunnel Release Surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,899.19
|
|
Cataract Surgery
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,986.00
|
|
Cataract surg w/iol 1 stage
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,068.80
|
|
Catecholamines,fractionated, urine
|
$30.03 |
$30.03 |
$30.03 |
$55.20
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$55.18 |
$55.18 |
$55.18 |
$459.03
|
|
Cath acuity innr ic130 6f 63cm
|
$18.48 |
$18.48 |
$18.48 |
$3,803.52
|
|
Cath combo lt&rt heart w/inj/s
|
$2,166.16 |
$2,166.16 |
$2,166.16 |
$8,832.72
|
|
Catheter declot mechanical
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,833.28
|
|
Catheterization collection of specimen single patient all places of service
|
$9.71 |
$9.71 |
$9.71 |
$57.20
|
|
Catheter stripping venous
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,414.00
|
|
Cath left heart/lv gram
|
$1,820.44 |
$1,820.44 |
$1,820.44 |
$7,483.80
|
|
Cath plc art ang/grft lt/rt hr
|
$3,543.50 |
$3,543.50 |
$3,543.50 |
$11,883.50
|
|
Cath plc art/angio/rt hrt cath
|
$3,010.21 |
$3,010.21 |
$3,010.21 |
$10,201.75
|
|
Cath plc art/grft/angio right hrt
|
$3,246.15 |
$3,246.15 |
$3,246.15 |
$10,673.00
|
|
Cath right heart w/o2 sat & card
|
$1,678.80 |
$1,678.80 |
$1,678.80 |
$6,356.90
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$474.40
|
|
Cauterization chemical granulation tissue
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$354.00
|
|
Cauterization of cervix 57510
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$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 |
$576.60
|
|
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
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,641.60
|
|
Cerclage of uterine cervix nonob 57700
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,522.35
|
|
Cervical lymphadenectomy 38720
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$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
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,645.15
|
|
Change cystostomy tube simple
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$497.50
|
|
Change gastric port open
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,001.00
|
|
Change g-tube to g-j perc
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,198.81
|
|
Change nephroureteral cath
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,969.25
|
|
Change of ureter tube/stent
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$412.00
|
|
Change stent via transureth
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,413.60
|
|
Change ureter stent percut
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,099.50
|
|
Chemical exfoliation acne 17360
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$235.80
|
|
Chemical peel face epiderm 15788
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$779.35
|
|
Chemical peel nonfacial 15793
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$470.51
|
|
Chemical peel nonfacial; epidermal
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$823.80
|
|
Chemo adm cns w/lmbr punct
|
$170.66 |
$170.66 |
$170.66 |
$732.00
|
|
Chemodener muscle larynx emg
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$765.43
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$510.60
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$988.50
|
|
Chemodenervation anal musc
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,359.53
|
|
Chemodenervation/face muscl/unilat 64612
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$677.98
|
|
Chemodenervation nerve of eye muscle 67345
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$717.07
|
|
Chemodenerv eccrine glands
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$379.38
|
|
Chemodenerv eccrine glands 64650
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$561.60
|
|
Chemodenerv musc neck dyston 64616
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$808.84
|
|
Chemodenerv saliv glands bilat 64611
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$430.50
|
|
Chemodenerv trunk musc 1-5 64646
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,234.53
|
|
Chemo ia infuse each addl hr
|
$53.53 |
$53.53 |
$53.53 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$115.45 |
$115.45 |
$115.45 |
$604.89
|
|
Chemo intralesional over 7
|
$64.50 |
$64.50 |
$64.50 |
$309.40
|
|
Chemo intralesional up to 7 96405
|
$55.21 |
$55.21 |
$55.21 |
$175.20
|
|
Chemotaxis assay
|
$17.59 |
$17.59 |
$17.59 |
$21.31
|
|
Chest 2 vws w oblique
|
$86.68 |
$86.68 |
$86.68 |
$375.90
|
|
Chest apical lordotic proj
|
$81.14 |
$81.14 |
$81.14 |
$290.36
|
|
Chest CT scan (with and without contrast)
|
$595.98 |
$595.98 |
$595.98 |
$2,083.25
|
|
Chest CT scan (with contrast)
|
$549.66 |
$549.66 |
$549.66 |
$1,707.60
|
|
Chest CT scan (without contrast)
|
$433.18 |
$433.18 |
$433.18 |
$1,350.03
|
|
Chest X-ray
|
$63.59 |
$63.59 |
$63.59 |
$295.03
|
|
Chest X-ray (single view)
|
$54.95 |
$54.95 |
$54.95 |
$232.17
|
|
Chg pr pul rehab for copd patients
|
$51.21 |
$51.21 |
$51.21 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$141.25 |
$141.25 |
$141.25 |
$527.80
|
|
Chimerism anal no cell selec
|
$228.21 |
$228.21 |
$228.21 |
$447.94
|
|
Chimerism anal w/cell select
|
$286.87 |
$286.87 |
$286.87 |
$585.60
|
|
Chlamydia culture
|
$21.56 |
$21.56 |
$21.56 |
$94.90
|
|
Chlamydia trachomatis ag if
|
$13.18 |
$13.18 |
$13.18 |
$30.40
|
|
Chlamydia type
|
$6.13 |
$6.13 |
$6.13 |
$34.92
|
|
Chloride
|
$5.06 |
$5.06 |
$5.06 |
$39.60
|
|
Chloride 24 hour urine
|
$6.33 |
$6.33 |
$6.33 |
$46.13
|
|
Cholangiogram percutaneous compl
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$95.71 |
$95.71 |
$95.71 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,712.80
|
|
Cholesterol
|
$4.79 |
$4.79 |
$4.79 |
$46.15
|
|
Cholesterol body fluid
|
$140.99 |
$140.99 |
$140.99 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$14.73 |
$14.73 |
$14.73 |
$118.30
|
|
Cholinesterase
|
$8.66 |
$8.66 |
$8.66 |
$39.60
|
|
Chorion biopsy
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$986.70
|
|
Chrom analysis
|
$38.29 |
$38.29 |
$38.29 |
$128.25
|
|
Chromatogram assay sugars
|
$42.90 |
$42.90 |
$42.90 |
$60.60
|
|
Chromatography
|
$19.87 |
$19.87 |
$19.87 |
$81.25
|
|
Chromogenic substrate assay
|
$13.08 |
$13.08 |
$13.08 |
$184.60
|
|
Chromo high res and frag x - sendout
|
$62.74 |
$62.74 |
$62.74 |
$265.11
|
|
Chromosome analys amniotic
|
$191.03 |
$191.03 |
$191.03 |
$450.00
|
|
Chromosome analysis 100
|
$190.49 |
$190.49 |
$190.49 |
$351.08
|
