|
Chemodenerv trunk musc 6/] 64647
|
$1,253.49 |
$1,253.49 |
$1,253.49 |
$1,234.53
|
|
Chest 2 vws w oblique
|
$529.20 |
$529.20 |
$529.20 |
$377.06
|
|
Chest apical lordotic proj
|
$485.84 |
$485.84 |
$485.84 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$3,419.43 |
$3,419.43 |
$3,419.43 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$2,794.47 |
$2,794.47 |
$2,794.47 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$1,985.66 |
$1,985.66 |
$1,985.66 |
$1,350.03
|
|
Chest X-ray
|
$371.28 |
$371.28 |
$371.28 |
$302.90
|
|
Chest X-ray (single view)
|
$348.39 |
$348.39 |
$348.39 |
$246.94
|
|
Chloride
|
$56.00 |
$56.00 |
$56.00 |
$39.05
|
|
Chloride 24 hour urine
|
$155.30 |
$155.30 |
$155.30 |
$46.13
|
|
Chloroprocaine hcl injection
|
$37.47 |
$37.47 |
$37.47 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$109.20 |
$109.20 |
$109.20 |
$355.99
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$204.95 |
$204.95 |
$204.95 |
$91.92
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,103.45 |
$1,103.45 |
$1,103.45 |
$625.60
|
|
Cholesterol
|
$76.02 |
$76.02 |
$76.02 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$128.42 |
$128.42 |
$128.42 |
$115.70
|
|
Chromosome analysis 15-20 cell count
|
$1,726.00 |
$1,726.00 |
$1,726.00 |
$433.01
|
|
Chromosome analysis 5
|
$1,387.79 |
$1,387.79 |
$1,387.79 |
$663.30
|
|
Chylomicron screen, bf - sendout
|
$179.30 |
$179.30 |
$179.30 |
$123.20
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$58.35 |
$58.35 |
$58.35 |
$45.27
|
|
Cisplatin 1 mg/ml desensitization
|
$197.71 |
$197.71 |
$197.71 |
$175.08
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$2,084.53 |
$2,084.53 |
$2,084.53 |
$496.70
|
|
Clearance of airways
|
$1,345.05 |
$1,345.05 |
$1,345.05 |
$234.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$75.63 |
$75.63 |
$75.63 |
$62.03
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$24.91 |
$24.91 |
$24.91 |
$81.25
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$591.99 |
$591.99 |
$591.99 |
$432.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$891.35 |
$891.35 |
$891.35 |
$487.69
|
|
Clot factor xii hageman
|
$467.36 |
$467.36 |
$467.36 |
$125.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$686.18 |
$686.18 |
$686.18 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$502.64 |
$502.64 |
$502.64 |
$611.10
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$669.69 |
$669.69 |
$669.69 |
$444.36
|
|
Clsd tx elbow dislocation child 24640
|
$825.20 |
$825.20 |
$825.20 |
$525.28
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$683.55 |
$683.55 |
$683.55 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$857.96 |
$857.96 |
$857.96 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$789.71 |
$789.71 |
$789.71 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$593.36 |
$593.36 |
$593.36 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$1,274.91 |
$1,274.91 |
$1,274.91 |
$716.95
|
|
Clsd tx humerus fract without manip 24500
|
$806.93 |
$806.93 |
$806.93 |
$558.40
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$724.61 |
$724.61 |
$724.61 |
$506.10
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$5,602.59 |
$5,602.59 |
$5,602.59 |
$3,839.54
|
|
Clsd tx/metatarsal fx without manip 28470
|
$689.33 |
$689.33 |
$689.33 |
$446.40
|
|
Clsd tx patella disloc without anes 27560
|
$1,059.56 |
$1,059.56 |
$1,059.56 |
$705.60
|
|
Clsd tx pelvic ring fx
|
$726.29 |
$726.29 |
$726.29 |
$448.80
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,707.74 |
$2,707.74 |
$2,707.74 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,711.42 |
$2,711.42 |
$2,711.42 |
$1,828.80
|
|
Clsd tx temporomandibular dislocat 21480
|
$306.71 |
$306.71 |
$306.71 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$817.22 |
$817.22 |
$817.22 |
$436.70
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$416.96 |
$416.96 |
$416.96 |
$1,707.42
|
|
Cltx post ankle fx
|
$1,636.11 |
$1,636.11 |
$1,636.11 |
$497.00
|
|
Cmv pcr-sendout
|
$343.35 |
$343.35 |
$343.35 |
$173.25
|
|
Cocaine 4 % nasal solution
|
$1,089.04 |
$1,089.04 |
$1,089.04 |
$624.58
|
|
Collection blood specimen from completely implantable venous access device
|
$197.61 |
$197.61 |
$197.61 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$188.48 |
$188.48 |
$188.48 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$20.00 |
$20.00 |
$20.00 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$78.33 |
$78.33 |
$78.33 |
$173.25
|
|
Compatibility test each unit electronic
|
$199.71 |
$199.71 |
$199.71 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$78.33 |
$78.33 |
$78.33 |
$169.52
|
|
Complement antigen each component c3
|
$138.71 |
$138.71 |
$138.71 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$469.25 |
$469.25 |
$469.25 |
$940.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,971.08 |
$2,971.08 |
$2,971.08 |
$1,388.40
|
|
Complx repair fccmnaxghf 13131
|
$859.95 |
$859.95 |
$859.95 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$1,749.72 |
$1,749.72 |
$1,749.72 |
$1,244.09
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,579.85 |
$2,579.85 |
$2,579.85 |
$576.66
|
|
Concentration infection agents any type
|
$98.40 |
$98.40 |
$98.40 |
$51.32
|
|
Contrast x-ray of elbow
|
$1,117.83 |
$1,117.83 |
$1,117.83 |
$637.14
|
|
Contrast x-ray of knee joint
|
$1,110.27 |
$1,110.27 |
$1,110.27 |
$683.20
|
|
Control nosebleed pack+caut 30905
|
$770.60 |
$770.60 |
$770.60 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$554.72 |
$554.72 |
$554.72 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$687.23 |
$687.23 |
$687.23 |
$385.45
|
|
Coombs direct
|
$63.32 |
$63.32 |
$63.32 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$33.92 |
$33.92 |
$33.92 |
$94.90
|
|
Core ndl bx lng/med perq
|
$5,808.92 |
$5,808.92 |
$5,808.92 |
$2,963.00
|
|
Cortisol total am
|
$104.58 |
$104.58 |
$104.58 |
$122.20
|
|
C-peptide
|
$121.91 |
$121.91 |
$121.91 |
$100.00
|
|
C-reactive protein
|
$96.30 |
$96.30 |
$96.30 |
$63.00
|
|
C-reactive protein high sensitivity
|
$132.20 |
$132.20 |
$132.20 |
$91.65
|
|
Creatine kinase
|
$93.98 |
$93.98 |
$93.98 |
$59.78
|
|
Creatine kinase mb
|
$195.30 |
$195.30 |
$195.30 |
$111.00
|
|
Creatine - sendout
|
$78.00 |
$78.00 |
$78.00 |
$39.00
|
|
Creatinine
|
$79.80 |
$79.80 |
$79.80 |
$44.10
|
|
Creatinine 24 hour urine
|
$79.80 |
$79.80 |
$79.80 |
$59.80
|
|
Critical care 30-74 minutes
|
$4,643.73 |
$4,643.73 |
$4,643.73 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$696.26 |
$696.26 |
$696.26 |
$777.00
|
|
Crystal identification light microscopy
|
$207.80 |
$207.80 |
$207.80 |
$65.25
|
|
Cta abdomen without & /or w/contrast
|
$3,236.00 |
$3,236.00 |
$3,236.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$4,190.45 |
$4,190.45 |
$4,190.45 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,846.68 |
$3,846.68 |
$3,846.68 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$3,659.88 |
$3,659.88 |
$3,659.88 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,768.58 |
$4,768.58 |
$4,768.58 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,927.40 |
$2,927.40 |
$2,927.40 |
$1,955.80
|
|
CT Angiogram of the Head
|
$3,659.88 |
$3,659.88 |
$3,659.88 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$3,568.85 |
$3,568.85 |
$3,568.85 |
$1,588.60
|
|
Cta upper extremity w &/or without contrast left
|
$3,846.68 |
$3,846.68 |
$3,846.68 |
$1,652.25
|
|
CT guidance for needle placement
|
$3,641.72 |
$3,641.72 |
$3,641.72 |
$1,506.04
|
|
CT heart w/evaluation of calcium without contrast
|
$201.29 |
$201.29 |
$201.29 |
$192.00
|
|
CT hrt w/3d image
|
$2,728.74 |
$2,728.74 |
$2,728.74 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$1,136.31 |
$1,136.31 |
$1,136.31 |
$625.63
|
|
CT lower extremity w/contrast (both sides)
|
$2,168.15 |
$2,168.15 |
$2,168.15 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$1,976.31 |
$1,976.31 |
$1,976.31 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$2,626.05 |
$2,626.05 |
$2,626.05 |
$1,817.40
|