|
Cell function assay w/stim
|
$331.20 |
$331.20 |
$331.20 |
$325.76
|
|
Cell marker study
|
$247.20 |
$247.20 |
$247.20 |
$239.85
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$5,013.25 |
$5,013.25 |
$5,013.25 |
$10,638.62
|
|
#cf-97variants
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$639.44
|
|
Cftr gene dup/delet variants
|
$1,061.60 |
$1,061.60 |
$1,061.60 |
$757.25
|
|
Change cystostomy tube simple
|
$577.60 |
$577.60 |
$577.60 |
$477.60
|
|
Chest CT scan (with and without contrast)
|
$2,607.20 |
$2,607.20 |
$2,607.20 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,701.60 |
$1,701.60 |
$1,701.60 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,423.20 |
$1,423.20 |
$1,423.20 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$154.40 |
$154.40 |
$154.40 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$127.20 |
$127.20 |
$127.20 |
$134.50
|
|
Chest Ultrasound
|
$517.60 |
$517.60 |
$517.60 |
$463.88
|
|
Chest X-ray
|
$219.20 |
$219.20 |
$219.20 |
$294.06
|
|
Chest X-ray (single view)
|
$183.20 |
$183.20 |
$183.20 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$156.80 |
$156.80 |
$156.80 |
$150.40
|
|
Chloride
|
$27.20 |
$27.20 |
$27.20 |
$42.63
|
|
Chloride 24 hour urine
|
$27.20 |
$27.20 |
$27.20 |
$50.88
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$769.60 |
$769.60 |
$769.60 |
$602.40
|
|
Cholesterol
|
$30.40 |
$30.40 |
$30.40 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$112.80 |
$112.80 |
$112.80 |
$115.80
|
|
Chrom analysis
|
$288.80 |
$288.80 |
$288.80 |
$156.00
|
|
Chromo high res and frag x - sendout
|
$405.60 |
$405.60 |
$405.60 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$306.40 |
$306.40 |
$306.40 |
$517.11
|
|
Chromosome analysis 45
|
$366.40 |
$366.40 |
$366.40 |
$382.85
|
|
Chromosome analysis 5
|
$644.80 |
$644.80 |
$644.80 |
$644.80
|
|
Chylomicron screen, bf - sendout
|
$172.80 |
$172.80 |
$172.80 |
$136.09
|
|
Cilastatin sodium injection
|
$33.86 |
$33.86 |
$33.86 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$71.52 |
$71.52 |
$71.52 |
$35.65
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$91.44 |
$91.44 |
$91.44 |
$55.20
|
|
Closed tx/acetabululm without manip 27220
|
$722.40 |
$722.40 |
$722.40 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$2,037.60 |
$2,037.60 |
$2,037.60 |
$2,291.20
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$496.80 |
$496.80 |
$496.80 |
$386.40
|
|
Closed tx orbit w/manipulj
|
$996.80 |
$996.80 |
$996.80 |
$3,136.80
|
|
Closed tx septal&nose fx
|
$2,754.40 |
$2,754.40 |
$2,754.40 |
$3,651.90
|
|
Closed tx/talus fracture without manip 28430
|
$462.40 |
$462.40 |
$462.40 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$511.20 |
$511.20 |
$511.20 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$2,392.80 |
$2,392.80 |
$2,392.80 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,122.40 |
$1,122.40 |
$1,122.40 |
$1,259.62
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$440.80 |
$440.80 |
$440.80 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$460.80 |
$460.80 |
$460.80 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$568.00 |
$568.00 |
$568.00 |
$489.60
|
|
Clsd tx/clavicular fx without manip 23500
|
$462.40 |
$462.40 |
$462.40 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$456.00 |
$456.00 |
$456.00 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$765.60 |
$765.60 |
$765.60 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$536.80 |
$536.80 |
$536.80 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$412.00 |
$412.00 |
$412.00 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$419.20 |
$419.20 |
$419.20 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$359.20 |
$359.20 |
$359.20 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$618.40 |
$618.40 |
$618.40 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$551.20 |
$551.20 |
$551.20 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,421.60 |
$1,421.60 |
$1,421.60 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$537.60 |
$537.60 |
$537.60 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,547.20 |
$1,547.20 |
$1,547.20 |
$1,592.00
|
|
Clsd tx humerus fract without manip 24500
|
$536.00 |
$536.00 |
$536.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$374.40 |
$374.40 |
$374.40 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$451.20 |
$451.20 |
$451.20 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$464.80 |
$464.80 |
$464.80 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$900.00 |
$900.00 |
$900.00 |
$620.32
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$3,164.00 |
$3,164.00 |
$3,164.00 |
$3,839.54
|
|
Clsd tx/metatarsal fx without manip 28470
|
$446.40 |
$446.40 |
$446.40 |
$429.00
|
|
Clsd tx patella disloc without anes 27560
|
$560.00 |
$560.00 |
$560.00 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$507.20 |
$507.20 |
$507.20 |
$498.85
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$412.80 |
$412.80 |
$412.80 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$476.80 |
$476.80 |
$476.80 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$1,594.40 |
$1,594.40 |
$1,594.40 |
$1,782.86
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,422.40 |
$2,422.40 |
$2,422.40 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$483.20 |
$483.20 |
$483.20 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$357.60 |
$357.60 |
$357.60 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,329.60 |
$1,329.60 |
$1,329.60 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$450.40 |
$450.40 |
$450.40 |
$473.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$560.80 |
$560.80 |
$560.80 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$518.40 |
$518.40 |
$518.40 |
$487.15
|
|
Cltx hum epcndylr fx wo mnpj
|
$491.20 |
$491.20 |
$491.20 |
$525.75
|
|
Cmv pcr-sendout
|
$295.20 |
$295.20 |
$295.20 |
$175.70
|
|
Cold agglutinin screen (arc)
|
$39.20 |
$39.20 |
$39.20 |
$48.10
|
|
Cold agglutinin titer
|
$33.60 |
$33.60 |
$33.60 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$220.00 |
$220.00 |
$220.00 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$166.40 |
$166.40 |
$166.40 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$157.60 |
$157.60 |
$157.60 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$1,846.40 |
$1,846.40 |
$1,846.40 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,846.40 |
$1,846.40 |
$1,846.40 |
$2,288.00
|
|
Colonoscopy stoma w/snare 44394
|
$2,252.00 |
$2,252.00 |
$2,252.00 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$1,846.40 |
$1,846.40 |
$1,846.40 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$2,118.40 |
$2,118.40 |
$2,118.40 |
$1,899.00
|
|
Colonoscopy (with biopsy)
|
$1,846.40 |
$1,846.40 |
$1,846.40 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$2,194.40 |
$2,194.40 |
$2,194.40 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$2,288.00
|
|
Colonoscopy w/resection
|
$1,871.20 |
$1,871.20 |
$1,871.20 |
$3,035.44
|
|
Compatibility test each unit antiglobulin technique
|
$188.80 |
$188.80 |
$188.80 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$151.20 |
$151.20 |
$151.20 |
$169.52
|
|
Compatibility test incubate
|
$140.00 |
$140.00 |
$140.00 |
$156.24
|
|
Complement antigen each component c3
|
$81.60 |
$81.60 |
$81.60 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$748.80 |
$748.80 |
$748.80 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,585.60 |
$1,585.60 |
$1,585.60 |
$1,191.78
|
|
Complx repair fccmnaxghf 13132
|
$983.20 |
$983.20 |
$983.20 |
$1,107.60
|
|
Concentration infection agents any type
|
$38.40 |
$38.40 |
$38.40 |
$51.32
|
|
Condylomata destruction 56420
|
$438.40 |
$438.40 |
$438.40 |
$467.35
|
|
Consultation pathology during surgery cytological exam initial site
|
$88.80 |
$88.80 |
$88.80 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$57.60 |
$57.60 |
$57.60 |
$113.68
|