|
Cath place 1st order venous 36011
|
$169.00 |
$169.00 |
$169.00 |
$1,377.75
|
|
Cath right hrt mnpul art
|
$138.50 |
$138.50 |
$138.50 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$63.50 |
$63.50 |
$63.50 |
$469.09
|
|
Cauterization chemical granulation tissue
|
$42.50 |
$42.50 |
$42.50 |
$340.90
|
|
Cdna analysis for variants
|
$299.00 |
$299.00 |
$299.00 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$1.50 |
$1.50 |
$1.50 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$11.49 |
$11.49 |
$11.49 |
$44.03
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$7.50 |
$7.50 |
$7.50 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$2.00 |
$2.00 |
$2.00 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$2.95 |
$2.95 |
$2.95 |
$84.18
|
|
Cell count w differential body fluid
|
$68.00 |
$68.00 |
$68.00 |
$93.23
|
|
Cell cryopreserve/storage
|
$19.00 |
$19.00 |
$19.00 |
$62.72
|
|
Cell function assay w/stim
|
$270.00 |
$270.00 |
$270.00 |
$314.25
|
|
Cell marker study
|
$43.00 |
$43.00 |
$43.00 |
$247.20
|
|
Cervical or vaginal cancer screening g0101
|
$79.50 |
$79.50 |
$79.50 |
$109.46
|
|
Cesarean section delivery only 59514
|
$1,017.50 |
$1,017.50 |
$1,017.50 |
$2,194.65
|
|
#cf-97variants
|
$125.00 |
$125.00 |
$125.00 |
$622.20
|
|
Change cystostomy tube; complex 51710
|
$89.00 |
$89.00 |
$89.00 |
$1,470.75
|
|
Change cystostomy tube simple
|
$239.50 |
$239.50 |
$239.50 |
$451.00
|
|
Change of windpipe airway 31502
|
$335.00 |
$335.00 |
$335.00 |
$388.00
|
|
Chemodenerv 1 extremity 1-4 64642
|
$117.00 |
$117.00 |
$117.00 |
$932.40
|
|
Chemodenervation anal musc
|
$295.00 |
$295.00 |
$295.00 |
$2,462.82
|
|
Chemodenervation/face muscl/unilat 64612
|
$129.50 |
$129.50 |
$129.50 |
$569.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$230.50 |
$230.50 |
$230.50 |
$436.44
|
|
Chemodenerv eccrine glands 64650
|
$41.00 |
$41.00 |
$41.00 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$133.50 |
$133.50 |
$133.50 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$121.00 |
$121.00 |
$121.00 |
$698.60
|
|
Chemodenerv trunk musc 1-5 64646
|
$127.00 |
$127.00 |
$127.00 |
$1,064.00
|
|
Chest CT scan (with and without contrast)
|
$1,694.00 |
$1,694.00 |
$1,694.00 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$969.50 |
$969.50 |
$969.50 |
$1,350.03
|
|
Chest X-ray
|
$207.50 |
$207.50 |
$207.50 |
$294.06
|
|
Chest X-ray (single view)
|
$268.00 |
$268.00 |
$268.00 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$76.00 |
$76.00 |
$76.00 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$280.00 |
$280.00 |
$280.00 |
$511.59
|
|
Chiropractic manj 5 regions
|
$47.00 |
$47.00 |
$47.00 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$22.50 |
$22.50 |
$22.50 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$34.50 |
$34.50 |
$34.50 |
$56.99
|
|
Chiropract manj xtrspinl 1/>
|
$23.00 |
$23.00 |
$23.00 |
$65.52
|
|
Chloride
|
$28.50 |
$28.50 |
$28.50 |
$40.95
|
|
Chloride 24 hour urine
|
$42.50 |
$42.50 |
$42.50 |
$49.50
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$16.00 |
$16.00 |
$16.00 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$1,295.50 |
$1,295.50 |
$1,295.50 |
$1,963.37
|
|
Cholecystostomy complete w/supervision & interpretation
|
$359.00 |
$359.00 |
$359.00 |
$3,690.60
|
|
Cholesterol
|
$41.00 |
$41.00 |
$41.00 |
$45.76
|
|
Cholesterol body fluid
|
$998.00 |
$998.00 |
$998.00 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$62.50 |
$62.50 |
$62.50 |
$115.80
|
|
Chrnc care mgmt phys 1st 30
|
$80.50 |
$80.50 |
$80.50 |
$156.00
|
|
Chromatography
|
$159.50 |
$159.50 |
$159.50 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$510.50 |
$510.50 |
$510.50 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$284.38 |
$284.38 |
$284.38 |
$512.20
|
|
Chromosome banding study
|
$74.00 |
$74.00 |
$74.00 |
$184.24
|
|
Chromosome count additional
|
$62.50 |
$62.50 |
$62.50 |
$92.45
|
|
Chronic urticaria - sendout
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$88.00 |
$88.00 |
$88.00 |
$124.15
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$9.00 |
$9.00 |
$9.00 |
$34.88
|
|
Circum 28 days or older
|
$220.00 |
$220.00 |
$220.00 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$161.00 |
$161.00 |
$161.00 |
$1,219.20
|
|
Circumcision (newborn)
|
$103.50 |
$103.50 |
$103.50 |
$1,395.20
|
|
Claviculectomy partial
|
$676.50 |
$676.50 |
$676.50 |
$3,594.44
|
|
Clearance of airways
|
$87.00 |
$87.00 |
$87.00 |
$666.23
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$2.50 |
$2.50 |
$2.50 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$456.50 |
$456.50 |
$456.50 |
$508.45
|
|
Closed tx/acetabululm without manip 27220
|
$470.00 |
$470.00 |
$470.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$525.50 |
$525.50 |
$525.50 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$392.00 |
$392.00 |
$392.00 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$1,540.50 |
$1,540.50 |
$1,540.50 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$134.00 |
$134.00 |
$134.00 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$2,520.60
|
|
Closed tx sesamoid fx 28530
|
$122.00 |
$122.00 |
$122.00 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$257.00 |
$257.00 |
$257.00 |
$421.40
|
|
Close tear duct opening
|
$152.50 |
$152.50 |
$152.50 |
$436.44
|
|
Close tear duct opening
|
$123.50 |
$123.50 |
$123.50 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$65.50 |
$65.50 |
$65.50 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$980.50 |
$980.50 |
$980.50 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$1,785.50 |
$1,785.50 |
$1,785.50 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,140.50 |
$1,140.50 |
$1,140.50 |
$1,934.40
|
|
Closure of eyelid by suture
|
$98.00 |
$98.00 |
$98.00 |
$1,613.00
|
|
Closure ureter/skin fistula
|
$971.00 |
$971.00 |
$971.00 |
$1,149.29
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$680.50 |
$680.50 |
$680.50 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$378.00 |
$378.00 |
$378.00 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$425.00 |
$425.00 |
$425.00 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$303.50 |
$303.50 |
$303.50 |
$419.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$290.00 |
$290.00 |
$290.00 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$246.00 |
$246.00 |
$246.00 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$493.50 |
$493.50 |
$493.50 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$377.00 |
$377.00 |
$377.00 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$305.50 |
$305.50 |
$305.50 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$909.00 |
$909.00 |
$909.00 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$322.50 |
$322.50 |
$322.50 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$156.00 |
$156.00 |
$156.00 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$172.00 |
$172.00 |
$172.00 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$402.50 |
$402.50 |
$402.50 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,115.00 |
$2,115.00 |
$2,115.00 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$323.50 |
$323.50 |
$323.50 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,773.00 |
$2,773.00 |
$2,773.00 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$321.00 |
$321.00 |
$321.00 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$587.00 |
$587.00 |
$587.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$426.50 |
$426.50 |
$426.50 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$413.00 |
$413.00 |
$413.00 |
$492.99
|
