|
Chloride
|
$6.50 |
$6.50 |
$6.50 |
$38.50
|
|
Chloride 24 hour urine
|
$27.95 |
$27.95 |
$27.95 |
$46.13
|
|
Chloroprocaine hcl injection
|
$82.39 |
$82.39 |
$82.39 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$185.70 |
$185.70 |
$185.70 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$152.10 |
$152.10 |
$152.10 |
$89.81
|
|
Cholangiogram percutaneous compl
|
$5,365.75 |
$5,365.75 |
$5,365.75 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$422.50 |
$422.50 |
$422.50 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,265.60 |
$3,265.60 |
$3,265.60 |
$3,856.84
|
|
Cholesterol
|
$21.45 |
$21.45 |
$21.45 |
$46.15
|
|
Cholesterol body fluid
|
$176.15 |
$176.15 |
$176.15 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$27.95 |
$27.95 |
$27.95 |
$115.70
|
|
Cholinesterase
|
$19.50 |
$19.50 |
$19.50 |
$38.69
|
|
Chorion biopsy
|
$2,674.75 |
$2,674.75 |
$2,674.75 |
$1,030.40
|
|
Chrom analysis
|
$59.15 |
$59.15 |
$59.15 |
$127.86
|
|
Chromatography
|
$583.05 |
$583.05 |
$583.05 |
$80.60
|
|
Chromogenic substrate assay
|
$468.00 |
$468.00 |
$468.00 |
$183.52
|
|
Chromo high res and frag x - sendout
|
$544.05 |
$544.05 |
$544.05 |
$264.25
|
|
Chromosome analys amniotic
|
$343.85 |
$343.85 |
$343.85 |
$436.00
|
|
Chromosome analysis 100
|
$422.50 |
$422.50 |
$422.50 |
$321.44
|
|
Chromosome analysis 15-20 cell count
|
$344.50 |
$344.50 |
$344.50 |
$448.80
|
|
Chromosome analysis 5
|
$612.95 |
$612.95 |
$612.95 |
$644.80
|
|
Chromosome analys placenta
|
$705.90 |
$705.90 |
$705.90 |
$642.00
|
|
Chromosome banding study
|
$44.85 |
$44.85 |
$44.85 |
$172.80
|
|
Chromosome count additional
|
$89.70 |
$89.70 |
$89.70 |
$110.00
|
|
Chromosome karyotype study
|
$22.10 |
$22.10 |
$22.10 |
$102.72
|
|
Chromosome study additional
|
$181.35 |
$181.35 |
$181.35 |
$147.03
|
|
Chronic urticaria - sendout
|
$211.90 |
$211.90 |
$211.90 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$120.25 |
$120.25 |
$120.25 |
$123.20
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$55.64 |
$55.64 |
$55.64 |
$45.27
|
|
Circumcision (newborn)
|
$1,078.35 |
$1,078.35 |
$1,078.35 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$117.36 |
$117.36 |
$117.36 |
$127.11
|
|
C-kit mutation liquid tumor - sendout
|
$2,259.40 |
$2,259.40 |
$2,259.40 |
$640.41
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$8,873.40
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$24.80 |
$24.80 |
$24.80 |
$61.26
|
|
Closure paravalvlr leak pq
|
$623.35 |
$623.35 |
$623.35 |
$7,723.17
|
|
Clot factor fletcher fact
|
$406.25 |
$406.25 |
$406.25 |
$88.20
|
|
Clot factor wght kininogen
|
$406.25 |
$406.25 |
$406.25 |
$134.81
|
|
Clot factor xii hageman
|
$601.90 |
$601.90 |
$601.90 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$510.25 |
$510.25 |
$510.25 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$229.45 |
$229.45 |
$229.45 |
$84.27
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$2,627.30 |
$2,627.30 |
$2,627.30 |
$716.95
|
|
C motor evoked lwr limbs
|
$318.50 |
$318.50 |
$318.50 |
$621.00
|
|
#cms hgb-sulfhemoglobin
|
$37.70 |
$37.70 |
$37.70 |
$53.30
|
|
#cmvcul-virus inoculation shell
|
$32.50 |
$32.50 |
$32.50 |
$102.57
|
|
Cmv pcr-sendout
|
$116.35 |
$116.35 |
$116.35 |
$172.25
|
|
Coagulation time activated teg
|
$206.05 |
$206.05 |
$206.05 |
$50.05
|
|
Cold agglutinin titer
|
$32.50 |
$32.50 |
$32.50 |
$49.40
|
|
Colistimethate sodium inj
|
$22.56 |
$22.56 |
$22.56 |
$84.22
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$135.77 |
$135.77 |
$135.77 |
$46.88
|
|
Collar cerv ascend 172 reg
|
$260.22 |
$260.22 |
$260.22 |
$174.01
|
|
Collar cerv patriot adlt
|
$233.60 |
$233.60 |
$233.60 |
$57.20
|
|
Collection blood specimen from completely implantable venous access device
|
$594.75 |
$594.75 |
$594.75 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$91.00 |
$91.00 |
$91.00 |
$163.07
|
|
Collection of venous blood by venipuncture
|
$7.80 |
$7.80 |
$7.80 |
$21.66
|
|
Colonoscopy (diagnostic)
|
$2,758.60 |
$2,758.60 |
$2,758.60 |
$1,620.84
|
|
Colonoscopy flex with decompression 45393
|
$3,185.00 |
$3,185.00 |
$3,185.00 |
$1,645.43
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,925.65 |
$2,925.65 |
$2,925.65 |
$2,423.20
|
|
Colonoscopy for bleeding 44391
|
$3,980.60 |
$3,980.60 |
$3,980.60 |
$1,658.40
|
|
Colonoscopy for foreign body
|
$3,834.35 |
$3,834.35 |
$3,834.35 |
$1,278.72
|
|
Colonoscopy & polypectomy 44392
|
$3,099.20 |
$3,099.20 |
$3,099.20 |
$1,395.28
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$3,945.50 |
$3,945.50 |
$3,945.50 |
$1,395.28
|
|
Colonoscopy stoma w/snare 44394
|
$3,099.20 |
$3,099.20 |
$3,099.20 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$2,841.15 |
$2,841.15 |
$2,841.15 |
$2,353.00
|
|
Colonoscopy thru stoma spx
|
$2,616.25 |
$2,616.25 |
$2,616.25 |
$1,372.20
|
|
Colonoscopy w/ablation
|
$2,904.85 |
$2,904.85 |
$2,904.85 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$3,155.75 |
$3,155.75 |
$3,155.75 |
$1,631.37
|
|
Colonoscopy w/band ligation
|
$2,925.65 |
$2,925.65 |
$2,925.65 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$2,888.60 |
$2,888.60 |
$2,888.60 |
$2,262.00
|
|
Colonoscopy w/decompression
|
$3,067.35 |
$3,067.35 |
$3,067.35 |
$1,278.72
|
|
Colonoscopy w/dilation
|
$3,155.75 |
$3,155.75 |
$3,155.75 |
$2,448.60
|
|
Colonoscopy w/endoscope Ultrasound
|
$3,551.60 |
$3,551.60 |
$3,551.60 |
$2,138.50
|
|
Colonoscopy/w endoscopic stent 45389
|
$4,364.75 |
$4,364.75 |
$4,364.75 |
$4,379.25
|
|
Colonoscopy w/fb removal
|
$3,298.75 |
$3,298.75 |
$3,298.75 |
$1,645.43
|
|
Colonoscopy w/injection
|
$2,841.15 |
$2,841.15 |
$2,841.15 |
$2,353.00
|
|
Colonoscopy with ablation
|
$3,155.75 |
$3,155.75 |
$3,155.75 |
$2,495.25
|
|
Colonoscopy (with biopsy)
|
$3,067.35 |
$3,067.35 |
$3,067.35 |
$2,538.00
|
|
Colonoscopy with biopsy
|
$3,168.75 |
$3,168.75 |
$3,168.75 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$3,185.00 |
$3,185.00 |
$3,185.00 |
$2,472.75
|
|
Colonoscopy w/resection
|
$5,395.65 |
$5,395.65 |
$5,395.65 |
$3,254.25
|
|
Colonoscopy w/stent plcmt
|
$4,596.15 |
$4,596.15 |
$4,596.15 |
$4,445.35
|
|
Colonoscopy w/ultrasound
|
$3,185.00 |
$3,185.00 |
$3,185.00 |
$2,495.25
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$386.75 |
$386.75 |
$386.75 |
$314.00
|
|
Colposcopy w/biopsy of cervix 57455
|
$681.20 |
$681.20 |
$681.20 |
$534.30
|
|
Compatibility test each unit antiglobulin technique
|
$72.15 |
$72.15 |
$72.15 |
$165.00
|
|
Compatibility test each unit electronic
|
$55.25 |
$55.25 |
$55.25 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$91.00 |
$91.00 |
$91.00 |
$159.95
|
|
Compatibility test incubate
|
$13.00 |
$13.00 |
$13.00 |
$143.64
|
|
Complement antigen each component c3
|
$215.80 |
$215.80 |
$215.80 |
$113.13
|
|
Complement fixation each
|
$101.40 |
$101.40 |
$101.40 |
$25.70
|
|
Concentration infection agents any type
|
$105.95 |
$105.95 |
$105.95 |
$50.70
|
|
Condylomata destruction 56420
|
$592.80 |
$592.80 |
$592.80 |
$503.67
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,157.42 |
$1,157.42 |
$1,157.42 |
$792.24
|
|
Consultation pathology during surgery
|
$112.45 |
$112.45 |
$112.45 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$507.00 |
$507.00 |
$507.00 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$207.35 |
$207.35 |
$207.35 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$366.60 |
$366.60 |
$366.60 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$351.00 |
$351.00 |
$351.00 |
$235.95
|
|
Consult comp w/report rfrd material
|
$148.85 |
$148.85 |
$148.85 |
$345.71
|
|
Contrast baths charges
|
$133.90 |
$133.90 |
$133.90 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$8,061.30 |
$8,061.30 |
$8,061.30 |
$3,389.09
|
