|
Change of windpipe airway 31502
|
$401.50 |
$401.50 |
$401.50 |
$412.00
|
|
Chemodenerv musc migraine 64615
|
$116.82 |
$116.82 |
$116.82 |
$565.50
|
|
Chemo extend IV infus w/pump
|
$521.40 |
$521.40 |
$521.40 |
$623.70
|
|
Chest apical lordotic proj
|
$281.60 |
$281.60 |
$281.60 |
$291.20
|
|
Chest CT scan (with and without contrast)
|
$1,619.75 |
$1,619.75 |
$1,619.75 |
$2,105.40
|
|
Chest CT scan (with contrast)
|
$1,474.55 |
$1,474.55 |
$1,474.55 |
$1,707.60
|
|
Chest CT scan (without contrast)
|
$1,472.90 |
$1,472.90 |
$1,472.90 |
$1,350.03
|
|
Chest X-ray
|
$250.25 |
$250.25 |
$250.25 |
$295.22
|
|
Chest X-ray (single view)
|
$222.75 |
$222.75 |
$222.75 |
$232.17
|
|
Chg radiologic exam esophagus double contrast
|
$395.45 |
$395.45 |
$395.45 |
$541.82
|
|
Chlamydia culture
|
$85.80 |
$85.80 |
$85.80 |
$94.90
|
|
Chlamydia type
|
$44.55 |
$44.55 |
$44.55 |
$34.92
|
|
Chloride
|
$51.70 |
$51.70 |
$51.70 |
$39.60
|
|
Chloride 24 hour urine
|
$55.55 |
$55.55 |
$55.55 |
$46.13
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$398.75 |
$398.75 |
$398.75 |
$625.60
|
|
Cholesterol
|
$53.35 |
$53.35 |
$53.35 |
$46.15
|
|
Cholesterol body fluid
|
$77.55 |
$77.55 |
$77.55 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$77.00 |
$77.00 |
$77.00 |
$118.36
|
|
Cholinesterase
|
$61.05 |
$61.05 |
$61.05 |
$39.60
|
|
Chromatography
|
$110.00 |
$110.00 |
$110.00 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$138.60 |
$138.60 |
$138.60 |
$265.11
|
|
Chromosome analysis 15-20 cell count
|
$228.25 |
$228.25 |
$228.25 |
$479.38
|
|
Chromosome karyotype study
|
$158.40 |
$158.40 |
$158.40 |
$108.94
|
|
Chylomicron screen, bf - sendout
|
$64.90 |
$64.90 |
$64.90 |
$123.50
|
|
Circumcision (newborn)
|
$1,956.35 |
$1,956.35 |
$1,956.35 |
$1,549.50
|
|
Clearance of airways
|
$209.00 |
$209.00 |
$209.00 |
$206.80
|
|
Clip ligating vesolock lg
|
$297.00 |
$297.00 |
$297.00 |
$977.62
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$422.95 |
$422.95 |
$422.95 |
$646.92
|
|
Closed tx humerus fx with manip 23605
|
$4,104.10 |
$4,104.10 |
$4,104.10 |
$2,460.00
|
|
Closed tx humerus fx w/manip 24505
|
$2,915.00 |
$2,915.00 |
$2,915.00 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$428.45 |
$428.45 |
$428.45 |
$423.20
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,965.60 |
$2,965.60 |
$2,965.60 |
$2,864.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$609.40 |
$609.40 |
$609.40 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$2,640.55 |
$2,640.55 |
$2,640.55 |
$2,728.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,804.55 |
$1,804.55 |
$1,804.55 |
$1,183.65
|
|
Clot factor xii hageman
|
$246.40 |
$246.40 |
$246.40 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$246.40 |
$246.40 |
$246.40 |
$51.50
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$383.35 |
$383.35 |
$383.35 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$421.30 |
$421.30 |
$421.30 |
$543.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$348.70 |
$348.70 |
$348.70 |
$731.04
|
|
Clsd tx elbow dislocation child 24640
|
$383.35 |
$383.35 |
$383.35 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,237.40 |
$2,237.40 |
$2,237.40 |
$2,587.60
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$464.20 |
$464.20 |
$464.20 |
$478.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,061.40 |
$2,061.40 |
$2,061.40 |
$1,912.80
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,244.65 |
$1,244.65 |
$1,244.65 |
$1,790.00
|
|
Clsd tx hip disloc without anes 27265
|
$421.30 |
$421.30 |
$421.30 |
$716.95
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$871.75 |
$871.75 |
$871.75 |
$1,066.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$487.30 |
$487.30 |
$487.30 |
$717.75
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,189.10 |
$1,189.10 |
$1,189.10 |
$1,815.75
|
|
Clsd tx patella disloc without anes 27560
|
$431.75 |
$431.75 |
$431.75 |
$707.30
|
|
Clsd tx radius fracture w/manip 24655
|
$3,260.40 |
$3,260.40 |
$3,260.40 |
$1,835.20
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,369.50 |
$1,369.50 |
$1,369.50 |
$1,797.83
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,218.60 |
$3,218.60 |
$3,218.60 |
$2,423.85
|
|
Clsd tx temporomandibular dislocat 21480
|
$273.35 |
$273.35 |
$273.35 |
$512.40
|
|
Clsd tx toe dislocation without anes28660
|
$464.20 |
$464.20 |
$464.20 |
$426.25
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,965.60 |
$2,965.60 |
$2,965.60 |
$1,704.80
|
|
Cltx post ankle fx w/mnpj
|
$2,625.70 |
$2,625.70 |
$2,625.70 |
$2,621.81
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,464.00 |
$2,464.00 |
$2,464.00 |
$2,211.05
|
|
Cltx strnclav dislc w/mnpj
|
$663.85 |
$663.85 |
$663.85 |
$804.79
|
|
#cmvcul-virus inoculation shell
|
$167.75 |
$167.75 |
$167.75 |
$102.57
|
|
Cmv pcr-sendout
|
$115.50 |
$115.50 |
$115.50 |
$172.25
|
|
Coagulation time activated teg
|
$77.55 |
$77.55 |
$77.55 |
$53.72
|
|
Cold agglutinin titer
|
$18.70 |
$18.70 |
$18.70 |
$49.95
|
|
Collection blood specimen from completely implantable venous access device
|
$102.30 |
$102.30 |
$102.30 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$157.85 |
$157.85 |
$157.85 |
$166.94
|
|
Collection of venous blood by venipuncture
|
$18.15 |
$18.15 |
$18.15 |
$22.05
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$4,909.30 |
$4,909.30 |
$4,909.30 |
$3,792.60
|
|
Compatibility test each unit antiglobulin technique
|
$155.10 |
$155.10 |
$155.10 |
$158.51
|
|
Compatibility test each unit electronic
|
$222.20 |
$222.20 |
$222.20 |
$163.80
|
|
Compatibility test each unit immediate spin technique
|
$155.10 |
$155.10 |
$155.10 |
$158.27
|
|
Complement antigen each component c3
|
$131.45 |
$131.45 |
$131.45 |
$113.30
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$801.35 |
$801.35 |
$801.35 |
$952.60
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,997.60 |
$1,997.60 |
$1,997.60 |
$1,445.50
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$884.95 |
$884.95 |
$884.95 |
$1,247.95
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,079.65 |
$1,079.65 |
$1,079.65 |
$1,279.20
|
|
Complx repair enel addl 5cm/< 13153
|
$562.10 |
$562.10 |
$562.10 |
$486.20
|
|
Complx repair fccmnaxghf 13131
|
$627.55 |
$627.55 |
$627.55 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$770.00 |
$770.00 |
$770.00 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$162.25 |
$162.25 |
$162.25 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$263.45 |
$263.45 |
$263.45 |
$590.20
|
|
Concentration infection agents any type
|
$18.15 |
$18.15 |
$18.15 |
$51.32
|
|
Condylomata destruction 56420
|
$487.85 |
$487.85 |
$487.85 |
$509.81
|
|
Consultation pathology during surgery
|
$59.95 |
$59.95 |
$59.95 |
$119.71
|
|
Consultation pathology during surgery cytological exam initial site
|
$402.05 |
$402.05 |
$402.05 |
$381.15
|
|
Consultation pathology during surgery frozen section each additional block
|
$59.95 |
$59.95 |
$59.95 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$152.35 |
$152.35 |
$152.35 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$97.90 |
$97.90 |
$97.90 |
$239.85
|
|
Consult comp w/report rfrd material
|
$130.90 |
$130.90 |
$130.90 |
$359.87
|
|
Contrast exam abdominl aorta 75625-26
|
$2,115.85 |
$2,115.85 |
$2,115.85 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$2,917.20 |
$2,917.20 |
$2,917.20 |
$3,728.24
|
|
Contrast x-ray of elbow
|
$620.95 |
$620.95 |
$620.95 |
$628.48
|
|
Contrast x-ray of hip
|
$440.00 |
$440.00 |
$440.00 |
$785.60
|
|
Contrast x-ray of knee joint
|
$568.70 |
$568.70 |
$568.70 |
$660.00
|
|
Contrast x-ray of wrist
|
$492.25 |
$492.25 |
$492.25 |
$583.92
|
|
Control nosebleed pack+caut 30905
|
$243.65 |
$243.65 |
$243.65 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$399.85 |
$399.85 |
$399.85 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$388.30 |
$388.30 |
$388.30 |
$385.45
|
|
Coombs direct
|
$72.05 |
$72.05 |
$72.05 |
$72.45
|
|
Coombs indirect titer reference
|
$91.85 |
$91.85 |
$91.85 |
$137.27
|
|
Core ndl bx lng/med perq
|
$2,625.70 |
$2,625.70 |
$2,625.70 |
$3,033.57
|
