|
Chest X-ray (single view)
|
$207.00 |
$207.00 |
$207.00 |
$241.20
|
|
Chg pr pul rehab for copd patients
|
$216.00 |
$216.00 |
$216.00 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$1,467.50 |
$1,467.50 |
$1,467.50 |
$512.00
|
|
Chimerism anal no cell selec
|
$276.50 |
$276.50 |
$276.50 |
$380.00
|
|
Chimerism anal w/cell select
|
$523.00 |
$523.00 |
$523.00 |
$585.60
|
|
Chlnggrphy intraop addl s&i
|
$601.00 |
$601.00 |
$601.00 |
$301.40
|
|
Chloride
|
$383.00 |
$383.00 |
$383.00 |
$40.95
|
|
Chloride 24 hour urine
|
$383.50 |
$383.50 |
$383.50 |
$50.40
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$622.00 |
$622.00 |
$622.00 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,790.50 |
$1,790.50 |
$1,790.50 |
$3,739.81
|
|
Cholesterol
|
$330.50 |
$330.50 |
$330.50 |
$45.50
|
|
Cholesterol body fluid
|
$189.50 |
$189.50 |
$189.50 |
$88.65
|
|
Cholesterol (Lipid) Test
|
$337.00 |
$337.00 |
$337.00 |
$115.80
|
|
Cholinesterase
|
$61.50 |
$61.50 |
$61.50 |
$39.32
|
|
Chrom analysis
|
$490.50 |
$490.50 |
$490.50 |
$156.00
|
|
Chromatography
|
$306.50 |
$306.50 |
$306.50 |
$81.25
|
|
Chromogenic substrate assay
|
$265.50 |
$265.50 |
$265.50 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$187.00 |
$187.00 |
$187.00 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$1,457.00 |
$1,457.00 |
$1,457.00 |
$512.20
|
|
Chromosome analysis 5
|
$576.50 |
$576.50 |
$576.50 |
$644.80
|
|
Chromosome count additional
|
$76.00 |
$76.00 |
$76.00 |
$92.45
|
|
Chronic urticaria - sendout
|
$208.00 |
$208.00 |
$208.00 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$231.00 |
$231.00 |
$231.00 |
$135.10
|
|
Cine/video x-rays
|
$96.50 |
$96.50 |
$96.50 |
$327.75
|
|
Circum 28 days or older
|
$4,776.00 |
$4,776.00 |
$4,776.00 |
$3,786.00
|
|
Circumcision (newborn)
|
$2,169.00 |
$2,169.00 |
$2,169.00 |
$1,358.70
|
|
C-kit mutation liquid tumor - sendout
|
$306.50 |
$306.50 |
$306.50 |
$659.20
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$16,204.50 |
$16,204.50 |
$16,204.50 |
$15,779.40
|
|
Clearance of airways
|
$467.50 |
$467.50 |
$467.50 |
$208.00
|
|
Clip ligating vesolock lg
|
$41,504.00 |
$41,504.00 |
$41,504.00 |
$4,194.00
|
|
Clip phn wireless f/baha4 proc
|
$182.50 |
$182.50 |
$182.50 |
$474.43
|
|
Cllr miami j sm
|
$643.00 |
$643.00 |
$643.00 |
$552.23
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$691.00 |
$691.00 |
$691.00 |
$520.80
|
|
Closed tx humerus fx with manip 23605
|
$1,581.00 |
$1,581.00 |
$1,581.00 |
$2,269.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$539.50 |
$539.50 |
$539.50 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$4,193.50 |
$4,193.50 |
$4,193.50 |
$2,562.40
|
|
Closed tx septal&nose fx
|
$2,705.00 |
$2,705.00 |
$2,705.00 |
$3,624.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$771.00 |
$771.00 |
$771.00 |
$472.50
|
|
Clot factor xii hageman
|
$132.00 |
$132.00 |
$132.00 |
$135.01
|
|
Clot factor xiii fibrin stab
|
$190.00 |
$190.00 |
$190.00 |
$106.26
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$486.00 |
$486.00 |
$486.00 |
$657.28
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$463.50 |
$463.50 |
$463.50 |
$528.50
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$386.50 |
$386.50 |
$386.50 |
$484.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$607.00 |
$607.00 |
$607.00 |
$676.20
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$396.00 |
$396.00 |
$396.00 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$486.00 |
$486.00 |
$486.00 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,611.50 |
$2,611.50 |
$2,611.50 |
$2,211.05
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$271.00 |
$271.00 |
$271.00 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$463.50 |
$463.50 |
$463.50 |
$529.65
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,796.00 |
$1,796.00 |
$1,796.00 |
$1,680.00
|
|
Clsd tx fx radius/ulna without manip 25560
|
$605.00 |
$605.00 |
$605.00 |
$487.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,796.00 |
$1,796.00 |
$1,796.00 |
$1,548.40
|
|
Clsd tx hip disloc without anes 27265
|
$631.00 |
$631.00 |
$631.00 |
$631.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$486.00 |
$486.00 |
$486.00 |
$613.14
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$749.50 |
$749.50 |
$749.50 |
$522.78
|
|
Clsd tx patella disloc without anes 27560
|
$408.00 |
$408.00 |
$408.00 |
$577.20
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$220.50 |
$220.50 |
$220.50 |
$451.68
|
|
Clsd tx radius fracture w/manip 24655
|
$220.50 |
$220.50 |
$220.50 |
$1,772.97
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,710.50 |
$1,710.50 |
$1,710.50 |
$1,815.75
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,432.00 |
$3,432.00 |
$3,432.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$299.00 |
$299.00 |
$299.00 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$590.50 |
$590.50 |
$590.50 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,779.00 |
$1,779.00 |
$1,779.00 |
$1,565.74
|
|
Cltx scap fx w/mnpj +-tractj
|
$999.00 |
$999.00 |
$999.00 |
$1,985.60
|
|
#cmvcul-virus inoculation shell
|
$189.00 |
$189.00 |
$189.00 |
$87.75
|
|
Cmv pcr-sendout
|
$455.50 |
$455.50 |
$455.50 |
$177.50
|
|
Coagulation time activated teg
|
$106.00 |
$106.00 |
$106.00 |
$53.55
|
|
Coil axium 3d 14mmx40cm qc
|
$2,921.50 |
$2,921.50 |
$2,921.50 |
$308.00
|
|
Cold agglutinin titer
|
$55.00 |
$55.00 |
$55.00 |
$51.60
|
|
Collagen based wound filler
|
$2,424.00 |
$2,424.00 |
$2,424.00 |
$1,823.25
|
|
Collagen drsg>16<=48 sq in
|
$4,368.00 |
$4,368.00 |
$4,368.00 |
$25.75
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$93.00 |
$93.00 |
$93.00 |
$62.40
|
|
Collar cerv ascend 172 reg
|
$362.00 |
$362.00 |
$362.00 |
$213.89
|
|
Collar cerv patriot adlt
|
$15.50 |
$15.50 |
$15.50 |
$134.66
|
|
Collar extrication adult univ
|
$952.50 |
$952.50 |
$952.50 |
$800.32
|
|
Collection blood specimen from completely implantable venous access device
|
$169.50 |
$169.50 |
$169.50 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$95.50 |
$95.50 |
$95.50 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$38.00 |
$38.00 |
$38.00 |
$21.00
|
|
Colon motility 6 hr study
|
$579.00 |
$579.00 |
$579.00 |
$477.92
|
|
Colonoscopy (with polyp removal)
|
$1,310.50 |
$1,310.50 |
$1,310.50 |
$2,288.00
|
|
Compatibility test each unit antiglobulin technique
|
$185.50 |
$185.50 |
$185.50 |
$172.00
|
|
Compatibility test each unit electronic
|
$112.50 |
$112.50 |
$112.50 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$260.00 |
$260.00 |
$260.00 |
$167.17
|
|
Complement antigen each component c3
|
$841.00 |
$841.00 |
$841.00 |
$110.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$1,049.60
|
|
Complx repair fccmnaxghf 13131
|
$775.00 |
$775.00 |
$775.00 |
$789.60
|
|
Complx repair fccmnaxghf 13132
|
$851.00 |
$851.00 |
$851.00 |
$1,066.92
|
|
Complx repair fccmnaxghf 13133
|
$432.00 |
$432.00 |
$432.00 |
$493.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$646.00 |
$646.00 |
$646.00 |
$494.34
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,847.00 |
$1,847.00 |
$1,847.00 |
$1,350.27
|
|
Concentration infection agents any type
|
$367.00 |
$367.00 |
$367.00 |
$51.32
|
|
Condylomata destruction 56420
|
$838.00 |
$838.00 |
$838.00 |
$463.98
|
|
Connect omega .5mm
|
$1,104.50 |
$1,104.50 |
$1,104.50 |
$1,260.00
|
|
Connector tis 2x10mm
|
$3,007.50 |
$3,007.50 |
$3,007.50 |
$4,055.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$245.00 |
$245.00 |
$245.00 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$214.00 |
$214.00 |
$214.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$248.50 |
$248.50 |
$248.50 |
$224.87
|
|
Contrast exam abdominl aorta 75625-26
|
$3,103.00 |
$3,103.00 |
$3,103.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,998.50 |
$2,998.50 |
$2,998.50 |
$3,663.60
|
|
Contrast x-ray of ankle
|
$1,937.50 |
$1,937.50 |
$1,937.50 |
$676.80
|
