|
Change cystostomy tube simple
|
$946.28 |
$946.28 |
$946.28 |
$479.00
|
|
Change g-tube to g-j perc
|
$3,544.21 |
$3,544.21 |
$3,544.21 |
$2,206.00
|
|
Change nephroureteral cath
|
$6,436.88 |
$6,436.88 |
$6,436.88 |
$2,969.25
|
|
Chest apical lordotic proj
|
$1,166.13 |
$1,166.13 |
$1,166.13 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$4,690.98 |
$4,690.98 |
$4,690.98 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$4,293.93 |
$4,293.93 |
$4,293.93 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$3,738.47 |
$3,738.47 |
$3,738.47 |
$1,350.03
|
|
Chest X-ray
|
$923.84 |
$923.84 |
$923.84 |
$294.06
|
|
Chest X-ray (single view)
|
$687.73 |
$687.73 |
$687.73 |
$229.08
|
|
Chg pr pul rehab for copd patients
|
$249.18 |
$249.18 |
$249.18 |
$150.00
|
|
Chlamydia type
|
$219.36 |
$219.36 |
$219.36 |
$34.75
|
|
Chloride
|
$120.30 |
$120.30 |
$120.30 |
$38.50
|
|
Chloride 24 hour urine
|
$129.84 |
$129.84 |
$129.84 |
$46.13
|
|
Chloroprocaine hcl injection
|
$56.07 |
$56.07 |
$56.07 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$117.87 |
$117.87 |
$117.87 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$221.89 |
$221.89 |
$221.89 |
$89.81
|
|
Cholangiogram percutaneous compl
|
$8,056.37 |
$8,056.37 |
$8,056.37 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$914.73 |
$914.73 |
$914.73 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$7,713.66 |
$7,713.66 |
$7,713.66 |
$3,856.84
|
|
Cholesterol
|
$185.22 |
$185.22 |
$185.22 |
$46.15
|
|
Cholesterol body fluid
|
$452.19 |
$452.19 |
$452.19 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$324.18 |
$324.18 |
$324.18 |
$115.70
|
|
Chromatography
|
$471.71 |
$471.71 |
$471.71 |
$80.60
|
|
Chromo high res and frag x - sendout
|
$482.10 |
$482.10 |
$482.10 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$1,815.98 |
$1,815.98 |
$1,815.98 |
$448.80
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$141.07 |
$141.07 |
$141.07 |
$45.27
|
|
Circumcise/surg/28 days or < 54160
|
$6,268.98 |
$6,268.98 |
$6,268.98 |
$1,995.50
|
|
Cisplatin 1 mg/ml desensitization
|
$127.11 |
$127.11 |
$127.11 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$718.76 |
$718.76 |
$718.76 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$191.70 |
$191.70 |
$191.70 |
$61.26
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$36.14 |
$36.14 |
$36.14 |
$81.02
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,346.17 |
$1,346.17 |
$1,346.17 |
$612.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$1,350.29 |
$1,350.29 |
$1,350.29 |
$480.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$2,935.92 |
$2,935.92 |
$2,935.92 |
$1,183.65
|
|
Clot factor xii hageman
|
$481.44 |
$481.44 |
$481.44 |
$125.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,300.33 |
$2,300.33 |
$2,300.33 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,346.17 |
$1,346.17 |
$1,346.17 |
$543.00
|
|
Clsd tx elbow dislocation child 24640
|
$1,849.58 |
$1,849.58 |
$1,849.58 |
$525.28
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$762.39 |
$762.39 |
$762.39 |
$469.10
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$2,663.55 |
$2,663.55 |
$2,663.55 |
$597.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$8,711.83 |
$8,711.83 |
$8,711.83 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$8,794.01 |
$8,794.01 |
$8,794.01 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$2,300.33 |
$2,300.33 |
$2,300.33 |
$716.95
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$1,346.17 |
$1,346.17 |
$1,346.17 |
$519.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$1,445.05 |
$1,445.05 |
$1,445.05 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,445.05 |
$1,445.05 |
$1,445.05 |
$716.95
|
|
Clsd tx/metatarsal fx without manip 28470
|
$1,346.17 |
$1,346.17 |
$1,346.17 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$16,752.58 |
$16,752.58 |
$16,752.58 |
$3,600.75
|
|
Clsd tx patella disloc without anes 27560
|
$1,849.58 |
$1,849.58 |
$1,849.58 |
$665.50
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$1,346.17 |
$1,346.17 |
$1,346.17 |
$501.80
|
|
Clsd tx radius fracture w/manip 24655
|
$8,711.83 |
$8,711.83 |
$8,711.83 |
$1,868.38
|
|
Clsd tx shoulder dislc/fx 23665
|
$8,711.83 |
$8,711.83 |
$8,711.83 |
$2,055.00
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$8,794.01 |
$8,794.01 |
$8,794.01 |
$1,797.83
|
|
Clsd tx temporomandibular dislocat 21480
|
$3,561.32 |
$3,561.32 |
$3,561.32 |
$506.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$8,794.01 |
$8,794.01 |
$8,794.01 |
$1,707.42
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$1,346.17 |
$1,346.17 |
$1,346.17 |
$692.03
|
|
Cltx scap fx w/mnpj +-tractj
|
$8,794.01 |
$8,794.01 |
$8,794.01 |
$2,050.29
|
|
Cltx tmprmand dislc comp
|
$8,402.81 |
$8,402.81 |
$8,402.81 |
$3,786.00
|
|
#cmvcul-virus inoculation shell
|
$102.09 |
$102.09 |
$102.09 |
$102.57
|
|
Cmv pcr-sendout
|
$369.31 |
$369.31 |
$369.31 |
$172.25
|
|
Cocaine 4 % nasal solution
|
$1,027.32 |
$1,027.32 |
$1,027.32 |
$781.82
|
|
Cold agglutinin screen (arc)
|
$130.83 |
$130.83 |
$130.83 |
$47.19
|
|
Collection blood specimen from completely implantable venous access device
|
$270.06 |
$270.06 |
$270.06 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$419.78 |
$419.78 |
$419.78 |
$163.07
|
|
Collection of venous blood by venipuncture
|
$67.16 |
$67.16 |
$67.16 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$355.61 |
$355.61 |
$355.61 |
$165.00
|
|
Compatibility test each unit immediate spin technique
|
$128.09 |
$128.09 |
$128.09 |
$159.95
|
|
Complement antigen each component c3
|
$304.41 |
$304.41 |
$304.41 |
$113.13
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$3,631.48 |
$3,631.48 |
$3,631.48 |
$913.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$3,552.77 |
$3,552.77 |
$3,552.77 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$3,552.77 |
$3,552.77 |
$3,552.77 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$2,771.61 |
$2,771.61 |
$2,771.61 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$1,440.06 |
$1,440.06 |
$1,440.06 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$1,824.68 |
$1,824.68 |
$1,824.68 |
$781.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$2,125.35 |
$2,125.35 |
$2,125.35 |
$590.20
|
|
Concentration infection agents any type
|
$110.38 |
$110.38 |
$110.38 |
$50.70
|
|
Condylomata destruction 56420
|
$1,597.38 |
$1,597.38 |
$1,597.38 |
$503.67
|
|
Consultation pathology during surgery cytological exam initial site
|
$130.96 |
$130.96 |
$130.96 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$132.62 |
$132.62 |
$132.62 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$307.21 |
$307.21 |
$307.21 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$656.38 |
$656.38 |
$656.38 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$412.97 |
$412.97 |
$412.97 |
$176.15
|
|
Contrast exam abdominl aorta 75625-26
|
$6,141.98 |
$6,141.98 |
$6,141.98 |
$3,389.09
|
|
Contrast x-ray of hip
|
$1,114.34 |
$1,114.34 |
$1,114.34 |
$770.88
|
|
Contrast x-ray of knee joint
|
$870.30 |
$870.30 |
$870.30 |
$655.05
|
|
Contrast x-ray of wrist
|
$832.76 |
$832.76 |
$832.76 |
$558.71
|
|
Control nosebleed pack+caut 30905
|
$906.38 |
$906.38 |
$906.38 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$907.48 |
$907.48 |
$907.48 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$940.56 |
$940.56 |
$940.56 |
$385.45
|
|
Conversion ext bil drg cath
|
$12,533.62 |
$12,533.62 |
$12,533.62 |
$4,176.15
|
|
Coombs direct
|
$153.56 |
$153.56 |
$153.56 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$117.06 |
$117.06 |
$117.06 |
$100.29
|
|
Core ndl bx lng/med perq
|
$5,336.93 |
$5,336.93 |
$5,336.93 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$19,284.95 |
$19,284.95 |
$19,284.95 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$16,680.13 |
$16,680.13 |
$16,680.13 |
$10,280.55
|
|
Coronary angio/lv gram/rt< heart
|
$17,830.14 |
$17,830.14 |
$17,830.14 |
$11,240.08
|
|
Coronary art/grft angio s&i
|
$16,265.76 |
$16,265.76 |
$16,265.76 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$16,265.76 |
$16,265.76 |
$16,265.76 |
$7,697.25
|
|
Cortisol total am
|
$269.87 |
$269.87 |
$269.87 |
$122.00
|
|
Counseling smoke cess interm >10mins
|
$30.86 |
$30.86 |
$30.86 |
$57.60
|