|
Cast sup sht arm splint fbrg
|
$15.01 |
$15.01 |
$15.01 |
$30.40
|
|
Cast sup sht arm splint plst
|
$9.84 |
$9.84 |
$9.84 |
$17.16
|
|
Cast sup sht leg splnt fbrgl
|
$21.22 |
$21.22 |
$21.22 |
$40.63
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$400.20 |
$400.20 |
$400.20 |
$851.01
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$2,926.46 |
$2,926.46 |
$2,926.46 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$1,332.04 |
$1,332.04 |
$1,332.04 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$2,048.26 |
$2,048.26 |
$2,048.26 |
$6,285.56
|
|
Cath acuity innr ic130 6f 63cm
|
$4,053.06 |
$4,053.06 |
$4,053.06 |
$7,301.40
|
|
Cath acunav ge 10frx90cm
|
$1,936.00 |
$1,936.00 |
$2,003.76 |
$6,274.07
|
|
Cath adherent clot 10mm 6f 10
|
$5,329.50 |
$5,329.50 |
$5,329.50 |
$18,003.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$1,619.75 |
$1,619.75 |
$1,619.75 |
$6,285.56
|
|
Cath bi-dir df smarttouch
|
$4,435.50 |
$4,435.50 |
$4,590.74 |
$8,280.00
|
|
Cath blazer dx/20 2-10-2 space
|
$1,500.00 |
$1,500.00 |
$1,552.50 |
$4,012.78
|
|
Cath combo lt&rt heart w/inj/s
|
$14,745.50 |
$14,745.50 |
$14,745.50 |
$8,910.89
|
|
Cath council tip 16fr 5cc
|
$65.20 |
$65.20 |
$65.20 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$2,020.84 |
$2,020.84 |
$2,020.84 |
$4,405.84
|
|
Cath del ampltz 12f 45d 80cm
|
$715.00 |
$715.00 |
$715.00 |
$2,337.00
|
|
Cath entrl fd nutri 5fr 40cm
|
$13.30 |
$13.30 |
$13.30 |
$18.40
|
|
Cath epdrl brevi-stf 12in .043
|
$1,105.89 |
$1,105.89 |
$1,105.89 |
$1,911.42
|
|
Catheter declot mechanical
|
$871.50 |
$871.50 |
$871.50 |
$1,829.42
|
|
Catheterization collection of specimen single patient all places of service
|
$14.00 |
$14.00 |
$14.00 |
$40.15
|
|
Catheter stripping venous
|
$2,059.00 |
$2,059.00 |
$2,059.00 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$1,157.65 |
$1,157.65 |
$1,157.65 |
$1,765.63
|
|
Cath hawkone s directional
|
$2,896.96 |
$2,896.96 |
$2,896.96 |
$6,905.81
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,895.25 |
$1,895.25 |
$1,895.25 |
$4,246.52
|
|
Cath infuse micro 150cm rapidtransit
|
$8.80 |
$8.80 |
$8.80 |
$13.23
|
|
Cathj umbilical vein dx/ther nb
|
$474.00 |
$474.00 |
$474.00 |
$254.80
|
|
Cath left heart/lv gram
|
$12,858.00 |
$12,858.00 |
$12,858.00 |
$7,729.41
|
|
Cath left heart transseptal punc
|
$2,486.00 |
$2,486.00 |
$2,486.00 |
$5,939.71
|
|
Cath lt/rt pulm art
|
$2,652.50 |
$2,652.50 |
$2,652.50 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$978.59 |
$978.59 |
$978.59 |
$2,164.32
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$6,724.40 |
$6,724.40 |
$6,724.40 |
$18,585.60
|
|
Cath place 1st order venous 36011
|
$2,655.00 |
$2,655.00 |
$2,655.00 |
$1,377.75
|
|
Cath plc art ang/grft lt/rt hr
|
$15,668.00 |
$15,668.00 |
$15,668.00 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$14,255.00 |
$14,255.00 |
$14,255.00 |
$9,954.00
|
|
Cath plc art/grft/angio right hrt
|
$15,179.50 |
$15,179.50 |
$15,179.50 |
$10,199.30
|
|
Cath right heart w/o2 sat & card
|
$7,846.00 |
$7,846.00 |
$7,846.00 |
$6,356.90
|
|
Cath right hrt mnpul art
|
$3,061.50 |
$3,061.50 |
$3,061.50 |
$1,030.77
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$1,274.00 |
$1,274.00 |
$1,274.00 |
$474.40
|
|
Cath segmntl pulm art
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$1,458.34
|
|
Cath steerable flex adv 12f
|
$1,114.00 |
$1,114.00 |
$1,152.99 |
$2,925.00
|
|
Cath stripping venous s&i
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$682.34
|
|
Cath uret open tp 6fx70cm
|
$919.62 |
$919.62 |
$919.62 |
$562.57
|
|
Cauterization chemical granulation tissue
|
$238.00 |
$238.00 |
$238.00 |
$327.20
|
|
Cauterization of cervix 57510
|
$4,736.50 |
$4,736.50 |
$4,736.50 |
$3,762.53
|
|
#cbg+cort-cbg
|
$172.00 |
$172.00 |
$172.00 |
$69.60
|
|
Cdna analysis for variants
|
$633.50 |
$633.50 |
$633.50 |
$525.00
|
|
Cdp-sot 6 cond w/i&r
|
$251.50 |
$251.50 |
$251.50 |
$215.20
|
|
Cebpa gene full sequence
|
$425.50 |
$425.50 |
$425.50 |
$484.90
|
|
#celiac hla-dq2
|
$206.00 |
$206.00 |
$206.00 |
$225.12
|
|
#celiac hla-dq8
|
$300.50 |
$300.50 |
$300.50 |
$245.60
|
|
Cell count w differential body fluid
|
$43.00 |
$43.00 |
$43.00 |
$92.56
|
|
Cell function assay w/stim
|
$298.00 |
$298.00 |
$298.00 |
$314.16
|
|
Cerebrospinal fld flw imag
|
$938.50 |
$938.50 |
$938.50 |
$907.45
|
|
Cer post col occ/man sup adj
|
$289.80 |
$289.80 |
$289.80 |
$806.24
|
|
Cerv collar supp adj cerv ba
|
$376.74 |
$376.74 |
$376.74 |
$1,124.77
|
|
Cervical collar molded to pt
|
$382.44 |
$382.44 |
$382.44 |
$598.80
|
|
Cervical or vaginal cancer screening g0101
|
$129.50 |
$129.50 |
$129.50 |
$109.46
|
|
Cesarean section delivery only 59514
|
$1,954.00 |
$1,954.00 |
$1,954.00 |
$2,194.65
|
|
#cf-97variants
|
$3,514.50 |
$3,514.50 |
$3,514.50 |
$612.26
|
|
Change cystostomy tube; complex 51710
|
$1,527.00 |
$1,527.00 |
$1,527.00 |
$1,421.88
|
|
Change cystostomy tube simple
|
$473.00 |
$473.00 |
$473.00 |
$442.55
|
|
Change g-tube to g-j perc
|
$2,042.50 |
$2,042.50 |
$2,042.50 |
$2,198.40
|
|
Change nephroureteral cath
|
$3,503.00 |
$3,503.00 |
$3,503.00 |
$2,976.83
|
|
Change of ureter tube/stent
|
$2,323.00 |
$2,323.00 |
$2,323.00 |
$2,423.46
|
|
Change of windpipe airway 31502
|
$295.00 |
$295.00 |
$295.00 |
$380.40
|
|
Change stent via transureth
|
$3,201.50 |
$3,201.50 |
$3,201.50 |
$3,927.00
|
|
Change ureter stent percut
|
$3,503.00 |
$3,503.00 |
$3,503.00 |
$3,863.60
|
|
Chemo adm cns w/lmbr punct
|
$444.00 |
$444.00 |
$444.00 |
$685.85
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$552.00 |
$552.00 |
$552.00 |
$540.80
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$552.00 |
$552.00 |
$552.00 |
$516.00
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$1,146.50 |
$1,146.50 |
$1,146.50 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$1,174.00 |
$1,174.00 |
$1,174.00 |
$932.40
|
|
Chemodenervation/face muscl/unilat 64612
|
$302.50 |
$302.50 |
$302.50 |
$569.00
|
|
Chemodenerv musc migraine 64615
|
$489.00 |
$489.00 |
$489.00 |
$524.40
|
|
Chemodenerv musc neck dyston 64616
|
$439.50 |
$439.50 |
$439.50 |
$724.95
|
|
Chemodenerv saliv glands bilat 64611
|
$455.00 |
$455.00 |
$455.00 |
$441.00
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,146.50 |
$1,146.50 |
$1,146.50 |
$1,002.30
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,354.50 |
$1,354.50 |
$1,354.50 |
$1,234.53
|
|
Chemo ia push tecnique
|
$374.50 |
$374.50 |
$374.50 |
$491.64
|
|
Chemo intralesional up to 7 96405
|
$98.50 |
$98.50 |
$98.50 |
$162.50
|
|
Chest 2 vws w oblique
|
$508.00 |
$508.00 |
$508.00 |
$378.40
|
|
Chest apical lordotic proj
|
$406.50 |
$406.50 |
$406.50 |
$306.15
|
|
Chest CT scan (with and without contrast)
|
$1,947.00 |
$1,947.00 |
$1,947.00 |
$1,953.00
|
|
Chest CT scan (with contrast)
|
$1,779.50 |
$1,779.50 |
$1,779.50 |
$1,666.80
|
|
Chest CT scan (without contrast)
|
$1,372.50 |
$1,372.50 |
$1,372.50 |
$1,350.03
|
|
Chest X-ray
|
$281.50 |
$281.50 |
$281.50 |
$299.40
|
|
Chest X-ray (single view)
|
$234.00 |
$234.00 |
$234.00 |
$241.20
|
|
Chg pr pul rehab for copd patients
|
$105.00 |
$105.00 |
$105.00 |
$147.00
|
|
Chg radiologic exam esophagus double contrast
|
$587.50 |
$587.50 |
$587.50 |
$504.40
|
|
Chiropractic manj 5 regions
|
$93.50 |
$93.50 |
$93.50 |
$68.80
|
|
Chiropract manj 1-2 regions
|
$45.00 |
$45.00 |
$45.00 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$55.00 |
$55.00 |
$55.00 |
$55.00
|
|
Chlamydia culture
|
$65.50 |
$65.50 |
$65.50 |
$93.90
|
|
Chlamydia trachomatis ag if
|
$79.00 |
$79.00 |
$79.00 |
$65.50
|
|
Chlamydia type
|
$27.50 |
$27.50 |
$27.50 |
$32.56
|
|
Chlnggrphy intraop addl s&i
|
$172.00 |
$172.00 |
$172.00 |
$280.00
|
|
Chloride
|
$69.00 |
$69.00 |
$69.00 |
$39.65
|
|
Chloride 24 hour urine
|
$33.00 |
$33.00 |
$33.00 |
$46.75
|
|
Cholangiogram percutaneous compl
|
$5,205.50 |
$5,205.50 |
$5,205.50 |
$3,611.95
|
