|
Cath lt/rt pulm art
|
$155.00 |
$155.00 |
$155.00 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$2,173.58
|
|
Cath place 1st order venous 36011
|
$163.00 |
$163.00 |
$163.00 |
$1,377.75
|
|
Cath right hrt mnpul art
|
$132.50 |
$132.50 |
$132.50 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$59.50 |
$59.50 |
$59.50 |
$469.09
|
|
Cath w/drainage 2-way latex
|
$278.50 |
$278.50 |
$278.50 |
$71.20
|
|
Cauterization chemical granulation tissue
|
$192.50 |
$192.50 |
$192.50 |
$340.90
|
|
Cdna analysis for variants
|
$299.00 |
$299.00 |
$299.00 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$1.50 |
$1.50 |
$1.50 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$2.00 |
$2.00 |
$2.00 |
$44.03
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$7.50 |
$7.50 |
$7.50 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$2.00 |
$2.00 |
$2.00 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$1.00 |
$1.00 |
$1.00 |
$84.18
|
|
Cell count body fluid
|
$37.50 |
$37.50 |
$37.50 |
$63.63
|
|
Cell count w differential body fluid
|
$50.00 |
$50.00 |
$50.00 |
$93.23
|
|
Cell cryopreserve/storage
|
$19.00 |
$19.00 |
$19.00 |
$62.72
|
|
Cell function assay w/stim
|
$270.00 |
$270.00 |
$270.00 |
$314.25
|
|
Cell marker study
|
$39.00 |
$39.00 |
$39.00 |
$247.20
|
|
Cervical or vaginal cancer screening g0101
|
$101.00 |
$101.00 |
$101.00 |
$109.46
|
|
Cesarean section delivery only 59514
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$2,194.65
|
|
#cf-97variants
|
$125.00 |
$125.00 |
$125.00 |
$622.20
|
|
Change cystostomy tube; complex 51710
|
$673.00 |
$673.00 |
$673.00 |
$1,470.75
|
|
Change cystostomy tube simple
|
$239.50 |
$239.50 |
$239.50 |
$451.00
|
|
Change of windpipe airway 31502
|
$35.00 |
$35.00 |
$35.00 |
$388.00
|
|
Chemodenerv 1 extremity 1-4 64642
|
$112.00 |
$112.00 |
$112.00 |
$932.40
|
|
Chemodenervation anal musc
|
$272.50 |
$272.50 |
$272.50 |
$2,462.82
|
|
Chemodenervation/face muscl/unilat 64612
|
$121.00 |
$121.00 |
$121.00 |
$569.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$216.00 |
$216.00 |
$216.00 |
$436.44
|
|
Chemodenerv eccrine glands 64650
|
$39.00 |
$39.00 |
$39.00 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$131.00 |
$131.00 |
$131.00 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$117.00 |
$117.00 |
$117.00 |
$698.60
|
|
Chemodenerv trunk musc 1-5 64646
|
$122.50 |
$122.50 |
$122.50 |
$1,064.00
|
|
Chemo extend IV infus w/pump
|
$500.50 |
$500.50 |
$500.50 |
$737.10
|
|
Chest 2 vws w oblique
|
$199.00 |
$199.00 |
$199.00 |
$377.06
|
|
Chest apical lordotic proj
|
$207.50 |
$207.50 |
$207.50 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$891.00 |
$891.00 |
$891.00 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$728.50 |
$728.50 |
$728.50 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$590.50 |
$590.50 |
$590.50 |
$1,350.03
|
|
Chest X-ray
|
$166.00 |
$166.00 |
$166.00 |
$294.06
|
|
Chest X-ray (single view)
|
$123.50 |
$123.50 |
$123.50 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$76.00 |
$76.00 |
$76.00 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$289.00 |
$289.00 |
$289.00 |
$511.59
|
|
Chiropractic manj 5 regions
|
$43.00 |
$43.00 |
$43.00 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$31.00 |
$31.00 |
$31.00 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$31.50 |
$31.50 |
$31.50 |
$56.99
|
|
Chiropract manj xtrspinl 1/>
|
$22.00 |
$22.00 |
$22.00 |
$65.52
|
|
Chloride
|
$14.00 |
$14.00 |
$14.00 |
$40.95
|
|
Chloride 24 hour urine
|
$11.50 |
$11.50 |
$11.50 |
$49.50
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$15.00 |
$15.00 |
$15.00 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$1,270.50 |
$1,270.50 |
$1,270.50 |
$1,963.37
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,467.50 |
$3,467.50 |
$3,467.50 |
$3,690.60
|
|
Cholesterol
|
$13.50 |
$13.50 |
$13.50 |
$45.76
|
|
Cholesterol body fluid
|
$998.00 |
$998.00 |
$998.00 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$62.50 |
$62.50 |
$62.50 |
$115.80
|
|
Chrnc care mgmt phys 1st 30
|
$74.50 |
$74.50 |
$74.50 |
$156.00
|
|
Chromatography
|
$159.50 |
$159.50 |
$159.50 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$510.50 |
$510.50 |
$510.50 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$110.00 |
$110.00 |
$110.00 |
$512.20
|
|
Chromosome banding study
|
$74.00 |
$74.00 |
$74.00 |
$184.24
|
|
Chromosome count additional
|
$62.50 |
$62.50 |
$62.50 |
$92.45
|
|
Chronic urticaria - sendout
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$88.00 |
$88.00 |
$88.00 |
$124.15
|
|
Circum 28 days or older
|
$205.50 |
$205.50 |
$205.50 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$151.00 |
$151.00 |
$151.00 |
$1,219.20
|
|
Circumcision (newborn)
|
$98.00 |
$98.00 |
$98.00 |
$1,395.20
|
|
Claviculectomy partial
|
$620.00 |
$620.00 |
$620.00 |
$3,594.44
|
|
Clearance of airways
|
$81.50 |
$81.50 |
$81.50 |
$666.23
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$2.50 |
$2.50 |
$2.50 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$421.00 |
$421.00 |
$421.00 |
$508.45
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$804.50 |
$804.50 |
$804.50 |
$1,615.35
|
|
Closed tx/acetabululm without manip 27220
|
$440.00 |
$440.00 |
$440.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$486.50 |
$486.50 |
$486.50 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$358.00 |
$358.00 |
$358.00 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$1,540.50 |
$1,540.50 |
$1,540.50 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$125.00 |
$125.00 |
$125.00 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,972.50 |
$1,972.50 |
$1,972.50 |
$2,520.60
|
|
Closed tx sesamoid fx 28530
|
$110.50 |
$110.50 |
$110.50 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$236.50 |
$236.50 |
$236.50 |
$421.40
|
|
Close tear duct opening
|
$138.50 |
$138.50 |
$138.50 |
$436.44
|
|
Close tear duct opening
|
$111.50 |
$111.50 |
$111.50 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$61.50 |
$61.50 |
$61.50 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$918.50 |
$918.50 |
$918.50 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$1,719.00 |
$1,719.00 |
$1,719.00 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$1,934.40
|
|
Closure of eyelid by suture
|
$89.50 |
$89.50 |
$89.50 |
$1,613.00
|
|
Closure ureter/skin fistula
|
$910.50 |
$910.50 |
$910.50 |
$1,149.29
|
|
Clot factor xii hageman
|
$119.50 |
$119.50 |
$119.50 |
$134.39
|
|
Clot factor xiii fibrin stab
|
$69.00 |
$69.00 |
$69.00 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$401.00 |
$401.00 |
$401.00 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$345.50 |
$345.50 |
$345.50 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$393.00 |
$393.00 |
$393.00 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$277.50 |
$277.50 |
$277.50 |
$419.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$264.50 |
$264.50 |
$264.50 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$236.50 |
$236.50 |
$236.50 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$456.50 |
$456.50 |
$456.50 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$346.00 |
$346.00 |
$346.00 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$238.50 |
$238.50 |
$238.50 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$858.50 |
$858.50 |
$858.50 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$295.00 |
$295.00 |
$295.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$236.50 |
$236.50 |
$236.50 |
$376.11
|
