|
Cardiac Stress Test
|
$124.00 |
$124.00 |
$124.00 |
$210.00
|
|
Cardiolipin antibody iga
|
$240.80 |
$240.80 |
$240.80 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,176.80 |
$1,176.80 |
$1,176.80 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$410.40 |
$410.40 |
$410.40 |
$1,114.00
|
|
Caregiver health risk assmt
|
$57.60 |
$57.60 |
$57.60 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$66.40 |
$66.40 |
$66.40 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$32.80 |
$32.80 |
$32.80 |
$51.50
|
|
Care manage beh svs 20mins
|
$68.80 |
$68.80 |
$68.80 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$71.20 |
$71.20 |
$71.20 |
$55.09
|
|
Carfilzomib 10 mg intravenous solution
|
$5,763.74 |
$5,763.74 |
$5,763.74 |
$6,877.19
|
|
Carotid Artery Ultrasound (Duplex)
|
$490.40 |
$490.40 |
$490.40 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$5,907.20 |
$5,907.20 |
$5,907.20 |
$3,608.80
|
|
Ca screen;flexi sigmoidscope
|
$470.40 |
$470.40 |
$470.40 |
$1,206.00
|
|
Cataract Surgery
|
$812.80 |
$812.80 |
$812.80 |
$4,881.00
|
|
Cath cv dl inj 7fx16cm
|
$418.40 |
$418.40 |
$418.40 |
$3,889.06
|
|
Cath epdrl brevi-stf 12in .043
|
$97.60 |
$97.60 |
$97.60 |
$1,911.42
|
|
Catheter declot mechanical
|
$75.20 |
$75.20 |
$75.20 |
$1,838.28
|
|
Catheter insert artery
|
$180.00 |
$180.00 |
$180.00 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$38.40 |
$38.40 |
$38.40 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$627.52 |
$627.52 |
$627.52 |
$1,653.00
|
|
Cathj umbilical vein dx/ther nb
|
$268.80 |
$268.80 |
$268.80 |
$254.80
|
|
Cath lt/rt pulm art
|
$248.00 |
$248.00 |
$248.00 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$2,173.58
|
|
Cath place 1st order venous 36011
|
$260.80 |
$260.80 |
$260.80 |
$1,377.75
|
|
Cath right hrt mnpul art
|
$212.00 |
$212.00 |
$212.00 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$112.00 |
$112.00 |
$112.00 |
$469.09
|
|
Cauterization chemical granulation tissue
|
$308.00 |
$308.00 |
$308.00 |
$340.90
|
|
Cdna analysis for variants
|
$478.40 |
$478.40 |
$478.40 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$10.06 |
$10.06 |
$10.06 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$18.38 |
$18.38 |
$18.38 |
$44.03
|
|
Cefoxitin 1 gram intravenous solution
|
$12.82 |
$12.82 |
$12.82 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$12.00 |
$12.00 |
$12.00 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$6.62 |
$6.62 |
$6.62 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$168.00 |
$168.00 |
$168.00 |
$84.18
|
|
Cell count w differential body fluid
|
$80.00 |
$80.00 |
$80.00 |
$93.23
|
|
Cell function assay w/stim
|
$432.00 |
$432.00 |
$432.00 |
$314.25
|
|
Cell marker study
|
$62.40 |
$62.40 |
$62.40 |
$247.20
|
|
Cervical or vaginal cancer screening g0101
|
$83.20 |
$83.20 |
$83.20 |
$109.46
|
|
Cesarean section delivery only 59514
|
$1,611.20 |
$1,611.20 |
$1,611.20 |
$2,194.65
|
|
#cf-97variants
|
$445.60 |
$445.60 |
$445.60 |
$622.20
|
|
Change cystostomy tube; complex 51710
|
$132.80 |
$132.80 |
$132.80 |
$1,470.75
|
|
Change cystostomy tube simple
|
$424.00 |
$424.00 |
$424.00 |
$451.00
|
|
Change of windpipe airway 31502
|
$56.00 |
$56.00 |
$56.00 |
$388.00
|
|
Chemodenerv 1 extremity 1-4 64642
|
$179.20 |
$179.20 |
$179.20 |
$932.40
|
|
Chemodenervation anal musc
|
$436.00 |
$436.00 |
$436.00 |
$2,462.82
|
|
Chemodenervation/face muscl/unilat 64612
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
$569.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$345.60 |
$345.60 |
$345.60 |
$436.44
|
|
Chemodenerv eccrine glands 64650
|
$62.40 |
$62.40 |
$62.40 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$470.40 |
$470.40 |
$470.40 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$187.20 |
$187.20 |
$187.20 |
$698.60
|
|
Chemodenerv trunk musc 1-5 64646
|
$196.00 |
$196.00 |
$196.00 |
$1,064.00
|
|
Chemo extend IV infus w/pump
|
$652.80 |
$652.80 |
$652.80 |
$737.10
|
|
Chest 2 vws w oblique
|
$160.80 |
$160.80 |
$160.80 |
$377.06
|
|
Chest CT scan (with and without contrast)
|
$766.40 |
$766.40 |
$766.40 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,408.00 |
$1,408.00 |
$1,408.00 |
$1,350.03
|
|
Chest X-ray
|
$201.60 |
$201.60 |
$201.60 |
$294.06
|
|
Chest X-ray (single view)
|
$384.00 |
$384.00 |
$384.00 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$416.80 |
$416.80 |
$416.80 |
$511.59
|
|
Chiropractic manj 5 regions
|
$68.80 |
$68.80 |
$68.80 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$32.80 |
$32.80 |
$32.80 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$50.40 |
$50.40 |
$50.40 |
$56.99
|
|
Chiropract manj xtrspinl 1/>
|
$35.20 |
$35.20 |
$35.20 |
$65.52
|
|
Chlamydia culture
|
$20.80 |
$20.80 |
$20.80 |
$93.90
|
|
Chlamydia type
|
$20.00 |
$20.00 |
$20.00 |
$34.20
|
|
Chloride
|
$19.20 |
$19.20 |
$19.20 |
$40.95
|
|
Chloride 24 hour urine
|
$24.80 |
$24.80 |
$24.80 |
$49.50
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$24.00 |
$24.00 |
$24.00 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$1,994.40 |
$1,994.40 |
$1,994.40 |
$1,963.37
|
|
Cholecystostomy complete w/supervision & interpretation
|
$528.80 |
$528.80 |
$528.80 |
$3,690.60
|
|
Cholesterol
|
$10.40 |
$10.40 |
$10.40 |
$45.76
|
|
Cholesterol body fluid
|
$1,596.80 |
$1,596.80 |
$1,596.80 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$100.00 |
$100.00 |
$100.00 |
$115.80
|
|
Chrnc care mgmt phys 1st 30
|
$119.20 |
$119.20 |
$119.20 |
$156.00
|
|
Chrom analysis
|
$70.40 |
$70.40 |
$70.40 |
$156.00
|
|
Chromatography
|
$255.20 |
$255.20 |
$255.20 |
$81.25
|
|
Chromosome analysis 15-20 cell count
|
$251.20 |
$251.20 |
$251.20 |
$512.20
|
|
Chromosome banding study
|
$118.40 |
$118.40 |
$118.40 |
$184.24
|
|
Chromosome count additional
|
$100.00 |
$100.00 |
$100.00 |
$92.45
|
|
Chronic urticaria - sendout
|
$120.00 |
$120.00 |
$120.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$140.80 |
$140.80 |
$140.80 |
$124.15
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$14.40 |
$14.40 |
$14.40 |
$34.88
|
|
Circum 28 days or older
|
$328.80 |
$328.80 |
$328.80 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$1,202.40 |
$1,202.40 |
$1,202.40 |
$1,219.20
|
|
Circumcision (newborn)
|
$1,202.40 |
$1,202.40 |
$1,202.40 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$60.48 |
$60.48 |
$60.48 |
$192.66
|
|
Claviculectomy partial
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$3,594.44
|
|
Clearance of airways
|
$130.40 |
$130.40 |
$130.40 |
$666.23
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$24.24 |
$24.24 |
$24.24 |
$55.20
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$4.00 |
$4.00 |
$4.00 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$673.60 |
$673.60 |
$673.60 |
$508.45
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,287.20 |
$1,287.20 |
$1,287.20 |
$1,615.35
|
|
Closed tx/acetabululm without manip 27220
|
$704.00 |
$704.00 |
$704.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$778.40 |
$778.40 |
$778.40 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$572.80 |
$572.80 |
$572.80 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$836.80 |
$836.80 |
$836.80 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$396.00 |
$396.00 |
$396.00 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,779.20 |
$2,779.20 |
$2,779.20 |
$2,520.60
|
|
Closed tx sesamoid fx 28530
|
$378.40 |
$378.40 |
$378.40 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$378.40 |
$378.40 |
$378.40 |
$421.40
|
