|
Calcium 24 hour urine
|
$37.50 |
$37.50 |
$37.50 |
$53.00
|
|
Calcium ionized
|
$35.50 |
$35.50 |
$35.50 |
$90.00
|
|
Calcium total
|
$32.00 |
$32.00 |
$32.00 |
$50.00
|
|
Calprotectin fecal
|
$30.00 |
$30.00 |
$30.00 |
$169.95
|
|
Cannula ercp contour 5-4-3 tip
|
$891.50 |
$891.50 |
$891.50 |
$34,218.66
|
|
Cantharidin top, applicator
|
$944.00 |
$944.00 |
$944.00 |
$1,113.94
|
|
Canthotomy 67715
|
$112.00 |
$112.00 |
$112.00 |
$2,956.50
|
|
Capsaicin 8% patch
|
$5.00 |
$5.00 |
$5.00 |
$4,719.65
|
|
Carbamazepine free
|
$72.00 |
$72.00 |
$72.00 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$123.50 |
$123.50 |
$123.50 |
$120.25
|
|
Carbohydrate deficient transf - sendout
|
$40.50 |
$40.50 |
$40.50 |
$139.00
|
|
Carbohydrate urine - sendout
|
$364.00 |
$364.00 |
$364.00 |
$66.64
|
|
Carbon dioxide
|
$30.00 |
$30.00 |
$30.00 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$32.00 |
$32.00 |
$32.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$144.00 |
$144.00 |
$144.00 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$2,626.88
|
|
Cardiac Stress Test
|
$77.50 |
$77.50 |
$77.50 |
$210.00
|
|
Cardiolipin antibody iga
|
$53.50 |
$53.50 |
$53.50 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
$1,396.00
|
|
Caregiver health risk assmt
|
$36.00 |
$36.00 |
$36.00 |
$43.50
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$41.50 |
$41.50 |
$41.50 |
$99.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$20.50 |
$20.50 |
$20.50 |
$51.50
|
|
Care manage beh svs 20mins
|
$43.00 |
$43.00 |
$43.00 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$44.50 |
$44.50 |
$44.50 |
$55.09
|
|
Carotene
|
$9.50 |
$9.50 |
$9.50 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$655.50 |
$655.50 |
$655.50 |
$1,018.68
|
|
Cataract Surgery
|
$2,266.50 |
$2,266.50 |
$2,266.50 |
$4,881.00
|
|
Cath cv dl inj 7fx16cm
|
$261.50 |
$261.50 |
$261.50 |
$3,889.06
|
|
Catheterization collection of specimen single patient all places of service
|
$14.00 |
$14.00 |
$14.00 |
$40.95
|
|
Cath malecot 28fr 4-wing ltx
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$2,173.58
|
|
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
|
$25.00 |
$25.00 |
$25.00 |
$63.63
|
|
Cell count w differential body fluid
|
$50.00 |
$50.00 |
$50.00 |
$93.23
|
|
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
|
$52.00 |
$52.00 |
$52.00 |
$109.46
|
|
#cf-97variants
|
$125.00 |
$125.00 |
$125.00 |
$622.20
|
|
Cftr gene intron poly t
|
$150.50 |
$150.50 |
$150.50 |
$285.75
|
|
Change cystostomy tube simple
|
$183.00 |
$183.00 |
$183.00 |
$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/face muscl/unilat 64612
|
$294.00 |
$294.00 |
$294.00 |
$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 neck dyston 64616
|
$294.00 |
$294.00 |
$294.00 |
$698.60
|
|
Chemodenerv trunk musc 1-5 64646
|
$122.50 |
$122.50 |
$122.50 |
$1,064.00
|
|
Chest CT scan (with and without contrast)
|
$991.50 |
$991.50 |
$991.50 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$855.00 |
$855.00 |
$855.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$734.00 |
$734.00 |
$734.00 |
$1,350.03
|
|
Chest X-ray
|
$174.00 |
$174.00 |
$174.00 |
$294.06
|
|
Chest X-ray (single view)
|
$174.00 |
$174.00 |
$174.00 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$349.00 |
$349.00 |
$349.00 |
$511.59
|
|
Chiropractic manj 5 regions
|
$43.00 |
$43.00 |
$43.00 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$20.50 |
$20.50 |
$20.50 |
$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
|
$28.50 |
$28.50 |
$28.50 |
$40.95
|
|
Chloride 24 hour urine
|
$31.00 |
$31.00 |
$31.00 |
$49.50
|
|
Cholesterol
|
$18.00 |
$18.00 |
$18.00 |
$45.76
|
|
Cholesterol body fluid
|
$998.00 |
$998.00 |
$998.00 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$62.50 |
$62.50 |
$62.50 |
$115.80
|
|
Cholinesterase
|
$5.50 |
$5.50 |
$5.50 |
$38.69
|
|
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
|
$75.00 |
$75.00 |
$75.00 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$836.50 |
$836.50 |
$836.50 |
$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
|
|
Circumcise/surg/28 days or < 54160
|
$668.00 |
$668.00 |
$668.00 |
$1,219.20
|
|
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
|
$523.00 |
$523.00 |
$523.00 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$371.00 |
$371.00 |
$371.00 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,272.50 |
$2,272.50 |
$2,272.50 |
$2,520.60
|
|
Closed tx sesamoid fx 28530
|
$110.50 |
$110.50 |
$110.50 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$235.00 |
$235.00 |
$235.00 |
$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 of eyelid by suture
|
$89.50 |
$89.50 |
$89.50 |
$1,613.00
|
|
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
|
$224.50 |
$224.50 |
$224.50 |
$401.00
|
