|
Capsulotomy mpj ea joint (sep proc)
|
$347.50 |
$347.50 |
$347.50 |
$3,545.97
|
|
Carbamazepine free
|
$72.50 |
$72.50 |
$72.50 |
$59.15
|
|
Carbamazepine total therapeutic drug level
|
$72.50 |
$72.50 |
$72.50 |
$120.25
|
|
Carbohydrate urine - sendout
|
$364.00 |
$364.00 |
$364.00 |
$66.64
|
|
Carboxyhemoglobin quantitative
|
$40.50 |
$40.50 |
$40.50 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$144.00 |
$144.00 |
$144.00 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$910.00 |
$910.00 |
$910.00 |
$2,626.88
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$181.00 |
$181.00 |
$181.00 |
$244.00
|
|
Cardiac Stress Test
|
$72.00 |
$72.00 |
$72.00 |
$210.00
|
|
Cardiolipin antibody iga
|
$112.00 |
$112.00 |
$112.00 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$684.50 |
$684.50 |
$684.50 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$270.50 |
$270.50 |
$270.50 |
$1,114.00
|
|
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
|
$72.00 |
$72.00 |
$72.00 |
$51.52
|
|
Care mgmt svc bhvl hlth cond
|
$48.00 |
$48.00 |
$48.00 |
$55.09
|
|
Carotene
|
$9.50 |
$9.50 |
$9.50 |
$45.24
|
|
Carotid Artery Ultrasound (Duplex)
|
$671.00 |
$671.00 |
$671.00 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$3,608.80
|
|
Ca screen;flexi sigmoidscope
|
$819.00 |
$819.00 |
$819.00 |
$1,206.00
|
|
Cast sup lng arm splnt ped p
|
$10.50 |
$10.50 |
$10.50 |
$11.44
|
|
Cataract Surgery
|
$1,901.50 |
$1,901.50 |
$1,901.50 |
$4,881.00
|
|
Cath cv dl inj 7fx16cm
|
$502.00 |
$502.00 |
$502.00 |
$3,889.06
|
|
Cath epdrl brevi-stf 12in .043
|
$32.62 |
$32.62 |
$32.62 |
$1,911.42
|
|
Catheter declot mechanical
|
$47.50 |
$47.50 |
$47.50 |
$1,838.28
|
|
Catheter insert artery
|
$110.00 |
$110.00 |
$110.00 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$42.00 |
$42.00 |
$42.00 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$1,173.28 |
$1,173.28 |
$1,173.28 |
$1,653.00
|
|
Cath lt/rt pulm art
|
$159.50 |
$159.50 |
$159.50 |
$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
|
$164.00 |
$164.00 |
$164.00 |
$1,377.75
|
|
Cath right hrt mnpul art
|
$131.00 |
$131.00 |
$131.00 |
$1,015.96
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$758.08 |
$758.08 |
$758.08 |
$469.09
|
|
Cath uret open tp 6fx70cm
|
$29.05 |
$29.05 |
$29.05 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$386.00 |
$386.00 |
$386.00 |
$340.90
|
|
Cdna analysis for variants
|
$299.00 |
$299.00 |
$299.00 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$7.11 |
$7.11 |
$7.11 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$22.98 |
$22.98 |
$22.98 |
$44.03
|
|
Cefoxitin 1 gram intravenous solution
|
$10.17 |
$10.17 |
$10.17 |
$74.82
|
|
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
|
$6.00 |
$6.00 |
$6.00 |
$84.18
|
|
Cell count body fluid
|
$48.00 |
$48.00 |
$48.00 |
$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
|
$37.50 |
$37.50 |
$37.50 |
$247.20
|
|
Cervical or vaginal cancer screening g0101
|
$56.00 |
$56.00 |
$56.00 |
$109.46
|
|
Cesarean section delivery only 59514
|
$993.00 |
$993.00 |
$993.00 |
$2,194.65
|
|
#cf-97variants
|
$125.00 |
$125.00 |
$125.00 |
$622.20
|
|
Change cystostomy tube; complex 51710
|
$83.00 |
$83.00 |
$83.00 |
$1,470.75
|
|
Change cystostomy tube simple
|
$190.00 |
$190.00 |
$190.00 |
$451.00
|
|
Change of windpipe airway 31502
|
$36.00 |
$36.00 |
$36.00 |
$388.00
|
|
Chemodenerv 1 extremity 1-4 64642
|
$114.00 |
$114.00 |
$114.00 |
$932.40
|
|
Chemodenervation anal musc
|
$257.00 |
$257.00 |
$257.00 |
$2,462.82
|
|
Chemodenervation/face muscl/unilat 64612
|
$566.50 |
$566.50 |
$566.50 |
$569.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$224.00 |
$224.00 |
$224.00 |
$436.44
|
|
Chemodenerv eccrine glands 64650
|
$45.00 |
$45.00 |
$45.00 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$294.00 |
$294.00 |
$294.00 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$729.00 |
$729.00 |
$729.00 |
$698.60
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$1,064.00
|
|
Chemo extend IV infus w/pump
|
$318.00 |
$318.00 |
$318.00 |
$737.10
|
|
Chest 2 vws w oblique
|
$156.50 |
$156.50 |
$156.50 |
$377.06
|
|
Chest apical lordotic proj
|
$112.00 |
$112.00 |
$112.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,177.00 |
$1,177.00 |
$1,177.00 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,017.50 |
$1,017.50 |
$1,017.50 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$830.50 |
$830.50 |
$830.50 |
$1,350.03
|
|
Chest X-ray
|
$166.50 |
$166.50 |
$166.50 |
$294.06
|
|
Chest X-ray (single view)
|
$138.00 |
$138.00 |
$138.00 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$126.00 |
$126.00 |
$126.00 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$320.00 |
$320.00 |
$320.00 |
$511.59
|
|
Chiropractic manj 5 regions
|
$46.50 |
$46.50 |
$46.50 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$28.00 |
$28.00 |
$28.00 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$34.50 |
$34.50 |
$34.50 |
$56.99
|
|
Chiropract manj xtrspinl 1/>
|
$23.00 |
$23.00 |
$23.00 |
$65.52
|
|
Chloride
|
$28.50 |
$28.50 |
$28.50 |
$40.95
|
|
Chloride 24 hour urine
|
$29.00 |
$29.00 |
$29.00 |
$49.50
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$284.00 |
$284.00 |
$284.00 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$1,270.50 |
$1,270.50 |
$1,270.50 |
$1,963.37
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,712.50 |
$2,712.50 |
$2,712.50 |
$3,690.60
|
|
Cholesterol
|
$29.50 |
$29.50 |
$29.50 |
$45.76
|
|
Cholesterol body fluid
|
$1,048.00 |
$1,048.00 |
$1,048.00 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$62.50 |
$62.50 |
$62.50 |
$115.80
|
|
Chrnc care mgmt phys 1st 30
|
$82.00 |
$82.00 |
$82.00 |
$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
|
$269.00 |
$269.00 |
$269.00 |
$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
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$9.00 |
$9.00 |
$9.00 |
$34.88
|
|
Circum 28 days or older
|
$6,244.50 |
$6,244.50 |
$6,244.50 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$151.00 |
$151.00 |
$151.00 |
$1,219.20
|
|
Circumcision (newborn)
|
$101.00 |
$101.00 |
$101.00 |
$1,395.20
|
|
Claviculectomy partial
|
$3,505.17 |
$3,505.17 |
$3,505.17 |
$3,594.44
|
|
Clearance of airways
|
$82.00 |
$82.00 |
$82.00 |
$666.23
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$9.08 |
$9.08 |
$9.08 |
$55.20
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$2.50 |
$2.50 |
$2.50 |
$81.90
|
