|
Change nephroureteral cath
|
$3,829.65 |
$3,829.65 |
$3,829.65 |
$3,000.00
|
|
Change of ureter tube/stent
|
$1,824.35 |
$1,824.35 |
$1,824.35 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$873.95 |
$873.95 |
$873.95 |
$412.00
|
|
Chemo adm cns w/lmbr punct
|
$541.20 |
$541.20 |
$541.20 |
$742.20
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$1,381.05 |
$1,381.05 |
$1,381.05 |
$621.50
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$1,381.05 |
$1,381.05 |
$1,381.05 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$1,381.05 |
$1,381.05 |
$1,381.05 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$1,381.05 |
$1,381.05 |
$1,381.05 |
$988.50
|
|
Chemodenervation/face muscl/unilat 64612
|
$1,569.15 |
$1,569.15 |
$1,569.15 |
$672.49
|
|
Chemodenerv musc neck dyston 64616
|
$1,312.30 |
$1,312.30 |
$1,312.30 |
$808.84
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,531.20 |
$1,531.20 |
$1,531.20 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,548.25 |
$1,548.25 |
$1,548.25 |
$1,234.53
|
|
Chest 2 vws w oblique
|
$466.40 |
$466.40 |
$466.40 |
$377.06
|
|
Chest apical lordotic proj
|
$402.05 |
$402.05 |
$402.05 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$2,021.80 |
$2,021.80 |
$2,021.80 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$1,335.95 |
$1,335.95 |
$1,335.95 |
$1,350.03
|
|
Chest X-ray
|
$367.40 |
$367.40 |
$367.40 |
$302.90
|
|
Chest X-ray (single view)
|
$340.45 |
$340.45 |
$340.45 |
$246.94
|
|
Chg pr pul rehab for copd patients
|
$152.90 |
$152.90 |
$152.90 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$544.50 |
$544.50 |
$544.50 |
$548.90
|
|
Chlamydia culture
|
$61.60 |
$61.60 |
$61.60 |
$94.90
|
|
Chlamydia type
|
$57.20 |
$57.20 |
$57.20 |
$34.80
|
|
Chloride
|
$48.95 |
$48.95 |
$48.95 |
$39.05
|
|
Chloride 24 hour urine
|
$59.95 |
$59.95 |
$59.95 |
$46.13
|
|
Cholangiogram percutaneous compl
|
$2,699.40 |
$2,699.40 |
$2,699.40 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$939.95 |
$939.95 |
$939.95 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,513.50 |
$2,513.50 |
$2,513.50 |
$3,913.80
|
|
Cholesterol
|
$54.45 |
$54.45 |
$54.45 |
$46.15
|
|
Cholesterol body fluid
|
$1,262.25 |
$1,262.25 |
$1,262.25 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$131.45 |
$131.45 |
$131.45 |
$115.70
|
|
Cholinesterase
|
$17.60 |
$17.60 |
$17.60 |
$38.68
|
|
Chorion biopsy
|
$668.25 |
$668.25 |
$668.25 |
$1,030.40
|
|
Chromatography
|
$74.25 |
$74.25 |
$74.25 |
$77.00
|
|
Chromo high res and frag x - sendout
|
$778.25 |
$778.25 |
$778.25 |
$261.30
|
|
Chromosome analysis 15-20 cell count
|
$491.70 |
$491.70 |
$491.70 |
$433.01
|
|
Chromosome analysis 5
|
$133.65 |
$133.65 |
$133.65 |
$663.30
|
|
Chromosome analysis 50-100
|
$26.40 |
$26.40 |
$26.40 |
$434.40
|
|
Chromosome analys placenta
|
$327.80 |
$327.80 |
$327.80 |
$660.00
|
|
Chromosome karyotype study
|
$327.80 |
$327.80 |
$327.80 |
$102.00
|
|
Chromosome study additional
|
$245.30 |
$245.30 |
$245.30 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$205.15 |
$205.15 |
$205.15 |
$123.20
|
|
Circumcision (newborn)
|
$479.05 |
$479.05 |
$479.05 |
$1,549.50
|
|
C-kit mutation liquid tumor - sendout
|
$2,322.65 |
$2,322.65 |
$2,322.65 |
$606.06
|
|
Clearance of airways
|
$232.65 |
$232.65 |
$232.65 |
$234.60
|
|
Clip ligating vesolock lg
|
$457.04 |
$457.04 |
$457.04 |
$1,690.58
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$937.20 |
$937.20 |
$937.20 |
$619.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,099.45 |
$1,099.45 |
$1,099.45 |
$1,884.74
|
|
Closed tx humerus fx with manip 23605
|
$1,272.70 |
$1,272.70 |
$1,272.70 |
$2,460.00
|
|
Closed tx humerus fx w/manip 24505
|
$2,387.55 |
$2,387.55 |
$2,387.55 |
$1,610.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$758.45 |
$758.45 |
$758.45 |
$432.80
|
|
Closed tx/talus fracture without manip 28430
|
$523.05 |
$523.05 |
$523.05 |
$442.80
|
|
Clos txnose fx without stablz 21315
|
$1,311.75 |
$1,311.75 |
$1,311.75 |
$2,596.00
|
|
Clot factor xii hageman
|
$96.25 |
$96.25 |
$96.25 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$47.30 |
$47.30 |
$47.30 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$258.50 |
$258.50 |
$258.50 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$370.70 |
$370.70 |
$370.70 |
$716.95
|
|
Clsd tx/clavicular fx without manip 23500
|
$394.35 |
$394.35 |
$394.35 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$426.25 |
$426.25 |
$426.25 |
$339.18
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$426.25 |
$426.25 |
$426.25 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$358.05 |
$358.05 |
$358.05 |
$731.04
|
|
Clsd tx elbow dislocation child 24640
|
$486.75 |
$486.75 |
$486.75 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$3,110.80 |
$3,110.80 |
$3,110.80 |
$2,748.90
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$426.25 |
$426.25 |
$426.25 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$394.35 |
$394.35 |
$394.35 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$572.55 |
$572.55 |
$572.55 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,106.05 |
$1,106.05 |
$1,106.05 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,702.80 |
$1,702.80 |
$1,702.80 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$523.05 |
$523.05 |
$523.05 |
$716.95
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$2,323.75 |
$2,323.75 |
$2,323.75 |
$1,014.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,100.55 |
$1,100.55 |
$1,100.55 |
$716.95
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,106.05 |
$1,106.05 |
$1,106.05 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$454.30 |
$454.30 |
$454.30 |
$705.60
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,272.70 |
$1,272.70 |
$1,272.70 |
$2,557.07
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$342.65 |
$342.65 |
$342.65 |
$484.00
|
|
Clsd tx radius fracture w/manip 24655
|
$2,266.55 |
$2,266.55 |
$2,266.55 |
$1,884.74
|
|
Clsd tx/scapular fx without manip 23570
|
$381.15 |
$381.15 |
$381.15 |
$454.50
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,224.75 |
$2,224.75 |
$2,224.75 |
$2,055.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$3,135.55 |
$3,135.55 |
$3,135.55 |
$2,466.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$697.95 |
$697.95 |
$697.95 |
$511.70
|
|
Clsd tx toe dislocation without anes28660
|
$426.25 |
$426.25 |
$426.25 |
$436.70
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,099.45 |
$1,099.45 |
$1,099.45 |
$1,707.42
|
|
#cmvcul-virus inoculation shell
|
$166.10 |
$166.10 |
$166.10 |
$102.57
|
|
Cmv pcr-sendout
|
$228.25 |
$228.25 |
$228.25 |
$173.25
|
|
Coagulation time activated teg
|
$78.10 |
$78.10 |
$78.10 |
$50.05
|
|
Cold agglutinin screen (arc)
|
$56.10 |
$56.10 |
$56.10 |
$47.19
|
|
Cold agglutinin titer
|
$152.90 |
$152.90 |
$152.90 |
$48.57
|
|
Collection blood specimen from completely implantable venous access device
|
$110.00 |
$110.00 |
$110.00 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$114.40 |
$114.40 |
$114.40 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$46.20 |
$46.20 |
$46.20 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$124.30 |
$124.30 |
$124.30 |
$173.25
|
|
Compatibility test each unit electronic
|
$90.20 |
$90.20 |
$90.20 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$124.30 |
$124.30 |
$124.30 |
$169.52
|
|
Compatibility test incubate
|
$99.55 |
$99.55 |
$99.55 |
$143.65
|
|
Complement antigen each component c3
|
$327.25 |
$327.25 |
$327.25 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$859.65 |
$859.65 |
$859.65 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,004.30 |
$1,004.30 |
$1,004.30 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$963.60 |
$963.60 |
$963.60 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$963.60 |
$963.60 |
$963.60 |
$1,388.40
|
|
Complx repair enel addl 5cm/< 13153
|
$965.25 |
$965.25 |
$965.25 |
$541.50
|
