|
Change of windpipe airway 31502
|
$302.50 |
$302.50 |
$302.50 |
$412.00
|
|
Change ureter stent percut
|
$2,275.00 |
$2,275.00 |
$2,275.00 |
$4,006.80
|
|
Chemo adm cns w/lmbr punct
|
$645.00 |
$645.00 |
$645.00 |
$710.72
|
|
Chemotherapy injection 96542
|
$442.50 |
$442.50 |
$442.50 |
$426.40
|
|
Chest 2 vws w oblique
|
$477.50 |
$477.50 |
$477.50 |
$385.71
|
|
Chest apical lordotic proj
|
$422.50 |
$422.50 |
$422.50 |
$316.68
|
|
Chest CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,698.32
|
|
Chest CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,372.50
|
|
Chest X-ray
|
$340.00 |
$340.00 |
$340.00 |
$301.70
|
|
Chest X-ray (single view)
|
$282.50 |
$282.50 |
$282.50 |
$247.00
|
|
Chg pr pul rehab for copd patients
|
$190.00 |
$190.00 |
$190.00 |
$149.80
|
|
Chg radiologic exam esophagus double contrast
|
$645.00 |
$645.00 |
$645.00 |
$571.45
|
|
Chimerism anal w/cell select
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$585.60
|
|
Chlamydia culture
|
$80.00 |
$80.00 |
$80.00 |
$93.90
|
|
Chloride
|
$32.50 |
$32.50 |
$32.50 |
$39.96
|
|
Chloride 24 hour urine
|
$55.00 |
$55.00 |
$55.00 |
$46.75
|
|
Chloroprocaine hcl injection
|
$1.61 |
$1.61 |
$1.61 |
$58.28
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$541.82 |
$541.82 |
$541.82 |
$358.20
|
|
Cholangiogram percutaneous compl
|
$1,885.00 |
$1,885.00 |
$1,885.00 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$635.00 |
$635.00 |
$635.00 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,645.00 |
$2,645.00 |
$2,645.00 |
$3,906.18
|
|
Cholesterol
|
$52.50 |
$52.50 |
$52.50 |
$46.15
|
|
Cholesterol body fluid
|
$62.50 |
$62.50 |
$62.50 |
$75.00
|
|
Cholesterol (Lipid) Test
|
$125.00 |
$125.00 |
$125.00 |
$115.80
|
|
Cholinesterase
|
$300.00 |
$300.00 |
$300.00 |
$40.80
|
|
Chrom analysis
|
$245.00 |
$245.00 |
$245.00 |
$151.84
|
|
Chromatography
|
$57.50 |
$57.50 |
$57.50 |
$80.00
|
|
Chromo high res and frag x - sendout
|
$250.00 |
$250.00 |
$250.00 |
$245.70
|
|
Chromosome analysis 15-20 cell count
|
$640.00 |
$640.00 |
$640.00 |
$479.38
|
|
Chromosome analysis 5
|
$455.00 |
$455.00 |
$455.00 |
$711.20
|
|
Chromosome count additional
|
$82.50 |
$82.50 |
$82.50 |
$101.92
|
|
Chylomicron screen, bf - sendout
|
$145.00 |
$145.00 |
$145.00 |
$123.20
|
|
Circumcision (newborn)
|
$120.00 |
$120.00 |
$120.00 |
$1,422.04
|
|
Clearance of airways
|
$70.00 |
$70.00 |
$70.00 |
$207.70
|
|
Clip ligating vesolock lg
|
$565.00 |
$565.00 |
$565.00 |
$4,658.12
|
|
Cllr miami j sm
|
$70.00 |
$70.00 |
$70.00 |
$552.23
|
|
Clot factor xii hageman
|
$170.00 |
$170.00 |
$170.00 |
$128.05
|
|
Clot factor xiii fibrin stab
|
$105.00 |
$105.00 |
$105.00 |
$97.20
|
|
Clotting assay whole blood
|
$172.50 |
$172.50 |
$172.50 |
$101.52
|
|
#cmvcul-virus inoculation shell
|
$67.50 |
$67.50 |
$67.50 |
$102.50
|
|
Cmv pcr-sendout
|
$230.00 |
$230.00 |
$230.00 |
$172.25
|
|
Coagulation time activated teg
|
$22.50 |
$22.50 |
$22.50 |
$52.00
|
|
Cold agglutinin titer
|
$50.00 |
$50.00 |
$50.00 |
$50.00
|
|
Collagen dressing <=16 sq in
|
$14.64 |
$14.64 |
$14.64 |
$42.50
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$12.50 |
$12.50 |
$12.50 |
$56.00
|
|
Collar cerv ascend 172 reg
|
$115.00 |
$115.00 |
$115.00 |
$189.21
|
|
Collar cerv patriot adlt
|
$80.00 |
$80.00 |
$80.00 |
$153.57
|
|
Collection blood specimen from completely implantable venous access device
|
$82.50 |
$82.50 |
$82.50 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$82.50 |
$82.50 |
$82.50 |
$157.80
|
|
Collection of venous blood by venipuncture
|
$12.50 |
$12.50 |
$12.50 |
$20.91
|
|
Compatibility test each unit antiglobulin technique
|
$142.50 |
$142.50 |
$142.50 |
$165.00
|
|
Compatibility test each unit electronic
|
$67.50 |
$67.50 |
$67.50 |
$175.45
|
|
Compatibility test each unit immediate spin technique
|
$137.50 |
$137.50 |
$137.50 |
$169.52
|
|
Compatibility test incubate
|
$82.50 |
$82.50 |
$82.50 |
$143.64
|
|
Complement antigen each component c3
|
$105.00 |
$105.00 |
$105.00 |
$110.40
|
|
Concentration infection agents any type
|
$52.50 |
$52.50 |
$52.50 |
$51.32
|
|
Consultation pathology during surgery cytological exam initial site
|
$67.50 |
$67.50 |
$67.50 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$160.00 |
$160.00 |
$160.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$230.00 |
$230.00 |
$230.00 |
$223.86
|
|
Consultation/report referred material w/preparation of slides
|
$372.50 |
$372.50 |
$372.50 |
$235.95
|
|
Consult comp w/report rfrd material
|
$377.50 |
$377.50 |
$377.50 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$2,590.00 |
$2,590.00 |
$2,590.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,235.00 |
$2,235.00 |
$2,235.00 |
$3,663.60
|
|
Contrast x-ray gallbladder
|
$412.50 |
$412.50 |
$412.50 |
$350.22
|
|
Contrast x-ray of ankle
|
$965.00 |
$965.00 |
$965.00 |
$642.95
|
|
Contrast x-ray of brain
|
$915.00 |
$915.00 |
$915.00 |
$934.93
|
|
Contrast x-ray of elbow
|
$965.00 |
$965.00 |
$965.00 |
$649.80
|
|
Contrast x-ray of hip
|
$965.00 |
$965.00 |
$965.00 |
$770.88
|
|
Contrast x-ray of knee joint
|
$965.00 |
$965.00 |
$965.00 |
$747.65
|
|
Contrast x-ray of wrist
|
$655.00 |
$655.00 |
$655.00 |
$627.90
|
|
Controller infinity pt dbs
|
$2,900.00 |
$2,900.00 |
$2,900.00 |
$4,699.80
|
|
Conversion ext bil drg cath
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$990.00 |
$990.00 |
$990.00 |
$2,874.36
|
|
Coombs direct
|
$67.50 |
$67.50 |
$67.50 |
$72.80
|
|
Coombs indirect titer reference
|
$130.00 |
$130.00 |
$130.00 |
$146.00
|
|
Copper cu 64 dotatate diag
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$2,293.68
|
|
Core ndl bx lng/med perq
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$2,880.00
|
|
Cortisol acth stimulation test - sendout
|
$200.00 |
$200.00 |
$200.00 |
$146.25
|
|
Cortisol total am
|
$117.50 |
$117.50 |
$117.50 |
$121.55
|
|
Co-treatment - group 15 mins, st
|
$75.00 |
$75.00 |
$75.00 |
$114.00
|
|
Coveredge 32 lead kit 40cm 48
|
$2,570.00 |
$2,570.00 |
$2,570.00 |
$3,647.70
|
|
Cover wrist
|
$225.00 |
$225.00 |
$225.00 |
$308.82
|
|
Covid-19 administration immunization im inj 1st/only component
|
$42.50 |
$42.50 |
$42.50 |
$49.60
|
|
#coxa-coxsackie a serotype a16
|
$60.00 |
$60.00 |
$60.00 |
$60.00
|
|
C-peptide
|
$87.50 |
$87.50 |
$87.50 |
$93.60
|
|
Cptrz oph img pst sg rta oct
|
$510.00 |
$510.00 |
$510.00 |
$357.00
|
|
Crbrospnl fld flw imag cistern
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,210.30
|
|
C-reactive protein
|
$60.00 |
$60.00 |
$60.00 |
$61.20
|
|
C-reactive protein high sensitivity
|
$77.50 |
$77.50 |
$77.50 |
$79.77
|
|
C-reactive protein, quantitative
|
$57.50 |
$57.50 |
$57.50 |
$62.50
|
|
Creatine kinase
|
$62.50 |
$62.50 |
$62.50 |
$64.35
|
|
Creatine kinase isoenzymes
|
$57.50 |
$57.50 |
$57.50 |
$49.40
|
|
Creatine kinase mb
|
$130.00 |
$130.00 |
$130.00 |
$114.66
|
|
Creatinine
|
$37.50 |
$37.50 |
$37.50 |
$44.25
|
|
Creatinine 24 hour urine
|
$50.00 |
$50.00 |
$50.00 |
$56.45
|
|
Creatinine clearance urine
|
$80.00 |
$80.00 |
$80.00 |
$87.50
|
|
#creutz-prot.,western blot
|
$400.00 |
$400.00 |
$400.00 |
$163.50
|
|
Critical care 30-74 minutes
|
$1,405.00 |
$1,405.00 |
$1,405.00 |
$2,549.60
|
|
Critical care each additional 30 minutes
|
$467.50 |
$467.50 |
$467.50 |
$741.00
|
