|
Change g-tube to g-j perc
|
$910.00 |
$910.00 |
$910.00 |
$2,206.00
|
|
Change nephroureteral cath
|
$1,610.00 |
$1,610.00 |
$1,610.00 |
$3,154.80
|
|
Change of ureter tube/stent
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$2,424.12
|
|
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
|
|
Chemodener muscle larynx emg
|
$510.00 |
$510.00 |
$510.00 |
$798.40
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$332.50 |
$332.50 |
$332.50 |
$541.45
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$332.50 |
$332.50 |
$332.50 |
$552.00
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$665.00 |
$665.00 |
$665.00 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$665.00 |
$665.00 |
$665.00 |
$988.50
|
|
Chemodenerv musc neck dyston 64616
|
$340.00 |
$340.00 |
$340.00 |
$757.50
|
|
Chemodenerv trunk musc 1-5 64646
|
$775.00 |
$775.00 |
$775.00 |
$1,074.77
|
|
Chemodenerv trunk musc 6/] 64647
|
$930.00 |
$930.00 |
$930.00 |
$1,253.20
|
|
Chemo ia push tecnique
|
$307.50 |
$307.50 |
$307.50 |
$493.25
|
|
Chemotherapy injection 96542
|
$442.50 |
$442.50 |
$442.50 |
$426.40
|
|
Chemotx admn pertl cav impl
|
$590.00 |
$590.00 |
$590.00 |
$586.20
|
|
Chest 2 vws w oblique
|
$342.50 |
$342.50 |
$342.50 |
$385.71
|
|
Chest apical lordotic proj
|
$297.50 |
$297.50 |
$297.50 |
$316.68
|
|
Chest CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,697.25
|
|
Chest CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,372.50
|
|
Chest X-ray
|
$240.00 |
$240.00 |
$240.00 |
$301.23
|
|
Chest X-ray (single view)
|
$205.00 |
$205.00 |
$205.00 |
$246.94
|
|
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 no cell selec
|
$380.00 |
$380.00 |
$380.00 |
$378.62
|
|
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
|
|
Chlamydia type
|
$22.50 |
$22.50 |
$22.50 |
$33.00
|
|
Chloride
|
$32.50 |
$32.50 |
$32.50 |
$39.65
|
|
Chloride 24 hour urine
|
$55.00 |
$55.00 |
$55.00 |
$46.75
|
|
Cholangiogram percutaneous compl
|
$1,885.00 |
$1,885.00 |
$1,885.00 |
$3,786.00
|
|
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 |
$73.83
|
|
Cholesterol (Lipid) Test
|
$125.00 |
$125.00 |
$125.00 |
$115.70
|
|
Cholinesterase
|
$300.00 |
$300.00 |
$300.00 |
$40.80
|
|
Chrom analysis
|
$245.00 |
$245.00 |
$245.00 |
$142.00
|
|
Chromatography
|
$57.50 |
$57.50 |
$57.50 |
$79.00
|
|
Chromogenic substrate assay
|
$137.50 |
$137.50 |
$137.50 |
$137.50
|
|
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 banding study
|
$235.00 |
$235.00 |
$235.00 |
$184.24
|
|
Chromosome count additional
|
$82.50 |
$82.50 |
$82.50 |
$101.92
|
|
Chromosome study additional
|
$117.50 |
$117.50 |
$117.50 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$145.00 |
$145.00 |
$145.00 |
$123.20
|
|
Circumcision (newborn)
|
$120.00 |
$120.00 |
$120.00 |
$1,422.04
|
|
C-kit mutation liquid tumor - sendout
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$659.20
|
|
Clearance of airways
|
$70.00 |
$70.00 |
$70.00 |
$208.00
|
|
Clip ligating vesolock lg
|
$382.43 |
$382.43 |
$382.43 |
$4,658.12
|
|
Clot factor xii hageman
|
$170.00 |
$170.00 |
$170.00 |
$126.39
|
|
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
|
|
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 based wound filler
|
$60.00 |
$60.00 |
$60.00 |
$1,788.15
|
|
Collagen dressing <=16 sq in
|
$42.50 |
$42.50 |
$42.50 |
$42.50
|
|
Collagen drsg>16<=48 sq in
|
$60.00 |
$60.00 |
$60.00 |
$24.71
|
|
Collagen gel/paste wound fil
|
$142.50 |
$142.50 |
$142.50 |
$9.65
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$12.50 |
$12.50 |
$12.50 |
$52.78
|
|
Collar cerv ascend 172 reg
|
$115.00 |
$115.00 |
$115.00 |
$189.95
|
|
Collar cerv patriot adlt
|
$80.00 |
$80.00 |
$80.00 |
$154.00
|
|
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 |
$157.85
|
|
Collection of venous blood by venipuncture
|
$12.50 |
$12.50 |
$12.50 |
$20.90
|
|
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 |
$176.70
|
|
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
|
$152.50 |
$152.50 |
$152.50 |
$110.00
|
|
Concentration infection agents any type
|
$52.50 |
$52.50 |
$52.50 |
$50.70
|
|
Connect omega .5mm
|
$544.67 |
$544.67 |
$544.67 |
$1,348.80
|
|
Connector tis 2x10mm
|
$1,285.00 |
$1,285.00 |
$1,285.00 |
$3,967.08
|
|
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
|
|
Contact layer >16<= 48 sq in
|
$45.00 |
$45.00 |
$45.00 |
$41.92
|
|
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 |
$3,704.00
|
|
Contrast x-ray gallbladder
|
$412.50 |
$412.50 |
$412.50 |
$350.22
|
|
Contrast x-ray of brain
|
$915.00 |
$915.00 |
$915.00 |
$934.93
|
|
Contrast x-ray of hip
|
$965.00 |
$965.00 |
$965.00 |
$781.20
|
|
Contrast x-ray of wrist
|
$655.00 |
$655.00 |
$655.00 |
$639.00
|
|
Controller infinity pt dbs
|
$2,983.21 |
$2,983.21 |
$2,983.21 |
$4,624.54
|
|
Conversion ext bil drg cath
|
$2,645.00 |
$2,645.00 |
$2,645.00 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$3,555.00 |
$3,555.00 |
$3,555.00 |
$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
|
|
Coronary thrombolysis/iv infusion 92977
|
$382.50 |
$382.50 |
$382.50 |
$482.09
|
|
Cortisol acth stimulation test - sendout
|
$200.00 |
$200.00 |
$200.00 |
$146.25
|
|
Cortisol total am
|
$117.50 |
$117.50 |
$117.50 |
$121.20
|
|
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
|
