|
Change nephroureteral cath
|
$1,841.00 |
$1,841.00 |
$1,841.00 |
$3,000.00
|
|
Change of ureter tube/stent
|
$1,841.00 |
$1,841.00 |
$1,841.00 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$259.00 |
$259.00 |
$259.00 |
$412.00
|
|
Change ureter stent percut
|
$5,841.15 |
$5,841.15 |
$5,841.15 |
$4,099.50
|
|
Chemo adm cns w/lmbr punct
|
$958.65 |
$958.65 |
$958.65 |
$742.20
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$670.60 |
$670.60 |
$670.60 |
$621.50
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$670.60 |
$670.60 |
$670.60 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$1,339.10 |
$1,339.10 |
$1,339.10 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$1,339.10 |
$1,339.10 |
$1,339.10 |
$988.50
|
|
Chemodenervation/face muscl/unilat 64612
|
$758.10 |
$758.10 |
$758.10 |
$672.49
|
|
Chemodenerv musc migraine 64615
|
$810.95 |
$810.95 |
$810.95 |
$560.56
|
|
Chemodenerv musc neck dyston 64616
|
$1,339.10 |
$1,339.10 |
$1,339.10 |
$808.84
|
|
Chemodenerv saliv glands bilat 64611
|
$748.65 |
$748.65 |
$748.65 |
$430.17
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,339.10 |
$1,339.10 |
$1,339.10 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,339.10 |
$1,339.10 |
$1,339.10 |
$1,234.53
|
|
Chemo extend IV infus w/pump
|
$958.65 |
$958.65 |
$958.65 |
$594.10
|
|
Chemo ia infusion up to 1 hr
|
$368.55 |
$368.55 |
$368.55 |
$604.89
|
|
Chemo ia push tecnique
|
$264.60 |
$264.60 |
$264.60 |
$499.50
|
|
Chemo intralesional over 7
|
$600.25 |
$600.25 |
$600.25 |
$292.48
|
|
Chemo intralesional up to 7 96405
|
$178.50 |
$178.50 |
$178.50 |
$175.20
|
|
Chemotherapy injection 96542
|
$564.55 |
$564.55 |
$564.55 |
$426.40
|
|
Chemotx admn pertl cav impl
|
$584.15 |
$584.15 |
$584.15 |
$507.17
|
|
Chest 2 vws w oblique
|
$480.20 |
$480.20 |
$480.20 |
$377.06
|
|
Chest apical lordotic proj
|
$439.25 |
$439.25 |
$439.25 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$2,579.85 |
$2,579.85 |
$2,579.85 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$2,531.20 |
$2,531.20 |
$2,531.20 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$2,067.10 |
$2,067.10 |
$2,067.10 |
$1,350.03
|
|
Chest X-ray
|
$397.95 |
$397.95 |
$397.95 |
$302.90
|
|
Chest X-ray (single view)
|
$331.80 |
$331.80 |
$331.80 |
$246.94
|
|
Chg radiologic exam esophagus double contrast
|
$487.90 |
$487.90 |
$487.90 |
$548.90
|
|
Chlnggrphy intraop addl s&i
|
$245.70 |
$245.70 |
$245.70 |
$280.00
|
|
Chloride
|
$100.10 |
$100.10 |
$100.10 |
$39.05
|
|
Chloride 24 hour urine
|
$105.00 |
$105.00 |
$105.00 |
$46.13
|
|
Chloroprocaine hcl injection
|
$34.26 |
$34.26 |
$34.26 |
$70.66
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$235.08 |
$235.08 |
$235.08 |
$313.25
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$35.06 |
$35.06 |
$35.06 |
$91.92
|
|
Chmotx admn plrl cav thrcnts
|
$584.15 |
$584.15 |
$584.15 |
$437.19
|
|
Cholangiogram percutaneous compl
|
$2,421.30 |
$2,421.30 |
$2,421.30 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$423.15 |
$423.15 |
$423.15 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,963.05 |
$3,963.05 |
$3,963.05 |
$3,913.80
|
|
Cholesterol
|
$91.00 |
$91.00 |
$91.00 |
$46.15
|
|
Cholesterol body fluid
|
$184.45 |
$184.45 |
$184.45 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$129.85 |
$129.85 |
$129.85 |
$115.70
|
|
Chromatography
|
$13.30 |
$13.30 |
$13.30 |
$77.00
|
|
Chromosome karyotype study
|
$32.81 |
$32.81 |
$32.81 |
$102.00
|
|
Cidofovir injection
|
$2,243.49 |
$2,243.49 |
$2,243.49 |
$1,447.81
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$85.30 |
$85.30 |
$85.30 |
$60.00
|
|
Circumcise/surg/28 days or < 54160
|
$843.15 |
$843.15 |
$843.15 |
$1,533.00
|
|
Circumcision (newborn)
|
$2,652.30 |
$2,652.30 |
$2,652.30 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$99.89 |
$99.89 |
$99.89 |
$148.77
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$549.68 |
$549.68 |
$549.68 |
$572.12
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$19,019.00 |
$19,019.00 |
$19,019.00 |
$16,786.53
|
|
Clearance of airways
|
$329.35 |
$329.35 |
$329.35 |
$234.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$86.91 |
$86.91 |
$86.91 |
$66.73
|
|
Clip ligating vesolock lg
|
$18,945.85 |
$18,945.85 |
$18,945.85 |
$1,690.58
|
|
Cllr miami j sm
|
$450.76 |
$450.76 |
$450.76 |
$610.38
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$42.73 |
$42.73 |
$42.73 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$675.85 |
$675.85 |
$675.85 |
$619.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$2,320.50 |
$2,320.50 |
$2,320.50 |
$1,884.74
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,824.55 |
$1,824.55 |
$1,824.55 |
$1,966.30
|
|
Closed tx/acetabululm without manip 27220
|
$368.90 |
$368.90 |
$368.90 |
$527.80
|
|
Closed tx humerus fx with manip 23605
|
$2,026.50 |
$2,026.50 |
$2,026.50 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$675.85 |
$675.85 |
$675.85 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$2,320.50 |
$2,320.50 |
$2,320.50 |
$1,610.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$675.85 |
$675.85 |
$675.85 |
$432.80
|
|
Closed tx orbit without manipulj
|
$761.60 |
$761.60 |
$761.60 |
$1,132.50
|
|
Closed tx orbit w/manipulj
|
$1,657.95 |
$1,657.95 |
$1,657.95 |
$2,528.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,329.60 |
$2,329.60 |
$2,329.60 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$2,858.45 |
$2,858.45 |
$2,858.45 |
$3,805.11
|
|
Closed tx sesamoid fx 28530
|
$497.00 |
$497.00 |
$497.00 |
$404.04
|
|
Closed tx/talus fracture without manip 28430
|
$675.85 |
$675.85 |
$675.85 |
$442.80
|
|
Closed tx vert fx w/manj
|
$1,824.55 |
$1,824.55 |
$1,824.55 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$777.70 |
$777.70 |
$777.70 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$2,254.70 |
$2,254.70 |
$2,254.70 |
$2,596.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,181.95 |
$1,181.95 |
$1,181.95 |
$1,181.99
|
|
Closure of eyelid by suture
|
$702.10 |
$702.10 |
$702.10 |
$1,306.20
|
|
Closure paravalvlr leak pq
|
$13,982.15 |
$13,982.15 |
$13,982.15 |
$10,497.50
|
|
Clot factor xii hageman
|
$137.55 |
$137.55 |
$137.55 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$84.00 |
$84.00 |
$84.00 |
$50.41
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,183.35 |
$1,183.35 |
$1,183.35 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$497.00 |
$497.00 |
$497.00 |
$611.10
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$675.85 |
$675.85 |
$675.85 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$1,706.60 |
$1,706.60 |
$1,706.60 |
$1,893.86
|
|
Clsd tx clavicle dislocation without manip 23540
|
$497.00 |
$497.00 |
$497.00 |
$477.10
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,351.35 |
$1,351.35 |
$1,351.35 |
$2,211.05
|
|
Clsd tx/clavicular fx without manip 23500
|
$497.00 |
$497.00 |
$497.00 |
$488.80
|
|
Clsd tx coccygeal fracture 27200
|
$497.00 |
$497.00 |
$497.00 |
$339.18
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$675.85 |
$675.85 |
$675.85 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$775.95 |
$775.95 |
$775.95 |
$731.04
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$1,554.70 |
$1,554.70 |
$1,554.70 |
$490.00
|
|
Clsd tx elbow dislocation child 24640
|
$494.90 |
$494.90 |
$494.90 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,933.05 |
$1,933.05 |
$1,933.05 |
$2,748.90
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$1,706.60 |
$1,706.60 |
$1,706.60 |
$2,021.04
|
|
Clsd tx fracture of radius 25500
|
$675.85 |
$675.85 |
$675.85 |
$445.40
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$497.00 |
$497.00 |
$497.00 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$675.85 |
$675.85 |
$675.85 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$675.85 |
$675.85 |
$675.85 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,351.35 |
$1,351.35 |
$1,351.35 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$675.85 |
$675.85 |
$675.85 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,320.50 |
$2,320.50 |
$2,320.50 |
$1,827.71
|