|
Change nephroureteral cath
|
$1,483.71 |
$1,483.71 |
$1,483.71 |
$2,969.25
|
|
Change of ureter tube/stent
|
$51.68 |
$51.68 |
$51.68 |
$2,423.46
|
|
Change of windpipe airway 31502
|
$22.23 |
$22.23 |
$22.23 |
$388.00
|
|
Change stent via transureth
|
$137.37 |
$137.37 |
$137.37 |
$3,927.00
|
|
Chemo adm cns w/lmbr punct
|
$362.52 |
$362.52 |
$362.52 |
$665.40
|
|
Chemodener muscle larynx emg
|
$70.11 |
$70.11 |
$70.11 |
$798.40
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$44.27 |
$44.27 |
$44.27 |
$540.80
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$51.30 |
$51.30 |
$51.30 |
$552.00
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$74.67 |
$74.67 |
$74.67 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$68.59 |
$68.59 |
$68.59 |
$932.40
|
|
Chemodenervation anal musc
|
$165.68 |
$165.68 |
$165.68 |
$2,462.82
|
|
Chemodenervation/face muscl/unilat 64612
|
$78.85 |
$78.85 |
$78.85 |
$569.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$142.69 |
$142.69 |
$142.69 |
$436.44
|
|
Chemodenerv musc migraine 64615
|
$76.95 |
$76.95 |
$76.95 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$104.69 |
$104.69 |
$104.69 |
$698.60
|
|
Chemodenerv saliv glands bilat 64611
|
$74.48 |
$74.48 |
$74.48 |
$455.00
|
|
Chemodenerv trunk musc 1-5 64646
|
$73.91 |
$73.91 |
$73.91 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$83.98 |
$83.98 |
$83.98 |
$1,250.60
|
|
Chest 2 vws w oblique
|
$156.94 |
$156.94 |
$156.94 |
$377.06
|
|
Chest apical lordotic proj
|
$125.02 |
$125.02 |
$125.02 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,012.70 |
$1,012.70 |
$1,012.70 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$834.67 |
$834.67 |
$834.67 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$653.41 |
$653.41 |
$653.41 |
$1,350.03
|
|
Chest X-ray
|
$134.14 |
$134.14 |
$134.14 |
$294.06
|
|
Chest X-ray (single view)
|
$109.25 |
$109.25 |
$109.25 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$265.81 |
$265.81 |
$265.81 |
$511.59
|
|
Chimerism anal no cell selec
|
$39.42 |
$39.42 |
$39.42 |
$347.20
|
|
Chimerism anal w/cell select
|
$49.55 |
$49.55 |
$49.55 |
$585.60
|
|
Chlamydia culture
|
$3.21 |
$3.21 |
$3.21 |
$93.90
|
|
Chlamydia type
|
$1.02 |
$1.02 |
$1.02 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$7.60 |
$7.60 |
$7.60 |
$301.40
|
|
Chloride
|
$25.46 |
$25.46 |
$25.46 |
$40.95
|
|
Chloride 24 hour urine
|
$29.07 |
$29.07 |
$29.07 |
$49.50
|
|
Chloroprocaine hcl injection
|
$35.21 |
$35.21 |
$35.21 |
$61.51
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$45.36 |
$45.36 |
$45.36 |
$78.43
|
|
Cholangiogram percutaneous compl
|
$1,945.22 |
$1,945.22 |
$1,945.22 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$329.27 |
$329.27 |
$329.27 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$716.87 |
$716.87 |
$716.87 |
$1,963.37
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,049.72 |
$2,049.72 |
$2,049.72 |
$3,690.60
|
|
Cholesterol
|
$31.54 |
$31.54 |
$31.54 |
$45.76
|
|
Cholesterol body fluid
|
$29.45 |
$29.45 |
$29.45 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$68.59 |
$68.59 |
$68.59 |
$115.80
|
|
Cholinesterase
|
$1.33 |
$1.33 |
$1.33 |
$38.69
|
|
Chrom analysis
|
$30.42 |
$30.42 |
$30.42 |
$156.00
|
|
Chromatography
|
$5.47 |
$5.47 |
$5.47 |
$81.25
|
|
Chromogenic substrate assay
|
$26.79 |
$26.79 |
$26.79 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$10.84 |
$10.84 |
$10.84 |
$247.59
|
|
Chromosome analys amniotic
|
$37.67 |
$37.67 |
$37.67 |
$450.00
|
|
Chromosome analysis 100
|
$83.79 |
$83.79 |
$83.79 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$40.16 |
$40.16 |
$40.16 |
$512.20
|
|
Chromosome analysis 45
|
$50.04 |
$50.04 |
$50.04 |
$429.28
|
|
Chromosome analysis 5
|
$61.62 |
$61.62 |
$61.62 |
$644.80
|
|
Chromosome karyotype study
|
$7.22 |
$7.22 |
$7.22 |
$119.87
|
|
Chylomicron screen, bf - sendout
|
$14.25 |
$14.25 |
$14.25 |
$124.15
|
|
Circum 28 days or older
|
$130.15 |
$130.15 |
$130.15 |
$3,860.64
|
|
Circumcision (newborn)
|
$61.56 |
$61.56 |
$61.56 |
$1,395.20
|
|
C-laminoplasty w/graft/plate
|
$1,079.96 |
$1,079.96 |
$1,079.96 |
$4,108.00
|
|
Claviculectomy partial
|
$396.53 |
$396.53 |
$396.53 |
$3,594.44
|
|
Clean out mastoid cavity
|
$92.15 |
$92.15 |
$92.15 |
$1,033.60
|
|
Clearance of tear duct
|
$167.96 |
$167.96 |
$167.96 |
$656.38
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$7.74 |
$7.74 |
$7.74 |
$55.20
|
|
Clip ligating vesolock lg
|
$1,385.10 |
$1,385.10 |
$1,385.10 |
$4,320.00
|
|
Clip phn wireless f/baha4 proc
|
$474.43 |
$474.43 |
$474.43 |
$538.82
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$266.57 |
$266.57 |
$266.57 |
$508.45
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$475.19 |
$475.19 |
$475.19 |
$1,615.35
|
|
Closed tx humerus fx with manip 23605
|
$293.55 |
$293.55 |
$293.55 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$224.01 |
$224.01 |
$224.01 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$310.27 |
$310.27 |
$310.27 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$73.91 |
$73.91 |
$73.91 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$388.93 |
$388.93 |
$388.93 |
$2,520.60
|
|
Closed tx septal&nose fx
|
$205.20 |
$205.20 |
$205.20 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$72.96 |
$72.96 |
$72.96 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$147.82 |
$147.82 |
$147.82 |
$421.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$99.18 |
$99.18 |
$99.18 |
$481.80
|
|
Close tear duct opening
|
$98.04 |
$98.04 |
$98.04 |
$436.44
|
|
Close tear duct opening
|
$78.85 |
$78.85 |
$78.85 |
$353.74
|
|
Clostridium toxin a w/optic
|
$60.80 |
$60.80 |
$60.80 |
$35.20
|
|
Clos txnose fx without stablz 21315
|
$39.14 |
$39.14 |
$39.14 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$551.57 |
$551.57 |
$551.57 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$1,001.11 |
$1,001.11 |
$1,001.11 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$643.72 |
$643.72 |
$643.72 |
$1,934.40
|
|
Closure intestinal cutaneous fistula 44640
|
$880.84 |
$880.84 |
$880.84 |
$3,443.20
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$136.99 |
$136.99 |
$136.99 |
$1,259.62
|
|
Closure of eyelid by suture
|
$63.46 |
$63.46 |
$63.46 |
$1,613.00
|
|
Closure of windpipe lesion 31820
|
$220.21 |
$220.21 |
$220.21 |
$3,837.72
|
|
Clot factor fletcher fact
|
$21.87 |
$21.87 |
$21.87 |
$119.50
|
|
Clot factor wght kininogen
|
$33.92 |
$33.92 |
$33.92 |
$167.96
|
|
Clot factor xii hageman
|
$3.27 |
$3.27 |
$3.27 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$1.50 |
$1.50 |
$1.50 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$2.76 |
$2.76 |
$2.76 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$209.38 |
$209.38 |
$209.38 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$215.46 |
$215.46 |
$215.46 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$219.07 |
$219.07 |
$219.07 |
$476.80
|
|
Clsd tx/clavicular fx without manip 23500
|
$162.45 |
$162.45 |
$162.45 |
$448.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$136.23 |
$136.23 |
$136.23 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$265.05 |
$265.05 |
$265.05 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$213.75 |
$213.75 |
$213.75 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$53.20 |
$53.20 |
$53.20 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$495.52 |
$495.52 |
$495.52 |
$2,184.08
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$372.21 |
$372.21 |
$372.21 |
$2,630.50
|
