|
Cervical laminoplsty 2/> seg
|
$1,352.70 |
$1,352.70 |
$1,352.70 |
$2,128.21
|
|
Cervical lymphadenectomy 38720
|
$1,240.92 |
$1,240.92 |
$1,240.92 |
$6,839.00
|
|
Cervical or vaginal cancer screening g0101
|
$26.46 |
$26.46 |
$26.46 |
$109.46
|
|
Cesarean section delivery only 59514
|
$792.72 |
$792.72 |
$792.72 |
$2,194.65
|
|
#cf-97variants
|
$150.28 |
$150.28 |
$150.28 |
$622.20
|
|
Cftr gene dup/delet variants
|
$117.47 |
$117.47 |
$117.47 |
$779.35
|
|
Change cystostomy tube; complex 51710
|
$74.25 |
$74.25 |
$74.25 |
$1,470.75
|
|
Change cystostomy tube simple
|
$93.69 |
$93.69 |
$93.69 |
$451.00
|
|
Change g-tube to g-j perc
|
$130.95 |
$130.95 |
$130.95 |
$2,198.40
|
|
Change of ureter tube/stent
|
$73.44 |
$73.44 |
$73.44 |
$2,423.46
|
|
Change of windpipe airway 31502
|
$31.59 |
$31.59 |
$31.59 |
$388.00
|
|
Change stent via transureth
|
$195.21 |
$195.21 |
$195.21 |
$3,927.00
|
|
Chemical exfoliation acne 17360
|
$117.72 |
$117.72 |
$117.72 |
$275.88
|
|
Chemical peel nonfacial 15793
|
$461.43 |
$461.43 |
$461.43 |
$558.97
|
|
Chemical peel nonfacial; epidermal
|
$326.43 |
$326.43 |
$326.43 |
$942.40
|
|
Chemo adm cns w/lmbr punct
|
$50.22 |
$50.22 |
$50.22 |
$665.40
|
|
Chemodener muscle larynx emg
|
$152.55 |
$152.55 |
$152.55 |
$798.40
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$87.21 |
$87.21 |
$87.21 |
$540.80
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$112.59 |
$112.59 |
$112.59 |
$552.00
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$168.48 |
$168.48 |
$168.48 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$144.45 |
$144.45 |
$144.45 |
$932.40
|
|
Chemodenervation anal musc
|
$235.44 |
$235.44 |
$235.44 |
$2,462.82
|
|
Chemodenervation/face muscl/unilat 64612
|
$130.41 |
$130.41 |
$130.41 |
$569.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$202.77 |
$202.77 |
$202.77 |
$436.44
|
|
Chemodenerv eccrine glands
|
$97.74 |
$97.74 |
$97.74 |
$422.07
|
|
Chemodenerv eccrine glands 64650
|
$84.24 |
$84.24 |
$84.24 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$139.05 |
$139.05 |
$139.05 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$191.70 |
$191.70 |
$191.70 |
$698.60
|
|
Chemodenerv saliv glands bilat 64611
|
$105.84 |
$105.84 |
$105.84 |
$455.00
|
|
Chemodenerv trunk musc 1-5 64646
|
$150.93 |
$150.93 |
$150.93 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$169.02 |
$169.02 |
$169.02 |
$1,250.60
|
|
Chest 2 vws w oblique
|
$174.42 |
$174.42 |
$174.42 |
$377.06
|
|
Chest apical lordotic proj
|
$166.05 |
$166.05 |
$166.05 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,378.35 |
$1,378.35 |
$1,378.35 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,270.08 |
$1,270.08 |
$1,270.08 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$777.06 |
$777.06 |
$777.06 |
$1,350.03
|
|
Chest X-ray
|
$190.62 |
$190.62 |
$190.62 |
$294.06
|
|
Chest X-ray (single view)
|
$146.88 |
$146.88 |
$146.88 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$61.29 |
$61.29 |
$61.29 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$224.91 |
$224.91 |
$224.91 |
$511.59
|
|
Chimerism anal no cell selec
|
$56.01 |
$56.01 |
$56.01 |
$347.20
|
|
Chimerism anal w/cell select
|
$70.41 |
$70.41 |
$70.41 |
$585.60
|
|
Chiropractic manj 5 regions
|
$35.10 |
$35.10 |
$35.10 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$18.63 |
$18.63 |
$18.63 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$27.00 |
$27.00 |
$27.00 |
$56.99
|
|
Chlamydia culture
|
$4.55 |
$4.55 |
$4.55 |
$93.90
|
|
Chlamydia type
|
$1.45 |
$1.45 |
$1.45 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$10.80 |
$10.80 |
$10.80 |
$301.40
|
|
Chloride
|
$17.01 |
$17.01 |
$17.01 |
$40.95
|
|
Chloride 24 hour urine
|
$68.85 |
$68.85 |
$68.85 |
$49.50
|
|
Cholangiogram percutaneous compl
|
$189.27 |
$189.27 |
$189.27 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$400.41 |
$400.41 |
$400.41 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$1,018.71 |
$1,018.71 |
$1,018.71 |
$1,963.37
|
|
Cholecystostomy complete w/supervision & interpretation
|
$310.23 |
$310.23 |
$310.23 |
$3,690.60
|
|
Cholesterol
|
$41.85 |
$41.85 |
$41.85 |
$45.76
|
|
Cholesterol body fluid
|
$8.67 |
$8.67 |
$8.67 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$78.30 |
$78.30 |
$78.30 |
$115.80
|
|
Cholinesterase
|
$1.89 |
$1.89 |
$1.89 |
$38.69
|
|
Chrom analysis
|
$43.24 |
$43.24 |
$43.24 |
$156.00
|
|
Chromatography
|
$7.78 |
$7.78 |
$7.78 |
$81.25
|
|
Chromogenic substrate assay
|
$38.07 |
$38.07 |
$38.07 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$15.40 |
$15.40 |
$15.40 |
$247.59
|
|
Chromosome analys amniotic
|
$53.53 |
$53.53 |
$53.53 |
$450.00
|
|
Chromosome analysis 100
|
$119.07 |
$119.07 |
$119.07 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$57.06 |
$57.06 |
$57.06 |
$512.20
|
|
Chromosome analysis 45
|
$71.11 |
$71.11 |
$71.11 |
$429.28
|
|
Chromosome analysis 5
|
$87.56 |
$87.56 |
$87.56 |
$644.80
|
|
Chylomicron screen, bf - sendout
|
$20.25 |
$20.25 |
$20.25 |
$124.15
|
|
Circum 28 days or older
|
$184.95 |
$184.95 |
$184.95 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$210.60 |
$210.60 |
$210.60 |
$1,219.20
|
|
Circumcision (newborn)
|
$140.13 |
$140.13 |
$140.13 |
$1,395.20
|
|
C-laminoplasty w/graft/plate
|
$1,534.68 |
$1,534.68 |
$1,534.68 |
$4,108.00
|
|
Claviculectomy partial
|
$563.49 |
$563.49 |
$563.49 |
$3,594.44
|
|
Clean out mastoid cavity
|
$207.90 |
$207.90 |
$207.90 |
$1,033.60
|
|
Clearance of airways
|
$56.43 |
$56.43 |
$56.43 |
$208.86
|
|
Clearance of tear duct
|
$238.68 |
$238.68 |
$238.68 |
$656.38
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$36.78 |
$36.78 |
$36.78 |
$55.20
|
|
Clip ligating vesolock lg
|
$567.54 |
$567.54 |
$567.54 |
$4,320.00
|
|
Clip phn wireless f/baha4 proc
|
$201.15 |
$201.15 |
$201.15 |
$538.82
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$18.63 |
$18.63 |
$18.63 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$378.81 |
$378.81 |
$378.81 |
$508.45
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$675.27 |
$675.27 |
$675.27 |
$1,615.35
|
|
Closed tx humerus fx with manip 23605
|
$462.78 |
$462.78 |
$462.78 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$336.69 |
$336.69 |
$336.69 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$440.91 |
$440.91 |
$440.91 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$105.03 |
$105.03 |
$105.03 |
$376.96
|
|
Closed tx orbit without manipulj
|
$215.46 |
$215.46 |
$215.46 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$552.69 |
$552.69 |
$552.69 |
$2,520.60
|
|
Closed tx septal&nose fx
|
$291.60 |
$291.60 |
$291.60 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$103.68 |
$103.68 |
$103.68 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$240.03 |
$240.03 |
$240.03 |
$421.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$218.16 |
$218.16 |
$218.16 |
$481.80
|
|
Close tear duct opening
|
$139.32 |
$139.32 |
$139.32 |
$436.44
|
|
Close tear duct opening
|
$138.78 |
$138.78 |
$138.78 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$149.85 |
$149.85 |
$149.85 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$783.81 |
$783.81 |
$783.81 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$1,422.63 |
$1,422.63 |
$1,422.63 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$914.76 |
$914.76 |
$914.76 |
$1,934.40
|
|
Closure intestinal cutaneous fistula 44640
|
$1,251.72 |
$1,251.72 |
$1,251.72 |
$3,443.20
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$194.67 |
$194.67 |
$194.67 |
$1,259.62
|
