|
Cftr gene dup/delet variants
|
$87.01 |
$87.01 |
$87.01 |
$779.35
|
|
Change cystostomy tube; complex 51710
|
$354.20 |
$354.20 |
$354.20 |
$1,470.75
|
|
Change cystostomy tube simple
|
$79.20 |
$79.20 |
$79.20 |
$451.00
|
|
Change g-tube to g-j perc
|
$1,293.20 |
$1,293.20 |
$1,293.20 |
$2,198.40
|
|
Change of ureter tube/stent
|
$1,706.20 |
$1,706.20 |
$1,706.20 |
$2,423.46
|
|
Change of windpipe airway 31502
|
$78.20 |
$78.20 |
$78.20 |
$388.00
|
|
Change stent via transureth
|
$144.60 |
$144.60 |
$144.60 |
$3,927.00
|
|
Chemical exfoliation acne 17360
|
$87.20 |
$87.20 |
$87.20 |
$275.88
|
|
Chemical peel nonfacial 15793
|
$341.80 |
$341.80 |
$341.80 |
$558.97
|
|
Chemical peel nonfacial; epidermal
|
$241.80 |
$241.80 |
$241.80 |
$942.40
|
|
Chemo adm cns w/lmbr punct
|
$108.40 |
$108.40 |
$108.40 |
$665.40
|
|
Chemodener muscle larynx emg
|
$113.00 |
$113.00 |
$113.00 |
$798.40
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$64.60 |
$64.60 |
$64.60 |
$540.80
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$83.40 |
$83.40 |
$83.40 |
$552.00
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$124.80 |
$124.80 |
$124.80 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$107.00 |
$107.00 |
$107.00 |
$932.40
|
|
Chemodenervation anal musc
|
$174.40 |
$174.40 |
$174.40 |
$2,462.82
|
|
Chemodenervation/face muscl/unilat 64612
|
$96.60 |
$96.60 |
$96.60 |
$569.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$150.20 |
$150.20 |
$150.20 |
$436.44
|
|
Chemodenerv eccrine glands
|
$72.40 |
$72.40 |
$72.40 |
$422.07
|
|
Chemodenerv eccrine glands 64650
|
$62.40 |
$62.40 |
$62.40 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$103.00 |
$103.00 |
$103.00 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$142.00 |
$142.00 |
$142.00 |
$698.60
|
|
Chemodenerv saliv glands bilat 64611
|
$78.40 |
$78.40 |
$78.40 |
$455.00
|
|
Chemodenerv trunk musc 1-5 64646
|
$111.80 |
$111.80 |
$111.80 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$125.20 |
$125.20 |
$125.20 |
$1,250.60
|
|
Chemo extend IV infus w/pump
|
$101.20 |
$101.20 |
$101.20 |
$737.10
|
|
Chemo intralesional up to 7 96405
|
$62.00 |
$62.00 |
$62.00 |
$162.50
|
|
Chest 2 vws w oblique
|
$215.00 |
$215.00 |
$215.00 |
$377.06
|
|
Chest apical lordotic proj
|
$197.20 |
$197.20 |
$197.20 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,066.60 |
$1,066.60 |
$1,066.60 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,012.20 |
$1,012.20 |
$1,012.20 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$871.40 |
$871.40 |
$871.40 |
$1,350.03
|
|
Chest X-ray
|
$160.00 |
$160.00 |
$160.00 |
$294.06
|
|
Chest X-ray (single view)
|
$150.00 |
$150.00 |
$150.00 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$248.00 |
$248.00 |
$248.00 |
$511.59
|
|
Chiropractic manj 5 regions
|
$26.00 |
$26.00 |
$26.00 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$13.80 |
$13.80 |
$13.80 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$20.00 |
$20.00 |
$20.00 |
$56.99
|
|
Chlamydia culture
|
$3.37 |
$3.37 |
$3.37 |
$93.90
|
|
Chlamydia type
|
$1.07 |
$1.07 |
$1.07 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$160.60 |
$160.60 |
$160.60 |
$301.40
|
|
Chloride
|
$17.40 |
$17.40 |
$17.40 |
$40.95
|
|
Chloride 24 hour urine
|
$22.60 |
$22.60 |
$22.60 |
$49.50
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$50.27 |
$50.27 |
$50.27 |
$78.43
|
|
Cholangiogram percutaneous compl
|
$2,581.80 |
$2,581.80 |
$2,581.80 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$437.00 |
$437.00 |
$437.00 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$754.60 |
$754.60 |
$754.60 |
$1,963.37
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,056.60 |
$1,056.60 |
$1,056.60 |
$3,690.60
|
|
Cholesterol
|
$21.00 |
$21.00 |
$21.00 |
$45.76
|
|
Cholesterol body fluid
|
$4.54 |
$4.54 |
$4.54 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$49.60 |
$49.60 |
$49.60 |
$115.80
|
|
Cholinesterase
|
$1.40 |
$1.40 |
$1.40 |
$38.69
|
|
Chromatography
|
$5.76 |
$5.76 |
$5.76 |
$81.25
|
|
Chromogenic substrate assay
|
$28.20 |
$28.20 |
$28.20 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$9.13 |
$9.13 |
$9.13 |
$247.59
|
|
Chromosome analysis 100
|
$88.20 |
$88.20 |
$88.20 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$42.27 |
$42.27 |
$42.27 |
$512.20
|
|
Chromosome analysis 45
|
$52.67 |
$52.67 |
$52.67 |
$429.28
|
|
Chromosome karyotype study
|
$7.60 |
$7.60 |
$7.60 |
$119.87
|
|
Chromosome study additional
|
$75.18 |
$75.18 |
$75.18 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$6.83 |
$6.83 |
$6.83 |
$124.15
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$16.19 |
$16.19 |
$16.19 |
$34.88
|
|
Circum 28 days or older
|
$1,366.20 |
$1,366.20 |
$1,366.20 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$156.00 |
$156.00 |
$156.00 |
$1,219.20
|
|
Circumcision (newborn)
|
$1,526.80 |
$1,526.80 |
$1,526.80 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$4.82 |
$4.82 |
$4.82 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$50.00 |
$50.00 |
$50.00 |
$655.00
|
|
C-laminoplasty w/graft/plate
|
$1,136.80 |
$1,136.80 |
$1,136.80 |
$4,108.00
|
|
Claviculectomy partial
|
$417.40 |
$417.40 |
$417.40 |
$3,594.44
|
|
Clean out mastoid cavity
|
$154.00 |
$154.00 |
$154.00 |
$1,033.60
|
|
Clearance of tear duct
|
$176.80 |
$176.80 |
$176.80 |
$656.38
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$23.73 |
$23.73 |
$23.73 |
$55.20
|
|
Clip ligating vesolock lg
|
$1,458.00 |
$1,458.00 |
$1,458.00 |
$4,320.00
|
|
Clip phn wireless f/baha4 proc
|
$499.40 |
$499.40 |
$499.40 |
$538.82
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$13.80 |
$13.80 |
$13.80 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$280.60 |
$280.60 |
$280.60 |
$508.45
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$500.20 |
$500.20 |
$500.20 |
$1,615.35
|
|
Closed tx humerus fx with manip 23605
|
$342.80 |
$342.80 |
$342.80 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$249.40 |
$249.40 |
$249.40 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$326.60 |
$326.60 |
$326.60 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$77.80 |
$77.80 |
$77.80 |
$376.96
|
|
Closed tx orbit without manipulj
|
$159.60 |
$159.60 |
$159.60 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$409.40 |
$409.40 |
$409.40 |
$2,520.60
|
|
Closed tx septal&nose fx
|
$216.00 |
$216.00 |
$216.00 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$76.80 |
$76.80 |
$76.80 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$177.80 |
$177.80 |
$177.80 |
$421.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$161.60 |
$161.60 |
$161.60 |
$481.80
|
|
Close tear duct opening
|
$129.40 |
$129.40 |
$129.40 |
$436.44
|
|
Close tear duct opening
|
$102.80 |
$102.80 |
$102.80 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$111.00 |
$111.00 |
$111.00 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$580.60 |
$580.60 |
$580.60 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$1,053.80 |
$1,053.80 |
$1,053.80 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$677.60 |
$677.60 |
$677.60 |
$1,934.40
|
|
Closure intestinal cutaneous fistula 44640
|
$927.20 |
$927.20 |
$927.20 |
$3,443.20
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$144.20 |
$144.20 |
$144.20 |
$1,259.62
|
|
Closure of eyelid by suture
|
$66.80 |
$66.80 |
$66.80 |
$1,613.00
|
|
Closure of windpipe lesion 31820
|
$971.00 |
$971.00 |
$971.00 |
$3,837.72
|
|
Clot factor fletcher fact
|
$23.03 |
$23.03 |
$23.03 |
$119.50
|
|
Clot factor xii hageman
|
$3.44 |
$3.44 |
$3.44 |
$134.39
|
