|
Chemodenerv 1 extremity 1-4 64642
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$988.50
|
|
Chemodenervation/face muscl/unilat 64612
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$600.00
|
|
Chemodenerv eccrine glands
|
$870.35 |
$870.35 |
$870.35 |
$424.40
|
|
Chemodenerv eccrine glands 64650
|
$870.35 |
$870.35 |
$870.35 |
$536.87
|
|
Chemodenerv musc migraine 64615
|
$854.10 |
$854.10 |
$854.10 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$911.95 |
$911.95 |
$911.95 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,976.65 |
$1,976.65 |
$1,976.65 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,907.10 |
$1,907.10 |
$1,907.10 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$934.05 |
$934.05 |
$934.05 |
$748.55
|
|
Chemo ia infuse each addl hr
|
$133.25 |
$133.25 |
$133.25 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$754.65 |
$754.65 |
$754.65 |
$572.00
|
|
Chemo ia push tecnique
|
$1,175.85 |
$1,175.85 |
$1,629.00 |
$499.50
|
|
Chemo intralesional over 7
|
$189.80 |
$189.80 |
$189.80 |
$346.29
|
|
Chemo intralesional up to 7 96405
|
$308.10 |
$308.10 |
$308.10 |
$163.80
|
|
Chemotherapy injection 96542
|
$318.50 |
$318.50 |
$318.50 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$288.60 |
$288.60 |
$288.60 |
$590.00
|
|
Chest 2 vws w oblique
|
$905.45 |
$905.45 |
$905.45 |
$375.60
|
|
Chest apical lordotic proj
|
$681.85 |
$681.85 |
$681.85 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,785.60 |
$3,785.60 |
$3,872.70 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$3,599.05 |
$3,599.05 |
$3,836.30 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,913.95 |
$2,913.95 |
$3,105.70 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$194.35 |
$194.35 |
$926.00 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$150.80 |
$150.80 |
$613.00 |
$134.50
|
|
Chest Ultrasound
|
$705.25 |
$705.25 |
$705.25 |
$463.88
|
|
Chest X-ray
|
$497.25 |
$497.25 |
$497.25 |
$294.06
|
|
Chest X-ray (single view)
|
$418.60 |
$418.60 |
$418.60 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$185.90 |
$185.90 |
$185.90 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$824.85 |
$824.85 |
$824.85 |
$520.80
|
|
Chimerism anal no cell selec
|
$209.95 |
$209.95 |
$209.95 |
$393.74
|
|
Chimerism anal w/cell select
|
$460.85 |
$460.85 |
$460.85 |
$649.00
|
|
Chlamydia culture
|
$196.95 |
$196.95 |
$1,264.00 |
$91.00
|
|
Chlamydia type
|
$17.00 |
$24.05 |
$24.05 |
$34.98
|
|
Chlmyd pneum dna quant
|
$133.00 |
$133.00 |
$133.00 |
$59.12
|
|
Chlnggrphy intraop addl s&i
|
$525.85 |
$525.85 |
$2,693.00 |
$281.18
|
|
Chloramphenicol sodium injec
|
$280.15 |
$280.15 |
$280.15 |
$113.84
|
|
Chloride
|
$54.60 |
$54.60 |
$334.00 |
$42.63
|
|
Chloride 24 hour urine
|
$160.55 |
$160.55 |
$446.00 |
$50.88
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$116.00 |
$2,330.25 |
$2,330.25 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$258.05 |
$258.05 |
$296.00 |
$79.74
|
|
Chmotx admn plrl cav thrcnts
|
$288.60 |
$288.60 |
$288.60 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$5,426.20 |
$5,426.20 |
$5,426.20 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,147.25 |
$1,147.25 |
$1,147.25 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,274.05 |
$3,274.05 |
$3,274.05 |
$3,856.84
|
|
Cholesterol
|
$54.60 |
$54.60 |
$988.00 |
$45.76
|
|
Cholesterol body fluid
|
$297.70 |
$297.70 |
$297.70 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$163.80 |
$163.80 |
$2,237.00 |
$115.80
|
|
Cholinesterase
|
$26.00 |
$26.00 |
$26.00 |
$39.48
|
|
Chorionic gonadotropin/1000u
|
$1,564.55 |
$1,564.55 |
$1,564.55 |
$548.36
|
|
Chrom analysis
|
$32.50 |
$32.50 |
$1,071.00 |
$156.00
|
|
Chromatography
|
$57.00 |
$57.85 |
$57.85 |
$84.60
|
|
Chromosome analys amniotic
|
$1,747.00 |
$1,747.00 |
$1,747.00 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$406.90 |
$406.90 |
$1,448.00 |
$517.11
|
|
Chromosome analysis 5
|
$379.60 |
$379.60 |
$379.60 |
$644.80
|
|
Chromosome analysis 50-100
|
$4,074.00 |
$4,074.00 |
$4,074.00 |
$434.40
|
|
Chromosome count additional
|
$81.25 |
$81.25 |
$394.00 |
$96.50
|
|
Chromosome karyotype study
|
$81.25 |
$81.25 |
$81.25 |
$120.00
|
|
Chromosome study additional
|
$178.75 |
$178.75 |
$1,242.00 |
$151.09
|
|
Chylomicron screen, bf - sendout
|
$53.95 |
$53.95 |
$290.00 |
$136.09
|
|
Cidofovir injection
|
$5,382.00 |
$5,382.00 |
$15,550.00 |
$1,352.09
|
|
Cid transmit coil and cable
|
$1,815.45 |
$1,815.45 |
$1,815.45 |
$292.46
|
|
Cilastatin sodium injection
|
$264.55 |
$264.55 |
$264.55 |
$77.40
|
|
Ciltacabtagene car-pos t
|
$2,307,997.90 |
$2,307,997.90 |
$2,307,997.90 |
$1,573,072.37
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$68.90 |
$68.90 |
$68.90 |
$35.65
|
|
Circum 28 days or older
|
$4,968.60 |
$4,968.60 |
$4,968.60 |
$4,074.80
|
|
Cisplatin 1 mg/ml desensitization
|
$59.15 |
$59.15 |
$59.15 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$404.30 |
$404.30 |
$404.30 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$313.30 |
$313.30 |
$9,968.00 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$36,550.80 |
$36,550.80 |
$36,550.80 |
$15,560.16
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$130.65 |
$130.65 |
$130.65 |
$55.20
|
|
Clip ligating vesolock lg
|
$19,936.80 |
$19,936.80 |
$19,936.80 |
$4,320.00
|
|
Clofarabine 1 mg/ml intravenous solution
|
$425.75 |
$425.75 |
$35,638.00 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$223.60 |
$223.60 |
$223.60 |
$85.37
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,347.45 |
$1,347.45 |
$1,347.45 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$9,087.65 |
$9,087.65 |
$9,087.65 |
$1,806.01
|
|
Closure paravalvlr leak pq
|
$67,823.60 |
$67,823.60 |
$67,823.60 |
$9,434.46
|
|
Clot factor fletcher fact
|
$1,594.00 |
$1,594.00 |
$1,594.00 |
$119.50
|
|
Clot factor viii reltd antgn
|
$903.00 |
$903.00 |
$903.00 |
$140.42
|
|
Clot factor wght kininogen
|
$2,757.00 |
$2,757.00 |
$2,757.00 |
$157.50
|
|
Clot factor xii hageman
|
$487.50 |
$487.50 |
$1,674.00 |
$138.40
|
|
Clot factor xiii fibrin stab
|
$121.55 |
$121.55 |
$1,760.00 |
$106.40
|
|
Clotting assay whole blood
|
$109.00 |
$109.00 |
$109.00 |
$105.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$674.05 |
$674.05 |
$674.05 |
$489.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$674.05 |
$674.05 |
$674.05 |
$417.90
|
|
Clsd tx elbow dislocation child 24640
|
$1,347.45 |
$1,347.45 |
$1,347.45 |
$465.21
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$4,770.35 |
$4,770.35 |
$4,770.35 |
$2,630.50
|
|
Clsd tx fracture of radius 25500
|
$1,347.45 |
$1,347.45 |
$1,347.45 |
$442.50
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$1,412.45 |
$1,412.45 |
$1,412.45 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$9,087.65 |
$9,087.65 |
$9,087.65 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$1,347.45 |
$1,347.45 |
$1,347.45 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$9,087.65 |
$9,087.65 |
$9,087.65 |
$1,592.00
|
|
Clsd tx humeral fract without manip 24530
|
$1,347.45 |
$1,347.45 |
$1,347.45 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$1,347.45 |
$1,347.45 |
$1,347.45 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$787.80 |
$787.80 |
$787.80 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$674.05 |
$674.05 |
$674.05 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$674.05 |
$674.05 |
$674.05 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$674.05 |
$674.05 |
$674.05 |
$620.32
|
|
Clsd tx metacarp fx w/manip&ext fix ea bone 26607
|
$9,239.10 |
$9,239.10 |
$9,239.10 |
$3,839.54
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$674.05 |
$674.05 |
$674.05 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$1,347.45 |
$1,347.45 |
$1,347.45 |
$466.14
|
