|
Chemodenerv 1 extremity 1-4 64642
|
$471.90 |
$471.90 |
$471.90 |
$988.50
|
|
Chemodenervation anal musc
|
$826.80 |
$826.80 |
$826.80 |
$2,762.67
|
|
Chemodenervation/face muscl/unilat 64612
|
$1,654.90 |
$1,654.90 |
$1,654.90 |
$600.00
|
|
Chemodenerv eccrine glands
|
$1,654.90 |
$1,654.90 |
$1,654.90 |
$424.40
|
|
Chemodenerv eccrine glands 64650
|
$182.00 |
$182.00 |
$182.00 |
$536.87
|
|
Chemodenerv musc migraine 64615
|
$1,654.90 |
$1,654.90 |
$1,654.90 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$1,654.90 |
$1,654.90 |
$1,654.90 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$1,654.90 |
$1,654.90 |
$1,654.90 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$514.80 |
$514.80 |
$514.80 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$548.60 |
$548.60 |
$548.60 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$1,699.10 |
$1,699.10 |
$1,699.10 |
$748.55
|
|
Chemo ia infuse each addl hr
|
$48.75 |
$48.75 |
$48.75 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$1,859.65 |
$1,859.65 |
$1,859.65 |
$572.00
|
|
Chemo ia push tecnique
|
$48.75 |
$48.75 |
$48.75 |
$499.50
|
|
Chemo intralesional over 7
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$346.29
|
|
Chemo intralesional up to 7 96405
|
$399.10 |
$399.10 |
$399.10 |
$163.80
|
|
Chemotherapy injection 96542
|
$195.00 |
$195.00 |
$195.00 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$1,859.65 |
$1,859.65 |
$1,859.65 |
$590.00
|
|
Chest 2 vws w oblique
|
$596.70 |
$596.70 |
$596.70 |
$375.60
|
|
Chest apical lordotic proj
|
$494.00 |
$494.00 |
$494.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$997.75 |
$997.75 |
$997.75 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,246.70 |
$1,246.70 |
$1,246.70 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$854.10 |
$854.10 |
$854.10 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$481.65 |
$481.65 |
$481.65 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$481.65 |
$481.65 |
$481.65 |
$134.50
|
|
Chest Ultrasound
|
$690.30 |
$690.30 |
$690.30 |
$463.88
|
|
Chest X-ray
|
$557.05 |
$557.05 |
$557.05 |
$294.06
|
|
Chest X-ray (single view)
|
$494.00 |
$494.00 |
$494.00 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$221.65 |
$221.65 |
$221.65 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$997.75 |
$997.75 |
$997.75 |
$520.80
|
|
Chikungunya vaccine live im
|
$643.50 |
$643.50 |
$643.50 |
$483.28
|
|
Chlamydia culture
|
$40.95 |
$40.95 |
$40.95 |
$91.00
|
|
Chlamydia type
|
$40.95 |
$40.95 |
$40.95 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$53.30 |
$53.30 |
$53.30 |
$281.18
|
|
Chloramphenicol sodium injec
|
$113.84 |
$113.84 |
$113.84 |
$113.84
|
|
Chloride
|
$47.45 |
$47.45 |
$47.45 |
$42.63
|
|
Chloride 24 hour urine
|
$59.80 |
$59.80 |
$59.80 |
$50.88
|
|
Chloroprocaine hcl injection
|
$2.85 |
$2.85 |
$2.85 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$696.62 |
$696.62 |
$696.62 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$67.61 |
$67.61 |
$67.61 |
$79.74
|
|
Chmotx admn plrl cav thrcnts
|
$1,859.65 |
$1,859.65 |
$1,859.65 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$13,190.45 |
$13,190.45 |
$13,190.45 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$894.40 |
$894.40 |
$894.40 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$4,804.80 |
$4,804.80 |
$4,804.80 |
$1,963.37
|
|
Cholecystostomy complete w/supervision & interpretation
|
$13,190.45 |
$13,190.45 |
$13,190.45 |
$3,856.84
|
|
Cholesterol
|
$70.85 |
$70.85 |
$70.85 |
$45.76
|
|
Cholesterol body fluid
|
$187.20 |
$187.20 |
$187.20 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$115.70 |
$115.70 |
$115.70 |
$115.80
|
|
Cholinesterase challenge
|
$1,745.90 |
$1,745.90 |
$1,745.90 |
$366.72
|
|
Chorionic gonadotropin/1000u
|
$730.67 |
$730.67 |
$730.67 |
$548.36
|
|
Chrnc care mgmt phys 1st 30
|
$390.00 |
$390.00 |
$390.00 |
$156.00
|
|
Chromatography
|
$21.45 |
$21.45 |
$21.45 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$476.45 |
$476.45 |
$476.45 |
$250.00
|
|
Chromosome analys amniotic
|
$731.90 |
$731.90 |
$731.90 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$484.25 |
$484.25 |
$484.25 |
$517.11
|
|
Chromosome analysis 5
|
$1,113.45 |
$1,113.45 |
$1,113.45 |
$644.80
|
|
Chromosome analys placenta
|
$858.00 |
$858.00 |
$858.00 |
$572.99
|
|
Chromosome count additional
|
$122.20 |
$122.20 |
$122.20 |
$96.50
|
|
Chromosome karyotype study
|
$152.10 |
$152.10 |
$152.10 |
$120.00
|
|
Chylomicron screen, bf - sendout
|
$159.90 |
$159.90 |
$159.90 |
$136.09
|
|
Cidofovir injection
|
$462.72 |
$462.72 |
$462.72 |
$1,352.09
|
|
Cilastatin sodium injection
|
$76.40 |
$76.40 |
$76.40 |
$77.40
|
|
Ciltacabtagene car-pos t
|
$1,732,568.58 |
$1,732,568.58 |
$1,732,568.58 |
$1,573,072.37
|
|
Cine/video x-rays
|
$98.80 |
$98.80 |
$98.80 |
$321.64
|
|
Cine/video x-rays add-on
|
$428.35 |
$428.35 |
$428.35 |
$293.05
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$9.75 |
$9.75 |
$9.75 |
$35.65
|
|
Circum 28 days or older
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$1,219.20
|
|
Circumcision (newborn)
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$11.70 |
$11.70 |
$11.70 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$716.95 |
$716.95 |
$716.95 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$135.72 |
$135.72 |
$135.72 |
$576.60
|
|
Claviculectomy partial
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$3,839.54
|
|
Clearance of airways
|
$760.50 |
$760.50 |
$760.50 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.51 |
$0.51 |
$0.51 |
$55.20
|
|
Clofarabine 1 mg/ml intravenous solution
|
$457.81 |
$457.81 |
$457.81 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$40.95 |
$40.95 |
$40.95 |
$85.37
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,073.80 |
$1,073.80 |
$1,073.80 |
$520.80
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$3,959.15 |
$3,959.15 |
$3,959.15 |
$1,642.82
|
|
Closed tx/acetabululm without manip 27220
|
$1,573.00 |
$1,573.00 |
$1,573.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$896.35 |
$896.35 |
$896.35 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$896.35 |
$896.35 |
$896.35 |
$386.40
|
|
Closed tx orbit without manipulj
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,569.28
|
|
Closed tx/talus fracture without manip 28430
|
$896.35 |
$896.35 |
$896.35 |
$442.80
|
|
Close median sternotomy separation 21750
|
$2,964.00 |
$2,964.00 |
$2,964.00 |
$1,660.00
|
|
Clos txnose fx without stablz 21315
|
$5,536.70 |
$5,536.70 |
$5,536.70 |
$2,392.80
|
|
Closure enterostomy lg/sm intestine 44620
|
$4,126.85 |
$4,126.85 |
$4,126.85 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$7,254.00 |
$7,254.00 |
$7,254.00 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$4,492.80 |
$4,492.80 |
$4,492.80 |
$1,934.40
|
|
Closure intestinal cutaneous fistula 44640
|
$6,292.00 |
$6,292.00 |
$6,292.00 |
$3,443.20
|
|
Closure of windpipe lesion 31820
|
$1,206.40 |
$1,206.40 |
$1,206.40 |
$3,837.72
|
|
Closure paravalvlr leak pq
|
$14,289.60 |
$14,289.60 |
$14,289.60 |
$9,434.46
|
|
Clot factor xii hageman
|
$49.40 |
$49.40 |
$49.40 |
$138.40
|
|
Clot factor xiii fibrin stab
|
$20.80 |
$20.80 |
$20.80 |
$106.40
|
|
Clotting assay whole blood
|
$47.45 |
$47.45 |
$47.45 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,009.45 |
$1,009.45 |
$1,009.45 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$896.35 |
$896.35 |
$896.35 |
$535.60
|
