|
Change ureter stent percut
|
$17,297.28 |
$17,297.28 |
$17,297.28 |
$3,886.89
|
|
Chemo adm cns w/lmbr punct
|
$437.19 |
$437.19 |
$437.19 |
$720.20
|
|
Chemodener muscle larynx emg
|
$382.20 |
$382.20 |
$382.20 |
$801.75
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$631.80 |
$631.80 |
$631.80 |
$617.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$631.80 |
$631.80 |
$631.80 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$1,895.01 |
$1,895.01 |
$1,895.01 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$1,895.01 |
$1,895.01 |
$1,895.01 |
$988.50
|
|
Chemodenervation/face muscl/unilat 64612
|
$783.90 |
$783.90 |
$783.90 |
$600.00
|
|
Chemodenerv eccrine glands
|
$521.82 |
$521.82 |
$521.82 |
$424.40
|
|
Chemodenerv eccrine glands 64650
|
$521.82 |
$521.82 |
$521.82 |
$536.87
|
|
Chemodenerv musc migraine 64615
|
$781.56 |
$781.56 |
$781.56 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$783.90 |
$783.90 |
$783.90 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$430.17 |
$430.17 |
$430.17 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,895.01 |
$1,895.01 |
$1,895.01 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,973.40 |
$1,973.40 |
$1,973.40 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$1,124.37 |
$1,124.37 |
$1,124.37 |
$748.55
|
|
Chemo ia infuse each addl hr
|
$198.51 |
$198.51 |
$198.51 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$604.89 |
$604.89 |
$604.89 |
$572.00
|
|
Chemo ia push tecnique
|
$618.93 |
$618.93 |
$618.93 |
$499.50
|
|
Chemo intralesional over 7
|
$757.38 |
$757.38 |
$757.38 |
$346.29
|
|
Chemo intralesional up to 7 96405
|
$618.93 |
$618.93 |
$618.93 |
$163.80
|
|
Chemotherapy injection 96542
|
$482.04 |
$482.04 |
$482.04 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$437.19 |
$437.19 |
$437.19 |
$590.00
|
|
Chest 2 vws w oblique
|
$385.71 |
$385.71 |
$385.71 |
$375.60
|
|
Chest apical lordotic proj
|
$316.68 |
$316.68 |
$316.68 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,918.02 |
$1,918.02 |
$1,918.02 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,562.34 |
$1,562.34 |
$1,562.34 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,540.50 |
$1,540.50 |
$1,540.50 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$514.41 |
$514.41 |
$514.41 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$401.31 |
$401.31 |
$401.31 |
$134.50
|
|
Chest Ultrasound
|
$377.91 |
$377.91 |
$377.91 |
$463.88
|
|
Chest X-ray
|
$294.06 |
$294.06 |
$294.06 |
$294.06
|
|
Chest X-ray (single view)
|
$252.72 |
$252.72 |
$252.72 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$133.77 |
$133.77 |
$133.77 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$770.25 |
$770.25 |
$770.25 |
$520.80
|
|
Chimerism anal no cell selec
|
$210.21 |
$210.21 |
$210.21 |
$393.74
|
|
Chimerism anal w/cell select
|
$1,110.72 |
$1,110.72 |
$1,110.72 |
$649.00
|
|
Chlamydia culture
|
$215.28 |
$215.28 |
$215.28 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$80.34 |
$80.34 |
$80.34 |
$66.60
|
|
Chlamydia type
|
$239.07 |
$239.07 |
$239.07 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$337.35 |
$337.35 |
$337.35 |
$281.18
|
|
Chloride
|
$62.01 |
$62.01 |
$62.01 |
$42.63
|
|
Chloride 24 hour urine
|
$65.91 |
$65.91 |
$65.91 |
$50.88
|
|
Chmotx admn plrl cav thrcnts
|
$437.19 |
$437.19 |
$437.19 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$2,155.92 |
$2,155.92 |
$2,155.92 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$639.99 |
$639.99 |
$639.99 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,031.04 |
$4,031.04 |
$4,031.04 |
$3,856.84
|
|
Cholesterol
|
$76.44 |
$76.44 |
$76.44 |
$45.76
|
|
Cholesterol body fluid
|
$108.42 |
$108.42 |
$108.42 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$166.92 |
$166.92 |
$166.92 |
$115.80
|
|
Cholinesterase
|
$110.76 |
$110.76 |
$110.76 |
$39.48
|
|
Chorion biopsy
|
$893.10 |
$893.10 |
$893.10 |
$1,392.05
|
|
Chrom analysis
|
$462.93 |
$462.93 |
$462.93 |
$156.00
|
|
Chromatography
|
$120.51 |
$120.51 |
$120.51 |
$84.60
|
|
Chromogenic substrate assay
|
$225.42 |
$225.42 |
$225.42 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$888.03 |
$888.03 |
$888.03 |
$250.00
|
|
Chromosome analys amniotic
|
$722.67 |
$722.67 |
$722.67 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$1,066.26 |
$1,066.26 |
$1,066.26 |
$517.11
|
|
Chromosome analysis 45
|
$1,266.72 |
$1,266.72 |
$1,266.72 |
$382.85
|
|
Chromosome analysis 5
|
$878.67 |
$878.67 |
$878.67 |
$644.80
|
|
Chromosome banding study
|
$235.95 |
$235.95 |
$235.95 |
$183.91
|
|
Chromosome count additional
|
$434.07 |
$434.07 |
$434.07 |
$96.50
|
|
Chromosome karyotype study
|
$434.07 |
$434.07 |
$434.07 |
$120.00
|
|
Chromosome study additional
|
$147.03 |
$147.03 |
$147.03 |
$151.09
|
|
Chronic urticaria - sendout
|
$119.34 |
$119.34 |
$119.34 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$114.27 |
$114.27 |
$114.27 |
$136.09
|
|
Cid ext speech process repl
|
$17,338.78 |
$17,338.78 |
$17,338.78 |
$15,422.40
|
|
Ciliary transsleral therapy
|
$336.18 |
$336.18 |
$336.18 |
$3,269.14
|
|
Cine/video x-rays
|
$136.50 |
$136.50 |
$136.50 |
$321.64
|
|
Circum 28 days or older
|
$5,118.75 |
$5,118.75 |
$5,118.75 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$2,490.15 |
$2,490.15 |
$2,490.15 |
$1,219.20
|
|
Circumcision (newborn)
|
$1,751.88 |
$1,751.88 |
$1,751.88 |
$1,364.88
|
|
C-kit mutation liquid tumor - sendout
|
$606.06 |
$606.06 |
$606.06 |
$666.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$14,749.43 |
$14,749.43 |
$14,749.43 |
$15,560.16
|
|
Clean out mastoid cavity
|
$3,922.62 |
$3,922.62 |
$3,922.62 |
$1,033.60
|
|
Clearance of airways
|
$163.80 |
$163.80 |
$163.80 |
$213.07
|
|
Clip ligating vesolock lg
|
$32,045.77 |
$32,045.77 |
$32,045.77 |
$4,320.00
|
|
Cllr miami j sm
|
$577.22 |
$577.22 |
$577.22 |
$536.64
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$806.13 |
$806.13 |
$806.13 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$3,082.17 |
$3,082.17 |
$3,082.17 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$478.53 |
$478.53 |
$478.53 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$9,945.00 |
$9,945.00 |
$9,945.00 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$900.51 |
$900.51 |
$900.51 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$973.44 |
$973.44 |
$973.44 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$900.51 |
$900.51 |
$900.51 |
$386.40
|
|
Closed tx orbit w/manipulj
|
$4,781.79 |
$4,781.79 |
$4,781.79 |
$3,136.80
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$4,015.05 |
$4,015.05 |
$4,015.05 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$9,650.94 |
$9,650.94 |
$9,650.94 |
$3,651.90
|
|
Closed tx sesamoid fx 28530
|
$900.51 |
$900.51 |
$900.51 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$806.13 |
$806.13 |
$806.13 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$306.54 |
$306.54 |
$306.54 |
$472.50
|
|
Close tear duct opening
|
$347.88 |
$347.88 |
$347.88 |
$436.44
|
|
Close tear duct opening
|
$315.90 |
$315.90 |
$315.90 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$8,630.31 |
$8,630.31 |
$8,630.31 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,183.65 |
$1,183.65 |
$1,183.65 |
$1,259.62
|
|
Closure of eyelid by suture
|
$1,107.60 |
$1,107.60 |
$1,107.60 |
$1,701.96
|
|
Closure paravalvlr leak pq
|
$7,723.17 |
$7,723.17 |
$7,723.17 |
$9,434.46
|
|
Clot factor viii reltd antgn
|
$306.15 |
$306.15 |
$306.15 |
$140.42
|
|
Clot factor xii hageman
|
$218.01 |
$218.01 |
$218.01 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$201.24 |
$201.24 |
$201.24 |
$56.85
|
