|
Chemodenervation/face muscl/unilat 64612
|
$322.80 |
$322.80 |
$322.80 |
$600.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$415.20 |
$415.20 |
$415.20 |
$717.07
|
|
Chemodenerv eccrine glands
|
$260.40 |
$260.40 |
$260.40 |
$424.40
|
|
Chemodenerv eccrine glands 64650
|
$206.40 |
$206.40 |
$206.40 |
$536.87
|
|
Chemodenerv musc migraine 64615
|
$265.20 |
$265.20 |
$265.20 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$227.40 |
$227.40 |
$227.40 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$235.80 |
$235.80 |
$235.80 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$307.20 |
$307.20 |
$307.20 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$280.80 |
$280.80 |
$280.80 |
$1,278.40
|
|
Chemo intralesional up to 7 96405
|
$123.60 |
$123.60 |
$123.60 |
$163.80
|
|
Chemotherapy injection 96542
|
$204.60 |
$204.60 |
$204.60 |
$442.20
|
|
Chest 2 vws w oblique
|
$247.80 |
$247.80 |
$247.80 |
$375.60
|
|
Chest apical lordotic proj
|
$219.60 |
$219.60 |
$219.60 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,603.20 |
$1,603.20 |
$1,603.20 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,145.40 |
$1,145.40 |
$1,145.40 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$144.00 |
$144.00 |
$144.00 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$96.60 |
$96.60 |
$96.60 |
$134.50
|
|
Chest Ultrasound
|
$310.20 |
$310.20 |
$310.20 |
$463.88
|
|
Chest X-ray
|
$201.60 |
$201.60 |
$201.60 |
$294.06
|
|
Chest X-ray (single view)
|
$129.00 |
$129.00 |
$129.00 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$119.40 |
$119.40 |
$119.40 |
$150.40
|
|
Chlamydia culture
|
$71.40 |
$71.40 |
$71.40 |
$91.00
|
|
Chlamydia type
|
$97.20 |
$97.20 |
$97.20 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$193.80 |
$193.80 |
$193.80 |
$281.18
|
|
Chloramphenicol sodium injec
|
$115.78 |
$115.78 |
$115.78 |
$113.84
|
|
Chloride
|
$30.00 |
$30.00 |
$30.00 |
$42.63
|
|
Chloride 24 hour urine
|
$40.80 |
$40.80 |
$40.80 |
$50.88
|
|
Chloroprocaine hcl injection
|
$53.72 |
$53.72 |
$53.72 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$779.38 |
$779.38 |
$779.38 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$71.05 |
$71.05 |
$71.05 |
$79.74
|
|
Cholangiogram percutaneous compl
|
$1,196.40 |
$1,196.40 |
$1,196.40 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$454.80 |
$454.80 |
$454.80 |
$602.40
|
|
Cholecystectomy expl duct 47612
|
$2,383.20 |
$2,383.20 |
$2,383.20 |
$3,126.40
|
|
Cholecystectomy w/cholangiography 47605
|
$1,845.00 |
$1,845.00 |
$1,845.00 |
$1,963.37
|
|
Cholecystoenterostomy direct 47720
|
$2,161.80 |
$2,161.80 |
$2,161.80 |
$2,832.00
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,520.40 |
$4,520.40 |
$4,520.40 |
$3,856.84
|
|
Cholesterol
|
$29.40 |
$29.40 |
$29.40 |
$45.76
|
|
Cholesterol body fluid
|
$652.80 |
$652.80 |
$652.80 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$53.40 |
$53.40 |
$53.40 |
$115.80
|
|
Cholinesterase
|
$66.00 |
$66.00 |
$66.00 |
$39.48
|
|
Chorionic gonadotropin/1000u
|
$351.46 |
$351.46 |
$351.46 |
$548.36
|
|
Chrnc care mgmt phys 1st 30
|
$191.40 |
$191.40 |
$191.40 |
$156.00
|
|
Chrom analysis
|
$173.40 |
$173.40 |
$173.40 |
$156.00
|
|
Chromatography
|
$85.80 |
$85.80 |
$85.80 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$308.40 |
$308.40 |
$308.40 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$448.80 |
$448.80 |
$448.80 |
$517.11
|
|
Chronic urticaria - sendout
|
$175.20 |
$175.20 |
$175.20 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$155.40 |
$155.40 |
$155.40 |
$136.09
|
|
Cidofovir injection
|
$1,352.09 |
$1,352.09 |
$1,352.09 |
$1,352.09
|
|
Cilastatin sodium injection
|
$87.44 |
$87.44 |
$87.44 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$73.90 |
$73.90 |
$73.90 |
$35.65
|
|
Circum 28 days or older
|
$388.80 |
$388.80 |
$388.80 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$435.60 |
$435.60 |
$435.60 |
$1,219.20
|
|
Circumcision (newborn)
|
$406.80 |
$406.80 |
$406.80 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$395.67 |
$395.67 |
$395.67 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$462.60 |
$462.60 |
$462.60 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$484.20 |
$484.20 |
$484.20 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$14,062.80 |
$14,062.80 |
$14,062.80 |
$15,560.16
|
|
Claviculectomy partial
|
$1,008.60 |
$1,008.60 |
$1,008.60 |
$3,839.54
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$40.80 |
$40.80 |
$40.80 |
$55.20
|
|
Clip ligating vesolock lg
|
$528.60 |
$528.60 |
$528.60 |
$4,320.00
|
|
Cllr miami j sm
|
$186.00 |
$186.00 |
$186.00 |
$536.64
|
|
Clofarabine 1 mg/ml intravenous solution
|
$4,163.69 |
$4,163.69 |
$4,163.69 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$581.40 |
$581.40 |
$581.40 |
$85.37
|
|
Close bronchial fistula 32815
|
$5,377.80 |
$5,377.80 |
$5,377.80 |
$6,816.80
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$682.80 |
$682.80 |
$682.80 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$793.20 |
$793.20 |
$793.20 |
$1,806.01
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,498.80 |
$1,498.80 |
$1,498.80 |
$1,642.82
|
|
Closed tx/acetabululm without manip 27220
|
$999.60 |
$999.60 |
$999.60 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$871.80 |
$871.80 |
$871.80 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$606.00 |
$606.00 |
$606.00 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$934.20 |
$934.20 |
$934.20 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$294.60 |
$294.60 |
$294.60 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$781.20 |
$781.20 |
$781.20 |
$3,651.90
|
|
Closed tx sesamoid fx 28530
|
$217.20 |
$217.20 |
$217.20 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$442.80 |
$442.80 |
$442.80 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$504.60 |
$504.60 |
$504.60 |
$472.50
|
|
Close median sternotomy separation 21750
|
$1,331.40 |
$1,331.40 |
$1,331.40 |
$1,660.00
|
|
Clos txnose fx without stablz 21315
|
$537.00 |
$537.00 |
$537.00 |
$2,392.80
|
|
Closure enterostomy lg/sm intestine 44620
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$2,835.00
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$1,934.40
|
|
Closure intestinal cutaneous fistula 44640
|
$2,654.40 |
$2,654.40 |
$2,654.40 |
$3,443.20
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$641.40 |
$641.40 |
$641.40 |
$1,259.62
|
|
Closure of windpipe lesion 31820
|
$849.00 |
$849.00 |
$849.00 |
$3,837.72
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$579.60 |
$579.60 |
$579.60 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$626.40 |
$626.40 |
$626.40 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$640.20 |
$640.20 |
$640.20 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$427.80 |
$427.80 |
$427.80 |
$1,980.00
|
|
Clsd tx clavicle dislocation without manip 23540
|
$419.40 |
$419.40 |
$419.40 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$652.80 |
$652.80 |
$652.80 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$408.60 |
$408.60 |
$408.60 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$336.60 |
$336.60 |
$336.60 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$343.80 |
$343.80 |
$343.80 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$819.60 |
$819.60 |
$819.60 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$588.00 |
$588.00 |
$588.00 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$376.80 |
$376.80 |
$376.80 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,516.20 |
$1,516.20 |
$1,516.20 |
$2,211.05
|
