|
Chemodenerv 1 extremity 1-4 64642
|
$928.20 |
$928.20 |
$928.20 |
$932.40
|
|
Chemodenervation/face muscl/unilat 64612
|
$1,393.80 |
$1,393.80 |
$1,393.80 |
$569.00
|
|
Chemodenerv musc migraine 64615
|
$928.20 |
$928.20 |
$928.20 |
$524.40
|
|
Chemodenerv musc neck dyston 64616
|
$1,393.80 |
$1,393.80 |
$1,393.80 |
$724.95
|
|
Chemodenerv saliv glands bilat 64611
|
$542.40 |
$542.40 |
$542.40 |
$441.00
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,378.20 |
$1,378.20 |
$1,378.20 |
$1,002.30
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,500.60 |
$1,500.60 |
$1,500.60 |
$1,234.53
|
|
Chemo extend IV infus w/pump
|
$322.20 |
$322.20 |
$322.20 |
$724.35
|
|
Chemo ia push tecnique
|
$570.60 |
$570.60 |
$570.60 |
$491.64
|
|
Chest 2 vws w oblique
|
$523.20 |
$523.20 |
$523.20 |
$378.40
|
|
Chest apical lordotic proj
|
$332.40 |
$332.40 |
$332.40 |
$306.15
|
|
Chest CT scan (with and without contrast)
|
$2,293.20 |
$2,293.20 |
$2,293.20 |
$1,953.00
|
|
Chest CT scan (with contrast)
|
$2,220.60 |
$2,220.60 |
$2,220.60 |
$1,666.80
|
|
Chest CT scan (without contrast)
|
$2,088.00 |
$2,088.00 |
$2,088.00 |
$1,350.03
|
|
Chest X-ray
|
$279.60 |
$279.60 |
$279.60 |
$299.40
|
|
Chest X-ray (single view)
|
$236.40 |
$236.40 |
$236.40 |
$241.20
|
|
Chg pr pul rehab for copd patients
|
$187.80 |
$187.80 |
$187.80 |
$147.00
|
|
Chg radiologic exam esophagus double contrast
|
$867.00 |
$867.00 |
$867.00 |
$504.40
|
|
Chlamydia culture
|
$190.80 |
$190.80 |
$190.80 |
$93.90
|
|
Chlamydia type
|
$76.80 |
$76.80 |
$76.80 |
$32.56
|
|
Chlnggrphy intraop addl s&i
|
$357.00 |
$357.00 |
$357.00 |
$280.00
|
|
Chloride
|
$73.80 |
$73.80 |
$73.80 |
$39.65
|
|
Chloride 24 hour urine
|
$178.80 |
$178.80 |
$178.80 |
$46.75
|
|
Cholangiogram percutaneous compl
|
$4,695.00 |
$4,695.00 |
$4,695.00 |
$3,611.95
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,042.20 |
$1,042.20 |
$1,042.20 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,491.80 |
$5,491.80 |
$5,491.80 |
$3,769.00
|
|
Cholesterol
|
$76.80 |
$76.80 |
$76.80 |
$45.75
|
|
Cholesterol body fluid
|
$215.40 |
$215.40 |
$215.40 |
$75.40
|
|
Cholesterol (Lipid) Test
|
$202.80 |
$202.80 |
$202.80 |
$115.02
|
|
Cholinesterase
|
$217.80 |
$217.80 |
$217.80 |
$40.80
|
|
Cholinesterase challenge
|
$402.00 |
$402.00 |
$402.00 |
$366.72
|
|
Chrnc care mgmt phys 1st 30
|
$255.60 |
$255.60 |
$255.60 |
$156.00
|
|
Chrom analysis
|
$235.80 |
$235.80 |
$235.80 |
$152.40
|
|
Chromatogram assay sugars
|
$280.80 |
$280.80 |
$280.80 |
$86.42
|
|
Chromatography
|
$719.40 |
$719.40 |
$719.40 |
$81.25
|
|
Chromogenic substrate assay
|
$893.40 |
$893.40 |
$893.40 |
$137.50
|
|
Chromo high res and frag x - sendout
|
$1,073.40 |
$1,073.40 |
$1,073.40 |
$250.00
|
|
Chromosome analys amniotic
|
$408.60 |
$408.60 |
$408.60 |
$450.00
|
|
Chromosome analysis 100
|
$636.00 |
$636.00 |
$636.00 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$1,336.80 |
$1,336.80 |
$1,336.80 |
$484.00
|
|
Chromosome analysis 50-100
|
$325.80 |
$325.80 |
$325.80 |
$405.00
|
|
Chromosome count additional
|
$347.40 |
$347.40 |
$347.40 |
$99.12
|
|
Chromosome karyotype study
|
$594.00 |
$594.00 |
$594.00 |
$116.00
|
|
Chronic urticaria - sendout
|
$432.00 |
$432.00 |
$432.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$194.40 |
$194.40 |
$194.40 |
$123.20
|
|
Circumcision (newborn)
|
$1,315.80 |
$1,315.80 |
$1,315.80 |
$1,422.04
|
|
Clearance of airways
|
$290.40 |
$290.40 |
$290.40 |
$208.00
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$373.80 |
$373.80 |
$373.80 |
$492.25
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$151.20 |
$151.20 |
$151.20 |
$470.00
|
|
Closed tx humerus fx with manip 23605
|
$2,164.20 |
$2,164.20 |
$2,164.20 |
$2,096.00
|
|
Closed tx humerus fx without manip 23600
|
$1,001.40 |
$1,001.40 |
$1,001.40 |
$487.48
|
|
Closed tx humerus fx w/manip 24505
|
$2,662.80 |
$2,662.80 |
$2,662.80 |
$1,540.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$405.60 |
$405.60 |
$405.60 |
$376.35
|
|
Closed tx orbit without manipulj
|
$321.00 |
$321.00 |
$321.00 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$2,532.00
|
|
Closed tx/talus fracture without manip 28430
|
$273.60 |
$273.60 |
$273.60 |
$414.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$453.60 |
$453.60 |
$453.60 |
$470.73
|
|
Clos txnose fx without stablz 21315
|
$2,167.80 |
$2,167.80 |
$2,167.80 |
$2,266.00
|
|
Closure paravalvlr leak pq
|
$1,120.20 |
$1,120.20 |
$1,120.20 |
$7,723.17
|
|
Clot factor fletcher fact
|
$448.80 |
$448.80 |
$448.80 |
$116.82
|
|
Clot factor wght kininogen
|
$448.80 |
$448.80 |
$448.80 |
$157.50
|
|
Clot factor xii hageman
|
$374.40 |
$374.40 |
$374.40 |
$129.45
|
|
Clot factor xiii fibrin scrn
|
$336.00 |
$336.00 |
$336.00 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$464.40 |
$464.40 |
$464.40 |
$99.23
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,004.40 |
$1,004.40 |
$1,004.40 |
$645.45
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$484.80 |
$484.80 |
$484.80 |
$450.48
|
|
Clsd tx clavicle dislocation without manip 23540
|
$411.60 |
$411.60 |
$411.60 |
$417.82
|
|
Clsd tx/clavicular fx without manip 23500
|
$228.00 |
$228.00 |
$228.00 |
$440.64
|
|
Clsd tx coccygeal fracture 27200
|
$180.60 |
$180.60 |
$180.60 |
$369.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$537.60 |
$537.60 |
$537.60 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$498.00 |
$498.00 |
$498.00 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$330.00 |
$330.00 |
$330.00 |
$449.81
|
|
Clsd tx elbow dislocation child 24640
|
$450.00 |
$450.00 |
$450.00 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$1,871.40 |
$1,871.40 |
$1,871.40 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$203.40 |
$203.40 |
$203.40 |
$441.18
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$180.60 |
$180.60 |
$180.60 |
$373.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$492.00 |
$492.00 |
$492.00 |
$405.00
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$441.60 |
$441.60 |
$441.60 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$1,684.00
|
|
Clsd tx fx radius/ulna without manip 25560
|
$203.40 |
$203.40 |
$203.40 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,991.80 |
$3,991.80 |
$3,991.80 |
$1,593.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$453.60 |
$453.60 |
$453.60 |
$425.76
|
|
Clsd tx hip disloc without anes 27265
|
$293.40 |
$293.40 |
$293.40 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$249.00 |
$249.00 |
$249.00 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$565.80 |
$565.80 |
$565.80 |
$466.14
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,637.40 |
$1,637.40 |
$1,637.40 |
$896.35
|
|
Clsd tx mandibular fx without manip 21450
|
$321.00 |
$321.00 |
$321.00 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$537.60 |
$537.60 |
$537.60 |
$490.80
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$537.60 |
$537.60 |
$537.60 |
$496.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$601.20 |
$601.20 |
$601.20 |
$620.32
|
|
Clsd tx/metatarsal fx without manip 28470
|
$273.60 |
$273.60 |
$273.60 |
$414.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,060.40 |
$2,060.40 |
$2,060.40 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$442.80 |
$442.80 |
$442.80 |
$566.72
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$537.60 |
$537.60 |
$537.60 |
$384.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$249.00 |
$249.00 |
$249.00 |
$434.25
|
|
Clsd tx radius fracture w/manip 24655
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,787.72
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,158.60 |
$1,158.60 |
$1,158.60 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,043.00 |
$2,043.00 |
$2,043.00 |
$1,690.70
|
