|
Chemo adm cns w/lmbr punct
|
$1,283.10 |
$1,283.10 |
$1,283.10 |
$696.95
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$701.40 |
$701.40 |
$701.40 |
$574.56
|
|
Chemodenerv 1 extremity 1-4 64642
|
$9,226.52 |
$9,226.52 |
$9,226.52 |
$988.50
|
|
Chemodenervation anal musc
|
$3,590.30 |
$3,590.30 |
$3,590.30 |
$2,535.40
|
|
Chemodenerv musc migraine 64615
|
$436.10 |
$436.10 |
$436.10 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$923.30 |
$923.30 |
$923.30 |
$698.60
|
|
Chemodenerv trunk musc 1-5 64646
|
$893.90 |
$893.90 |
$893.90 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,827.70 |
$1,827.70 |
$1,827.70 |
$1,253.20
|
|
Chemo extend IV infus w/pump
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$748.55
|
|
Chemo ia infusion up to 1 hr
|
$725.90 |
$725.90 |
$725.90 |
$572.00
|
|
Chemo intralesional over 7
|
$301.70 |
$301.70 |
$301.70 |
$321.50
|
|
Chemo intralesional up to 7 96405
|
$347.20 |
$347.20 |
$347.20 |
$162.40
|
|
Chemotherapy injection 96542
|
$917.70 |
$917.70 |
$917.70 |
$434.00
|
|
Chest 2 vws w oblique
|
$966.00 |
$966.00 |
$966.00 |
$373.60
|
|
Chest apical lordotic proj
|
$900.20 |
$900.20 |
$900.20 |
$309.65
|
|
Chest CT scan (with and without contrast)
|
$3,416.00 |
$3,416.00 |
$3,416.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$3,173.80 |
$3,173.80 |
$3,173.80 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,611.00 |
$2,611.00 |
$2,611.00 |
$1,350.03
|
|
Chest X-ray
|
$674.10 |
$674.10 |
$674.10 |
$295.03
|
|
Chest X-ray (single view)
|
$537.60 |
$537.60 |
$537.60 |
$241.20
|
|
Chg radiologic exam esophagus double contrast
|
$855.40 |
$855.40 |
$855.40 |
$512.00
|
|
Chimerism anal no cell selec
|
$2,419.20 |
$2,419.20 |
$2,419.20 |
$380.00
|
|
Chimerism anal w/cell select
|
$1,906.10 |
$1,906.10 |
$1,906.10 |
$585.60
|
|
Chlamydia culture
|
$88.90 |
$88.90 |
$88.90 |
$92.16
|
|
Chlamydia type
|
$46.90 |
$46.90 |
$46.90 |
$34.98
|
|
Chloride 24 hour urine
|
$70.00 |
$70.00 |
$70.00 |
$50.40
|
|
Chloroprocaine hcl injection
|
$88.37 |
$88.37 |
$88.37 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$437.15 |
$437.15 |
$437.15 |
$369.74
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$117.60 |
$117.60 |
$117.60 |
$78.43
|
|
Chmotx admn plrl cav thrcnts
|
$728.70 |
$728.70 |
$728.70 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$5,539.80 |
$5,539.80 |
$5,539.80 |
$3,384.15
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$921.20 |
$921.20 |
$921.20 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,063.99 |
$5,063.99 |
$5,063.99 |
$3,739.81
|
|
Cholesterol
|
$86.80 |
$86.80 |
$86.80 |
$45.50
|
|
Cholesterol body fluid
|
$1,131.20 |
$1,131.20 |
$1,131.20 |
$88.65
|
|
Cholesterol (Lipid) Test
|
$184.10 |
$184.10 |
$184.10 |
$115.80
|
|
Cholinesterase
|
$105.00 |
$105.00 |
$105.00 |
$39.32
|
|
Chorion biopsy
|
$1,399.30 |
$1,399.30 |
$1,399.30 |
$1,392.05
|
|
Chrom analysis
|
$556.50 |
$556.50 |
$556.50 |
$156.00
|
|
Chromatography
|
$296.80 |
$296.80 |
$296.80 |
$81.25
|
|
Chromogenic substrate assay
|
$480.20 |
$480.20 |
$480.20 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$1,273.30 |
$1,273.30 |
$1,273.30 |
$250.00
|
|
Chromosome analys amniotic
|
$1,143.10 |
$1,143.10 |
$1,143.10 |
$450.00
|
|
Chromosome analysis 100
|
$326.20 |
$326.20 |
$326.20 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$1,093.40 |
$1,093.40 |
$1,093.40 |
$512.20
|
|
Chromosome analysis 45
|
$315.70 |
$315.70 |
$315.70 |
$380.91
|
|
Chromosome analysis 5
|
$976.50 |
$976.50 |
$976.50 |
$644.80
|
|
Chromosome analysis 50-100
|
$1,129.10 |
$1,129.10 |
$1,129.10 |
$434.40
|
|
Chromosome analys placenta
|
$396.20 |
$396.20 |
$396.20 |
$572.99
|
|
Chromosome count additional
|
$149.80 |
$149.80 |
$149.80 |
$92.45
|
|
Chromosome karyotype study
|
$188.30 |
$188.30 |
$188.30 |
$120.00
|
|
Chromosome study additional
|
$385.70 |
$385.70 |
$385.70 |
$152.86
|
|
Chronic urticaria - sendout
|
$203.70 |
$203.70 |
$203.70 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$135.10 |
$135.10 |
$135.10 |
$135.10
|
|
Cidofovir injection
|
$2,064.12 |
$2,064.12 |
$2,064.12 |
$1,447.81
|
|
Cilastatin sodium injection
|
$46.90 |
$46.90 |
$46.90 |
$77.40
|
|
Ciliary transsleral therapy
|
$5,567.80 |
$5,567.80 |
$5,567.80 |
$3,078.36
|
|
Cine/video x-rays
|
$440.30 |
$440.30 |
$440.30 |
$327.75
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$30.62 |
$30.62 |
$30.62 |
$36.23
|
|
Circum 28 days or older
|
$20,683.82 |
$20,683.82 |
$20,683.82 |
$3,786.00
|
|
Circumcise/surg/28 days or < 54160
|
$4,342.10 |
$4,342.10 |
$4,342.10 |
$1,219.20
|
|
Circumcision (newborn)
|
$17,525.21 |
$17,525.21 |
$17,525.21 |
$1,358.70
|
|
Cisplatin 1 mg/ml desensitization
|
$385.35 |
$385.35 |
$385.35 |
$198.28
|
|
C-kit mutation liquid tumor - sendout
|
$794.50 |
$794.50 |
$794.50 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$473.02 |
$473.02 |
$473.02 |
$586.54
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$21,863.62 |
$21,863.62 |
$21,863.62 |
$15,779.40
|
|
Clearance of airways
|
$397.60 |
$397.60 |
$397.60 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$47.42 |
$47.42 |
$47.42 |
$55.20
|
|
Clip ligating vesolock lg
|
$600.95 |
$600.95 |
$600.95 |
$4,194.00
|
|
Cllr miami j sm
|
$574.70 |
$574.70 |
$574.70 |
$552.23
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$74.55 |
$74.55 |
$74.55 |
$83.14
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,054.90 |
$1,054.90 |
$1,054.90 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,339.80 |
$1,339.80 |
$1,339.80 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$1,823.50 |
$1,823.50 |
$1,823.50 |
$2,269.80
|
|
Closed tx humerus fx w/manip 24505
|
$1,451.80 |
$1,451.80 |
$1,451.80 |
$1,540.50
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$560.00 |
$560.00 |
$560.00 |
$386.40
|
|
Closed tx septal&nose fx
|
$4,728.50 |
$4,728.50 |
$4,728.50 |
$3,624.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$445.20 |
$445.20 |
$445.20 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$4,029.20 |
$4,029.20 |
$4,029.20 |
$2,377.50
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,115.10 |
$1,115.10 |
$1,115.10 |
$1,244.64
|
|
Closure paravalvlr leak pq
|
$41,293.70 |
$41,293.70 |
$41,293.70 |
$8,455.19
|
|
Clot factor fletcher fact
|
$242.90 |
$242.90 |
$242.90 |
$116.82
|
|
Clot factor viii reltd antgn
|
$377.30 |
$377.30 |
$377.30 |
$159.06
|
|
Clot factor wght kininogen
|
$262.50 |
$262.50 |
$262.50 |
$157.50
|
|
Clot factor xii hageman
|
$469.70 |
$469.70 |
$469.70 |
$135.01
|
|
Clot factor xiii fibrin scrn
|
$86.10 |
$86.10 |
$86.10 |
$57.75
|
|
Clot factor xiii fibrin stab
|
$284.90 |
$284.90 |
$284.90 |
$106.26
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$806.40 |
$806.40 |
$806.40 |
$657.28
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$484.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$3,256.40 |
$3,256.40 |
$3,256.40 |
$1,893.86
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,026.20 |
$1,026.20 |
$1,026.20 |
$676.20
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$808.50 |
$808.50 |
$808.50 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$583.10 |
$583.10 |
$583.10 |
$462.80
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$336.70 |
$336.70 |
$336.70 |
$373.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$2,671.20 |
$2,671.20 |
$2,671.20 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$541.80 |
$541.80 |
$541.80 |
$529.65
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,250.20 |
$1,250.20 |
$1,250.20 |
$1,680.00
|
|
Clsd tx fx radius/ulna without manip 25560
|
$930.30 |
$930.30 |
$930.30 |
$487.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,849.40 |
$1,849.40 |
$1,849.40 |
$1,548.40
|
|
Clsd tx hip disloc without anes 27265
|
$816.20 |
$816.20 |
$816.20 |
$631.00
|
