|
Cftr gene known fam variants
|
$1,548.60 |
$1,548.60 |
$1,548.60 |
$195.20
|
|
Change cystostomy tube; complex 51710
|
$3,037.80 |
$3,037.80 |
$3,037.80 |
$1,470.75
|
|
Change cystostomy tube simple
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$451.00
|
|
Change g-tube to g-j perc
|
$8,043.60 |
$8,043.60 |
$8,043.60 |
$2,198.40
|
|
Change nephroureteral cath
|
$12,074.40 |
$12,074.40 |
$12,074.40 |
$2,969.25
|
|
Change of ureter tube/stent
|
$8,054.40 |
$8,054.40 |
$8,054.40 |
$2,423.46
|
|
Change of windpipe airway 31502
|
$310.20 |
$310.20 |
$520.20 |
$388.00
|
|
Change stent via transureth
|
$6,006.60 |
$6,006.60 |
$6,006.60 |
$3,927.00
|
|
Change ureter stent percut
|
$15,810.60 |
$15,810.60 |
$15,810.60 |
$3,863.60
|
|
Chemo adm cns w/lmbr punct
|
$1,429.20 |
$1,429.20 |
$1,429.20 |
$665.40
|
|
Chemodener muscle larynx emg
|
$1,544.40 |
$1,544.40 |
$1,544.40 |
$798.40
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$1,445.40 |
$1,445.40 |
$1,445.40 |
$540.80
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$552.00
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$739.80 |
$739.80 |
$2,034.60 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$1,370.40 |
$1,370.40 |
$1,370.40 |
$932.40
|
|
Chemodenervation anal musc
|
$4,675.80 |
$4,675.80 |
$4,675.80 |
$2,462.82
|
|
Chemodenervation/face muscl/unilat 64612
|
$2,056.20 |
$2,056.20 |
$2,056.20 |
$569.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$747.00 |
$747.00 |
$747.00 |
$436.44
|
|
Chemodenerv musc migraine 64615
|
$1,194.60 |
$1,194.60 |
$1,194.60 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$2,056.20 |
$2,056.20 |
$2,056.20 |
$698.60
|
|
Chemodenerv saliv glands bilat 64611
|
$614.40 |
$614.40 |
$614.40 |
$455.00
|
|
Chemodenerv trunk musc 1-5 64646
|
$2,034.60 |
$2,034.60 |
$2,034.60 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$2,212.80 |
$2,212.80 |
$2,212.80 |
$1,250.60
|
|
Chemo extend IV infus w/pump
|
$897.00 |
$897.00 |
$897.00 |
$737.10
|
|
Chemo ia push tecnique
|
$786.00 |
$786.00 |
$786.00 |
$493.25
|
|
Chest 2 vws w oblique
|
$441.60 |
$441.60 |
$647.40 |
$377.06
|
|
Chest apical lordotic proj
|
$391.20 |
$391.20 |
$391.20 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,788.60 |
$1,788.60 |
$2,424.60 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,635.00 |
$1,635.00 |
$2,253.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,632.60 |
$1,632.60 |
$2,253.00 |
$1,350.03
|
|
Chest X-ray
|
$328.80 |
$328.80 |
$328.80 |
$294.06
|
|
Chest X-ray (single view)
|
$279.00 |
$279.00 |
$279.00 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$226.20 |
$226.20 |
$226.20 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$936.00 |
$936.00 |
$936.00 |
$511.59
|
|
Chlamydia culture
|
$231.60 |
$231.60 |
$231.60 |
$93.90
|
|
Chlamydia type
|
$91.20 |
$91.20 |
$91.20 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$182.40 |
$182.40 |
$963.60 |
$301.40
|
|
Chloride
|
$3.00 |
$3.00 |
$69.60 |
$40.95
|
|
Chloride 24 hour urine
|
$28.20 |
$28.20 |
$214.80 |
$49.50
|
|
Cholangiogram percutaneous compl
|
$3,305.40 |
$3,305.40 |
$3,305.40 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$558.60 |
$558.60 |
$963.60 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$10,876.80 |
$10,876.80 |
$10,876.80 |
$3,690.60
|
|
Cholesterol
|
$77.40 |
$77.40 |
$77.40 |
$45.76
|
|
Cholesterol body fluid
|
$258.00 |
$258.00 |
$258.00 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$125.40 |
$125.40 |
$205.80 |
$115.80
|
|
Cholinesterase
|
$262.20 |
$262.20 |
$262.20 |
$38.69
|
|
Cholinesterase challenge
|
$380.40 |
$380.40 |
$380.40 |
$366.72
|
|
Chrom analysis
|
$246.00 |
$246.00 |
$246.00 |
$156.00
|
|
Chromatogram assay sugars
|
$337.80 |
$337.80 |
$337.80 |
$86.42
|
|
Chromatography
|
$749.40 |
$749.40 |
$749.40 |
$81.25
|
|
Chromogenic substrate assay
|
$914.40 |
$914.40 |
$914.40 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$1,122.60 |
$1,122.60 |
$1,122.60 |
$247.59
|
|
Chromosome analys amniotic
|
$427.20 |
$427.20 |
$427.20 |
$450.00
|
|
Chromosome analysis 100
|
$663.60 |
$663.60 |
$663.60 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$1,210.20 |
$1,210.20 |
$1,210.20 |
$512.20
|
|
Chromosome analysis 50-100
|
$340.80 |
$340.80 |
$340.80 |
$405.00
|
|
Chromosome count additional
|
$456.60 |
$456.60 |
$456.60 |
$92.45
|
|
Chromosome karyotype study
|
$94.80 |
$94.80 |
$621.00 |
$119.87
|
|
Chronic urticaria - sendout
|
$453.60 |
$453.60 |
$453.60 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$197.40 |
$197.40 |
$197.40 |
$124.15
|
|
Cine/video x-rays
|
$201.60 |
$201.60 |
$201.60 |
$321.64
|
|
Circumcision (newborn)
|
$2,782.20 |
$2,782.20 |
$2,782.20 |
$1,395.20
|
|
Clearance of airways
|
$377.40 |
$377.40 |
$425.40 |
$208.86
|
|
Clearance of tear duct
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$656.38
|
|
Cllr miami j sm
|
$307.80 |
$307.80 |
$307.80 |
$566.23
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$291.60 |
$291.60 |
$291.60 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$2,244.60 |
$2,244.60 |
$2,244.60 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$379.80 |
$379.80 |
$379.80 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$2,263.20 |
$2,263.20 |
$2,263.20 |
$2,211.05
|
|
Closed tx humerus fx without manip 23600
|
$2,458.20 |
$2,458.20 |
$2,458.20 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$2,410.80 |
$2,410.80 |
$2,410.80 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$271.80 |
$271.80 |
$271.80 |
$376.96
|
|
Closed tx orbit without manipulj
|
$321.00 |
$321.00 |
$321.00 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,868.40 |
$1,868.40 |
$1,868.40 |
$2,520.60
|
|
Closed tx/talus fracture without manip 28430
|
$380.40 |
$380.40 |
$380.40 |
$421.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$537.60 |
$537.60 |
$537.60 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$2,608.80 |
$2,608.80 |
$2,608.80 |
$2,326.08
|
|
Closure paravalvlr leak pq
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$7,723.17
|
|
Clot factor fletcher fact
|
$539.40 |
$539.40 |
$539.40 |
$119.50
|
|
Clot factor wght kininogen
|
$539.40 |
$539.40 |
$539.40 |
$167.96
|
|
Clot factor xii hageman
|
$450.00 |
$450.00 |
$450.00 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$403.80 |
$403.80 |
$403.80 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$556.80 |
$556.80 |
$556.80 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,654.80 |
$1,654.80 |
$1,654.80 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$370.20 |
$370.20 |
$370.20 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$447.00 |
$447.00 |
$447.00 |
$419.29
|
|
Clsd tx/clavicular fx without manip 23500
|
$316.20 |
$316.20 |
$316.20 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$252.00 |
$252.00 |
$252.00 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$252.00 |
$252.00 |
$252.00 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$566.40 |
$566.40 |
$566.40 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$600.60 |
$600.60 |
$600.60 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,244.60 |
$2,244.60 |
$2,244.60 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$656.40 |
$656.40 |
$656.40 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$252.00 |
$252.00 |
$252.00 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$347.40 |
$347.40 |
$347.40 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$370.20 |
$370.20 |
$370.20 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,755.60 |
$1,755.60 |
$1,755.60 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$826.20 |
$826.20 |
$826.20 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,755.60 |
$1,755.60 |
$1,755.60 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$555.60 |
$555.60 |
$555.60 |
$445.80
|
