|
Cell count w differential body fluid
|
$30.00 |
$133.20 |
$240.80 |
|
|
Cell cryopreserve/storage
|
$56.44 |
$470.40 |
$1,421.00 |
|
|
Cell enumeration & id
|
$542.40 |
$575.00 |
$1,601.60 |
|
|
Cell enumeration phys interp
|
$61.60 |
$61.60 |
$61.60 |
|
|
Cell function assay w/stim
|
$75.00 |
$528.80 |
$863.10 |
|
|
Cell marker study
|
$44.88 |
$545.76 |
$1,204.00 |
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$47.33 |
$1,958.56 |
$70,971.60 |
|
|
Centralization wrist on ulna
|
$4,641.60 |
$4,641.60 |
$4,641.60 |
|
|
Cephalin floculation test
|
$10.40 |
$10.40 |
$10.40 |
|
|
Cerclage cervix pregnancy abdominal 59325
|
$469.20 |
$469.20 |
$70,999.08 |
|
|
Cerclage of uterine cervix nonob 57700
|
$603.60 |
$603.60 |
$47,406.90 |
|
|
Cerebrospinal fld flw imag
|
$722.40 |
$1,125.00 |
$3,694.60 |
|
|
Cer post col occ/man sup adj
|
$910.80 |
$910.80 |
$910.80 |
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$22.65 |
$8,770.30 |
$27,252.05 |
|
|
Cervical lymphadenectomy 38720
|
$2,617.20 |
$2,617.20 |
$56,005.24 |
|
|
Cervical or vaginal cancer screening g0101
|
$62.40 |
$85.60 |
$126.00 |
|
|
Cesarean section delivery only 59514
|
$1,577.40 |
$2,167.20 |
$5,990.00 |
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$58.75 |
$229.19 |
$10,221.05 |
|
|
#cf-97variants
|
$147.50 |
$1,100.88 |
$3,268.80 |
|
|
Cftr gene dup/delet variants
|
$392.80 |
$1,246.85 |
$3,493.60 |
|
|
Cftr gene intron poly t
|
$337.60 |
$1,229.20 |
$1,856.40 |
|
|
Cftr gene known fam variants
|
$122.40 |
$1,398.60 |
$2,077.60 |
|
|
Change cystostomy tube; complex 51710
|
$337.80 |
$922.90 |
$24,897.21 |
|
|
Change cystostomy tube simple
|
$131.25 |
$497.50 |
$12,787.02 |
|
|
Change gastric port open
|
$1,230.40 |
$1,230.40 |
$1,230.40 |
|
|
Change g-tube to g-j perc
|
$1,100.00 |
$2,425.80 |
$10,855.63 |
|
|
Change nephroureteral cath
|
$1,150.00 |
$3,000.00 |
$12,074.40 |
|
|
Change of ureter tube/stent
|
$990.00 |
$2,866.80 |
$12,229.12 |
|
|
Change of windpipe airway 31502
|
$130.00 |
$414.00 |
$18,359.32 |
|
|
Change stent via transureth
|
$2,930.00 |
$6,201.30 |
$24,525.95 |
|
|
Change ureter stent percut
|
$2,360.00 |
$4,006.80 |
$15,810.60 |
|
|
Chct for mal hyperthermia
|
$516.80 |
$516.80 |
$516.80 |
|
|
Chemical exfoliation acne 17360
|
$247.80 |
$247.80 |
$307.20 |
|
|
Chemical peel face epiderm 15788
|
$865.20 |
$865.20 |
$1,051.20 |
|
|
Chemical peel nonfacial 15793
|
$931.20 |
$931.20 |
$1,170.40 |
|
|
Chemical peel nonfacial; epidermal
|
$823.80 |
$823.80 |
$942.40 |
|
|
Chemo adm cns w/lmbr punct
|
$184.80 |
$945.00 |
$2,310.00 |
|
|
Chemodener muscle larynx emg
|
$798.40 |
$1,200.60 |
$1,544.40 |
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$190.20 |
$701.40 |
$8,551.72 |
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$128.15 |
$700.00 |
$3,077.60 |
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$330.00 |
$905.00 |
$3,077.60 |
|
|
Chemodenerv 1 extremity 1-4 64642
|
$289.80 |
$1,084.30 |
$10,912.30 |
|
|
Chemodenervation anal musc
|
$469.80 |
$3,590.30 |
$19,871.84 |
|
|
Chemodenervation/face muscl/unilat 64612
|
$322.80 |
$652.80 |
$36,770.52 |
|
|
Chemodenervation nerve of eye muscle 67345
|
$415.20 |
$747.00 |
$12,580.14 |
|
|
Chemodenerv eccrine glands
|
$237.60 |
$260.40 |
$260.40 |
|
|
Chemodenerv eccrine glands 64650
|
$197.60 |
$206.40 |
$206.40 |
|
|
Chemodenerv musc migraine 64615
|
$200.00 |
$504.00 |
$37,896.38 |
|
|
Chemodenerv musc neck dyston 64616
|
$200.00 |
$740.00 |
$15,597.27 |
|
|
Chemodenerv saliv glands bilat 64611
|
$235.80 |
$542.40 |
$6,908.82 |
|
|
Chemodenerv trunk musc 1-5 64646
|
$307.20 |
$1,378.20 |
$12,741.10 |
|
|
Chemodenerv trunk musc 6/] 64647
|
$280.80 |
$1,827.70 |
$11,009.56 |
|
|
Chemo extend IV infus w/pump
|
$237.50 |
$745.92 |
$1,710.80 |
|
|
Chemo ia infuse each addl hr
|
$138.40 |
$272.16 |
$344.16 |
|
|
Chemo ia infusion up to 1 hr
|
$299.20 |
$725.90 |
$725.90 |
|
|
Chemo ia push tecnique
|
$168.30 |
$495.00 |
$786.00 |
|
|
Chemo intralesional over 7
|
$192.06 |
$301.70 |
$883.80 |
|
|
Chemo intralesional up to 7 96405
|
$123.60 |
$347.20 |
$766.80 |
|
|
Chemotaxis assay
|
$33.60 |
$33.60 |
$33.60 |
|
|
Chemotherapy injection 96542
|
$112.86 |
$470.00 |
$1,640.40 |
|
|
Chemotx admn pertl cav impl
|
$353.60 |
$595.00 |
$1,640.40 |
|
|
Chest 2 vws w oblique
|
$175.00 |
$426.40 |
$966.00 |
|
|
Chest apical lordotic proj
|
$137.50 |
$362.50 |
$900.20 |
|
|
Chest CT scan (with and without contrast)
|
$750.00 |
$2,705.60 |
$3,577.20 |
|
|
Chest CT scan (with contrast)
|
$700.00 |
$2,330.40 |
$3,577.20 |
|
|
Chest CT scan (without contrast)
|
$602.25 |
$1,982.88 |
$3,577.20 |
|
|
Chest Physiotherapy (first session)
|
$56.25 |
$120.00 |
$464.80 |
|
|
Chest Physiotherapy (follow-up session)
|
$35.20 |
$115.00 |
$322.00 |
|
|
Chest Ultrasound
|
$174.00 |
$517.55 |
$1,039.50 |
|
|
Chest X-ray
|
$137.50 |
$316.80 |
$674.10 |
|
|
Chest X-ray (single view)
|
$125.00 |
$240.10 |
$537.60 |
|
|
Chg pr pul rehab for copd patients
|
$70.00 |
$150.00 |
$448.20 |
|
|
Chg radiologic exam esophagus double contrast
|
$252.12 |
$855.40 |
$1,790.25 |
|
|
Chimerism anal no cell selec
|
$400.00 |
$465.60 |
$3,066.70 |
|
|
Chimerism anal w/cell select
|
$585.60 |
$1,600.00 |
$2,415.70 |
|
|
Chiropractic manj 5 regions
|
$96.80 |
$96.80 |
$96.80 |
|
|
Chiropract manj 1-2 regions
|
$51.20 |
$51.20 |
$51.20 |
|
|
Chiropract manj 3-4 regions
|
$74.40 |
$74.40 |
$74.40 |
|
|
Chiropract manj xtrspinl 1/>
|
$46.40 |
$46.40 |
$46.40 |
|
|
Chlamydia culture
|
$31.25 |
$112.50 |
$382.40 |
|
|
Chlamydia trachomatis ag if
|
$25.20 |
$25.20 |
$30.40 |
|
|
Chlamydia type
|
$7.92 |
$55.00 |
$226.10 |
|
|
Chlmyd pneum dna dir probe
|
$50.40 |
$50.40 |
$50.40 |
|
|
Chlmyd pneum dna quant
|
$108.00 |
$108.00 |
$108.00 |
|
|
Chlnggrphy intraop addl s&i
|
$134.64 |
$280.00 |
$963.60 |
|
|
Chloramphenicol sodium injec
|
$83.56 |
$115.78 |
$642.07 |
|
|
Chloride
|
$3.00 |
$51.10 |
$106.40 |
|
|
Chloride 24 hour urine
|
$14.52 |
$67.10 |
$300.80 |
|
|
Chloroprocaine (clorotekal)
|
$23.05 |
$23.05 |
$23.05 |
|
|
Chloroprocaine hcl injection
|
$0.26 |
$13.64 |
$316.22 |
|
|
Chloroprocaine opht gel, 1mg
|
$731.29 |
$731.29 |
$731.29 |
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$68.90 |
$381.67 |
$1,640.62 |
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$50.04 |
$117.60 |
$373.62 |
|
|
Chmotx admn plrl cav thrcnts
|
$285.60 |
$728.70 |
$1,546.40 |
|
|
Cholangiogram percutaneous compl
|
$1,196.40 |
$3,120.80 |
$7,622.64 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$275.00 |
$732.96 |
$1,844.80 |
|
|
Cholecystectomy expl duct 47612
|
$2,383.20 |
$2,383.20 |
$3,126.40 |
|
|
Cholecystectomy w/cholangiography 47605
|
$1,845.00 |
$1,845.00 |
$2,758.40 |
|
|
Cholecystoenterostomy direct 47720
|
$2,161.80 |
$2,161.80 |
$2,832.00 |
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,750.00 |
$2,929.60 |
$10,876.80 |
|
