|
Chemical peel nonfacial; epidermal
|
$942.40 |
$942.40 |
$942.40 |
$942.40
|
|
Chemo adm cns w/lmbr punct
|
$749.01 |
$749.01 |
$749.01 |
$720.20
|
|
Chemodener muscle larynx emg
|
$798.40 |
$798.40 |
$798.40 |
$801.75
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$227.20 |
$227.20 |
$227.20 |
$617.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$285.60 |
$285.60 |
$285.60 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$416.00 |
$416.00 |
$416.00 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$1,253.80 |
$1,253.80 |
$1,253.80 |
$988.50
|
|
Chemodenervation anal musc
|
$1,465.60 |
$1,465.60 |
$1,465.60 |
$2,762.67
|
|
Chemodenervation/face muscl/unilat 64612
|
$652.80 |
$652.80 |
$652.80 |
$600.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$1,195.20 |
$1,195.20 |
$1,195.20 |
$717.07
|
|
Chemodenerv eccrine glands
|
$237.60 |
$237.60 |
$237.60 |
$424.40
|
|
Chemodenerv eccrine glands 64650
|
$197.60 |
$197.60 |
$197.60 |
$536.87
|
|
Chemodenerv musc migraine 64615
|
$682.21 |
$682.21 |
$682.21 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$682.21 |
$682.21 |
$682.21 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$289.60 |
$289.60 |
$289.60 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,526.88 |
$1,526.88 |
$1,526.88 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$427.20 |
$427.20 |
$427.20 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$261.60 |
$261.60 |
$261.60 |
$748.55
|
|
Chemo ia infuse each addl hr
|
$138.40 |
$138.40 |
$138.40 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$299.20 |
$299.20 |
$299.20 |
$572.00
|
|
Chemo ia push tecnique
|
$182.40 |
$182.40 |
$182.40 |
$499.50
|
|
Chemo intralesional over 7
|
$237.60 |
$237.60 |
$237.60 |
$346.29
|
|
Chemo intralesional up to 7 96405
|
$175.20 |
$175.20 |
$175.20 |
$163.80
|
|
Chemotaxis assay
|
$33.60 |
$33.60 |
$33.60 |
$33.60
|
|
Chemotherapy injection 96542
|
$444.49 |
$444.49 |
$444.49 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$353.60 |
$353.60 |
$353.60 |
$590.00
|
|
Chest 2 vws w oblique
|
$551.21 |
$551.21 |
$551.21 |
$375.60
|
|
Chest apical lordotic proj
|
$451.25 |
$451.25 |
$451.25 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,318.36 |
$2,318.36 |
$2,318.36 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,233.93 |
$2,233.93 |
$2,233.93 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,954.45 |
$1,954.45 |
$1,954.45 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$121.32 |
$121.32 |
$121.32 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$121.32 |
$121.32 |
$121.32 |
$134.50
|
|
Chest Ultrasound
|
$463.88 |
$463.88 |
$463.88 |
$463.88
|
|
Chest X-ray
|
$308.60 |
$308.60 |
$308.60 |
$294.06
|
|
Chest X-ray (single view)
|
$206.71 |
$206.71 |
$206.71 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$188.95 |
$188.95 |
$188.95 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$405.14 |
$405.14 |
$405.14 |
$520.80
|
|
Chimerism anal no cell selec
|
$465.60 |
$465.60 |
$465.60 |
$393.74
|
|
Chimerism anal w/cell select
|
$585.60 |
$585.60 |
$585.60 |
$649.00
|
|
Chiropractic manj 5 regions
|
$96.80 |
$96.80 |
$96.80 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$51.20 |
$51.20 |
$51.20 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$74.40 |
$74.40 |
$74.40 |
$56.99
|
|
Chiropract manj xtrspinl 1/>
|
$46.40 |
$46.40 |
$46.40 |
$65.52
|
|
Chlamydia culture
|
$49.60 |
$49.60 |
$49.60 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$30.40 |
$30.40 |
$30.40 |
$66.60
|
|
Chlamydia type
|
$38.58 |
$38.58 |
$38.58 |
$34.98
|
|
Chlmyd pneum dna dir probe
|
$50.40 |
$50.40 |
$50.40 |
$50.40
|
|
Chlmyd pneum dna quant
|
$108.00 |
$108.00 |
$108.00 |
$59.12
|
|
Chlnggrphy intraop addl s&i
|
$248.44 |
$248.44 |
$248.44 |
$281.18
|
|
Chloride
|
$33.57 |
$33.57 |
$33.57 |
$42.63
|
|
Chloride 24 hour urine
|
$33.57 |
$33.57 |
$33.57 |
$50.88
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$116.24 |
$116.24 |
$116.24 |
$79.74
|
|
Chmotx admn plrl cav thrcnts
|
$1,546.40 |
$1,546.40 |
$1,546.40 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$7,362.84 |
$7,362.84 |
$7,362.84 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$679.31 |
$679.31 |
$679.31 |
$602.40
|
|
Cholecystectomy expl duct 47612
|
$3,126.40 |
$3,126.40 |
$3,126.40 |
$3,126.40
|
|
Cholecystectomy w/cholangiography 47605
|
$2,758.40 |
$2,758.40 |
$2,758.40 |
$1,963.37
|
|
Cholecystoenterostomy direct 47720
|
$2,832.00 |
$2,832.00 |
$2,832.00 |
$2,832.00
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,334.92 |
$4,334.92 |
$4,334.92 |
$3,856.84
|
|
Cholera vaccine live oral
|
$264.80 |
$264.80 |
$264.80 |
$481.60
|
|
Cholesterol
|
$33.57 |
$33.57 |
$33.57 |
$45.76
|
|
Cholesterol body fluid
|
$64.28 |
$64.28 |
$64.28 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$68.56 |
$68.56 |
$68.56 |
$115.80
|
|
Cholinesterase
|
$33.57 |
$33.57 |
$33.57 |
$39.48
|
|
Cholinesterase challenge
|
$120.00 |
$120.00 |
$120.00 |
$366.72
|
|
Chorion biopsy
|
$376.80 |
$376.80 |
$376.80 |
$1,392.05
|
|
Chorionic gonadotropin/1000u
|
$25.60 |
$25.60 |
$25.60 |
$548.36
|
|
Chrnc care mgmt phys 1st 30
|
$156.00 |
$156.00 |
$156.00 |
$156.00
|
|
Chrom analysis
|
$127.86 |
$127.86 |
$127.86 |
$156.00
|
|
Chromatogram assay sugars
|
$86.42 |
$86.42 |
$86.42 |
$86.42
|
|
Chromatography
|
$45.60 |
$45.60 |
$45.60 |
$84.60
|
|
Chromogenic substrate assay
|
$33.57 |
$33.57 |
$33.57 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$127.86 |
$127.86 |
$127.86 |
$250.00
|
|
Chromosome analys amniotic
|
$436.00 |
$436.00 |
$436.00 |
$450.00
|
|
Chromosome analysis 100
|
$434.40 |
$434.40 |
$434.40 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$315.20 |
$315.20 |
$315.20 |
$517.11
|
|
Chromosome analysis 20-25
|
$434.40 |
$434.40 |
$434.40 |
$409.20
|
|
Chromosome analysis 45
|
$377.60 |
$377.60 |
$377.60 |
$382.85
|
|
Chromosome analysis 5
|
$528.80 |
$528.80 |
$528.80 |
$644.80
|
|
Chromosome analysis 50-100
|
$434.40 |
$434.40 |
$434.40 |
$434.40
|
|
Chromosome analys placenta
|
$473.60 |
$473.60 |
$473.60 |
$572.99
|
|
Chromosome banding study
|
$172.80 |
$172.80 |
$172.80 |
$183.91
|
|
Chromosome count additional
|
$127.86 |
$127.86 |
$127.86 |
$96.50
|
|
Chromosome karyotype study
|
$127.86 |
$127.86 |
$127.86 |
$120.00
|
|
Chromosome study additional
|
$127.86 |
$127.86 |
$127.86 |
$151.09
|
|
Chronic urticaria - sendout
|
$48.57 |
$48.57 |
$48.57 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$123.20 |
$123.20 |
$123.20 |
$136.09
|
|
Ciliary transsleral therapy
|
$2,196.80 |
$2,196.80 |
$2,196.80 |
$3,269.14
|
|
Cine/video x-rays
|
$206.40 |
$206.40 |
$206.40 |
$321.64
|
|
Cine/video x-rays add-on
|
$91.20 |
$91.20 |
$91.20 |
$293.05
|
|
Circum 28 days or older
|
$496.00 |
$496.00 |
$496.00 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$545.60 |
$545.60 |
$545.60 |
$1,219.20
|
|
Circumcision (newborn)
|
$4,482.85 |
$4,482.85 |
$4,482.85 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$4.00 |
$4.00 |
$4.00 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$659.20 |
$659.20 |
$659.20 |
$666.60
|
|
C-laminoplasty w/graft/plate
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
$4,108.00
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$21,125.81 |
$21,125.81 |
$21,125.81 |
$15,560.16
|
|
Claviculectomy partial
|
$2,875.20 |
$2,875.20 |
$2,875.20 |
$3,839.54
|
|
Claviculectomy total
|
$3,488.00 |
$3,488.00 |
$3,488.00 |
$4,499.12
|
