|
Cftr gene intron poly t
|
$337.60 |
$337.60 |
$337.60 |
$301.65
|
|
Cftr gene known fam variants
|
$195.20 |
$195.20 |
$195.20 |
$195.20
|
|
Change cystostomy tube; complex 51710
|
$1,293.24 |
$1,293.24 |
$1,293.24 |
$1,527.00
|
|
Change cystostomy tube simple
|
$245.89 |
$245.89 |
$539.50 |
$477.60
|
|
Change gastric port open
|
$1,230.40 |
$1,230.40 |
$1,230.40 |
$4,332.25
|
|
Change g-tube to g-j perc
|
$1,515.80 |
$1,515.80 |
$2,198.40 |
$2,198.81
|
|
Change nephroureteral cath
|
$3,683.36 |
$3,683.36 |
$3,683.36 |
$3,083.97
|
|
Change of ureter tube/stent
|
$1,013.12 |
$1,013.12 |
$1,013.12 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$243.99 |
$243.99 |
$243.99 |
$401.50
|
|
Change stent via transureth
|
$5,286.40 |
$5,286.40 |
$5,286.40 |
$3,927.00
|
|
Change ureter stent percut
|
$5,390.40 |
$5,390.40 |
$5,390.40 |
$3,886.89
|
|
Chct for mal hyperthermia
|
$516.80 |
$516.80 |
$516.80 |
$436.80
|
|
Chemical exfoliation acne 17360
|
$307.20 |
$307.20 |
$307.20 |
$275.88
|
|
Chemical peel face epiderm 15788
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$865.20
|
|
Chemical peel nonfacial 15793
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$558.97
|
|
Chemical peel nonfacial; epidermal
|
$942.40 |
$942.40 |
$942.40 |
$942.40
|
|
Chemo adm cns w/lmbr punct
|
$625.88 |
$625.88 |
$625.88 |
$720.20
|
|
Chemodener muscle larynx emg
|
$798.40 |
$798.40 |
$798.40 |
$801.75
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$215.00 |
$215.00 |
$868.26 |
$617.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$325.00 |
$325.00 |
$868.26 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$353.00 |
$353.00 |
$868.26 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$323.00 |
$323.00 |
$868.26 |
$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 |
$2,057.25 |
$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
|
$466.05 |
$466.05 |
$483.60 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$635.20 |
$635.20 |
$1,228.50 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$441.28 |
$441.28 |
$1,085.50 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$348.00 |
$348.00 |
$868.26 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$868.26 |
$868.26 |
$868.26 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$261.60 |
$261.60 |
$282.10 |
$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
|
$625.88 |
$625.88 |
$625.88 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$353.60 |
$353.60 |
$353.60 |
$590.00
|
|
Chest 2 vws w oblique
|
$277.37 |
$277.37 |
$277.37 |
$375.60
|
|
Chest apical lordotic proj
|
$145.10 |
$145.10 |
$145.10 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,367.94 |
$1,367.94 |
$3,527.55 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,210.97 |
$1,210.97 |
$3,292.90 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$869.92 |
$869.92 |
$1,593.00 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$104.00 |
$104.00 |
$133.44 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$96.26 |
$96.26 |
$104.00 |
$134.50
|
|
Chest Ultrasound
|
$184.00 |
$184.00 |
$703.95 |
$463.88
|
|
Chest X-ray
|
$145.10 |
$145.10 |
$52,999.68 |
$294.06
|
|
Chest X-ray (single view)
|
$145.10 |
$145.10 |
$31,253.01 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$319.28 |
$319.28 |
$319.28 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$312.00 |
$312.00 |
$379.01 |
$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 |
$59.00 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$74.40 |
$74.40 |
$81.00 |
$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
|
$200.89 |
$200.89 |
$200.89 |
$281.18
|
|
Chloride
|
$33.57 |
$33.57 |
$20,561.95 |
$42.63
|
|
Chloride 24 hour urine
|
$33.57 |
$33.57 |
$36.40 |
$50.88
|
|
Chloroprocaine hcl injection
|
$1.73 |
$1.73 |
$92.60 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$245.76 |
$245.76 |
$275.95 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$116.50 |
$116.50 |
$162.48 |
$79.74
|
|
Chlorpromazine 100 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$6.96
|
|
Chmotx admn plrl cav thrcnts
|
$1,546.40 |
$1,546.40 |
$1,546.40 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$2,478.25 |
$2,478.25 |
$2,478.25 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,068.01 |
$1,068.01 |
$1,877.20 |
$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 |
$4,029.00 |
$1,963.37
|
|
Cholecystoenterostomy direct 47720
|
$2,832.00 |
$2,832.00 |
$2,832.00 |
$2,832.00
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,916.85 |
$1,916.85 |
$5,909.08 |
$3,856.84
|
|
Cholera vaccine live oral
|
$264.80 |
$264.80 |
$264.80 |
$481.60
|
|
Cholesterol
|
$33.57 |
$33.57 |
$48.75 |
$45.76
|
|
Cholesterol body fluid
|
$43.55 |
$43.55 |
$64.28 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$68.56 |
$68.56 |
$1,035.00 |
$115.80
|
|
Cholinesterase
|
$33.57 |
$33.57 |
$79.95 |
$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 |
$120.90 |
$84.60
|
|
Chromogenic substrate assay
|
$33.57 |
$33.57 |
$185.25 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$127.86 |
$127.86 |
$399.75 |
$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
|
