|
Chct for mal hyperthermia
|
$516.80 |
$516.80 |
$516.80 |
|
|
Chemical exfoliation acne 17360
|
$54.72 |
$307.20 |
$307.20 |
|
|
Chemical peel face epiderm 15788
|
$823.80 |
$1,051.20 |
$1,051.20 |
|
|
Chemical peel nonfacial 15793
|
$886.80 |
$1,170.40 |
$1,170.40 |
|
|
Chemical peel nonfacial; epidermal
|
$784.80 |
$942.40 |
$942.40 |
|
|
Chemo adm cns w/lmbr punct
|
$400.80 |
$492.24 |
$1,583.40 |
|
|
Chemodener muscle larynx emg
|
$798.40 |
$798.40 |
$967.84 |
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$176.80 |
$227.20 |
$958.50 |
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$210.60 |
$325.00 |
$958.50 |
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$330.00 |
$641.08 |
$5,908.00 |
|
|
Chemodenerv 1 extremity 1-4 64642
|
$274.56 |
$641.08 |
$1,909.15 |
|
|
Chemodenervation anal musc
|
$447.60 |
$1,465.60 |
$5,402.15 |
|
|
Chemodenervation/face muscl/unilat 64612
|
$230.16 |
$652.80 |
$2,057.25 |
|
|
Chemodenervation nerve of eye muscle 67345
|
$395.40 |
$1,195.20 |
$1,195.20 |
|
|
Chemodenerv eccrine glands
|
$229.45 |
$237.60 |
$721.50 |
|
|
Chemodenerv eccrine glands 64650
|
$196.80 |
$197.60 |
$229.45 |
|
|
Chemodenerv musc migraine 64615
|
$134.88 |
$391.52 |
$6,898.00 |
|
|
Chemodenerv musc neck dyston 64616
|
$227.40 |
$635.20 |
$5,885.00 |
|
|
Chemodenerv saliv glands bilat 64611
|
$196.95 |
$289.60 |
$3,818.00 |
|
|
Chemodenerv trunk musc 1-5 64646
|
$285.60 |
$641.08 |
$1,660.12 |
|
|
Chemodenerv trunk musc 6/] 64647
|
$267.60 |
$427.20 |
$2,493.59 |
|
|
Chemo extend IV infus w/pump
|
$261.60 |
$261.60 |
$768.30 |
|
|
Chemo ia infuse each addl hr
|
$80.64 |
$138.40 |
$138.40 |
|
|
Chemo ia infusion up to 1 hr
|
$299.20 |
$299.20 |
$406.56 |
|
|
Chemo ia push tecnique
|
$139.02 |
$182.40 |
$1,137.24 |
|
|
Chemo intralesional over 7
|
$237.60 |
$237.60 |
$237.60 |
|
|
Chemo intralesional up to 7 96405
|
$89.46 |
$175.20 |
$175.20 |
|
|
Chemotaxis assay
|
$33.60 |
$33.60 |
$33.60 |
|
|
Chemotherapy injection 96542
|
$204.60 |
$261.60 |
$674.92 |
|
|
Chemotx admn pertl cav impl
|
$353.60 |
$353.60 |
$1,137.24 |
|
|
Chest 2 vws w oblique
|
$207.84 |
$277.37 |
$551.21 |
|
|
Chest apical lordotic proj
|
$63.05 |
$219.60 |
$451.25 |
|
|
Chest CT scan (with and without contrast)
|
$842.90 |
$2,252.90 |
$5,747.00 |
|
|
Chest CT scan (with contrast)
|
$758.16 |
$1,844.52 |
$9,415.50 |
|
|
Chest CT scan (without contrast)
|
$683.83 |
$1,441.70 |
$3,221.00 |
|
|
Chest Physiotherapy (first session)
|
$72.00 |
$144.00 |
$488.17 |
|
|
Chest Physiotherapy (follow-up session)
|
$42.24 |
$110.99 |
$283.51 |
|
|
Chest Ultrasound
|
$171.78 |
$463.88 |
$1,078.00 |
|
|
Chest X-ray
|
$145.10 |
$217.92 |
$52,999.68 |
|
|
Chest X-ray (single view)
|
$117.60 |
$195.21 |
$61,028.03 |
|
|
Chg pr pul rehab for copd patients
|
$106.80 |
$284.64 |
$572.00 |
|
|
Chg radiologic exam esophagus double contrast
|
$145.92 |
$379.01 |
$667.00 |
|
|
Chimerism anal no cell selec
|
$465.60 |
$465.60 |
$465.60 |
|
|
Chimerism anal w/cell select
|
$585.60 |
$585.60 |
$585.60 |
|
|
Chiropractic manj 5 regions
|
$96.80 |
$96.80 |
$96.80 |
|
|
Chiropract manj 1-2 regions
|
$51.20 |
$51.20 |
$59.00 |
|
|
Chiropract manj 3-4 regions
|
$74.40 |
$74.40 |
$81.00 |
|
|
Chiropract manj xtrspinl 1/>
|
$46.40 |
$46.40 |
$89.69 |
|
|
Chlamydia culture
|
$49.60 |
$49.60 |
$132.00 |
|
|
Chlamydia trachomatis ag if
|
$30.40 |
$30.40 |
$153.30 |
|
|
Chlamydia type
|
$38.58 |
$38.58 |
$97.20 |
|
|
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
|
$60.06 |
$207.12 |
$1,017.46 |
|
|
Chloramphenicol sodium injec
|
$71.40 |
$88.97 |
$115.78 |
|
|
Chloride
|
$26.40 |
$33.57 |
$20,561.95 |
|
|
Chloride 24 hour urine
|
$33.57 |
$38.35 |
$126.00 |
|
|
Chloroprocaine hcl injection
|
$0.18 |
$53.72 |
$102.90 |
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$122.35 |
$279.44 |
$1,009.40 |
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$5.10 |
$96.48 |
$162.48 |
|
|
Chlorpromazine 100 mg tablet
|
$1.00 |
$2.10 |
$3.95 |
|
|
Chmotx admn plrl cav thrcnts
|
$1,546.40 |
$1,546.40 |
$1,546.40 |
|
|
Cholangiogram percutaneous compl
|
$758.40 |
$2,076.80 |
$7,362.84 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$259.16 |
$679.31 |
$1,877.20 |
|
|
Cholecystectomy expl duct 47612
|
$1,641.60 |
$3,126.40 |
$3,126.40 |
|
|
Cholecystectomy w/cholangiography 47605
|
$1,456.32 |
$2,758.40 |
$4,029.00 |
|
|
Cholecystoenterostomy direct 47720
|
$2,058.60 |
$2,832.00 |
$2,832.00 |
|
|
Cholecystostomy complete w/supervision & interpretation
|
$840.80 |
$4,334.92 |
$10,685.00 |
|
|
Cholera vaccine live oral
|
$264.80 |
$264.80 |
$264.80 |
|
|
Cholesterol
|
$28.80 |
$38.40 |
$101.40 |
|
|
Cholesterol body fluid
|
$13.65 |
$64.28 |
$652.80 |
|
|
Cholesterol (Lipid) Test
|
$53.40 |
$100.00 |
$1,035.00 |
|
|
Cholinesterase
|
$33.57 |
$64.68 |
$160.00 |
|
|
Cholinesterase challenge
|
$85.92 |
$120.00 |
$635.75 |
|
|
Chorion biopsy
|
$337.26 |
$376.80 |
$955.20 |
|
|
Chorionic gonadotropin/1000u
|
$25.60 |
$25.60 |
$351.46 |
|
|
Chrnc care mgmt phys 1st 30
|
$156.00 |
$156.00 |
$191.40 |
|
|
Chrom analysis
|
$84.80 |
$127.86 |
$173.40 |
|
|
Chromatogram assay sugars
|
$86.42 |
$86.42 |
$86.42 |
|
|
Chromatography
|
$44.00 |
$45.60 |
$124.00 |
|
|
Chromogenic substrate assay
|
$33.57 |
$33.57 |
$185.25 |
|
|
Chromo high res and frag x - sendout
|
$127.86 |
$127.86 |
$399.75 |
|
|
Chromosome analys amniotic
|
$145.32 |
$436.00 |
$579.60 |
|
|
Chromosome analysis 100
|
$434.40 |
$434.40 |
$434.40 |
|
|
Chromosome analysis 15-20 cell count
|
$306.40 |
$315.20 |
$1,191.00 |
|
|
Chromosome analysis 20-25
|
$367.20 |
$434.40 |
$434.40 |
|
|
Chromosome analysis 45
|
$366.40 |
$377.60 |
$377.60 |
|
|
Chromosome analysis 5
|
$153.60 |
$528.80 |
$644.80 |
|
|
Chromosome analysis 50-100
|
$434.40 |
$434.40 |
$434.40 |
|
|
Chromosome analys placenta
|
$473.60 |
$473.60 |
$644.28 |
|
|
Chromosome banding study
|
$172.80 |
$172.80 |
$172.80 |
|
|
Chromosome count additional
|
$52.65 |
$127.86 |
$127.86 |
|
|
Chromosome karyotype study
|
$63.05 |
$127.86 |
$139.75 |
|
|
Chromosome study additional
|
$92.64 |
$127.86 |
$186.40 |
|
|
Chronic urticaria - sendout
|
$39.65 |
$48.57 |
$175.20 |
|
|
Chylomicron screen, bf - sendout
|
$84.50 |
$123.20 |
$270.40 |
|
|
Cidofovir injection
|
$1,352.09 |
$1,506.73 |
$3,403.30 |
|
|
Cilastatin sodium injection
|
$39.39 |
$71.68 |
$87.44 |
|
|
Ciliary transsleral therapy
|
$2,196.80 |
$2,196.80 |
$2,196.80 |
|
|
Cinacalcet 30 mg tablet
|
$1.00 |
$1.00 |
$13.00 |
|
