|
Chemo adm cns w/lmbr punct
|
$1,637.00 |
$1,637.00 |
$1,637.00 |
$720.20
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$617.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$988.50
|
|
Chemodenervation anal musc
|
$7,004.00 |
$7,004.00 |
$7,004.00 |
$2,762.67
|
|
Chemodenervation/face muscl/unilat 64612
|
$1,083.92 |
$1,083.92 |
$1,083.92 |
$600.00
|
|
Chemodenerv musc migraine 64615
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$1,169.35 |
$1,169.35 |
$1,169.35 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$1,239.00 |
$1,239.00 |
$1,239.00 |
$748.55
|
|
Chemo ia push tecnique
|
$995.00 |
$995.00 |
$995.00 |
$499.50
|
|
Chemo intralesional up to 7 96405
|
$203.00 |
$203.00 |
$203.00 |
$163.80
|
|
Chemotherapy injection 96542
|
$879.00 |
$879.00 |
$879.00 |
$442.20
|
|
Chest 2 vws w oblique
|
$516.00 |
$516.00 |
$516.00 |
$375.60
|
|
Chest apical lordotic proj
|
$448.00 |
$448.00 |
$448.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,934.00 |
$2,934.00 |
$2,934.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$295.00 |
$295.00 |
$295.00 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$450.00 |
$450.00 |
$450.00 |
$134.50
|
|
Chest Ultrasound
|
$796.00 |
$796.00 |
$796.00 |
$463.88
|
|
Chest X-ray
|
$384.00 |
$384.00 |
$384.00 |
$294.06
|
|
Chest X-ray (single view)
|
$306.00 |
$306.00 |
$306.00 |
$236.60
|
|
Chg radiologic exam esophagus double contrast
|
$659.00 |
$659.00 |
$659.00 |
$520.80
|
|
Chloride
|
$19.00 |
$19.00 |
$19.00 |
$42.63
|
|
Chloride 24 hour urine
|
$22.00 |
$22.00 |
$22.00 |
$50.88
|
|
Cholangiogram percutaneous compl
|
$10,472.00 |
$10,472.00 |
$10,472.00 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$792.00 |
$792.00 |
$792.00 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$10,996.00 |
$10,996.00 |
$10,996.00 |
$3,856.84
|
|
Cholesterol
|
$20.00 |
$20.00 |
$20.00 |
$45.76
|
|
Cholesterol body fluid
|
$23.15 |
$23.15 |
$23.15 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$63.00 |
$63.00 |
$63.00 |
$115.80
|
|
Chorion biopsy
|
$2,549.00 |
$2,549.00 |
$2,549.00 |
$1,392.05
|
|
Chrom analysis
|
$426.00 |
$426.00 |
$426.00 |
$156.00
|
|
Chromatography
|
$77.00 |
$77.00 |
$77.00 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$252.00 |
$252.00 |
$252.00 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$908.00 |
$908.00 |
$908.00 |
$517.11
|
|
Chromosome analys placenta
|
$660.00 |
$660.00 |
$660.00 |
$572.99
|
|
Chromosome count additional
|
$166.00 |
$166.00 |
$166.00 |
$96.50
|
|
Chromosome karyotype study
|
$166.00 |
$166.00 |
$166.00 |
$120.00
|
|
Circumcision (newborn)
|
$3,882.00 |
$3,882.00 |
$3,882.00 |
$1,364.88
|
|
Clearance of airways
|
$443.00 |
$443.00 |
$443.00 |
$213.07
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$893.00 |
$893.00 |
$893.00 |
$520.80
|
|
Closed tx humerus fx with manip 23605
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$893.00 |
$893.00 |
$893.00 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$413.00 |
$413.00 |
$413.00 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$6,486.00 |
$6,486.00 |
$6,486.00 |
$2,569.28
|
|
Closed tx/talus fracture without manip 28430
|
$893.00 |
$893.00 |
$893.00 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$639.00 |
$639.00 |
$639.00 |
$472.50
|
|
Close tear duct opening
|
$1,018.00 |
$1,018.00 |
$1,018.00 |
$353.74
|
|
Clos txnose fx without stablz 21315
|
$5,471.00 |
$5,471.00 |
$5,471.00 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$1,259.62
|
|
Closure of eyelid by suture
|
$3,338.00 |
$3,338.00 |
$3,338.00 |
$1,701.96
|
|
Closure paravalvlr leak pq
|
$17,009.00 |
$17,009.00 |
$17,009.00 |
$9,434.46
|
|
Clot factor fletcher fact
|
$116.82 |
$116.82 |
$116.82 |
$119.50
|
|
Clot factor wght kininogen
|
$178.50 |
$178.50 |
$178.50 |
$157.50
|
|
Clot factor xii hageman
|
$67.00 |
$67.00 |
$67.00 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$20.00 |
$20.00 |
$20.00 |
$56.85
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$893.00 |
$893.00 |
$893.00 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$536.00 |
$536.00 |
$536.00 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$489.60
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,326.00 |
$2,326.00 |
$2,326.00 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$893.00 |
$893.00 |
$893.00 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$893.00 |
$893.00 |
$893.00 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$893.00 |
$893.00 |
$893.00 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$893.00 |
$893.00 |
$893.00 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$4,793.00 |
$4,793.00 |
$4,793.00 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$630.00 |
$630.00 |
$630.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$599.00 |
$599.00 |
$599.00 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$893.00 |
$893.00 |
$893.00 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$893.00 |
$893.00 |
$893.00 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$893.00 |
$893.00 |
$893.00 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$893.00 |
$893.00 |
$893.00 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$630.00 |
$630.00 |
$630.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$599.00 |
$599.00 |
$599.00 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$704.00 |
$704.00 |
$704.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,142.00 |
$1,142.00 |
$1,142.00 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$853.00 |
$853.00 |
$853.00 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$893.00 |
$893.00 |
$893.00 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$893.00 |
$893.00 |
$893.00 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$893.00 |
$893.00 |
$893.00 |
$429.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$630.00 |
$630.00 |
$630.00 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$599.00 |
$599.00 |
$599.00 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$893.00 |
$893.00 |
$893.00 |
$498.85
|
|
Clsd tx pelvic ring fx
|
$748.00 |
$748.00 |
$748.00 |
$424.50
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$893.00 |
$893.00 |
$893.00 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$599.00 |
$599.00 |
$599.00 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$536.00 |
$536.00 |
$536.00 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,828.80
|
