|
Chemo adm cns w/lmbr punct
|
$454.19 |
$454.19 |
$454.19 |
$720.20
|
|
Chemodener muscle larynx emg
|
$970.61 |
$970.61 |
$970.61 |
$801.75
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$89.19 |
$89.19 |
$89.19 |
$617.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$107.35 |
$107.35 |
$107.35 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$970.61 |
$970.61 |
$970.61 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$970.61 |
$970.61 |
$970.61 |
$988.50
|
|
Chemodenervation anal musc
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,762.67
|
|
Chemodenervation/face muscl/unilat 64612
|
$422.07 |
$422.07 |
$422.07 |
$600.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$436.44 |
$436.44 |
$436.44 |
$717.07
|
|
Chemodenerv eccrine glands
|
$422.07 |
$422.07 |
$422.07 |
$424.40
|
|
Chemodenerv eccrine glands 64650
|
$422.07 |
$422.07 |
$422.07 |
$536.87
|
|
Chemodenerv musc migraine 64615
|
$422.07 |
$422.07 |
$422.07 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$422.07 |
$422.07 |
$422.07 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$422.07 |
$422.07 |
$422.07 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$970.61 |
$970.61 |
$970.61 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$970.61 |
$970.61 |
$970.61 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$454.19 |
$454.19 |
$454.19 |
$748.55
|
|
Chemo ia infuse each addl hr
|
$64.39 |
$64.39 |
$64.39 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$454.19 |
$454.19 |
$454.19 |
$572.00
|
|
Chemo ia push tecnique
|
$454.19 |
$454.19 |
$454.19 |
$499.50
|
|
Chemo intralesional over 7
|
$292.48 |
$292.48 |
$292.48 |
$346.29
|
|
Chemo intralesional up to 7 96405
|
$99.00 |
$99.00 |
$99.00 |
$163.80
|
|
Chemotaxis assay
|
$22.07 |
$22.07 |
$22.07 |
$33.60
|
|
Chemotherapy injection 96542
|
$454.19 |
$454.19 |
$454.19 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$454.19 |
$454.19 |
$454.19 |
$590.00
|
|
Chest 2 vws w oblique
|
$143.75 |
$143.75 |
$143.75 |
$375.60
|
|
Chest apical lordotic proj
|
$119.66 |
$119.66 |
$119.66 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$241.18 |
$241.18 |
$241.18 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$241.18 |
$241.18 |
$241.18 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$143.75 |
$143.75 |
$143.75 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$182.95 |
$182.95 |
$182.95 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$182.95 |
$182.95 |
$182.95 |
$134.50
|
|
Chest Ultrasound
|
$143.75 |
$143.75 |
$143.75 |
$463.88
|
|
Chest X-ray
|
$119.66 |
$119.66 |
$119.66 |
$294.06
|
|
Chest X-ray (single view)
|
$119.66 |
$119.66 |
$119.66 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$81.12 |
$81.12 |
$81.12 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$241.18 |
$241.18 |
$241.18 |
$520.80
|
|
Chimerism anal no cell selec
|
$286.29 |
$286.29 |
$286.29 |
$393.74
|
|
Chimerism anal w/cell select
|
$359.89 |
$359.89 |
$359.89 |
$649.00
|
|
Chiropractic manj 5 regions
|
$52.55 |
$52.55 |
$52.55 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$29.68 |
$29.68 |
$29.68 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$38.81 |
$38.81 |
$38.81 |
$56.99
|
|
Chlamydia culture
|
$27.05 |
$27.05 |
$27.05 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$16.53 |
$16.53 |
$16.53 |
$66.60
|
|
Chlamydia type
|
$7.69 |
$7.69 |
$7.69 |
$34.98
|
|
Chlmyd pneum dna dir probe
|
$27.67 |
$27.67 |
$27.67 |
$50.40
|
|
Chlmyd pneum dna quant
|
$59.12 |
$59.12 |
$59.12 |
$59.12
|
|
Chloramphenicol sodium injec
|
$69.36 |
$69.36 |
$69.36 |
$113.84
|
|
Chloride
|
$6.35 |
$6.35 |
$6.35 |
$42.63
|
|
Chloride 24 hour urine
|
$7.94 |
$7.94 |
$7.94 |
$50.88
|
|
Chloroprocaine hcl injection
|
$0.05 |
$0.05 |
$0.05 |
$69.08
|
|
Chloroprocaine opht gel, 1mg
|
$0.80 |
$0.80 |
$0.80 |
$0.63
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$80.21 |
$80.21 |
$80.21 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$32.80 |
$32.80 |
$32.80 |
$79.74
|
|
Chmotx admn plrl cav thrcnts
|
$454.19 |
$454.19 |
$454.19 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$18.77 |
$18.77 |
$18.77 |
$602.40
|
|
Cholecystectomy expl duct 47612
|
$1,803.74 |
$1,803.74 |
$1,803.74 |
$3,126.40
|
|
Cholecystectomy w/cholangiography 47605
|
$1,597.52 |
$1,597.52 |
$1,597.52 |
$1,963.37
|
|
Cholecystoenterostomy direct 47720
|
$1,647.53 |
$1,647.53 |
$1,647.53 |
$2,832.00
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,923.19 |
$4,923.19 |
$4,923.19 |
$3,856.84
|
|
Cholesterol
|
$6.00 |
$6.00 |
$6.00 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$18.48 |
$18.48 |
$18.48 |
$115.80
|
|
Choline c-11
|
$3,472.67 |
$3,472.67 |
$3,472.67 |
$2,062.94
|
|
Cholinesterase
|
$10.86 |
$10.86 |
$10.86 |
$39.48
|
|
Cholinesterase challenge
|
$296.91 |
$296.91 |
$296.91 |
$366.72
|
|
Chorion biopsy
|
$1,266.48 |
$1,266.48 |
$1,266.48 |
$1,392.05
|
|
Chorionic gonadotropin/1000u
|
$21.25 |
$21.25 |
$21.25 |
$548.36
|
|
Chrnc care mgmt phys 1st 30
|
$92.60 |
$92.60 |
$92.60 |
$156.00
|
|
Chrom analysis
|
$48.04 |
$48.04 |
$48.04 |
$156.00
|
|
Chromatogram assay sugars
|
$53.82 |
$53.82 |
$53.82 |
$86.42
|
|
Chromatography
|
$24.92 |
$24.92 |
$24.92 |
$84.60
|
|
Chromogenic substrate assay
|
$16.41 |
$16.41 |
$16.41 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$78.72 |
$78.72 |
$78.72 |
$250.00
|
|
Chromosome analys amniotic
|
$239.65 |
$239.65 |
$239.65 |
$450.00
|
|
Chromosome analysis 100
|
$238.97 |
$238.97 |
$238.97 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$173.18 |
$173.18 |
$173.18 |
$517.11
|
|
Chromosome analysis 20-25
|
$238.97 |
$238.97 |
$238.97 |
$409.20
|
|
Chromosome analysis 45
|
$207.40 |
$207.40 |
$207.40 |
$382.85
|
|
Chromosome analysis 5
|
$364.79 |
$364.79 |
$364.79 |
$644.80
|
|
Chromosome analysis 50-100
|
$238.97 |
$238.97 |
$238.97 |
$434.40
|
|
Chromosome analys placenta
|
$260.23 |
$260.23 |
$260.23 |
$572.99
|
|
Chromosome banding study
|
$94.67 |
$94.67 |
$94.67 |
$183.91
|
|
Chromosome count additional
|
$37.14 |
$37.14 |
$37.14 |
$96.50
|
|
Chromosome karyotype study
|
$46.19 |
$46.19 |
$46.19 |
$120.00
|
|
Chromosome study additional
|
$47.51 |
$47.51 |
$47.51 |
$151.09
|
|
Chronic urticaria - sendout
|
$17.19 |
$17.19 |
$17.19 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$84.87 |
$84.87 |
$84.87 |
$136.09
|
|
Cid ext controller repl
|
$2,159.88 |
$2,159.88 |
$2,159.88 |
$1,546.16
|
|
Cid ext speech process repl
|
$12,123.18 |
$12,123.18 |
$12,123.18 |
$15,422.40
|
|
Cidofovir injection
|
$723.79 |
$723.79 |
$723.79 |
$1,352.09
|
|
Cid transmit coil and cable
|
$304.26 |
$304.26 |
$304.26 |
$292.46
|
|
Cilastatin sodium injection
|
$9.80 |
$9.80 |
$9.80 |
$77.40
|
|
Ciliary transsleral therapy
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$3,269.14
|
|
Ciltacabtagene car-pos t
|
$810,956.41 |
$810,956.41 |
$810,956.41 |
$1,573,072.37
|
|
Cine/video x-rays
|
$143.75 |
$143.75 |
$143.75 |
$321.64
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$2.76 |
$2.76 |
$2.76 |
$35.65
|
|
Circum 28 days or older
|
$2,874.36 |
$2,874.36 |
$2,874.36 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$958.81 |
$958.81 |
$958.81 |
$1,219.20
|
|
Circumcision (newborn)
|
$2,874.36 |
$2,874.36 |
$2,874.36 |
$1,364.88
|
