|
Chemodenerv musc migraine 64615
|
$2,995.40 |
$2,995.40 |
$2,995.40 |
$556.86
|
|
Chemodenerv musc neck dyston 64616
|
$1,666.10 |
$1,666.10 |
$1,666.10 |
$783.90
|
|
Chemodenerv saliv glands bilat 64611
|
$477.75 |
$477.75 |
$477.75 |
$430.17
|
|
Chemodenerv trunk musc 1-5 64646
|
$8,445.13 |
$8,445.13 |
$8,445.13 |
$966.06
|
|
Chemodenerv trunk musc 6/] 64647
|
$6,530.89 |
$6,530.89 |
$6,530.89 |
$904.25
|
|
Chemo extend IV infus w/pump
|
$737.10 |
$737.10 |
$737.10 |
$510.90
|
|
Chemo ia push tecnique
|
$239.20 |
$239.20 |
$239.20 |
$589.90
|
|
Chemo intralesional over 7
|
$473.20 |
$473.20 |
$473.20 |
$248.12
|
|
Chemo intralesional up to 7 96405
|
$162.50 |
$162.50 |
$162.50 |
$174.30
|
|
Chemotherapy injection 96542
|
$426.40 |
$426.40 |
$426.40 |
$444.49
|
|
Chemotx admn pertl cav impl
|
$895.05 |
$895.05 |
$895.05 |
$507.17
|
|
Chest 2 vws w oblique
|
$438.75 |
$438.75 |
$438.75 |
$334.02
|
|
Chest apical lordotic proj
|
$412.75 |
$412.75 |
$412.75 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$1,858.35 |
$1,858.35 |
$1,858.35 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,448.20 |
$1,448.20 |
$1,448.20 |
$1,166.90
|
|
Chest X-ray
|
$361.40 |
$361.40 |
$361.40 |
$265.85
|
|
Chest X-ray (single view)
|
$286.00 |
$286.00 |
$286.00 |
$192.50
|
|
Chg pr pul rehab for copd patients
|
$206.05 |
$206.05 |
$206.05 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$687.05 |
$687.05 |
$687.05 |
$555.00
|
|
Chlamydia culture
|
$83.85 |
$83.85 |
$83.85 |
$96.51
|
|
Chlamydia type
|
$165.10 |
$165.10 |
$165.10 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$614.90 |
$614.90 |
$614.90 |
$252.99
|
|
Chloramphenicol sodium injec
|
$147.05 |
$147.05 |
$147.05 |
$126.46
|
|
Chloride
|
$53.95 |
$53.95 |
$53.95 |
$37.48
|
|
Chloride 24 hour urine
|
$79.95 |
$79.95 |
$79.95 |
$40.80
|
|
Chloroprocaine hcl injection
|
$83.73 |
$83.73 |
$83.73 |
$68.40
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$582.45 |
$582.45 |
$582.45 |
$358.30
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$30.18 |
$30.18 |
$30.18 |
$53.03
|
|
Cholangiogram percutaneous compl
|
$9,003.88 |
$9,003.88 |
$9,003.88 |
$3,611.95
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$618.15 |
$618.15 |
$618.15 |
$546.01
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,838.20 |
$1,838.20 |
$1,838.20 |
$3,690.60
|
|
Cholesterol
|
$32.50 |
$32.50 |
$32.50 |
$40.95
|
|
Cholesterol body fluid
|
$904.15 |
$904.15 |
$904.15 |
$67.50
|
|
Cholesterol (Lipid) Test
|
$145.60 |
$145.60 |
$145.60 |
$101.43
|
|
Cholinesterase
|
$59.80 |
$59.80 |
$59.80 |
$49.40
|
|
Chorionic gonadotropin/1000u
|
$535.68 |
$535.68 |
$535.68 |
$788.58
|
|
Chrom analysis
|
$384.80 |
$384.80 |
$384.80 |
$156.00
|
|
Chromatography
|
$183.30 |
$183.30 |
$183.30 |
$81.25
|
|
Chromogenic substrate assay
|
$408.20 |
$408.20 |
$408.20 |
$188.40
|
|
Chromo high res and frag x - sendout
|
$393.25 |
$393.25 |
$393.25 |
$269.00
|
|
Chromosome analysis 15-20 cell count
|
$560.30 |
$560.30 |
$560.30 |
$558.25
|
|
Chromosome count additional
|
$152.75 |
$152.75 |
$152.75 |
$120.90
|
|
Chromosome karyotype study
|
$263.90 |
$263.90 |
$263.90 |
$120.60
|
|
Chronic urticaria - sendout
|
$169.00 |
$169.00 |
$169.00 |
$100.00
|
|
Chylomicron screen, bf - sendout
|
$133.25 |
$133.25 |
$133.25 |
$136.09
|
|
Cidofovir injection
|
$1,447.81 |
$1,447.81 |
$1,447.81 |
$1,099.26
|
|
Cilastatin sodium injection
|
$98.69 |
$98.69 |
$98.69 |
$43.44
|
|
Ciliary transsleral therapy
|
$6,463.80 |
$6,463.80 |
$6,463.80 |
$2,584.50
|
|
Circum 28 days or older
|
$9,479.50 |
$9,479.50 |
$9,479.50 |
$4,074.80
|
|
Circumcision (newborn)
|
$475.80 |
$475.80 |
$475.80 |
$1,516.80
|
|
Cisplatin 1 mg/ml desensitization
|
$78.35 |
$78.35 |
$78.35 |
$52.43
|
|
C-kit mutation liquid tumor - sendout
|
$509.60 |
$509.60 |
$509.60 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$955.01 |
$955.01 |
$955.01 |
$355.41
|
|
Clean out mastoid cavity
|
$11,054.19 |
$11,054.19 |
$11,054.19 |
$1,033.60
|
|
Clearance of airways
|
$193.05 |
$193.05 |
$193.05 |
$208.00
|
|
Clearance of tear duct
|
$10,710.82 |
$10,710.82 |
$10,710.82 |
$795.53
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$43.83 |
$43.83 |
$43.83 |
$49.74
|
|
Cllr miami j sm
|
$104.00 |
$104.00 |
$104.00 |
$112.39
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$75.56 |
$75.56 |
$75.56 |
$109.36
|
|
Close tear duct opening
|
$854.75 |
$854.75 |
$854.75 |
$436.44
|
|
Closure intestinal cutaneous fistula 44640
|
$33,565.98 |
$33,565.98 |
$33,565.98 |
$3,443.20
|
|
Closure of eyelid by suture
|
$7,379.38 |
$7,379.38 |
$7,379.38 |
$1,107.60
|
|
Closure paravalvlr leak pq
|
$10,390.25 |
$10,390.25 |
$10,390.25 |
$10,497.50
|
|
Clot factor xii hageman
|
$109.20 |
$109.20 |
$109.20 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$100.10 |
$100.10 |
$100.10 |
$81.25
|
|
Clot factor xiii fibrin stab
|
$122.85 |
$122.85 |
$122.85 |
$84.27
|
|
Clozapine, 25 mg
|
$4.87 |
$4.87 |
$4.87 |
$5.40
|
|
Clsd tx elbow dislocation child 24640
|
$474.50 |
$474.50 |
$474.50 |
$520.00
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,437.80 |
$1,437.80 |
$1,437.80 |
$1,884.74
|
|
Cmbn ant pst colprhy
|
$20,789.68 |
$20,789.68 |
$20,789.68 |
$5,194.98
|
|
C motor evoked lwr limbs
|
$321.75 |
$321.75 |
$321.75 |
$619.82
|
|
C motor evoked uppr limbs
|
$1,313.65 |
$1,313.65 |
$1,313.65 |
$749.40
|
|
C motor evoked upr&lwr limbs
|
$978.90 |
$978.90 |
$978.90 |
$1,209.08
|
|
Cmptr ophth dx img ant segmt
|
$59.80 |
$59.80 |
$59.80 |
$81.12
|
|
Cmptr ophth img optic nerve
|
$70.20 |
$70.20 |
$70.20 |
$119.00
|
|
#cmvcul-virus inoculation shell
|
$135.85 |
$135.85 |
$135.85 |
$109.80
|
|
Cmv pcr-sendout
|
$198.25 |
$198.25 |
$198.25 |
$177.50
|
|
Co2 monitor per day
|
$577.85 |
$577.85 |
$577.85 |
$400.00
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$46,173.40 |
$46,173.40 |
$46,173.40 |
$3.78
|
|
Coagulation time activated teg
|
$91.65 |
$91.65 |
$91.65 |
$37.05
|
|
Cold agglutinin screen (arc)
|
$81.25 |
$81.25 |
$81.25 |
$48.57
|
|
Cold agglutinin titer
|
$38.35 |
$38.35 |
$38.35 |
$48.57
|
|
Colistimethate sodium inj
|
$84.60 |
$84.60 |
$84.60 |
$46.62
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$57.85 |
$57.85 |
$57.85 |
$32.26
|
|
Collar cerv adlt perfit ace extric
|
$70.20 |
$70.20 |
$70.20 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$57.85 |
$57.85 |
$57.85 |
$151.05
|
|
Collar cerv patriot adlt
|
$83.20 |
$83.20 |
$83.20 |
$83.20
|
|
Collar extrication adult univ
|
$503.75 |
$503.75 |
$503.75 |
$503.75
|
|
Collection blood specimen from completely implantable venous access device
|
$4,246.75 |
$4,246.75 |
$4,246.75 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$644.38 |
$644.38 |
$644.38 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$774.15 |
$774.15 |
$774.15 |
$20.30
|
|
Colonoscopy (diagnostic)
|
$2,791.03 |
$2,791.03 |
$2,791.03 |
$1,500.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,442.40 |
$3,442.40 |
$3,442.40 |
$1,846.40
|
|
Colonoscopy stoma w/snare 44394
|
$3,251.63 |
$3,251.63 |
$3,251.63 |
$1,368.00
|
|
Colonoscopy submucous njx
|
$4,771.29 |
$4,771.29 |
$4,771.29 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$2,791.03 |
$2,791.03 |
$2,791.03 |
$1,261.31
|
|
Colonoscopy w/ablation
|
$4,259.37 |
$4,259.37 |
$4,259.37 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$4,605.13 |
$4,605.13 |
$4,605.13 |
$1,497.60
|
|
Colonoscopy w/band ligation
|
$2,694.82 |
$2,694.82 |
$2,694.82 |
$1,916.00
|
