|
Chemo adm cns w/lmbr punct
|
$586.30 |
$586.30 |
$725.40 |
|
|
Chemodener muscle larynx emg
|
$958.10 |
$958.10 |
$958.10 |
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$72.80 |
$6,401.39 |
$9,118.52 |
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$134.55 |
$134.55 |
$7,719.08 |
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$622.05 |
$622.05 |
$6,413.95 |
|
|
Chemodenerv 1 extremity 1-4 64642
|
$622.05 |
$622.05 |
$9,914.45 |
|
|
Chemodenervation anal musc
|
$692.90 |
$692.90 |
$15,613.52 |
|
|
Chemodenervation/face muscl/unilat 64612
|
$94.90 |
$94.90 |
$2,101.77 |
|
|
Chemodenervation nerve of eye muscle 67345
|
$323.70 |
$323.70 |
$323.70 |
|
|
Chemodenerv eccrine glands 64650
|
$32.50 |
$32.50 |
$32.50 |
|
|
Chemodenerv musc migraine 64615
|
$98.15 |
$98.15 |
$3,801.20 |
|
|
Chemodenerv musc neck dyston 64616
|
$266.50 |
$266.50 |
$4,235.40 |
|
|
Chemodenerv saliv glands bilat 64611
|
$90.35 |
$90.35 |
$477.75 |
|
|
Chemodenerv trunk musc 1-5 64646
|
$383.50 |
$383.50 |
$8,445.13 |
|
|
Chemodenerv trunk musc 6/] 64647
|
$333.45 |
$333.45 |
$6,530.89 |
|
|
Chemo extend IV infus w/pump
|
$594.10 |
$634.40 |
$799.50 |
|
|
Chemo ia push tecnique
|
$239.20 |
$239.20 |
$239.20 |
|
|
Chemo intralesional over 7
|
$473.20 |
$473.20 |
$473.20 |
|
|
Chemo intralesional up to 7 96405
|
$162.50 |
$162.50 |
$231.00 |
|
|
Chemotherapy injection 96542
|
$426.40 |
$426.40 |
$426.40 |
|
|
Chemotx admn pertl cav impl
|
$895.05 |
$895.05 |
$895.05 |
|
|
Chest 2 vws w oblique
|
$254.80 |
$317.20 |
$458.90 |
|
|
Chest apical lordotic proj
|
$141.05 |
$271.05 |
$412.75 |
|
|
Chest CT scan (with and without contrast)
|
$81.75 |
$1,846.65 |
$2,346.50 |
|
|
Chest CT scan (with contrast)
|
$72.75 |
$1,543.75 |
$2,011.75 |
|
|
Chest CT scan (without contrast)
|
$60.75 |
$1,263.60 |
$2,011.75 |
|
|
Chest X-ray
|
$73.50 |
$184.60 |
$361.40 |
|
|
Chest X-ray (single view)
|
$11.25 |
$158.60 |
$286.00 |
|
|
Chg pr pul rehab for copd patients
|
$206.05 |
$223.60 |
$284.05 |
|
|
Chg radiologic exam esophagus double contrast
|
$646.10 |
$687.05 |
$691.60 |
|
|
Chlamydia culture
|
$77.35 |
$83.85 |
$126.10 |
|
|
Chlamydia trachomatis ag if
|
$23.25 |
$23.25 |
$23.25 |
|
|
Chlamydia type
|
$24.70 |
$33.80 |
$165.10 |
|
|
Chlnggrphy intraop addl s&i
|
$248.30 |
$248.30 |
$614.90 |
|
|
Chloramphenicol sodium injec
|
$147.05 |
$147.05 |
$147.05 |
|
|
Chloride
|
$16.50 |
$49.40 |
$80.60 |
|
|
Chloride 24 hour urine
|
$39.65 |
$53.30 |
$80.60 |
|
|
Chloroprocaine hcl injection
|
$83.73 |
$90.02 |
$107.82 |
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$580.51 |
$580.51 |
$582.45 |
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$9.75 |
$27.98 |
$37.56 |
|
|
Cholangiogram percutaneous compl
|
$9,003.88 |
$9,003.88 |
$9,003.88 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$503.75 |
$558.35 |
$850.20 |
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,838.20 |
$1,838.20 |
$1,838.20 |
|
|
Cholesterol
|
$23.25 |
$53.30 |
$117.00 |
|
|
Cholesterol body fluid
|
$904.15 |
$904.15 |
$1,307.80 |
|
|
Cholesterol (Lipid) Test
|
$46.50 |
$133.90 |
$182.00 |
|
|
Cholinesterase
|
$32.50 |
$46.80 |
$59.80 |
|
|
Cholinesterase challenge
|
$292.50 |
$292.50 |
$292.50 |
|
|
Chorionic gonadotropin/1000u
|
$535.68 |
$535.68 |
$535.68 |
|
|
Chrom analysis
|
$33.80 |
$96.20 |
$384.80 |
|
|
Chromatography
|
$41.25 |
$98.15 |
$183.30 |
|
|
Chromogenic substrate assay
|
$177.45 |
$196.30 |
$408.20 |
|
|
Chromo high res and frag x - sendout
|
$253.50 |
$270.40 |
$393.25 |
|
|
Chromosome analys amniotic
|
$162.50 |
$162.50 |
$162.50 |
|
|
Chromosome analysis 15-20 cell count
|
$216.00 |
$560.30 |
$581.10 |
|
|
Chromosome analys placenta
|
$360.75 |
$360.75 |
$360.75 |
|
|
Chromosome count additional
|
$41.60 |
$43.55 |
$152.75 |
|
|
Chromosome karyotype study
|
$34.45 |
$92.95 |
$263.90 |
|
|
Chronic urticaria - sendout
|
$52.00 |
$52.00 |
$169.00 |
|
|
Chylomicron screen, bf - sendout
|
$133.25 |
$152.10 |
$155.35 |
|
|
Cidofovir injection
|
$1,447.81 |
$1,447.81 |
$1,447.81 |
|
|
Cilastatin sodium injection
|
$98.69 |
$98.69 |
$98.69 |
|
|
Ciliary transsleral therapy
|
$6,463.80 |
$6,463.80 |
$6,463.80 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$21.16 |
$22.75 |
$26.00 |
|
|
Circum 28 days or older
|
$9,479.50 |
$9,479.50 |
$15,488.00 |
|
|
Circumcise/surg/28 days or < 54160
|
$290.25 |
$290.25 |
$290.25 |
|
|
Circumcision (newborn)
|
$37.15 |
$267.00 |
$475.80 |
|
|
Cisplatin 1 mg/ml desensitization
|
$47.26 |
$78.35 |
$186.55 |
|
|
C-kit mutation liquid tumor - sendout
|
$432.25 |
$433.55 |
$509.60 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$617.17 |
$660.40 |
$955.01 |
|
|
Claviculectomy partial
|
$1,234.50 |
$1,234.50 |
$1,234.50 |
|
|
Clean out mastoid cavity
|
$11,054.19 |
$11,054.19 |
$11,054.19 |
|
|
Clearance of airways
|
$59.15 |
$134.55 |
$193.05 |
|
|
Clearance of tear duct
|
$10,710.82 |
$10,710.82 |
$10,710.82 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$7.15 |
$43.83 |
$55.14 |
|
|
Cllr miami j sm
|
$55.25 |
$102.70 |
$104.00 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$3.00 |
$75.56 |
$94.73 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$668.85 |
$668.85 |
$690.95 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$928.85 |
$928.85 |
$928.85 |
|
|
Closed tx humerus fx with manip 23605
|
$1,005.55 |
$1,005.55 |
$1,464.45 |
|
|
Closed tx humerus fx without manip 23600
|
$259.50 |
$541.45 |
$936.65 |
|
|
Closed tx humerus fx w/manip 24505
|
$904.15 |
$1,178.45 |
$1,340.95 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$231.40 |
$282.75 |
$339.30 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,274.00 |
$1,274.00 |
$1,911.00 |
|
|
Closed tx septal&nose fx
|
$1,261.65 |
$1,261.65 |
$1,261.65 |
|
|
Closed tx/talus fracture without manip 28430
|
$596.05 |
$596.05 |
$596.05 |
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$441.35 |
$489.45 |
$526.50 |
|
|
Close tear duct opening
|
$854.75 |
$854.75 |
$854.75 |
|
|
Clos txnose fx without stablz 21315
|
$495.95 |
$517.40 |
$649.35 |
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$2,781.35 |
$2,781.35 |
$2,781.35 |
|
|
Closure intestinal cutaneous fistula 44640
|
$33,565.98 |
$33,565.98 |
$33,565.98 |
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$703.95 |
$703.95 |
$703.95 |
|
|
Closure of eyelid by suture
|
$7,379.38 |
$7,379.38 |
$7,379.38 |
|
|
Closure paravalvlr leak pq
|
$10,390.25 |
$10,390.25 |
$10,390.25 |
|
|
Clot factor xii hageman
|
$43.55 |
$123.75 |
$202.15 |
|
|
Clot factor xiii fibrin scrn
|
$87.75 |
$100.10 |
$113.10 |
|
|
Clot factor xiii fibrin stab
|
$103.35 |
$122.85 |
$145.60 |
|
|
Clozapine, 25 mg
|
$4.87 |
$4.87 |
$4.87 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$531.00 |
$603.85 |
$784.55 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$620.10 |
$700.05 |
$762.45 |
|