|
Cerebrospinal fld flw imag
|
$941.35 |
$941.35 |
$941.35 |
$952.82
|
|
Cer post col occ/man sup adj
|
$171.35 |
$171.35 |
$171.35 |
$806.24
|
|
Cerv collar supp adj cerv ba
|
$1,255.15 |
$1,255.15 |
$1,255.15 |
$997.49
|
|
Cervical or vaginal cancer screening g0101
|
$139.45 |
$139.45 |
$139.45 |
$109.46
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$5,828.85 |
$5,828.85 |
$5,828.85 |
$3,011.40
|
|
#cf-97variants
|
$1,850.10 |
$1,850.10 |
$1,850.10 |
$639.44
|
|
Change cystostomy tube; complex 51710
|
$1,068.10 |
$1,068.10 |
$1,068.10 |
$1,527.00
|
|
Change cystostomy tube simple
|
$567.55 |
$567.55 |
$567.55 |
$477.60
|
|
Change g-tube to g-j perc
|
$2,918.70 |
$2,918.70 |
$2,918.70 |
$2,198.81
|
|
Change nephroureteral cath
|
$3,003.05 |
$3,003.05 |
$3,003.05 |
$3,083.97
|
|
Change of ureter tube/stent
|
$2,914.60 |
$2,914.60 |
$2,914.60 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$436.85 |
$436.85 |
$436.85 |
$401.50
|
|
Change ureter stent percut
|
$3,302.50 |
$3,302.50 |
$3,302.50 |
$3,886.89
|
|
Chemo adm cns w/lmbr punct
|
$738.85 |
$738.85 |
$738.85 |
$720.20
|
|
Chemodenerv 1 extremity 1-4 64642
|
$909.50 |
$909.50 |
$909.50 |
$988.50
|
|
Chemodenervation anal musc
|
$2,856.70 |
$2,856.70 |
$2,856.70 |
$2,762.67
|
|
Chemodenervation/face muscl/unilat 64612
|
$368.40 |
$368.40 |
$368.40 |
$600.00
|
|
Chemodenerv musc migraine 64615
|
$368.40 |
$368.40 |
$368.40 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$522.05 |
$522.05 |
$522.05 |
$719.20
|
|
Chemo extend IV infus w/pump
|
$685.30 |
$685.30 |
$685.30 |
$748.55
|
|
Chemo ia push tecnique
|
$1,227.65 |
$1,227.65 |
$1,227.65 |
$499.50
|
|
Chemo intralesional over 7
|
$404.00 |
$404.00 |
$404.00 |
$346.29
|
|
Chemo intralesional up to 7 96405
|
$125.10 |
$125.10 |
$125.10 |
$163.80
|
|
Chemotherapy injection 96542
|
$404.00 |
$404.00 |
$404.00 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$301.95 |
$301.95 |
$301.95 |
$590.00
|
|
Chest 2 vws w oblique
|
$764.10 |
$764.10 |
$764.10 |
$375.60
|
|
Chest apical lordotic proj
|
$663.10 |
$663.10 |
$663.10 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,104.70 |
$3,104.70 |
$3,104.70 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,481.90 |
$2,481.90 |
$2,481.90 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,107.70 |
$2,107.70 |
$2,107.70 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$282.85 |
$282.85 |
$282.85 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$207.65 |
$207.65 |
$207.65 |
$134.50
|
|
Chest Ultrasound
|
$764.05 |
$764.05 |
$764.05 |
$463.88
|
|
Chest X-ray
|
$577.75 |
$577.75 |
$577.75 |
$294.06
|
|
Chest X-ray (single view)
|
$440.40 |
$440.40 |
$440.40 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$360.25 |
$360.25 |
$360.25 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$876.85 |
$876.85 |
$876.85 |
$520.80
|
|
Chlamydia culture
|
$217.70 |
$217.70 |
$217.70 |
$91.00
|
|
Chlamydia type
|
$12.20 |
$12.20 |
$12.20 |
$34.98
|
|
Chloride
|
$81.60 |
$81.60 |
$81.60 |
$42.63
|
|
Chloride 24 hour urine
|
$103.80 |
$103.80 |
$103.80 |
$50.88
|
|
Chloroprocaine hcl injection
|
$247.36 |
$247.36 |
$247.36 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$610.77 |
$610.77 |
$610.77 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$294.08 |
$294.08 |
$294.08 |
$79.74
|
|
Cholangiogram percutaneous compl
|
$10,704.30 |
$10,704.30 |
$10,704.30 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,408.35 |
$1,408.35 |
$1,408.35 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$7,237.55 |
$7,237.55 |
$7,237.55 |
$3,856.84
|
|
Cholesterol
|
$135.80 |
$135.80 |
$135.80 |
$45.76
|
|
Cholesterol body fluid
|
$174.10 |
$174.10 |
$174.10 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$276.55 |
$276.55 |
$276.55 |
$115.80
|
|
Cholinesterase challenge
|
$269.35 |
$269.35 |
$269.35 |
$366.72
|
|
Chromatography
|
$64.30 |
$64.30 |
$64.30 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$591.70 |
$591.70 |
$591.70 |
$250.00
|
|
Chromosome analys amniotic
|
$380.20 |
$380.20 |
$380.20 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$593.95 |
$593.95 |
$593.95 |
$517.11
|
|
Chromosome analys placenta
|
$596.75 |
$596.75 |
$596.75 |
$572.99
|
|
Chromosome karyotype study
|
$293.80 |
$293.80 |
$293.80 |
$120.00
|
|
Cilastatin sodium injection
|
$332.37 |
$332.37 |
$332.37 |
$77.40
|
|
Cine/video x-rays
|
$312.70 |
$312.70 |
$312.70 |
$321.64
|
|
Cine/video x-rays add-on
|
$293.05 |
$293.05 |
$293.05 |
$293.05
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$55.65 |
$55.65 |
$55.65 |
$35.65
|
|
Circumcise/surg/28 days or < 54160
|
$247.30 |
$247.30 |
$247.30 |
$1,219.20
|
|
Circumcision (newborn)
|
$666.10 |
$666.10 |
$666.10 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$419.40 |
$419.40 |
$419.40 |
$205.56
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,473.50 |
$1,473.50 |
$1,473.50 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$11,000.00 |
$11,000.00 |
$11,000.00 |
$15,560.16
|
|
Clearance of airways
|
$577.75 |
$577.75 |
$577.75 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$132.85 |
$132.85 |
$132.85 |
$55.20
|
|
Clip ligating vesolock lg
|
$9,587.90 |
$9,587.90 |
$9,587.90 |
$4,320.00
|
|
Clip phn wireless f/baha4 proc
|
$198.80 |
$198.80 |
$198.80 |
$449.46
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$319.03 |
$319.03 |
$319.03 |
$85.37
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,240.05 |
$1,240.05 |
$1,240.05 |
$520.80
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$2,764.75 |
$2,764.75 |
$2,764.75 |
$1,642.82
|
|
Closed tx humerus fx with manip 23605
|
$4,296.55 |
$4,296.55 |
$4,296.55 |
$2,291.20
|
|
Closed tx humerus fx w/manip 24505
|
$1,217.40 |
$1,217.40 |
$1,217.40 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$541.45 |
$541.45 |
$541.45 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,764.75 |
$2,764.75 |
$2,764.75 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$5,433.70 |
$5,433.70 |
$5,433.70 |
$3,651.90
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$552.00 |
$552.00 |
$552.00 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$2,865.70 |
$2,865.70 |
$2,865.70 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,055.05 |
$1,055.05 |
$1,055.05 |
$1,259.62
|
|
Closure paravalvlr leak pq
|
$19,472.05 |
$19,472.05 |
$19,472.05 |
$9,434.46
|
|
Clot factor xii hageman
|
$739.60 |
$739.60 |
$739.60 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$737.40 |
$737.40 |
$737.40 |
$56.85
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,084.15 |
$1,084.15 |
$1,084.15 |
$648.96
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$816.75 |
$816.75 |
$816.75 |
$489.60
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,644.30 |
$2,644.30 |
$2,644.30 |
$1,893.86
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$549.55 |
$549.55 |
$549.55 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,403.20 |
$1,403.20 |
$1,403.20 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$827.85 |
$827.85 |
$827.85 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$431.60 |
$431.60 |
$431.60 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$7,168.25 |
$7,168.25 |
$7,168.25 |
$2,211.05
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$373.15 |
$373.15 |
$373.15 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$561.45 |
$561.45 |
$561.45 |
$464.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,070.75 |
$2,070.75 |
$2,070.75 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,528.90 |
$1,528.90 |
$1,528.90 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$494.85 |
$494.85 |
$494.85 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$2,058.55 |
$2,058.55 |
$2,058.55 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$928.65 |
$928.65 |
$928.65 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$728.45 |
$728.45 |
$728.45 |
$492.99
|
