|
Chemo adm cns w/lmbr punct
|
$362.50 |
$362.50 |
$362.50 |
$720.20
|
|
Chemodener muscle larynx emg
|
$756.84 |
$756.84 |
$756.84 |
$801.75
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$756.84 |
$756.84 |
$756.84 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$756.84 |
$756.84 |
$756.84 |
$988.50
|
|
Chemodenervation anal musc
|
$1,288.59 |
$1,288.59 |
$1,288.59 |
$2,762.67
|
|
Chemodenervation/face muscl/unilat 64612
|
$322.61 |
$322.61 |
$322.61 |
$600.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$326.69 |
$326.69 |
$326.69 |
$717.07
|
|
Chemodenerv eccrine glands
|
$322.61 |
$322.61 |
$322.61 |
$424.40
|
|
Chemodenerv eccrine glands 64650
|
$322.61 |
$322.61 |
$322.61 |
$536.87
|
|
Chemodenerv musc migraine 64615
|
$322.61 |
$322.61 |
$322.61 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$322.61 |
$322.61 |
$322.61 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$322.61 |
$322.61 |
$322.61 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$756.84 |
$756.84 |
$756.84 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$756.84 |
$756.84 |
$756.84 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$362.50 |
$362.50 |
$362.50 |
$748.55
|
|
Chemo ia infuse each addl hr
|
$50.43 |
$50.43 |
$50.43 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$362.50 |
$362.50 |
$362.50 |
$572.00
|
|
Chemo ia push tecnique
|
$362.50 |
$362.50 |
$362.50 |
$499.50
|
|
Chemo intralesional over 7
|
$230.26 |
$230.26 |
$230.26 |
$346.29
|
|
Chemo intralesional up to 7 96405
|
$77.78 |
$77.78 |
$77.78 |
$163.80
|
|
Chemotaxis assay
|
$15.99 |
$15.99 |
$15.99 |
$33.60
|
|
Chemotherapy injection 96542
|
$362.50 |
$362.50 |
$362.50 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$362.50 |
$362.50 |
$362.50 |
$590.00
|
|
Chest 2 vws w oblique
|
$116.22 |
$116.22 |
$116.22 |
$375.60
|
|
Chest apical lordotic proj
|
$96.23 |
$96.23 |
$96.23 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$194.55 |
$194.55 |
$194.55 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$194.55 |
$194.55 |
$194.55 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$116.22 |
$116.22 |
$116.22 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$140.87 |
$140.87 |
$140.87 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$140.87 |
$140.87 |
$140.87 |
$134.50
|
|
Chest Ultrasound
|
$116.22 |
$116.22 |
$116.22 |
$463.88
|
|
Chest X-ray
|
$96.23 |
$96.23 |
$96.23 |
$294.06
|
|
Chest X-ray (single view)
|
$96.23 |
$96.23 |
$96.23 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$64.92 |
$64.92 |
$64.92 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$194.55 |
$194.55 |
$194.55 |
$520.80
|
|
Chimerism anal no cell selec
|
$207.46 |
$207.46 |
$207.46 |
$393.74
|
|
Chimerism anal w/cell select
|
$260.79 |
$260.79 |
$260.79 |
$649.00
|
|
Chiropractic manj 5 regions
|
$27.65 |
$27.65 |
$27.65 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$27.65 |
$27.65 |
$27.65 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$27.65 |
$27.65 |
$27.65 |
$56.99
|
|
Chlamydia culture
|
$19.60 |
$19.60 |
$19.60 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$11.98 |
$11.98 |
$11.98 |
$66.60
|
|
Chlamydia type
|
$5.57 |
$5.57 |
$5.57 |
$34.98
|
|
Chlmyd pneum dna dir probe
|
$20.05 |
$20.05 |
$20.05 |
$50.40
|
|
Chlmyd pneum dna quant
|
$42.84 |
$42.84 |
$42.84 |
$59.12
|
|
Chloride
|
$4.60 |
$4.60 |
$4.60 |
$42.63
|
|
Chloride 24 hour urine
|
$5.75 |
$5.75 |
$5.75 |
$50.88
|
|
Chloroprocaine opht gel, 1mg
|
$0.60 |
$0.60 |
$0.60 |
$0.63
|
|
Chmotx admn plrl cav thrcnts
|
$362.50 |
$362.50 |
$362.50 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$3,856.84 |
$3,856.84 |
$3,856.84 |
$3,427.55
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,856.84 |
$3,856.84 |
$3,856.84 |
$3,856.84
|
|
Cholesterol
|
$4.35 |
$4.35 |
$4.35 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$13.39 |
$13.39 |
$13.39 |
$115.80
|
|
Choline c-11
|
$2,062.94 |
$2,062.94 |
$2,062.94 |
$2,062.94
|
|
Cholinesterase
|
$7.87 |
$7.87 |
$7.87 |
$39.48
|
|
Cholinesterase challenge
|
$340.32 |
$340.32 |
$340.32 |
$366.72
|
|
Chorion biopsy
|
$951.61 |
$951.61 |
$951.61 |
$1,392.05
|
|
Chrom analysis
|
$34.81 |
$34.81 |
$34.81 |
$156.00
|
|
Chromatogram assay sugars
|
$39.00 |
$39.00 |
$39.00 |
$86.42
|
|
Chromatography
|
$18.06 |
$18.06 |
$18.06 |
$84.60
|
|
Chromogenic substrate assay
|
$11.89 |
$11.89 |
$11.89 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$57.04 |
$57.04 |
$57.04 |
$250.00
|
|
Chromosome analys amniotic
|
$173.66 |
$173.66 |
$173.66 |
$450.00
|
|
Chromosome analysis 100
|
$173.17 |
$173.17 |
$173.17 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$125.49 |
$125.49 |
$125.49 |
$517.11
|
|
Chromosome analysis 20-25
|
$173.17 |
$173.17 |
$173.17 |
$409.20
|
|
Chromosome analysis 45
|
$150.29 |
$150.29 |
$150.29 |
$382.85
|
|
Chromosome analysis 5
|
$264.34 |
$264.34 |
$264.34 |
$644.80
|
|
Chromosome analysis 50-100
|
$173.17 |
$173.17 |
$173.17 |
$434.40
|
|
Chromosome analys placenta
|
$188.57 |
$188.57 |
$188.57 |
$572.99
|
|
Chromosome banding study
|
$68.60 |
$68.60 |
$68.60 |
$183.91
|
|
Chromosome count additional
|
$26.91 |
$26.91 |
$26.91 |
$96.50
|
|
Chromosome karyotype study
|
$33.47 |
$33.47 |
$33.47 |
$120.00
|
|
Chromosome study additional
|
$34.43 |
$34.43 |
$34.43 |
$151.09
|
|
Chronic urticaria - sendout
|
$12.46 |
$12.46 |
$12.46 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$61.50 |
$61.50 |
$61.50 |
$136.09
|
|
Cidofovir injection
|
$529.38 |
$529.38 |
$529.38 |
$1,352.09
|
|
Ciliary transsleral therapy
|
$2,549.65 |
$2,549.65 |
$2,549.65 |
$3,269.14
|
|
Ciltacabtagene car-pos t
|
$553,378.83 |
$553,378.83 |
$553,378.83 |
$1,573,072.37
|
|
Cine/video x-rays
|
$116.22 |
$116.22 |
$116.22 |
$321.64
|
|
Circum 28 days or older
|
$2,238.78 |
$2,238.78 |
$2,238.78 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$729.46 |
$729.46 |
$729.46 |
$1,219.20
|
|
Circumcision (newborn)
|
$2,238.78 |
$2,238.78 |
$2,238.78 |
$1,364.88
|
|
C-kit mutation liquid tumor - sendout
|
$329.51 |
$329.51 |
$329.51 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$9.73 |
$9.73 |
$9.73 |
$576.60
|
|
Claviculectomy partial
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,839.54
|
|
Claviculectomy total
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$4,499.12
|
|
Clean out mastoid cavity
|
$556.55 |
$556.55 |
$556.55 |
$1,033.60
|
|
Clearance of airways
|
$222.28 |
$222.28 |
$222.28 |
$213.07
|
|
Clearance of tear duct
|
$326.69 |
$326.69 |
$326.69 |
$795.53
|
|
C-lens fitg corneosclrl lens
|
$140.87 |
$140.87 |
$140.87 |
$165.50
|
|
C-lens fitg tech aphakia 1
|
$140.87 |
$140.87 |
$140.87 |
$165.50
|
|
C-lens fitg tech aphakia ou
|
$140.87 |
$140.87 |
$140.87 |
$197.60
|
|
C-lens fitg tech corneosclrl
|
$42.90 |
$42.90 |
$42.90 |
$122.20
|
|
Clitoroplasty intersex state
|
$3,474.84 |
$3,474.84 |
$3,474.84 |
$3,786.00
|
|
Clofarabine 1 mg/ml intravenous solution
|
$14.72 |
$14.72 |
$14.72 |
$4,784.71
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$262.16 |
$262.16 |
$262.16 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$262.16 |
$262.16 |
$262.16 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,291.20
|
