|
Cerclage of uterine cervix nonob 57700
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$2,386.41
|
|
Cerebrospinal fld flw imag
|
$595.79 |
$595.79 |
$595.79 |
$884.00
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$4.49 |
$4.49 |
$4.49 |
$5,262.00
|
|
Cervical lymphadenectomy 38720
|
$7,218.34 |
$7,218.34 |
$7,218.34 |
$6,633.60
|
|
Cervical or vaginal cancer screening g0101
|
$102.38 |
$102.38 |
$102.38 |
$111.00
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$78.47 |
$78.47 |
$78.47 |
$120.37
|
|
#cf-97variants
|
$556.60 |
$556.60 |
$556.60 |
$748.16
|
|
Cftr gene dup/delet variants
|
$435.07 |
$435.07 |
$435.07 |
$870.40
|
|
Cftr gene intron poly t
|
$168.75 |
$168.75 |
$168.75 |
$285.75
|
|
Cftr gene known fam variants
|
$97.22 |
$97.22 |
$97.22 |
$134.16
|
|
Change cystostomy tube; complex 51710
|
$738.80 |
$738.80 |
$738.80 |
$1,368.46
|
|
Change cystostomy tube simple
|
$269.20 |
$269.20 |
$269.20 |
$426.63
|
|
Change gastric port open
|
$4,052.18 |
$4,052.18 |
$4,052.18 |
$3,094.13
|
|
Change g-tube to g-j perc
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,198.40
|
|
Change nephroureteral cath
|
$2,267.41 |
$2,267.41 |
$2,267.41 |
$2,760.00
|
|
Change of ureter tube/stent
|
$2,267.41 |
$2,267.41 |
$2,267.41 |
$2,513.80
|
|
Change of windpipe airway 31502
|
$257.04 |
$257.04 |
$257.04 |
$412.00
|
|
Change stent via transureth
|
$2,267.41 |
$2,267.41 |
$2,267.41 |
$3,290.24
|
|
Change ureter stent percut
|
$2,267.41 |
$2,267.41 |
$2,267.41 |
$4,099.50
|
|
Chct for mal hyperthermia
|
$189.67 |
$189.67 |
$189.67 |
$201.80
|
|
Chemical exfoliation acne 17360
|
$219.93 |
$219.93 |
$219.93 |
$247.80
|
|
Chemical peel face epiderm 15788
|
$442.22 |
$442.22 |
$442.22 |
$543.40
|
|
Chemical peel nonfacial 15793
|
$442.22 |
$442.22 |
$442.22 |
$456.44
|
|
Chemical peel nonfacial; epidermal
|
$677.54 |
$677.54 |
$677.54 |
$726.29
|
|
Chemo adm cns w/lmbr punct
|
$367.13 |
$367.13 |
$367.13 |
$749.01
|
|
Chemodener muscle larynx emg
|
$766.52 |
$766.52 |
$766.52 |
$674.98
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$766.52 |
$766.52 |
$766.52 |
$987.55
|
|
Chemodenerv 1 extremity 1-4 64642
|
$766.52 |
$766.52 |
$766.52 |
$970.61
|
|
Chemodenervation anal musc
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$1,759.68
|
|
Chemodenervation/face muscl/unilat 64612
|
$326.73 |
$326.73 |
$326.73 |
$672.49
|
|
Chemodenervation nerve of eye muscle 67345
|
$330.87 |
$330.87 |
$330.87 |
$436.44
|
|
Chemodenerv eccrine glands
|
$326.73 |
$326.73 |
$326.73 |
$379.38
|
|
Chemodenerv eccrine glands 64650
|
$326.73 |
$326.73 |
$326.73 |
$511.20
|
|
Chemodenerv musc migraine 64615
|
$326.73 |
$326.73 |
$326.73 |
$556.86
|
|
Chemodenerv musc neck dyston 64616
|
$326.73 |
$326.73 |
$326.73 |
$783.90
|
|
Chemodenerv saliv glands bilat 64611
|
$326.73 |
$326.73 |
$326.73 |
$430.17
|
|
Chemodenerv trunk musc 1-5 64646
|
$766.52 |
$766.52 |
$766.52 |
$966.06
|
|
Chemodenerv trunk musc 6/] 64647
|
$766.52 |
$766.52 |
$766.52 |
$904.25
|
|
Chemo extend IV infus w/pump
|
$367.13 |
$367.13 |
$367.13 |
$510.90
|
|
Chemo ia infuse each addl hr
|
$51.07 |
$51.07 |
$51.07 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$367.13 |
$367.13 |
$367.13 |
$604.89
|
|
Chemo ia push tecnique
|
$367.13 |
$367.13 |
$367.13 |
$589.90
|
|
Chemo intralesional over 7
|
$233.20 |
$233.20 |
$233.20 |
$248.12
|
|
Chemo intralesional up to 7 96405
|
$78.78 |
$78.78 |
$78.78 |
$174.30
|
|
Chemotaxis assay
|
$15.99 |
$15.99 |
$15.99 |
$22.07
|
|
Chemotherapy injection 96542
|
$367.13 |
$367.13 |
$367.13 |
$444.49
|
|
Chemotx admn pertl cav impl
|
$367.13 |
$367.13 |
$367.13 |
$507.17
|
|
Chest 2 vws w oblique
|
$117.70 |
$117.70 |
$117.70 |
$334.02
|
|
Chest apical lordotic proj
|
$97.46 |
$97.46 |
$97.46 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$197.04 |
$197.04 |
$197.04 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$197.04 |
$197.04 |
$197.04 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$117.70 |
$117.70 |
$117.70 |
$1,166.90
|
|
Chest X-ray
|
$97.46 |
$97.46 |
$97.46 |
$265.85
|
|
Chest X-ray (single view)
|
$97.46 |
$97.46 |
$97.46 |
$192.50
|
|
Chg pr pul rehab for copd patients
|
$65.75 |
$65.75 |
$65.75 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$197.04 |
$197.04 |
$197.04 |
$555.00
|
|
Chimerism anal no cell selec
|
$207.46 |
$207.46 |
$207.46 |
$440.00
|
|
Chimerism anal w/cell select
|
$260.79 |
$260.79 |
$260.79 |
$585.60
|
|
Chlamydia culture
|
$19.60 |
$19.60 |
$19.60 |
$96.51
|
|
Chlamydia trachomatis ag if
|
$11.98 |
$11.98 |
$11.98 |
$30.40
|
|
Chlamydia type
|
$5.57 |
$5.57 |
$5.57 |
$34.80
|
|
Chloride
|
$4.60 |
$4.60 |
$4.60 |
$37.48
|
|
Chloride 24 hour urine
|
$5.75 |
$5.75 |
$5.75 |
$40.80
|
|
Chloroprocaine opht gel, 1mg
|
$0.60 |
$0.60 |
$0.60 |
$0.60
|
|
Chmotx admn plrl cav thrcnts
|
$367.13 |
$367.13 |
$367.13 |
$437.19
|
|
Cholangiogram percutaneous compl
|
$3,906.18 |
$3,906.18 |
$3,906.18 |
$3,611.95
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,906.18 |
$3,906.18 |
$3,906.18 |
$3,690.60
|
|
Cholesterol
|
$4.35 |
$4.35 |
$4.35 |
$40.95
|
|
Cholesterol (Lipid) Test
|
$13.39 |
$13.39 |
$13.39 |
$101.43
|
|
Choline c-11
|
$2,062.94 |
$2,062.94 |
$2,062.94 |
$2,062.94
|
|
Cholinesterase
|
$7.87 |
$7.87 |
$7.87 |
$49.40
|
|
Cholinesterase challenge
|
$344.68 |
$344.68 |
$344.68 |
$296.91
|
|
Chorion biopsy
|
$963.79 |
$963.79 |
$963.79 |
$893.10
|
|
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 |
$81.25
|
|
Chromogenic substrate assay
|
$11.89 |
$11.89 |
$11.89 |
$188.40
|
|
Chromo high res and frag x - sendout
|
$57.04 |
$57.04 |
$57.04 |
$269.00
|
|
Chromosome analys amniotic
|
$173.66 |
$173.66 |
$173.66 |
$466.00
|
|
Chromosome analysis 100
|
$173.17 |
$173.17 |
$173.17 |
$292.43
|
|
Chromosome analysis 15-20 cell count
|
$125.49 |
$125.49 |
$125.49 |
$558.25
|
|
Chromosome analysis 20-25
|
$173.17 |
$173.17 |
$173.17 |
$411.04
|
|
Chromosome analysis 45
|
$150.29 |
$150.29 |
$150.29 |
$429.28
|
|
Chromosome analysis 5
|
$264.34 |
$264.34 |
$264.34 |
$719.23
|
|
Chromosome analysis 50-100
|
$173.17 |
$173.17 |
$173.17 |
$301.50
|
|
Chromosome analys placenta
|
$188.57 |
$188.57 |
$188.57 |
$660.00
|
|
Chromosome banding study
|
$68.60 |
$68.60 |
$68.60 |
$235.95
|
|
Chromosome count additional
|
$26.91 |
$26.91 |
$26.91 |
$120.90
|
|
Chromosome karyotype study
|
$33.47 |
$33.47 |
$33.47 |
$120.60
|
|
Chromosome study additional
|
$34.43 |
$34.43 |
$34.43 |
$144.12
|
|
Chronic urticaria - sendout
|
$12.46 |
$12.46 |
$12.46 |
$100.00
|
|
Chylomicron screen, bf - sendout
|
$61.50 |
$61.50 |
$61.50 |
$136.09
|
|
Cidofovir injection
|
$529.38 |
$529.38 |
$529.38 |
$1,099.26
|
|
Ciliary transsleral therapy
|
$2,582.26 |
$2,582.26 |
$2,582.26 |
$2,584.50
|
|
Ciltacabtagene car-pos t
|
$553,378.83 |
$553,378.83 |
$553,378.83 |
$553,378.83
|
|
Cine/video x-rays
|
$117.70 |
$117.70 |
$117.70 |
$206.40
|
|
Circum 28 days or older
|
$2,267.41 |
$2,267.41 |
$2,267.41 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$738.80 |
$738.80 |
$738.80 |
$1,479.87
|
|
Circumcision (newborn)
|
$2,267.41 |
$2,267.41 |
$2,267.41 |
$1,516.80
|
|
C-kit mutation liquid tumor - sendout
|
$329.51 |
$329.51 |
$329.51 |
$606.06
|
