|
Change cystostomy tube simple
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$480.15
|
|
Change gastric port open
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,001.00
|
|
Change g-tube to g-j perc
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,198.81
|
|
Change nephroureteral cath
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,969.25
|
|
Change of ureter tube/stent
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$412.00
|
|
Change stent via transureth
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,350.00
|
|
Change ureter stent percut
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,067.25
|
|
Chemical exfoliation acne 17360
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$235.13
|
|
Chemical peel face epiderm 15788
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$578.40
|
|
Chemical peel nonfacial 15793
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$472.79
|
|
Chemical peel nonfacial; epidermal
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$823.80
|
|
Chemo adm cns w/lmbr punct
|
$581.45 |
$581.45 |
$581.45 |
$725.40
|
|
Chemodener muscle larynx emg
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$765.43
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$988.50
|
|
Chemodenervation anal musc
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,359.53
|
|
Chemodenervation/face muscl/unilat 64612
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$672.49
|
|
Chemodenervation nerve of eye muscle 67345
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$639.10
|
|
Chemodenerv eccrine glands
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$379.38
|
|
Chemodenerv eccrine glands 64650
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$560.56
|
|
Chemodenerv musc neck dyston 64616
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$808.84
|
|
Chemodenerv saliv glands bilat 64611
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$430.17
|
|
Chemodenerv trunk musc 1-5 64646
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,002.30
|
|
Chemodenerv trunk musc 6/] 64647
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,234.53
|
|
Chemo ia push tecnique
|
$150.58 |
$150.58 |
$150.58 |
$518.94
|
|
Chemo intralesional over 7
|
$123.50 |
$123.50 |
$123.50 |
$303.98
|
|
Chemo intralesional up to 7 96405
|
$140.77 |
$140.77 |
$140.77 |
$175.20
|
|
Chemotaxis assay
|
$17.59 |
$17.59 |
$17.59 |
$21.31
|
|
Chemotherapy injection 96542
|
$237.82 |
$237.82 |
$237.82 |
$433.80
|
|
Chemotx admn pertl cav impl
|
$244.01 |
$244.01 |
$244.01 |
$507.17
|
|
Chest 2 vws w oblique
|
$121.58 |
$121.58 |
$121.58 |
$374.70
|
|
Chest apical lordotic proj
|
$113.90 |
$113.90 |
$113.90 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$961.76 |
$961.76 |
$961.76 |
$2,050.84
|
|
Chest CT scan (with contrast)
|
$864.93 |
$864.93 |
$864.93 |
$1,707.60
|
|
Chest CT scan (without contrast)
|
$624.75 |
$624.75 |
$624.75 |
$1,350.03
|
|
Chest X-ray
|
$108.78 |
$108.78 |
$108.78 |
$294.29
|
|
Chest X-ray (single view)
|
$105.37 |
$105.37 |
$105.37 |
$232.00
|
|
Chg radiologic exam esophagus double contrast
|
$213.08 |
$213.08 |
$213.08 |
$520.80
|
|
Chimerism anal no cell selec
|
$228.21 |
$228.21 |
$228.21 |
$440.00
|
|
Chimerism anal w/cell select
|
$286.87 |
$286.87 |
$286.87 |
$585.60
|
|
Chlamydia culture
|
$21.56 |
$21.56 |
$21.56 |
$94.90
|
|
Chlamydia trachomatis ag if
|
$13.18 |
$13.18 |
$13.18 |
$30.40
|
|
Chlamydia type
|
$6.13 |
$6.13 |
$6.13 |
$34.80
|
|
Chloride
|
$5.06 |
$5.06 |
$5.06 |
$39.05
|
|
Chloride 24 hour urine
|
$6.33 |
$6.33 |
$6.33 |
$46.13
|
|
Chmotx admn plrl cav thrcnts
|
$286.03 |
$286.03 |
$286.03 |
$400.40
|
|
Cholangiogram percutaneous compl
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$151.22 |
$151.22 |
$151.22 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,769.00
|
|
Cholesterol
|
$4.79 |
$4.79 |
$4.79 |
$46.15
|
|
Cholesterol body fluid
|
$69.96 |
$69.96 |
$69.96 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$14.73 |
$14.73 |
$14.73 |
$118.30
|
|
Cholinesterase
|
$8.66 |
$8.66 |
$8.66 |
$38.69
|
|
Chorion biopsy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,009.58
|
|
Chrom analysis
|
$38.29 |
$38.29 |
$38.29 |
$127.86
|
|
Chromatogram assay sugars
|
$42.90 |
$42.90 |
$42.90 |
$56.43
|
|
Chromatography
|
$19.87 |
$19.87 |
$19.87 |
$80.60
|
|
Chromogenic substrate assay
|
$13.08 |
$13.08 |
$13.08 |
$184.60
|
|
Chromo high res and frag x - sendout
|
$62.74 |
$62.74 |
$62.74 |
$264.75
|
|
Chromosome analys amniotic
|
$191.03 |
$191.03 |
$191.03 |
$450.00
|
|
Chromosome analysis 100
|
$190.49 |
$190.49 |
$190.49 |
$321.44
|
|
Chromosome analysis 15-20 cell count
|
$138.04 |
$138.04 |
$138.04 |
$455.00
|
|
Chromosome analysis 20-25
|
$190.49 |
$190.49 |
$190.49 |
$277.09
|
|
Chromosome analysis 45
|
$165.32 |
$165.32 |
$165.32 |
$377.60
|
|
Chromosome analysis 5
|
$290.77 |
$290.77 |
$290.77 |
$653.95
|
|
Chromosome analysis 50-100
|
$190.49 |
$190.49 |
$190.49 |
$434.40
|
|
Chromosome analys placenta
|
$207.43 |
$207.43 |
$207.43 |
$660.00
|
|
Chromosome banding study
|
$75.46 |
$75.46 |
$75.46 |
$172.80
|
|
Chromosome count additional
|
$29.60 |
$29.60 |
$29.60 |
$111.15
|
|
Chromosome karyotype study
|
$36.82 |
$36.82 |
$36.82 |
$108.94
|
|
Chromosome study additional
|
$37.87 |
$37.87 |
$37.87 |
$147.03
|
|
Chronic urticaria - sendout
|
$13.71 |
$13.71 |
$13.71 |
$91.00
|
|
Chylomicron screen, bf - sendout
|
$67.65 |
$67.65 |
$67.65 |
$123.20
|
|
Ciliary transsleral therapy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,760.73
|
|
Cine/video x-rays
|
$130.75 |
$130.75 |
$130.75 |
$292.56
|
|
Circum 28 days or older
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,627.00
|
|
Circumcise/surg/28 days or < 54160
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,995.50
|
|
Circumcision (newborn)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,549.50
|
|
C-kit mutation liquid tumor - sendout
|
$362.46 |
$362.46 |
$362.46 |
$640.41
|
|
Claviculectomy partial
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,705.22
|
|
Claviculectomy total
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Clean out mastoid cavity
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,033.60
|
|
Clearance of airways
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$206.80
|
|
Clearance of tear duct
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$811.45
|
|
Clitoroplasty intersex state
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,744.41
|
|
Cllr miami j sm
|
$29.97 |
$29.97 |
$29.97 |
$219.42
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$623.65
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,815.75
|
|
Closed tx/acetabululm without manip 27220
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$584.90
|
|
Closed tx humerus fx with manip 23605
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$524.54
|
|
Closed tx humerus fx w/manip 24505
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$413.00
|
|
Closed tx nose/jaw fx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,133.48
|
|
Closed tx orbit without manipulj
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,199.50
|
|
Closed tx orbit w/manipulj
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,528.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,540.97
|
