|
Chemodenervation/face muscl/unilat 64612
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$677.98
|
|
Chemodenervation nerve of eye muscle 67345
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$717.07
|
|
Chemodenerv eccrine glands
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$379.38
|
|
Chemodenerv eccrine glands 64650
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$565.50
|
|
Chemodenerv musc neck dyston 64616
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$808.84
|
|
Chemodenerv saliv glands bilat 64611
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$430.50
|
|
Chemodenerv trunk musc 1-5 64646
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,234.53
|
|
Chemo ia push tecnique
|
$147.05 |
$147.05 |
$147.05 |
$519.14
|
|
Chemotaxis assay
|
$17.59 |
$17.59 |
$17.59 |
$21.31
|
|
Chest 2 vws w oblique
|
$118.73 |
$118.73 |
$118.73 |
$377.06
|
|
Chest apical lordotic proj
|
$111.23 |
$111.23 |
$111.23 |
$291.20
|
|
Chest CT scan (with and without contrast)
|
$939.22 |
$939.22 |
$939.22 |
$2,105.40
|
|
Chest CT scan (with contrast)
|
$844.65 |
$844.65 |
$844.65 |
$1,707.60
|
|
Chest CT scan (without contrast)
|
$610.11 |
$610.11 |
$610.11 |
$1,350.03
|
|
Chest X-ray
|
$106.23 |
$106.23 |
$106.23 |
$295.22
|
|
Chest X-ray (single view)
|
$102.90 |
$102.90 |
$102.90 |
$232.17
|
|
Chg radiologic exam esophagus double contrast
|
$208.09 |
$208.09 |
$208.09 |
$541.82
|
|
Chimerism anal no cell selec
|
$228.21 |
$228.21 |
$228.21 |
$447.94
|
|
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 |
$34.92
|
|
Chloride
|
$5.06 |
$5.06 |
$5.06 |
$39.60
|
|
Chloride 24 hour urine
|
$6.33 |
$6.33 |
$6.33 |
$46.13
|
|
Cholangiogram percutaneous compl
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,747.56
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,712.80
|
|
Cholesterol
|
$4.79 |
$4.79 |
$4.79 |
$46.15
|
|
Cholesterol body fluid
|
$22.49 |
$22.49 |
$22.49 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$14.73 |
$14.73 |
$14.73 |
$118.36
|
|
Cholinesterase
|
$8.66 |
$8.66 |
$8.66 |
$39.60
|
|
Chorion biopsy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$975.00
|
|
Chrom analysis
|
$38.29 |
$38.29 |
$38.29 |
$128.25
|
|
Chromatogram assay sugars
|
$42.90 |
$42.90 |
$42.90 |
$64.13
|
|
Chromatography
|
$19.87 |
$19.87 |
$19.87 |
$81.25
|
|
Chromogenic substrate assay
|
$13.08 |
$13.08 |
$13.08 |
$184.60
|
|
Chromo high res and frag x - sendout
|
$62.74 |
$62.74 |
$62.74 |
$265.11
|
|
Chromosome analys amniotic
|
$191.03 |
$191.03 |
$191.03 |
$450.00
|
|
Chromosome analysis 100
|
$190.49 |
$190.49 |
$190.49 |
$422.50
|
|
Chromosome analysis 15-20 cell count
|
$138.04 |
$138.04 |
$138.04 |
$479.38
|
|
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 |
$663.30
|
|
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 |
$116.61
|
|
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 |
$123.50
|
|
Ciliary transsleral therapy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,269.14
|
|
Cine/video x-rays
|
$127.68 |
$127.68 |
$127.68 |
$321.64
|
|
Cine/video x-rays add-on
|
$40.61 |
$40.61 |
$40.61 |
$213.15
|
|
Circum 28 days or older
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,968.60
|
|
Circumcise/surg/28 days or < 54160
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,995.50
|
|
Circumcision (newborn)
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,549.50
|
|
C-kit mutation liquid tumor - sendout
|
$362.46 |
$362.46 |
$362.46 |
$640.41
|
|
Claviculectomy partial
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,594.44
|
|
Claviculectomy total
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,786.00
|
|
Clean out mastoid cavity
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,033.60
|
|
Clearance of airways
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$206.80
|
|
Clearance of tear duct
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$811.45
|
|
Clitoroplasty intersex state
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,615.39
|
|
Cllr miami j sm
|
$20.90 |
$20.90 |
$20.90 |
$219.42
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$646.92
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,815.75
|
|
Closed tx/acetabululm without manip 27220
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$584.90
|
|
Closed tx humerus fx with manip 23605
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$541.45
|
|
Closed tx humerus fx w/manip 24505
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$423.20
|
|
Closed tx nose/jaw fx
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,821.60
|
|
Closed tx orbit without manipulj
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,331.45
|
|
Closed tx orbit w/manipulj
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,825.35
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,864.00
|
|
Closed tx septal&nose fx
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,540.97
|
|
Closed tx sesamoid fx 28530
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$404.04
|
|
Closed tx/talus fracture without manip 28430
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$450.40
|
|
Closed tx vert fx w/manj
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,591.33
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$487.69
|
|
Close mastoid fistula
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,299.20
|
|
Close tear duct opening
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$462.80
|
|
Close tear duct opening
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$656.35
|
|
Close tear system fistula
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,116.80
|
|
Clostridium toxin a w/optic
|
$17.60 |
$17.60 |
$17.60 |
$17.60
|
|
Clos txnose fx without stablz 21315
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,728.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,183.65
|
|
Closure of eyelid by suture
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,170.80
|
|
Closure of salivary fistula
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,589.62
|
|
Closure of windpipe lesion 31820
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,589.62
|
|
Closure paravalvlr leak pq
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$10,497.50
|
|
Clot factor fletcher fact
|
$20.82 |
$20.82 |
$20.82 |
$108.61
|
|
Clot factor viii reltd antgn
|
$22.46 |
$22.46 |
$22.46 |
$95.76
|
|
Clot factor wght kininogen
|
$20.82 |
$20.82 |
$20.82 |
$157.50
|
|
Clot factor xii hageman
|
$21.29 |
$21.29 |
$21.29 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$10.02 |
$10.02 |
$10.02 |
$51.50
|
|
Clot factor xiii fibrin stab
|
$17.97 |
$17.97 |
$17.97 |
$91.80
|
|
Clotting assay whole blood
|
$24.99 |
$24.99 |
$24.99 |
$105.95
|