|
Chest CT scan (with contrast)
|
$210.66 |
$210.66 |
$210.66 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$125.84 |
$125.84 |
$125.84 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$152.54 |
$152.54 |
$152.54 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$152.54 |
$152.54 |
$152.54 |
$134.50
|
|
Chest Ultrasound
|
$125.84 |
$125.84 |
$125.84 |
$463.88
|
|
Chest X-ray
|
$104.19 |
$104.19 |
$104.19 |
$294.06
|
|
Chest X-ray (single view)
|
$104.19 |
$104.19 |
$104.19 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$70.29 |
$70.29 |
$70.29 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$210.66 |
$210.66 |
$210.66 |
$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
|
$29.94 |
$29.94 |
$29.94 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$29.94 |
$29.94 |
$29.94 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$29.94 |
$29.94 |
$29.94 |
$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
|
$0.63 |
$0.63 |
$0.63 |
$0.63
|
|
Chmotx admn plrl cav thrcnts
|
$392.51 |
$392.51 |
$392.51 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$3,427.55
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,176.15 |
$4,176.15 |
$4,176.15 |
$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
|
$368.50 |
$368.50 |
$368.50 |
$366.72
|
|
Chorion biopsy
|
$1,030.40 |
$1,030.40 |
$1,030.40 |
$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
|
$528.00 |
$528.00 |
$528.00 |
$1,352.09
|
|
Ciliary transsleral therapy
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$3,269.14
|
|
Ciltacabtagene car-pos t
|
$527,123.43 |
$527,123.43 |
$527,123.43 |
$1,573,072.37
|
|
Cine/video x-rays
|
$125.84 |
$125.84 |
$125.84 |
$321.64
|
|
Circum 28 days or older
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$789.86 |
$789.86 |
$789.86 |
$1,219.20
|
|
Circumcision (newborn)
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$1,364.88
|
|
C-kit mutation liquid tumor - sendout
|
$329.51 |
$329.51 |
$329.51 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$14.25 |
$14.25 |
$14.25 |
$576.60
|
|
Claviculectomy partial
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Claviculectomy total
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,499.12
|
|
Clean out mastoid cavity
|
$602.63 |
$602.63 |
$602.63 |
$1,033.60
|
|
Clearance of airways
|
$240.68 |
$240.68 |
$240.68 |
$213.07
|
|
Clearance of tear duct
|
$353.74 |
$353.74 |
$353.74 |
$795.53
|
|
C-lens fitg corneosclrl lens
|
$152.54 |
$152.54 |
$152.54 |
$165.50
|
|
C-lens fitg tech aphakia 1
|
$152.54 |
$152.54 |
$152.54 |
$165.50
|
|
C-lens fitg tech aphakia ou
|
$152.54 |
$152.54 |
$152.54 |
$197.60
|
|
C-lens fitg tech corneosclrl
|
$46.45 |
$46.45 |
$46.45 |
$122.20
|
|
Clitoroplasty intersex state
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$3,786.00
|
|
Clofarabine 1 mg/ml intravenous solution
|
$14.38 |
$14.38 |
$14.38 |
$4,784.71
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$283.86 |
$283.86 |
$283.86 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,806.01
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,642.82 |
$1,642.82 |
$1,642.82 |
$1,642.82
|
|
Closed tx/acetabululm without manip 27220
|
$283.86 |
$283.86 |
$283.86 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$283.86 |
$283.86 |
$283.86 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$283.86 |
$283.86 |
$283.86 |
$386.40
|
|
Closed tx nose/jaw fx
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$2,903.97
|
|
Closed tx orbit without manipulj
|
$602.63 |
$602.63 |
$602.63 |
$998.40
|
|
Closed tx orbit w/manipulj
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$3,136.80
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,569.28
|
|
Closed tx septal&nose fx
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,651.90
|
|
Closed tx sesamoid fx 28530
|
$283.86 |
$283.86 |
$283.86 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$283.86 |
$283.86 |
$283.86 |
$442.80
|
|
Closed tx vert fx w/manj
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$274.80 |
$274.80 |
$274.80 |
$472.50
|
|
Close mastoid fistula
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$3,299.20
|
|
Close median sternotomy separation 21750
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$1,660.00
|
|
Close tear duct opening
|
$353.74 |
$353.74 |
$353.74 |
$436.44
|
|
Close tear duct opening
|
$353.74 |
$353.74 |
$353.74 |
$353.74
|
|
Close tear system fistula
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$3,586.17
|
|
Clostridium toxin a w/optic
|
$16.00 |
$16.00 |
$16.00 |
$35.20
|
|
Clos txnose fx without stablz 21315
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$602.63 |
$602.63 |
$602.63 |
$1,259.62
|
|
Closure of eyelid by suture
|
$1,146.13 |
$1,146.13 |
$1,146.13 |
$1,701.96
|
|
Closure of salivary fistula
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,169.60
|
|
Closure of windpipe lesion 31820
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,837.72
|
|
Closure paravalvlr leak pq
|
$731.62 |
$731.62 |
$731.62 |
$9,434.46
|
|
Clot factor fletcher fact
|
$18.93 |
$18.93 |
$18.93 |
$119.50
|
