|
Chemodenerv trunk musc 1-5 64646
|
$71.94 |
$71.94 |
$71.94 |
$1,067.40
|
|
Chemodenerv trunk musc 6/] 64647
|
$81.62 |
$81.62 |
$81.62 |
$1,267.20
|
|
Chemo intralesional over 7
|
$27.06 |
$27.06 |
$27.06 |
$339.00
|
|
Chemo intralesional up to 7 96405
|
$17.60 |
$17.60 |
$17.60 |
$163.80
|
|
Chemotaxis assay
|
$10.56 |
$10.56 |
$10.56 |
$33.60
|
|
Chemotherapy injection 96542
|
$25.30 |
$25.30 |
$25.30 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$12.10 |
$12.10 |
$12.10 |
$590.00
|
|
Chest 2 vws w oblique
|
$342.42 |
$342.42 |
$342.42 |
$375.90
|
|
Chest apical lordotic proj
|
$354.12 |
$354.12 |
$354.12 |
$312.73
|
|
Chest CT scan (with and without contrast)
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,510.08 |
$1,510.08 |
$1,510.08 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$902.46 |
$902.46 |
$902.46 |
$1,303.15
|
|
Chest Ultrasound
|
$467.22 |
$467.22 |
$467.22 |
$463.88
|
|
Chest X-ray
|
$354.12 |
$354.12 |
$354.12 |
$294.06
|
|
Chest X-ray (single view)
|
$283.14 |
$283.14 |
$283.14 |
$238.55
|
|
Chg pr pul rehab for copd patients
|
$16.06 |
$16.06 |
$16.06 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$572.52 |
$572.52 |
$572.52 |
$520.80
|
|
Chimerism anal no cell selec
|
$136.84 |
$136.84 |
$136.84 |
$381.00
|
|
Chimerism anal w/cell select
|
$172.04 |
$172.04 |
$172.04 |
$649.00
|
|
Chiropractic manj 5 regions
|
$28.16 |
$28.16 |
$28.16 |
$85.80
|
|
Chiropract manj 1-2 regions
|
$13.64 |
$13.64 |
$13.64 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$20.90 |
$20.90 |
$20.90 |
$56.99
|
|
Chiropract manj xtrspinl 1/>
|
$14.74 |
$14.74 |
$14.74 |
$65.52
|
|
Chlamydia culture
|
$102.96 |
$102.96 |
$102.96 |
$91.80
|
|
Chlamydia trachomatis ag if
|
$7.92 |
$7.92 |
$7.92 |
$65.50
|
|
Chlamydia type
|
$29.64 |
$29.64 |
$29.64 |
$34.98
|
|
Chlmyd pneum dna dir probe
|
$13.20 |
$13.20 |
$13.20 |
$27.67
|
|
Chlmyd pneum dna quant
|
$28.16 |
$28.16 |
$28.16 |
$59.12
|
|
Chlnggrphy intraop addl s&i
|
$244.92 |
$244.92 |
$244.92 |
$281.18
|
|
Chloride
|
$24.18 |
$24.18 |
$24.18 |
$41.60
|
|
Chloride 24 hour urine
|
$30.42 |
$30.42 |
$30.42 |
$50.69
|
|
Chmotx admn plrl cav thrcnts
|
$82.94 |
$82.94 |
$82.94 |
$508.05
|
|
Cholangiogram percutaneous compl
|
$8,257.86 |
$8,257.86 |
$8,257.86 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$8.14 |
$8.14 |
$8.14 |
$602.40
|
|
Cholecystectomy expl duct 47612
|
$786.72 |
$786.72 |
$786.72 |
$2,907.00
|
|
Cholecystectomy w/cholangiography 47605
|
$698.06 |
$698.06 |
$698.06 |
$1,845.00
|
|
Cholecystoenterostomy direct 47720
|
$714.34 |
$714.34 |
$714.34 |
$2,832.00
|
|
Cholecystostomy complete w/supervision & interpretation
|
$8,257.86 |
$8,257.86 |
$8,257.86 |
$3,856.84
|
|
Cholesterol
|
$22.62 |
$22.62 |
$22.62 |
$45.75
|
|
Cholesterol (Lipid) Test
|
$70.98 |
$70.98 |
$70.98 |
$115.80
|
|
Cholinesterase
|
$41.34 |
$41.34 |
$41.34 |
$39.48
|
|
Cholinesterase challenge
|
$17.38 |
$17.38 |
$17.38 |
$355.00
|
|
Chorion biopsy
|
$80.74 |
$80.74 |
$80.74 |
$1,392.05
|
|
Chrnc care mgmt phys 1st 30
|
$46.20 |
$46.20 |
$46.20 |
$156.00
|
|
Chrom analysis
|
$22.88 |
$22.88 |
$22.88 |
$155.40
|
|
Chromatogram assay sugars
|
$25.96 |
$25.96 |
$25.96 |
$86.42
|
|
Chromatography
|
$95.16 |
$95.16 |
$95.16 |
$85.80
|
|
Chromogenic substrate assay
|
$7.92 |
$7.92 |
$7.92 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$37.84 |
$37.84 |
$37.84 |
$247.59
|
|
Chromosome analys amniotic
|
$114.40 |
$114.40 |
$114.40 |
$450.00
|
|
Chromosome analysis 100
|
$114.40 |
$114.40 |
$114.40 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$82.72 |
$82.72 |
$82.72 |
$515.00
|
|
Chromosome analysis 20-25
|
$114.40 |
$114.40 |
$114.40 |
$376.88
|
|
Chromosome analysis 45
|
$99.00 |
$99.00 |
$99.00 |
$382.85
|
|
Chromosome analysis 5
|
$174.68 |
$174.68 |
$174.68 |
$644.80
|
|
Chromosome analysis 50-100
|
$114.40 |
$114.40 |
$114.40 |
$434.40
|
|
Chromosome analys placenta
|
$124.52 |
$124.52 |
$124.52 |
$572.46
|
|
Chromosome banding study
|
$45.32 |
$45.32 |
$45.32 |
$183.91
|
|
Chromosome count additional
|
$17.60 |
$17.60 |
$17.60 |
$96.40
|
|
Chromosome karyotype study
|
$22.00 |
$22.00 |
$22.00 |
$120.00
|
|
Chromosome study additional
|
$22.88 |
$22.88 |
$22.88 |
$149.25
|
|
Chronic urticaria - sendout
|
$8.36 |
$8.36 |
$8.36 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$40.48 |
$40.48 |
$40.48 |
$135.10
|
|
Ciliary transsleral therapy
|
$236.94 |
$236.94 |
$236.94 |
$3,269.14
|
|
Cine/video x-rays
|
$11.66 |
$11.66 |
$11.66 |
$321.64
|
|
Cine/video x-rays add-on
|
$8.36 |
$8.36 |
$8.36 |
$293.05
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$5.39 |
$5.39 |
$5.39 |
$35.00
|
|
Circum 28 days or older
|
$122.54 |
$122.54 |
$122.54 |
$3,986.00
|
|
Circumcise/surg/28 days or < 54160
|
$89.76 |
$89.76 |
$89.76 |
$1,219.20
|
|
Circumcision (newborn)
|
$4,793.88 |
$4,793.88 |
$4,793.88 |
$1,364.88
|
|
C-kit mutation liquid tumor - sendout
|
$217.36 |
$217.36 |
$217.36 |
$666.60
|
|
C-laminoplasty w/graft/plate
|
$1,050.28 |
$1,050.28 |
$1,050.28 |
$3,751.44
|
|
Clamp neck artery
|
$851.40 |
$851.40 |
$851.40 |
$2,085.35
|
|
Claviculectomy partial
|
$368.06 |
$368.06 |
$368.06 |
$3,821.05
|
|
Claviculectomy total
|
$444.18 |
$444.18 |
$444.18 |
$4,350.00
|
|
Clean out mastoid cavity
|
$83.60 |
$83.60 |
$83.60 |
$1,033.60
|
|
Clearance of airways
|
$32.78 |
$32.78 |
$32.78 |
$213.50
|
|
Clearance of airways
|
$48.40 |
$48.40 |
$48.40 |
$444.60
|
|
Clearance of tear duct
|
$154.22 |
$154.22 |
$154.22 |
$656.38
|
|
C-lens fitg corneosclrl lens
|
$26.40 |
$26.40 |
$26.40 |
$152.54
|
|
C-lens fitg tech aphakia 1
|
$12.76 |
$12.76 |
$12.76 |
$165.50
|
|
C-lens fitg tech aphakia ou
|
$19.36 |
$19.36 |
$19.36 |
$197.60
|
|
C-lens fitg tech corneosclrl
|
$12.76 |
$12.76 |
$12.76 |
$107.50
|
|
C-lens fitg tech ou
|
$21.78 |
$21.78 |
$21.78 |
$22.77
|
|
Clitoroplasty intersex state
|
$718.30 |
$718.30 |
$718.30 |
$3,762.53
|
|
Cl mult vsd w/rem pul band
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$2,974.51
|
|
Close bladder-uterus fistula
|
$472.34 |
$472.34 |
$472.34 |
$1,926.40
|
|
Close bronchial fistula 32815
|
$1,704.56 |
$1,704.56 |
$1,704.56 |
$6,816.80
|
|
Close chest after drainage
|
$551.76 |
$551.76 |
$551.76 |
$2,191.20
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$243.76 |
$243.76 |
$243.76 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$251.46 |
$251.46 |
$251.46 |
$1,806.01
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$455.18 |
$455.18 |
$455.18 |
$1,615.35
|
|
Closed tx/acetabululm without manip 27220
|
$561.60 |
$561.60 |
$561.60 |
$484.29
|
|
Closed tx humerus fx with manip 23605
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$561.60 |
$561.60 |
$561.60 |
$499.32
|
|
Closed tx humerus fx w/manip 24505
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$561.60 |
$561.60 |
$561.60 |
$386.40
|
|
Closed tx nose/jaw fx
|
$396.88 |
$396.88 |
$396.88 |
$2,903.97
|
|
Closed tx orbit without manipulj
|
$106.04 |
$106.04 |
$106.04 |
$998.40
|
|
Closed tx orbit w/manipulj
|
$205.48 |
$205.48 |
$205.48 |
$3,006.96
|
