|
Chest Physiotherapy (first session)
|
$57.07 |
$152.54 |
$570.00 |
|
|
Chest Physiotherapy (follow-up session)
|
$59.40 |
$152.54 |
$570.00 |
|
|
Chest Ultrasound
|
$125.84 |
$125.84 |
$1,104.00 |
|
|
Chest X-ray
|
$104.19 |
$104.19 |
$1,171.00 |
|
|
Chest X-ray (single view)
|
$104.19 |
$104.19 |
$931.00 |
|
|
Chg pr pul rehab for copd patients
|
$70.29 |
$70.29 |
$228.00 |
|
|
Chg radiologic exam esophagus double contrast
|
$210.66 |
$210.66 |
$1,614.00 |
|
|
Chimerism anal no cell selec
|
$207.46 |
$207.46 |
$1,066.00 |
|
|
Chimerism anal w/cell select
|
$260.79 |
$260.79 |
$2,894.00 |
|
|
Chiropractic manj 5 regions
|
$29.94 |
$29.94 |
$29.94 |
|
|
Chiropract manj 1-2 regions
|
$29.94 |
$29.94 |
$29.94 |
|
|
Chiropract manj 3-4 regions
|
$29.94 |
$29.94 |
$29.94 |
|
|
Chlamydia culture
|
$19.60 |
$19.60 |
$269.00 |
|
|
Chlamydia trachomatis ag if
|
$11.98 |
$11.98 |
$87.60 |
|
|
Chlamydia type
|
$5.57 |
$5.57 |
$227.00 |
|
|
Chlmyd pneum dna dir probe
|
$20.05 |
$20.05 |
$20.05 |
|
|
Chlmyd pneum dna quant
|
$42.84 |
$42.84 |
$42.84 |
|
|
Chloramphenicol sodium injec
|
$159.99 |
$159.99 |
$159.99 |
|
|
Chloride
|
$4.60 |
$4.60 |
$83.00 |
|
|
Chloride 24 hour urine
|
$5.75 |
$5.75 |
$103.00 |
|
|
Chloroprocaine hcl injection
|
$3.44 |
$3.44 |
$3.44 |
|
|
Chloroprocaine opht gel, 1mg
|
$0.63 |
$0.63 |
$0.63 |
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$159.36 |
$159.36 |
$392.80 |
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$77.00 |
$89.81 |
$89.81 |
|
|
Chlorpromazine 100 mg tablet
|
$0.80 |
$0.80 |
$0.80 |
|
|
Chmotx admn plrl cav thrcnts
|
$392.51 |
$392.51 |
$392.51 |
|
|
Cholangiogram percutaneous compl
|
$3,342.00 |
$4,176.15 |
$9,036.87 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$175.02 |
$475.14 |
$2,093.00 |
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,876.20 |
$4,176.15 |
$9,036.87 |
|
|
Cholesterol
|
$4.35 |
$4.35 |
$110.00 |
|
|
Cholesterol body fluid
|
$51.29 |
$93.18 |
$9,019.32 |
|
|
Cholesterol (Lipid) Test
|
$13.39 |
$13.39 |
$239.00 |
|
|
Choline c-11
|
$0.35 |
$2,062.94 |
$2,062.94 |
|
|
Cholinesterase
|
$7.87 |
$7.87 |
$118.20 |
|
|
Cholinesterase challenge
|
$368.50 |
$368.50 |
$934.83 |
|
|
Chorion biopsy
|
$482.00 |
$1,030.40 |
$2,875.00 |
|
|
Chorionic gonadotropin/1000u
|
$752.78 |
$752.78 |
$752.78 |
|
|
Chrom analysis
|
$34.81 |
$34.81 |
$508.00 |
|
|
Chromatogram assay sugars
|
$39.00 |
$39.00 |
$39.00 |
|
|
Chromatography
|
$18.06 |
$18.06 |
$206.00 |
|
|
Chromogenic substrate assay
|
$11.89 |
$11.89 |
$449.00 |
|
|
Chromo high res and frag x - sendout
|
$57.04 |
$57.04 |
$3,739.80 |
|
|
Chromosome analys amniotic
|
$173.66 |
$173.66 |
$815.00 |
|
|
Chromosome analysis 100
|
$102.00 |
$173.17 |
$661.14 |
|
|
Chromosome analysis 15-20 cell count
|
$125.49 |
$125.49 |
$1,189.00 |
|
|
Chromosome analysis 20-25
|
$173.17 |
$173.17 |
$173.17 |
|
|
Chromosome analysis 45
|
$150.29 |
$150.29 |
$150.29 |
|
|
Chromosome analysis 5
|
$264.34 |
$264.34 |
$977.00 |
|
|
Chromosome analysis 50-100
|
$173.17 |
$173.17 |
$812.00 |
|
|
Chromosome analys placenta
|
$188.57 |
$188.57 |
$971.00 |
|
|
Chromosome banding study
|
$68.60 |
$68.60 |
$508.00 |
|
|
Chromosome count additional
|
$26.91 |
$26.91 |
$274.00 |
|
|
Chromosome karyotype study
|
$33.47 |
$33.47 |
$329.00 |
|
|
Chromosome study additional
|
$34.43 |
$34.43 |
$34.43 |
|
|
Chronic urticaria - sendout
|
$12.46 |
$12.46 |
$311.15 |
|
|
Chylomicron screen, bf - sendout
|
$61.50 |
$61.50 |
$221.89 |
|
|
Cidofovir injection
|
$248.65 |
$528.00 |
$528.00 |
|
|
Cilastatin sodium injection
|
$34.92 |
$34.92 |
$34.92 |
|
|
Ciliary transsleral therapy
|
$2,760.73 |
$2,760.73 |
$3,835.80 |
|
|
Ciltacabtagene car-pos t
|
$527,123.43 |
$527,123.43 |
$1,943,575.00 |
|
|
Cinacalcet 30 mg tablet
|
$1.23 |
$1.51 |
$1.52 |
|
|
Cine/video x-rays
|
$125.84 |
$125.84 |
$351.00 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$0.08 |
$0.08 |
$10.20 |
|
|
Ciprofloxacin otic susp 6 mg
|
$811.20 |
$811.20 |
$811.20 |
|
|
Circum 28 days or older
|
$2,424.12 |
$2,424.12 |
$6,253.08 |
|
|
Circumcise/surg/28 days or < 54160
|
$789.86 |
$789.86 |
$789.86 |
|
|
Circumcision (newborn)
|
$154.64 |
$2,424.12 |
$2,424.12 |
|
|
Cisplatin 1 mg/ml desensitization
|
$0.83 |
$0.83 |
$7.80 |
|
|
C-kit mutation liquid tumor - sendout
|
$329.51 |
$329.51 |
$4,054.80 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$14.25 |
$14.25 |
$78.80 |
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$1,499.46 |
$5,193.18 |
$9,702.47 |
|
|
Claviculectomy partial
|
$3,839.54 |
$3,839.54 |
$8,441.76 |
|
|
Claviculectomy total
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Clean out mastoid cavity
|
$398.00 |
$602.63 |
$602.63 |
|
|
Clearance of airways
|
$240.68 |
$240.68 |
$566.67 |
|
|
Clearance of tear duct
|
$353.74 |
$353.74 |
$353.74 |
|
|
C-lens fitg corneosclrl lens
|
$152.54 |
$152.54 |
$152.54 |
|
|
C-lens fitg tech aphakia 1
|
$152.54 |
$152.54 |
$152.54 |
|
|
C-lens fitg tech aphakia ou
|
$152.54 |
$152.54 |
$152.54 |
|
|
C-lens fitg tech corneosclrl
|
$46.45 |
$46.45 |
$46.45 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.62 |
$0.62 |
$16.00 |
|
|
Clip ligating vesolock lg
|
$528.00 |
$1,238.40 |
$3,315.00 |
|
|
Clip phn wireless f/baha4 proc
|
$1,139.24 |
$1,139.24 |
$1,139.24 |
|
|
Clitoroplasty intersex state
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
|
|
Clofarabine 1 mg/ml intravenous solution
|
$14.38 |
$14.38 |
$35.08 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$32.59 |
$32.59 |
$32.59 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$102.00 |
$283.86 |
$2,924.00 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$388.80 |
$1,893.86 |
$4,572.13 |
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,642.82 |
$1,642.82 |
$1,642.82 |
|
|
Closed tx/acetabululm without manip 27220
|
$283.86 |
$283.86 |
$606.40 |
|
|
Closed tx humerus fx with manip 23605
|
$773.00 |
$1,893.86 |
$10,561.00 |
|
|
Closed tx humerus fx without manip 23600
|
$283.86 |
$283.86 |
$3,799.00 |
|
|
Closed tx humerus fx w/manip 24505
|
$1,320.06 |
$1,893.86 |
$4,908.52 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$102.00 |
$283.86 |
$1,120.00 |
|
|
Closed tx nose/jaw fx
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
|
|
Closed tx orbit without manipulj
|
$602.63 |
$602.63 |
$602.63 |
|
|
Closed tx orbit w/manipulj
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,893.86 |
$1,893.86 |
$9,557.00 |
|
|
Closed tx septal&nose fx
|
$3,837.72 |
$3,837.72 |
$9,622.00 |
|
|
Closed tx sesamoid fx 28530
|
$283.86 |
$283.86 |
$623.11 |
|
