|
Chemical peel face epiderm 15788
|
$779.35 |
$779.35 |
$779.35 |
$865.20
|
|
Chemical peel nonfacial 15793
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$558.97
|
|
Chemical peel nonfacial; epidermal
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$942.40
|
|
Chemo adm cns w/lmbr punct
|
$1,487.85 |
$1,487.85 |
$1,487.85 |
$720.20
|
|
Chemodener muscle larynx emg
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$801.75
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$1,797.90 |
$1,797.90 |
$1,797.90 |
$617.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$1,448.85 |
$1,448.85 |
$1,448.85 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$988.50
|
|
Chemodenervation anal musc
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,762.67
|
|
Chemodenervation/face muscl/unilat 64612
|
$1,324.05 |
$1,324.05 |
$1,324.05 |
$600.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$893.75 |
$893.75 |
$893.75 |
$717.07
|
|
Chemodenerv eccrine glands
|
$1,324.05 |
$1,324.05 |
$1,324.05 |
$424.40
|
|
Chemodenerv eccrine glands 64650
|
$1,324.05 |
$1,324.05 |
$1,324.05 |
$536.87
|
|
Chemodenerv musc migraine 64615
|
$1,324.05 |
$1,324.05 |
$1,324.05 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$1,324.05 |
$1,324.05 |
$1,324.05 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$1,324.05 |
$1,324.05 |
$1,324.05 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$1,359.15 |
$1,487.85 |
$1,487.85 |
$748.55
|
|
Chemo ia infuse each addl hr
|
$206.70 |
$206.70 |
$206.70 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$1,487.85 |
$1,487.85 |
$1,487.85 |
$572.00
|
|
Chemo ia push tecnique
|
$1,487.85 |
$1,487.85 |
$1,487.85 |
$499.50
|
|
Chemo intralesional over 7
|
$945.10 |
$945.10 |
$945.10 |
$346.29
|
|
Chemo intralesional up to 7 96405
|
$319.15 |
$319.15 |
$319.15 |
$163.80
|
|
Chemotaxis assay
|
$71.50 |
$71.50 |
$71.50 |
$33.60
|
|
Chemotherapy injection 96542
|
$1,487.85 |
$1,487.85 |
$1,487.85 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$1,487.85 |
$1,487.85 |
$1,487.85 |
$590.00
|
|
Chest 2 vws w oblique
|
$477.10 |
$477.10 |
$565.50 |
$375.60
|
|
Chest apical lordotic proj
|
$395.20 |
$395.20 |
$472.55 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$798.20 |
$798.20 |
$1,155.70 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$798.20 |
$798.20 |
$1,129.70 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$477.10 |
$477.10 |
$785.85 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$385.45 |
$385.45 |
$385.45 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$385.45 |
$385.45 |
$385.45 |
$134.50
|
|
Chest Ultrasound
|
$477.10 |
$477.10 |
$630.50 |
$463.88
|
|
Chest X-ray
|
$395.20 |
$395.20 |
$458.25 |
$294.06
|
|
Chest X-ray (single view)
|
$395.20 |
$395.20 |
$446.55 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$177.45 |
$177.45 |
$177.45 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$798.20 |
$798.20 |
$980.20 |
$520.80
|
|
Chikungunya vaccine live im
|
$643.50 |
$643.50 |
$643.50 |
$483.28
|
|
Chimerism anal no cell selec
|
$930.15 |
$930.15 |
$930.15 |
$393.74
|
|
Chimerism anal w/cell select
|
$1,169.35 |
$1,169.35 |
$1,169.35 |
$649.00
|
|
Chiropractic manj 5 regions
|
$274.30 |
$274.30 |
$274.30 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$49.40 |
$49.40 |
$131.30 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$49.40 |
$49.40 |
$202.80 |
$56.99
|
|
Chiropract manj xtrspinl 1/>
|
$79.95 |
$79.95 |
$119.60 |
$65.52
|
|
Chlamydia culture
|
$87.75 |
$87.75 |
$87.75 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$53.95 |
$53.95 |
$53.95 |
$66.60
|
|
Chlamydia type
|
$24.70 |
$24.70 |
$24.70 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$139.10 |
$139.10 |
$192.40 |
$281.18
|
|
Chloramphenicol sodium injec
|
$113.84 |
$113.84 |
$113.84 |
$113.84
|
|
Chloride
|
$20.80 |
$20.80 |
$20.80 |
$42.63
|
|
Chloride 24 hour urine
|
$26.00 |
$26.00 |
$26.00 |
$50.88
|
|
Chloroprocaine hcl injection
|
$2.85 |
$2.85 |
$2.85 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$696.62 |
$696.62 |
$696.62 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$67.61 |
$67.61 |
$67.61 |
$79.74
|
|
Chmotx admn plrl cav thrcnts
|
$1,487.85 |
$1,487.85 |
$1,487.85 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$715.65 |
$715.65 |
$797.55 |
$602.40
|
|
Cholecystectomy expl duct 47612
|
$5,514.60 |
$5,514.60 |
$5,514.60 |
$3,126.40
|
|
Cholecystectomy w/cholangiography 47605
|
$4,804.80 |
$4,804.80 |
$4,804.80 |
$1,963.37
|
|
Cholecystoenterostomy direct 47720
|
$4,768.40 |
$4,768.40 |
$4,768.40 |
$2,832.00
|
|
Cholecystostomy complete w/supervision & interpretation
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$3,856.84
|
|
Cholera vaccine live oral
|
$477.10 |
$477.10 |
$477.10 |
$481.60
|
|
Cholesterol
|
$19.50 |
$19.50 |
$19.50 |
$45.76
|
|
Cholesterol body fluid
|
$1,383.85 |
$1,383.85 |
$1,383.85 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$59.80 |
$59.80 |
$59.80 |
$115.80
|
|
Cholinesterase
|
$35.10 |
$35.10 |
$35.10 |
$39.48
|
|
Cholinesterase challenge
|
$137.80 |
$137.80 |
$137.80 |
$366.72
|
|
Chorion biopsy
|
$2,263.95 |
$2,263.95 |
$2,263.95 |
$1,392.05
|
|
Chorionic gonadotropin/1000u
|
$730.67 |
$730.67 |
$730.67 |
$548.36
|
|
Chrnc care mgmt phys 1st 30
|
$390.00 |
$390.00 |
$390.00 |
$156.00
|
|
Chrom analysis
|
$156.00 |
$156.00 |
$156.00 |
$156.00
|
|
Chromatogram assay sugars
|
$174.85 |
$174.85 |
$174.85 |
$86.42
|
|
Chromatography
|
$81.25 |
$81.25 |
$81.25 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$256.10 |
$256.10 |
$256.10 |
$250.00
|
|
Chromosome analys amniotic
|
$778.70 |
$778.70 |
$778.70 |
$450.00
|
|
Chromosome analysis 100
|
$776.75 |
$776.75 |
$776.75 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$562.90 |
$562.90 |
$562.90 |
$517.11
|
|
Chromosome analysis 45
|
$674.05 |
$674.05 |
$674.05 |
$382.85
|
|
Chromosome analysis 5
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$644.80
|
|
Chromosome analys placenta
|
$845.65 |
$845.65 |
$845.65 |
$572.99
|
|
Chromosome count additional
|
$120.90 |
$120.90 |
$120.90 |
$96.50
|
|
Chromosome karyotype study
|
$150.15 |
$150.15 |
$150.15 |
$120.00
|
|
Chromosome study additional
|
$154.70 |
$154.70 |
$154.70 |
$151.09
|
|
Chylomicron screen, bf - sendout
|
$275.60 |
$275.60 |
$275.60 |
$136.09
|
|
Cidofovir injection
|
$462.72 |
$462.72 |
$462.72 |
$1,352.09
|
|
Cilastatin sodium injection
|
$76.40 |
$76.40 |
$76.40 |
$77.40
|
|
Ciliary transsleral therapy
|
$6,975.80 |
$6,975.80 |
$6,975.80 |
$3,269.14
|
|
Ciltacabtagene car-pos t
|
$1,732,568.58 |
$1,732,568.58 |
$1,732,568.58 |
$1,573,072.37
|
|
Cine/video x-rays
|
$575.90 |
$575.90 |
$575.90 |
$321.64
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$0.08 |
$0.08 |
$0.08 |
$35.65
|
|
Circum 28 days or older
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$1,995.50 |
$1,995.50 |
$1,995.50 |
$1,219.20
|
|
Circumcision (newborn)
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$1.74 |
$1.74 |
$24.70 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$1,478.10 |
$1,478.10 |
$1,478.10 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$135.72 |
$135.72 |
$135.72 |
$576.60
|
|
C-laminoplasty w/graft/plate
|
$7,295.60 |
$7,295.60 |
$7,295.60 |
$4,108.00
|
