|
Chemo adm cns w/lmbr punct
|
$1,323.75 |
$1,323.75 |
$1,323.75 |
$713.90
|
|
Chemodener muscle larynx emg
|
$801.75 |
$801.75 |
$801.75 |
$798.40
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$293.25 |
$293.25 |
$293.25 |
$617.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$281.25 |
$281.25 |
$281.25 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$539.25 |
$539.25 |
$539.25 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$988.50 |
$988.50 |
$988.50 |
$988.50
|
|
Chemodenervation/face muscl/unilat 64612
|
$891.75 |
$891.75 |
$891.75 |
$652.80
|
|
Chemodenerv musc migraine 64615
|
$512.25 |
$512.25 |
$512.25 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$819.00 |
$819.00 |
$819.00 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$387.75 |
$387.75 |
$387.75 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$822.75 |
$822.75 |
$822.75 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$801.75 |
$801.75 |
$801.75 |
$1,278.40
|
|
Chemo intralesional over 7
|
$246.75 |
$246.75 |
$246.75 |
$339.00
|
|
Chemo intralesional up to 7 96405
|
$83.25 |
$83.25 |
$83.25 |
$163.80
|
|
Chemotx admn pertl cav impl
|
$852.00 |
$852.00 |
$852.00 |
$590.00
|
|
Chest 2 vws w oblique
|
$507.00 |
$507.00 |
$507.00 |
$377.00
|
|
Chest apical lordotic proj
|
$500.25 |
$500.25 |
$500.25 |
$310.59
|
|
Chest CT scan (with and without contrast)
|
$1,829.25 |
$1,829.25 |
$1,829.25 |
$1,946.41
|
|
Chest CT scan (with contrast)
|
$1,747.50 |
$1,747.50 |
$1,747.50 |
$1,632.95
|
|
Chest CT scan (without contrast)
|
$1,519.50 |
$1,519.50 |
$1,519.50 |
$1,289.00
|
|
Chest Physiotherapy (first session)
|
$219.00 |
$219.00 |
$219.00 |
$161.77
|
|
Chest Physiotherapy (follow-up session)
|
$216.75 |
$216.75 |
$216.75 |
$135.10
|
|
Chest Ultrasound
|
$695.25 |
$695.25 |
$695.25 |
$467.50
|
|
Chest X-ray
|
$366.00 |
$366.00 |
$366.00 |
$294.06
|
|
Chest X-ray (single view)
|
$292.50 |
$292.50 |
$292.50 |
$236.40
|
|
Chg pr pul rehab for copd patients
|
$134.25 |
$134.25 |
$134.25 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$759.00 |
$759.00 |
$759.00 |
$520.80
|
|
Chimerism anal no cell selec
|
$1,689.75 |
$1,689.75 |
$1,689.75 |
$380.00
|
|
Chimerism anal w/cell select
|
$822.00 |
$822.00 |
$822.00 |
$585.60
|
|
Chlamydia culture
|
$105.00 |
$105.00 |
$105.00 |
$91.80
|
|
Chlnggrphy intraop addl s&i
|
$519.00 |
$519.00 |
$519.00 |
$281.00
|
|
Chloramphenicol sodium injec
|
$143.40 |
$143.40 |
$143.40 |
$113.84
|
|
Chloride
|
$42.75 |
$42.75 |
$42.75 |
$41.50
|
|
Chloride 24 hour urine
|
$60.75 |
$60.75 |
$60.75 |
$50.40
|
|
Chloroprocaine hcl injection
|
$69.08 |
$69.08 |
$69.08 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$221.85 |
$221.85 |
$221.85 |
$392.80
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$91.92 |
$91.92 |
$91.92 |
$78.60
|
|
Cholangiogram percutaneous compl
|
$2,959.50 |
$2,959.50 |
$2,959.50 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$694.50 |
$694.50 |
$694.50 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,449.25 |
$3,449.25 |
$3,449.25 |
$3,870.00
|
|
Cholera vaccine live oral
|
$814.20 |
$814.20 |
$814.20 |
$481.60
|
|
Cholesterol
|
$63.75 |
$63.75 |
$63.75 |
$45.65
|
|
Cholesterol (Lipid) Test
|
$143.25 |
$143.25 |
$143.25 |
$115.70
|
|
Cholinesterase
|
$105.00 |
$105.00 |
$105.00 |
$40.80
|
|
Chorionic gonadotropin/1000u
|
$788.58 |
$788.58 |
$788.58 |
$548.36
|
|
Chrom analysis
|
$459.75 |
$459.75 |
$459.75 |
$156.00
|
|
Chromatography
|
$252.75 |
$252.75 |
$252.75 |
$84.60
|
|
Chromogenic substrate assay
|
$382.50 |
$382.50 |
$382.50 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$293.25 |
$293.25 |
$293.25 |
$250.00
|
|
Chromosome analysis 100
|
$519.00 |
$519.00 |
$519.00 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$1,069.50 |
$1,069.50 |
$1,069.50 |
$517.11
|
|
Chromosome analysis 45
|
$1,692.75 |
$1,692.75 |
$1,692.75 |
$382.85
|
|
Chromosome analysis 5
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$644.80
|
|
Chromosome analysis 50-100
|
$519.00 |
$519.00 |
$519.00 |
$434.40
|
|
Chromosome analys placenta
|
$892.50 |
$892.50 |
$892.50 |
$572.99
|
|
Chromosome count additional
|
$147.75 |
$147.75 |
$147.75 |
$96.40
|
|
Chromosome karyotype study
|
$337.50 |
$337.50 |
$337.50 |
$120.00
|
|
Chromosome study additional
|
$136.50 |
$136.50 |
$136.50 |
$149.25
|
|
Chylomicron screen, bf - sendout
|
$336.75 |
$336.75 |
$336.75 |
$135.10
|
|
Cidofovir injection
|
$1,615.67 |
$1,615.67 |
$1,615.67 |
$1,352.09
|
|
Cilastatin sodium injection
|
$36.62 |
$36.62 |
$36.62 |
$77.40
|
|
Cinacalcet 30 mg tablet
|
$5,641.98 |
$5,641.98 |
$5,641.98 |
$41.25
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$23.67 |
$23.67 |
$23.67 |
$35.52
|
|
Circumcision (newborn)
|
$1,549.50 |
$1,549.50 |
$1,549.50 |
$1,366.04
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$355.41 |
$355.41 |
$355.41 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$19,012.50 |
$19,012.50 |
$19,012.50 |
$15,560.16
|
|
Clean out mastoid cavity
|
$579.00 |
$579.00 |
$579.00 |
$1,033.60
|
|
Clearance of airways
|
$166.50 |
$166.50 |
$166.50 |
$214.40
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$49.74 |
$49.74 |
$49.74 |
$55.20
|
|
Clip ligating vesolock lg
|
$38,250.00 |
$38,250.00 |
$38,250.00 |
$4,320.00
|
|
Cllr miami j sm
|
$112.39 |
$112.39 |
$112.39 |
$536.64
|
|
Clofarabine 1 mg/ml intravenous solution
|
$11,963.49 |
$11,963.49 |
$11,963.49 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$361.14 |
$361.14 |
$361.14 |
$84.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$273.00 |
$273.00 |
$273.00 |
$518.40
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$261.75 |
$261.75 |
$261.75 |
$484.29
|
|
Closed tx humerus fx with manip 23605
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$402.75 |
$402.75 |
$402.75 |
$524.54
|
|
Closed tx humerus fx w/manip 24505
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$261.75 |
$261.75 |
$261.75 |
$389.50
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,134.50 |
$2,134.50 |
$2,134.50 |
$2,569.28
|
|
Closed tx sesamoid fx 28530
|
$525.75 |
$525.75 |
$525.75 |
$425.76
|
|
Closed tx/talus fracture without manip 28430
|
$306.75 |
$306.75 |
$306.75 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$262.50 |
$262.50 |
$262.50 |
$480.80
|
|
Clos txnose fx without stablz 21315
|
$2,896.50 |
$2,896.50 |
$2,896.50 |
$2,377.50
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$637.50 |
$637.50 |
$637.50 |
$1,292.85
|
|
Closure paravalvlr leak pq
|
$31,283.25 |
$31,283.25 |
$31,283.25 |
$9,282.60
|
|
Clot factor fletcher fact
|
$466.50 |
$466.50 |
$466.50 |
$119.40
|
|
Clot factor wght kininogen
|
$393.00 |
$393.00 |
$393.00 |
$157.50
|
|
Clot factor xii hageman
|
$246.75 |
$246.75 |
$246.75 |
$135.01
|
|
Clot factor xiii fibrin scrn
|
$47.25 |
$47.25 |
$47.25 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$292.50 |
$292.50 |
$292.50 |
$106.20
|
|
Clozapine, 25 mg
|
$242.19 |
$242.19 |
$242.19 |
$5.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$600.00 |
$600.00 |
$600.00 |
$657.28
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$358.50 |
$358.50 |
$358.50 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$543.00 |
$543.00 |
$543.00 |
$503.40
|
|
Clsd tx clav dislc without manip 23520
|
$3,290.25 |
$3,290.25 |
$3,290.25 |
$1,919.13
|
|
Clsd tx clavicle dislocation without manip 23540
|
$581.25 |
$581.25 |
$581.25 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$2,396.25 |
$2,396.25 |
$2,396.25 |
$1,912.68
|
|
Clsd tx/clavicular fx without manip 23500
|
$425.25 |
$425.25 |
$425.25 |
$452.40
|
