|
Change nephroureteral cath
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$2,969.25
|
|
Change of ureter tube/stent
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$2,412.45
|
|
Change of windpipe airway 31502
|
$683.40 |
$683.40 |
$683.40 |
$355.25
|
|
Change ureter stent percut
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$3,863.60
|
|
Chemo adm cns w/lmbr punct
|
$968.15 |
$968.15 |
$968.15 |
$665.40
|
|
Chemodenerv saliv glands bilat 64611
|
$828.75 |
$828.75 |
$828.75 |
$441.00
|
|
Chemo ia push tecnique
|
$920.55 |
$920.55 |
$920.55 |
$486.21
|
|
Chemotherapy injection 96542
|
$920.55 |
$920.55 |
$920.55 |
$426.40
|
|
Chemotx admn pertl cav impl
|
$920.55 |
$920.55 |
$920.55 |
$586.85
|
|
Chest 2 vws w oblique
|
$495.55 |
$495.55 |
$495.55 |
$377.06
|
|
Chest apical lordotic proj
|
$406.30 |
$406.30 |
$406.30 |
$304.00
|
|
Chest CT scan (with and without contrast)
|
$1,899.75 |
$1,899.75 |
$1,899.75 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,618.40 |
$1,618.40 |
$1,618.40 |
$1,653.16
|
|
Chest CT scan (without contrast)
|
$1,389.75 |
$1,389.75 |
$1,389.75 |
$1,350.03
|
|
Chest X-ray
|
$406.30 |
$406.30 |
$406.30 |
$295.22
|
|
Chest X-ray (single view)
|
$406.30 |
$406.30 |
$406.30 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$826.20 |
$826.20 |
$826.20 |
$504.40
|
|
Chikungunya vaccine live im
|
$289.00 |
$289.00 |
$289.00 |
$483.28
|
|
Chlamydia type
|
$22.95 |
$22.95 |
$22.95 |
$32.92
|
|
Chlnggrphy intraop addl s&i
|
$193.80 |
$193.80 |
$193.80 |
$277.97
|
|
Chloramphenicol sodium injec
|
$58.13 |
$58.13 |
$58.13 |
$113.85
|
|
Chloride
|
$19.55 |
$19.55 |
$19.55 |
$39.96
|
|
Chloride 24 hour urine
|
$22.95 |
$22.95 |
$22.95 |
$47.39
|
|
Chloroprocaine (clorotekal)
|
$57.52 |
$57.52 |
$57.52 |
$37.89
|
|
Chloroprocaine hcl injection
|
$88.47 |
$88.47 |
$88.47 |
$61.31
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$793.75 |
$793.75 |
$793.75 |
$358.30
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$104.44 |
$104.44 |
$104.44 |
$78.43
|
|
Cholangiogram percutaneous compl
|
$7,522.50 |
$7,522.50 |
$7,522.50 |
$3,547.05
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$515.10 |
$515.10 |
$515.10 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$8,485.55 |
$8,485.55 |
$8,485.55 |
$3,690.60
|
|
Cholera vaccine live oral
|
$285.60 |
$285.60 |
$285.60 |
$477.10
|
|
Cholesterol
|
$17.85 |
$17.85 |
$17.85 |
$45.65
|
|
Cholesterol (Lipid) Test
|
$53.55 |
$53.55 |
$53.55 |
$115.80
|
|
Cholinesterase
|
$32.30 |
$32.30 |
$32.30 |
$39.60
|
|
Chorionic gonadotropin/1000u
|
$832.34 |
$832.34 |
$832.34 |
$674.46
|
|
Chrom analysis
|
$140.25 |
$140.25 |
$140.25 |
$152.40
|
|
Chromatography
|
$73.10 |
$73.10 |
$73.10 |
$81.25
|
|
Chromosome analysis 15-20 cell count
|
$506.60 |
$506.60 |
$506.60 |
$492.50
|
|
Chromosome analysis 45
|
$606.05 |
$606.05 |
$606.05 |
$377.60
|
|
Chromosome analysis 5
|
$1,065.90 |
$1,065.90 |
$1,065.90 |
$644.80
|
|
Chromosome banding study
|
$277.95 |
$277.95 |
$277.95 |
$184.24
|
|
Chromosome count additional
|
$108.80 |
$108.80 |
$108.80 |
$96.50
|
|
Chromosome karyotype study
|
$136.00 |
$136.00 |
$136.00 |
$115.80
|
|
Chromosome study additional
|
$139.40 |
$139.40 |
$139.40 |
$147.03
|
|
Cid ext speech process repl
|
$19,507.50 |
$19,507.50 |
$19,507.50 |
$15,422.40
|
|
Cidofovir injection
|
$1,966.73 |
$1,966.73 |
$1,966.73 |
$1,352.09
|
|
Cilastatin sodium injection
|
$117.49 |
$117.49 |
$117.49 |
$77.40
|
|
Cine/video x-rays
|
$495.55 |
$495.55 |
$495.55 |
$292.56
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$28.53 |
$28.53 |
$28.53 |
$35.69
|
|
Ciprofloxacin otic susp 6 mg
|
$71.75 |
$71.75 |
$71.75 |
$63.31
|
|
Circumcise/surg/28 days or < 54160
|
$391.85 |
$391.85 |
$391.85 |
$1,219.20
|
|
Circumcision (newborn)
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$518.50 |
$518.50 |
$518.50 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$1,220.60 |
$1,220.60 |
$1,220.60 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,191.87 |
$1,191.87 |
$1,191.87 |
$569.44
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$11,492.00 |
$11,492.00 |
$11,492.00 |
$15,050.75
|
|
Clearance of airways
|
$522.75 |
$522.75 |
$522.75 |
$210.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$62.22 |
$62.22 |
$62.22 |
$55.20
|
|
Clip ligating vesolock lg
|
$19,762.50 |
$19,762.50 |
$19,762.50 |
$4,320.00
|
|
Clofarabine 1 mg/ml intravenous solution
|
$7,821.17 |
$7,821.17 |
$7,821.17 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$468.35 |
$468.35 |
$468.35 |
$78.99
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$1,068.45 |
$1,068.45 |
$1,068.45 |
$501.48
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$2,055.00
|
|
Closed tx humerus fx w/manip 24505
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$1,520.36
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$660.45 |
$660.45 |
$660.45 |
$366.70
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$2,520.60
|
|
Closed tx septal&nose fx
|
$7,897.35 |
$7,897.35 |
$7,897.35 |
$3,624.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$683.40 |
$683.40 |
$683.40 |
$468.18
|
|
Clos txnose fx without stablz 21315
|
$3,740.85 |
$3,740.85 |
$3,740.85 |
$2,266.00
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,541.05 |
$1,541.05 |
$1,541.05 |
$1,244.64
|
|
Closure of windpipe lesion 31820
|
$7,897.35 |
$7,897.35 |
$7,897.35 |
$3,819.23
|
|
Closure paravalvlr leak pq
|
$25,353.80 |
$25,353.80 |
$25,353.80 |
$8,207.99
|
|
Clot factor xii hageman
|
$78.20 |
$78.20 |
$78.20 |
$130.65
|
|
Clot factor xiii fibrin scrn
|
$37.40 |
$37.40 |
$37.40 |
$55.44
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$838.95 |
$838.95 |
$838.95 |
$640.88
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$864.45 |
$864.45 |
$864.45 |
$525.26
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$872.95 |
$872.95 |
$872.95 |
$450.48
|
|
Clsd tx/clavicular fx without manip 23500
|
$660.45 |
$660.45 |
$660.45 |
$438.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,065.90 |
$1,065.90 |
$1,065.90 |
$657.28
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$854.25 |
$854.25 |
$854.25 |
$449.81
|
|
Clsd tx elbow dislocation child 24640
|
$660.45 |
$660.45 |
$660.45 |
$460.96
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$660.45 |
$660.45 |
$660.45 |
$404.00
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$924.80 |
$924.80 |
$924.80 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$1,642.71
|
|
Clsd tx fx radius/ulna without manip 25560
|
$734.40 |
$734.40 |
$734.40 |
$456.55
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$1,143.25 |
$1,143.25 |
$1,143.25 |
$630.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$995.35 |
$995.35 |
$995.35 |
$889.96
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$817.70 |
$817.70 |
$817.70 |
$495.20
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$839.80 |
$839.80 |
$839.80 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$660.45 |
$660.45 |
$660.45 |
$497.90
|
|
Clsd tx/metatarsal fx without manip 28470
|
$660.45 |
$660.45 |
$660.45 |
$414.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$949.45 |
$949.45 |
$949.45 |
$560.00
|
|
Clsd tx/patellar fx without manip 27520
|
$848.30 |
$848.30 |
$848.30 |
$466.14
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$660.45 |
$660.45 |
$660.45 |
$397.60
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$700.40 |
$700.40 |
$700.40 |
$434.25
|
|
Clsd tx radius fracture w/manip 24655
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$1,782.86
|
