|
Chemodenerv musc migraine 64615
|
$752.00 |
$752.00 |
$752.00 |
|
|
Chemodenerv musc neck dyston 64616
|
$913.60 |
$913.60 |
$913.60 |
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,235.20 |
$1,235.20 |
$1,235.20 |
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,278.40 |
$1,278.40 |
$1,278.40 |
|
|
Chemo extend IV infus w/pump
|
$844.00 |
$844.00 |
$865.60 |
|
|
Chemo ia push tecnique
|
$683.20 |
$683.20 |
$683.20 |
|
|
Chemo intralesional over 7
|
$423.20 |
$423.20 |
$423.20 |
|
|
Chemo intralesional up to 7 96405
|
$268.80 |
$268.80 |
$268.80 |
|
|
Chemotherapy injection 96542
|
$512.80 |
$512.80 |
$512.80 |
|
|
Chemotx admn pertl cav impl
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
|
|
Chest 2 vws w oblique
|
$344.00 |
$492.00 |
$531.20 |
|
|
Chest apical lordotic proj
|
$320.80 |
$392.00 |
$411.20 |
|
|
Chest CT scan (with and without contrast)
|
$2,678.40 |
$2,920.80 |
$3,485.60 |
|
|
Chest CT scan (with contrast)
|
$2,216.00 |
$2,666.40 |
$2,969.60 |
|
|
Chest CT scan (without contrast)
|
$1,888.00 |
$2,095.20 |
$2,569.60 |
|
|
Chest Physiotherapy (first session)
|
$139.20 |
$212.80 |
$314.40 |
|
|
Chest Physiotherapy (follow-up session)
|
$99.20 |
$154.40 |
$160.00 |
|
|
Chest Ultrasound
|
$547.20 |
$560.00 |
$727.20 |
|
|
Chest X-ray
|
$256.80 |
$350.40 |
$380.80 |
|
|
Chest X-ray (single view)
|
$172.00 |
$288.80 |
$309.60 |
|
|
Chg pr pul rehab for copd patients
|
$200.00 |
$212.80 |
$214.40 |
|
|
Chg radiologic exam esophagus double contrast
|
$608.80 |
$608.80 |
$631.20 |
|
|
Chlamydia culture
|
$110.40 |
$115.20 |
$180.80 |
|
|
Chloramphenicol sodium injec
|
$322.60 |
$322.60 |
$322.60 |
|
|
Chloride
|
$27.20 |
$51.20 |
$64.00 |
|
|
Chloride 24 hour urine
|
$32.00 |
$48.00 |
$76.80 |
|
|
Chloroprocaine hcl injection
|
$327.04 |
$327.04 |
$327.04 |
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$83.49 |
$83.49 |
$535.91 |
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$80.28 |
$80.28 |
$324.12 |
|
|
Cholangiogram percutaneous compl
|
$4,100.80 |
$4,100.80 |
$4,100.80 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$799.20 |
$828.80 |
$1,213.60 |
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,712.00 |
$2,712.00 |
$5,051.20 |
|
|
Cholesterol
|
$28.80 |
$46.40 |
$73.60 |
|
|
Cholesterol body fluid
|
$39.20 |
$39.20 |
$52.80 |
|
|
Cholesterol (Lipid) Test
|
$75.20 |
$80.80 |
$153.60 |
|
|
Cholinesterase
|
$29.60 |
$35.20 |
$35.20 |
|
|
Chorion biopsy
|
$981.60 |
$981.60 |
$981.60 |
|
|
Chorionic gonadotropin/1000u
|
$756.08 |
$756.08 |
$756.08 |
|
|
Chrom analysis
|
$84.80 |
$84.80 |
$84.80 |
|
|
Chromatography
|
$43.20 |
$43.20 |
$46.40 |
|
|
Chromogenic substrate assay
|
$272.80 |
$272.80 |
$289.60 |
|
|
Chromo high res and frag x - sendout
|
$139.20 |
$139.20 |
$139.20 |
|
|
Chromosome analys amniotic
|
$522.40 |
$522.40 |
$818.40 |
|
|
Chromosome analysis 15-20 cell count
|
$306.40 |
$306.40 |
$306.40 |
|
|
Chromosome analysis 45
|
$366.40 |
$366.40 |
$366.40 |
|
|
Chromosome analysis 5
|
$644.80 |
$644.80 |
$644.80 |
|
|
Chromosome study additional
|
$185.60 |
$185.60 |
$185.60 |
|
|
Chronic urticaria - sendout
|
$100.00 |
$100.00 |
$160.00 |
|
|
Cid ext speech process repl
|
$16,000.00 |
$16,000.00 |
$16,000.00 |
|
|
Cidofovir injection
|
$2,126.85 |
$2,126.85 |
$2,126.85 |
|
|
Cilastatin sodium injection
|
$67.94 |
$68.09 |
$335.64 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$55.67 |
$85.97 |
$316.48 |
|
|
Ciprofloxacin otic susp 6 mg
|
$199.30 |
$199.30 |
$199.30 |
|
|
Circumcision (newborn)
|
$2,354.40 |
$2,354.40 |
$2,354.40 |
|
|
Cisplatin 1 mg/ml desensitization
|
$254.75 |
$282.64 |
$589.20 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$718.00 |
$718.00 |
$718.00 |
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$16,900.00 |
$16,900.00 |
$16,900.00 |
|
|
Clearance of airways
|
$214.40 |
$239.20 |
$260.80 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$62.03 |
$75.44 |
$338.20 |
|
|
Clip ligating vesolock lg
|
$758.40 |
$758.40 |
$4,296.00 |
|
|
Cllr miami j sm
|
$212.00 |
$224.80 |
$317.60 |
|
|
Clofarabine 1 mg/ml intravenous solution
|
$6,220.00 |
$6,220.00 |
$6,220.00 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$70.58 |
$70.58 |
$342.68 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$406.40 |
$420.80 |
$437.60 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,000.00 |
$1,037.60 |
$1,880.00 |
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$2,497.60 |
$2,497.60 |
$2,497.60 |
|
|
Closed tx/acetabululm without manip 27220
|
$423.20 |
$423.20 |
$576.00 |
|
|
Closed tx humerus fx with manip 23605
|
$2,274.40 |
$2,274.40 |
$2,433.60 |
|
|
Closed tx humerus fx without manip 23600
|
$405.60 |
$420.00 |
$472.80 |
|
|
Closed tx humerus fx w/manip 24505
|
$1,021.60 |
$1,364.80 |
$1,855.20 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$386.40 |
$401.60 |
$543.20 |
|
|
Closed tx orbit without manipulj
|
$1,198.40 |
$1,198.40 |
$1,198.40 |
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,875.20 |
$3,022.40 |
$3,159.20 |
|
|
Closed tx septal&nose fx
|
$4,240.00 |
$4,240.00 |
$4,240.00 |
|
|
Closed tx sesamoid fx 28530
|
$246.40 |
$249.60 |
$352.00 |
|
|
Closed tx/talus fracture without manip 28430
|
$358.40 |
$371.20 |
$450.40 |
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$429.60 |
$447.20 |
$680.80 |
|
|
Clos txnose fx without stablz 21315
|
$2,424.80 |
$2,424.80 |
$2,596.00 |
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$852.80 |
$852.80 |
$1,303.20 |
|
|
Closure paravalvlr leak pq
|
$1,698.40 |
$1,698.40 |
$22,400.00 |
|
|
Clot factor xiii fibrin scrn
|
$220.00 |
$220.00 |
$220.00 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$466.40 |
$564.80 |
$696.80 |
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$403.20 |
$418.40 |
$638.40 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$391.20 |
$413.60 |
$442.40 |
|
|
Clsd tx clav dislc without manip 23520
|
$1,502.40 |
$1,538.40 |
$1,994.40 |
|
|
Clsd tx clavicle dislocation without manip 23540
|
$448.00 |
$452.00 |
$498.40 |
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,344.80 |
$1,396.00 |
$1,977.60 |
|
|
Clsd tx/clavicular fx without manip 23500
|
$340.00 |
$353.60 |
$458.40 |
|
|
Clsd tx coccygeal fracture 27200
|
$288.00 |
$316.80 |
$336.80 |
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$343.20 |
$356.00 |
$509.60 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$616.80 |
$638.40 |
$800.80 |
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$392.80 |
$407.20 |
$461.60 |
|
|
Clsd tx elbow dislocation child 24640
|
$324.00 |
$549.60 |
$777.60 |
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,016.00 |
$2,275.20 |
$2,329.60 |
|
|
Clsd tx finger tendon w/wo perq pin 26432
|
$2,975.20 |
$2,975.20 |
$3,597.60 |
|
|
Clsd tx fracture of radius 25500
|
$352.80 |
$361.60 |
$377.60 |
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$300.80 |
$312.80 |
$422.40 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$448.80 |
$477.60 |
$508.80 |
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$408.00 |
$424.00 |
$448.00 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$838.40 |
$1,484.80 |
$1,738.40 |
|
