|
Chemodenervation/face muscl/unilat 64612
|
$121.50 |
$121.50 |
$121.50 |
$567.00
|
|
Chemodenerv musc migraine 64615
|
$56.85 |
$56.85 |
$56.85 |
$524.40
|
|
Chemodenerv musc neck dyston 64616
|
$62.55 |
$62.55 |
$62.55 |
$724.95
|
|
Chemodenerv saliv glands bilat 64611
|
$121.50 |
$121.50 |
$121.50 |
$441.00
|
|
Chemo extend IV infus w/pump
|
$279.90 |
$279.90 |
$279.90 |
$724.35
|
|
Chemo ia push tecnique
|
$296.25 |
$296.25 |
$296.25 |
$486.21
|
|
Chemo intralesional over 7
|
$43.20 |
$43.20 |
$43.20 |
$328.90
|
|
Chemotherapy injection 96542
|
$46.95 |
$46.95 |
$46.95 |
$422.37
|
|
Chemotx admn pertl cav impl
|
$63.90 |
$63.90 |
$63.90 |
$570.81
|
|
Chest 2 vws w oblique
|
$76.35 |
$76.35 |
$76.35 |
$375.90
|
|
Chest apical lordotic proj
|
$72.75 |
$72.75 |
$72.75 |
$306.15
|
|
Chest CT scan (with and without contrast)
|
$587.70 |
$587.70 |
$587.70 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$559.65 |
$559.65 |
$559.65 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$531.75 |
$531.75 |
$531.75 |
$1,350.03
|
|
Chest X-ray
|
$69.30 |
$69.30 |
$69.30 |
$294.29
|
|
Chest X-ray (single view)
|
$65.85 |
$65.85 |
$65.85 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$38.10 |
$38.10 |
$38.10 |
$147.69
|
|
Chg radiologic exam esophagus double contrast
|
$73.50 |
$73.50 |
$73.50 |
$504.40
|
|
Chimerism anal no cell selec
|
$222.45 |
$222.45 |
$222.45 |
$375.67
|
|
Chimerism anal w/cell select
|
$279.60 |
$279.60 |
$279.60 |
$585.60
|
|
Chlamydia culture
|
$34.20 |
$34.20 |
$34.20 |
$90.86
|
|
Chlamydia type
|
$9.75 |
$9.75 |
$9.75 |
$32.92
|
|
Chloride
|
$8.10 |
$8.10 |
$8.10 |
$39.96
|
|
Chloride 24 hour urine
|
$8.85 |
$8.85 |
$8.85 |
$47.50
|
|
Chloroprocaine hcl injection
|
$52.14 |
$52.14 |
$52.14 |
$61.87
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$429.36 |
$429.36 |
$429.36 |
$358.20
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$80.94 |
$80.94 |
$80.94 |
$78.43
|
|
Cholangiogram percutaneous compl
|
$980.10 |
$980.10 |
$980.10 |
$3,518.72
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$69.30 |
$69.30 |
$69.30 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
$3,690.60
|
|
Cholesterol
|
$7.50 |
$7.50 |
$7.50 |
$46.15
|
|
Cholesterol body fluid
|
$28.95 |
$28.95 |
$28.95 |
$75.40
|
|
Cholesterol (Lipid) Test
|
$23.40 |
$23.40 |
$23.40 |
$115.80
|
|
Cholinesterase
|
$13.65 |
$13.65 |
$13.65 |
$39.48
|
|
Chrom analysis
|
$26.25 |
$26.25 |
$26.25 |
$151.84
|
|
Chromatography
|
$31.65 |
$31.65 |
$31.65 |
$81.25
|
|
Chromogenic substrate assay
|
$12.75 |
$12.75 |
$12.75 |
$142.80
|
|
Chromo high res and frag x - sendout
|
$157.80 |
$157.80 |
$157.80 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$218.25 |
$218.25 |
$218.25 |
$492.00
|
|
Chromosome analysis 5
|
$145.50 |
$145.50 |
$145.50 |
$644.80
|
|
Chromosome analysis 50-100
|
$142.50 |
$142.50 |
$142.50 |
$405.00
|
|
Chromosome analys placenta
|
$147.90 |
$147.90 |
$147.90 |
$611.09
|
|
Chromosome count additional
|
$20.25 |
$20.25 |
$20.25 |
$93.33
|
|
Chromosome karyotype study
|
$43.95 |
$43.95 |
$43.95 |
$115.00
|
|
Chylomicron screen, bf - sendout
|
$27.75 |
$27.75 |
$27.75 |
$123.20
|
|
Cilastatin sodium injection
|
$66.88 |
$66.88 |
$66.88 |
$76.82
|
|
Circumcision (newborn)
|
$426.60 |
$426.60 |
$426.60 |
$1,375.52
|
|
C-kit mutation liquid tumor - sendout
|
$422.85 |
$422.85 |
$422.85 |
$659.20
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,922.64 |
$6,922.64 |
$6,922.64 |
$15,050.75
|
|
Clearance of airways
|
$91.20 |
$91.20 |
$91.20 |
$337.50
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$67.05 |
$67.05 |
$67.05 |
$501.48
|
|
Closed tx/acetabululm without manip 27220
|
$124.05 |
$124.05 |
$124.05 |
$470.00
|
|
Closed tx humerus fx with manip 23605
|
$629.10 |
$629.10 |
$629.10 |
$2,132.35
|
|
Closed tx humerus fx w/manip 24505
|
$63.30 |
$63.30 |
$63.30 |
$1,520.36
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$63.30 |
$63.30 |
$63.30 |
$372.35
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$723.45 |
$723.45 |
$723.45 |
$2,527.50
|
|
Closure paravalvlr leak pq
|
$296.70 |
$296.70 |
$296.70 |
$7,723.17
|
|
Clot factor fletcher fact
|
$33.30 |
$33.30 |
$33.30 |
$117.66
|
|
Clot factor xii hageman
|
$33.90 |
$33.90 |
$33.90 |
$129.45
|
|
Clot factor xiii fibrin scrn
|
$15.60 |
$15.60 |
$15.60 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$21.30 |
$21.30 |
$21.30 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$245.85 |
$245.85 |
$245.85 |
$630.40
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$191.10 |
$191.10 |
$191.10 |
$525.26
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$129.90 |
$129.90 |
$129.90 |
$450.48
|
|
Clsd tx clavicle dislocation without manip 23540
|
$63.30 |
$63.30 |
$63.30 |
$417.82
|
|
Clsd tx/clavicular fx without manip 23500
|
$63.30 |
$63.30 |
$63.30 |
$438.90
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$45.75 |
$45.75 |
$45.75 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$211.95 |
$211.95 |
$211.95 |
$652.69
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$205.50 |
$205.50 |
$205.50 |
$449.81
|
|
Clsd tx elbow dislocation child 24640
|
$205.50 |
$205.50 |
$205.50 |
$450.72
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$864.75 |
$864.75 |
$864.75 |
$2,184.08
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$66.60 |
$66.60 |
$66.60 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$87.30 |
$87.30 |
$87.30 |
$404.00
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$236.55 |
$236.55 |
$236.55 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$378.15 |
$378.15 |
$378.15 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$185.25 |
$185.25 |
$185.25 |
$456.55
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$275.25 |
$275.25 |
$275.25 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$205.50 |
$205.50 |
$205.50 |
$609.60
|
|
Clsd tx humeral fract without manip 24530
|
$63.30 |
$63.30 |
$63.30 |
$534.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$233.25 |
$233.25 |
$233.25 |
$495.20
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$283.95 |
$283.95 |
$283.95 |
$603.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$111.30 |
$111.30 |
$111.30 |
$497.88
|
|
Clsd tx/metatarsal fx without manip 28470
|
$66.60 |
$66.60 |
$66.60 |
$414.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$283.95 |
$283.95 |
$283.95 |
$3,648.50
|
|
Clsd tx of ankle fracture w/manip 28435
|
$283.95 |
$283.95 |
$283.95 |
$1,843.91
|
|
Clsd tx patella disloc without anes 27560
|
$205.50 |
$205.50 |
$205.50 |
$551.20
|
|
Clsd tx/patellar fx without manip 27520
|
$109.20 |
$109.20 |
$109.20 |
$466.14
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$245.85 |
$245.85 |
$245.85 |
$2,211.05
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$39.45 |
$39.45 |
$39.45 |
$404.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$63.30 |
$63.30 |
$63.30 |
$434.25
|
|
Clsd tx radius fracture w/manip 24655
|
$205.50 |
$205.50 |
$205.50 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$406.35 |
$406.35 |
$406.35 |
$1,815.75
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$723.45 |
$723.45 |
$723.45 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$637.35 |
$637.35 |
$637.35 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$205.50 |
$205.50 |
$205.50 |
$362.50
|
|
Clsd tx toe dislocation without anes28660
|
$72.75 |
$72.75 |
$72.75 |
$392.50
|
|
Clsd tx trimall ankle fx without manip 27816
|
$229.20 |
$229.20 |
$229.20 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$337.05 |
$337.05 |
$337.05 |
$1,576.00
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$191.10 |
$191.10 |
$191.10 |
$600.60
|
|
Cls tx of heel fracture w/manip 28405
|
$283.95 |
$283.95 |
$283.95 |
$725.40
|
