|
Chemo adm cns w/lmbr punct
|
$424.09 |
$424.09 |
$638.12 |
$720.20
|
|
Chemodener muscle larynx emg
|
$674.98 |
$674.98 |
$674.98 |
$801.75
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$83.78 |
$83.78 |
$83.78 |
$617.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$77.34 |
$77.34 |
$77.34 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$896.68 |
$896.68 |
$896.68 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$988.79 |
$988.79 |
$988.79 |
$988.50
|
|
Chemodenervation anal musc
|
$1,759.68 |
$1,759.68 |
$1,759.68 |
$2,762.67
|
|
Chemodenervation/face muscl/unilat 64612
|
$677.98 |
$677.98 |
$677.98 |
$600.00
|
|
Chemodenervation nerve of eye muscle 67345
|
$639.10 |
$639.10 |
$639.10 |
$717.07
|
|
Chemodenerv eccrine glands
|
$432.89 |
$432.89 |
$432.89 |
$424.40
|
|
Chemodenerv eccrine glands 64650
|
$536.87 |
$536.87 |
$536.87 |
$536.87
|
|
Chemodenerv musc migraine 64615
|
$556.86 |
$556.86 |
$556.86 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$822.58 |
$822.58 |
$822.58 |
$719.20
|
|
Chemodenerv saliv glands bilat 64611
|
$516.13 |
$516.13 |
$516.13 |
$477.75
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$589.88 |
$589.88 |
$589.88 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$814.80 |
$814.80 |
$814.80 |
$748.55
|
|
Chemo ia infuse each addl hr
|
$100.65 |
$100.65 |
$213.35 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$310.05 |
$310.05 |
$691.12 |
$572.00
|
|
Chemo ia push tecnique
|
$100.65 |
$100.65 |
$477.74 |
$499.50
|
|
Chemo intralesional over 7
|
$197.08 |
$197.08 |
$320.23 |
$346.29
|
|
Chemo intralesional up to 7 96405
|
$103.95 |
$103.95 |
$156.84 |
$163.80
|
|
Chemotaxis assay
|
$21.31 |
$21.31 |
$21.31 |
$33.60
|
|
Chemotherapy injection 96542
|
$100.65 |
$100.65 |
$295.46 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$197.08 |
$197.08 |
$475.70 |
$590.00
|
|
Chest 2 vws w oblique
|
$334.02 |
$334.02 |
$334.02 |
$375.60
|
|
Chest apical lordotic proj
|
$264.55 |
$264.55 |
$313.72 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,676.20 |
$2,676.20 |
$3,230.15 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,659.49 |
$2,659.49 |
$2,916.19 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,166.90 |
$1,166.90 |
$1,841.55 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$202.10 |
$202.10 |
$204.65 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$122.70 |
$122.70 |
$156.60 |
$134.50
|
|
Chest Ultrasound
|
$340.64 |
$340.64 |
$444.12 |
$463.88
|
|
Chest X-ray
|
$313.72 |
$313.72 |
$412.77 |
$294.06
|
|
Chest X-ray (single view)
|
$285.20 |
$285.20 |
$349.81 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$100.61 |
$100.61 |
$146.86 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$579.55 |
$579.55 |
$579.55 |
$520.80
|
|
Chimerism anal no cell selec
|
$378.62 |
$378.62 |
$378.62 |
$393.74
|
|
Chimerism anal w/cell select
|
$447.95 |
$447.95 |
$447.95 |
$649.00
|
|
Chiropractic manj 5 regions
|
$62.78 |
$62.78 |
$62.78 |
$93.50
|
|
Chiropract manj 1-2 regions
|
$59.77 |
$59.77 |
$59.77 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$59.77 |
$59.77 |
$59.77 |
$56.99
|
|
Chlamydia culture
|
$147.60 |
$147.60 |
$300.27 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$183.96 |
$183.96 |
$183.96 |
$66.60
|
|
Chlamydia type
|
$51.67 |
$51.67 |
$106.16 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$102.22 |
$102.22 |
$102.22 |
$281.18
|
|
Chloride
|
$53.03 |
$53.03 |
$87.44 |
$42.63
|
|
Chloride 24 hour urine
|
$54.28 |
$54.28 |
$95.74 |
$50.88
|
|
Chloroprocaine hcl injection
|
$20.28 |
$20.28 |
$80.57 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$596.34 |
$596.34 |
$810.99 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$56.30 |
$56.30 |
$119.17 |
$79.74
|
|
Chlorpromazine 100 mg tablet
|
$1.68 |
$1.68 |
$1.68 |
$6.96
|
|
Chmotx admn plrl cav thrcnts
|
$197.08 |
$197.08 |
$393.54 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$2,888.76 |
$2,888.76 |
$2,888.76 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$117.51 |
$117.51 |
$210.64 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,126.71 |
$3,126.71 |
$3,433.56 |
$3,856.84
|
|
Cholesterol
|
$55.91 |
$55.91 |
$82.97 |
$45.76
|
|
Cholesterol body fluid
|
$73.02 |
$73.02 |
$4,132.03 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$185.75 |
$185.75 |
$255.09 |
$115.80
|
|
Cholinesterase
|
$63.00 |
$63.00 |
$120.75 |
$39.48
|
|
Cholinesterase challenge
|
$128.76 |
$128.76 |
$298.60 |
$366.72
|
|
Chorion biopsy
|
$736.99 |
$736.99 |
$736.99 |
$1,392.05
|
|
Chrom analysis
|
$204.30 |
$204.30 |
$206.56 |
$156.00
|
|
Chromatography
|
$85.87 |
$85.87 |
$197.07 |
$84.60
|
|
Chromogenic substrate assay
|
$532.80 |
$532.80 |
$532.80 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$648.94 |
$648.94 |
$648.94 |
$250.00
|
|
Chromosome analys amniotic
|
$720.86 |
$720.86 |
$720.86 |
$450.00
|
|
Chromosome analysis 100
|
$739.38 |
$739.38 |
$739.38 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$382.52 |
$382.52 |
$1,736.63 |
$517.11
|
|
Chromosome analysis 20-25
|
$277.09 |
$277.09 |
$277.09 |
$409.20
|
|
Chromosome analysis 45
|
$350.63 |
$350.63 |
$350.63 |
$382.85
|
|
Chromosome analysis 5
|
$1,146.11 |
$1,146.11 |
$2,041.44 |
$644.80
|
|
Chromosome analysis 50-100
|
$256.56 |
$256.56 |
$256.56 |
$434.40
|
|
Chromosome analys placenta
|
$266.34 |
$266.34 |
$266.34 |
$572.99
|
|
Chromosome banding study
|
$293.03 |
$293.03 |
$293.03 |
$183.91
|
|
Chromosome count additional
|
$116.61 |
$116.61 |
$219.47 |
$96.50
|
|
Chromosome karyotype study
|
$92.20 |
$92.20 |
$349.55 |
$120.00
|
|
Chromosome study additional
|
$112.32 |
$112.32 |
$297.75 |
$151.09
|
|
Chronic urticaria - sendout
|
$117.31 |
$117.31 |
$117.31 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$151.81 |
$151.81 |
$371.11 |
$136.09
|
|
Cid ext controller repl
|
$3,194.70 |
$3,194.70 |
$3,194.70 |
$1,546.16
|
|
Cid ext speech process repl
|
$17,894.96 |
$17,894.96 |
$17,894.96 |
$15,422.40
|
|
Cidofovir injection
|
$1,473.51 |
$1,473.51 |
$1,782.70 |
$1,352.09
|
|
Cid transmit coil and cable
|
$292.46 |
$292.46 |
$292.46 |
$292.46
|
|
Cilastatin sodium injection
|
$40.65 |
$40.65 |
$120.55 |
$77.40
|
|
Ciliary transsleral therapy
|
$2,385.74 |
$2,385.74 |
$2,385.74 |
$3,269.14
|
|
Cine/video x-rays add-on
|
$140.15 |
$140.15 |
$140.15 |
$293.05
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$15.24 |
$15.24 |
$32.25 |
$35.65
|
|
Circum 28 days or older
|
$4,074.80 |
$4,074.80 |
$4,074.80 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$2,622.55 |
$2,622.55 |
$2,622.55 |
$1,219.20
|
|
Circumcision (newborn)
|
$2,150.42 |
$2,150.42 |
$2,150.42 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$3.60 |
$3.60 |
$175.08 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$140.84 |
$140.84 |
$1,302.83 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$158.75 |
$158.75 |
$1,204.50 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$22,433.40 |
$22,433.40 |
$22,433.40 |
$15,560.16
|
|
Claviculectomy partial
|
$4,450.01 |
$4,450.01 |
$4,450.01 |
$3,839.54
|
|
Claviculectomy total
|
$4,861.63 |
$4,861.63 |
$4,861.63 |
$4,499.12
|
|
Clean out mastoid cavity
|
$1,658.46 |
$1,658.46 |
$1,658.46 |
$1,033.60
|
|
Clearance of airways
|
$163.67 |
$163.67 |
$246.73 |
$213.07
|
|
Clearance of tear duct
|
$795.53 |
$795.53 |
$795.53 |
$795.53
|
