|
Change cystostomy tube simple
|
$473.00 |
$473.00 |
$523.80 |
$442.55
|
|
Change g-tube to g-j perc
|
$2,042.50 |
$2,042.50 |
$2,042.50 |
$2,198.40
|
|
Change nephroureteral cath
|
$3,503.00 |
$3,503.00 |
$3,503.00 |
$2,976.83
|
|
Change of ureter tube/stent
|
$2,323.00 |
$2,323.00 |
$2,323.00 |
$2,423.46
|
|
Change of windpipe airway 31502
|
$183.60 |
$183.60 |
$295.00 |
$380.40
|
|
Change stent via transureth
|
$3,201.50 |
$3,201.50 |
$3,201.50 |
$3,927.00
|
|
Change ureter stent percut
|
$3,503.00 |
$3,503.00 |
$3,503.00 |
$3,863.60
|
|
Chemo adm cns w/lmbr punct
|
$444.00 |
$444.00 |
$444.00 |
$685.85
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$552.00 |
$552.00 |
$855.00 |
$540.80
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$552.00 |
$552.00 |
$855.00 |
$516.00
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$1,146.50 |
$1,146.50 |
$1,344.00 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$1,174.00 |
$1,174.00 |
$1,344.00 |
$932.40
|
|
Chemodenervation anal musc
|
$11,834.38 |
$11,834.38 |
$11,834.38 |
$2,359.53
|
|
Chemodenervation/face muscl/unilat 64612
|
$302.50 |
$302.50 |
$567.00 |
$569.00
|
|
Chemodenerv musc migraine 64615
|
$186.60 |
$186.60 |
$489.00 |
$524.40
|
|
Chemodenerv musc neck dyston 64616
|
$439.50 |
$439.50 |
$567.00 |
$724.95
|
|
Chemodenerv saliv glands bilat 64611
|
$455.00 |
$455.00 |
$455.00 |
$441.00
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,146.50 |
$1,146.50 |
$1,344.00 |
$1,002.30
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,344.00 |
$1,344.00 |
$1,354.50 |
$1,234.53
|
|
Chemo ia push tecnique
|
$374.50 |
$374.50 |
$374.50 |
$491.64
|
|
Chemo intralesional up to 7 96405
|
$98.50 |
$98.50 |
$98.50 |
$162.50
|
|
Chest 2 vws w oblique
|
$362.40 |
$362.40 |
$508.00 |
$378.40
|
|
Chest apical lordotic proj
|
$406.50 |
$406.50 |
$406.50 |
$306.15
|
|
Chest CT scan (with and without contrast)
|
$1,947.00 |
$1,947.00 |
$3,013.80 |
$1,953.00
|
|
Chest CT scan (with contrast)
|
$1,746.00 |
$1,746.00 |
$1,779.50 |
$1,666.80
|
|
Chest CT scan (without contrast)
|
$1,256.40 |
$1,256.40 |
$1,372.50 |
$1,350.03
|
|
Chest X-ray
|
$252.00 |
$252.00 |
$281.50 |
$299.40
|
|
Chest X-ray (single view)
|
$179.40 |
$179.40 |
$234.00 |
$241.20
|
|
Chg pr pul rehab for copd patients
|
$105.00 |
$105.00 |
$105.00 |
$147.00
|
|
Chg radiologic exam esophagus double contrast
|
$587.50 |
$587.50 |
$587.50 |
$504.40
|
|
Chiropractic manj 5 regions
|
$93.50 |
$93.50 |
$93.50 |
$68.80
|
|
Chiropract manj 1-2 regions
|
$45.00 |
$45.00 |
$45.00 |
$49.40
|
|
Chiropract manj 3-4 regions
|
$55.00 |
$55.00 |
$55.00 |
$55.00
|
|
Chlamydia culture
|
$65.50 |
$65.50 |
$65.50 |
$93.90
|
|
Chlamydia trachomatis ag if
|
$79.00 |
$79.00 |
$79.00 |
$65.50
|
|
Chlamydia type
|
$27.50 |
$27.50 |
$27.50 |
$32.56
|
|
Chlnggrphy intraop addl s&i
|
$172.00 |
$172.00 |
$172.00 |
$280.00
|
|
Chloramphenicol sodium injec
|
$312.34 |
$312.34 |
$312.34 |
$113.85
|
|
Chloride
|
$38.40 |
$38.40 |
$69.00 |
$39.65
|
|
Chloride 24 hour urine
|
$33.00 |
$33.00 |
$55.80 |
$46.75
|
|
Chloroprocaine hcl injection
|
$205.31 |
$205.31 |
$205.31 |
$61.87
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,027.20 |
$1,027.20 |
$1,027.20 |
$355.99
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$74.19 |
$74.19 |
$74.19 |
$78.43
|
|
Cholangiogram percutaneous compl
|
$5,205.50 |
$5,205.50 |
$5,205.50 |
$3,611.95
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$704.40 |
$704.40 |
$962.00 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,220.00 |
$3,220.00 |
$3,379.20 |
$3,769.00
|
|
Cholesterol
|
$69.00 |
$69.00 |
$70.80 |
$45.75
|
|
Cholesterol body fluid
|
$208.00 |
$208.00 |
$208.00 |
$75.40
|
|
Cholesterol (Lipid) Test
|
$85.00 |
$85.00 |
$226.20 |
$115.02
|
|
Cholinesterase
|
$124.00 |
$124.00 |
$124.00 |
$40.80
|
|
Chrom analysis
|
$197.50 |
$197.50 |
$197.50 |
$152.40
|
|
Chromatography
|
$90.60 |
$90.60 |
$127.00 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$305.50 |
$305.50 |
$305.50 |
$250.00
|
|
Chromosome analys amniotic
|
$1,001.50 |
$1,001.50 |
$1,001.50 |
$450.00
|
|
Chromosome analysis 100
|
$184.00 |
$184.00 |
$184.00 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$1,010.50 |
$1,010.50 |
$1,010.50 |
$484.00
|
|
Chromosome analysis 5
|
$1,066.50 |
$1,066.50 |
$1,066.50 |
$644.80
|
|
Chromosome analysis 50-100
|
$179.50 |
$179.50 |
$179.50 |
$405.00
|
|
Chromosome analys placenta
|
$132.50 |
$132.50 |
$132.50 |
$593.50
|
|
Chromosome count additional
|
$115.50 |
$115.50 |
$115.50 |
$99.12
|
|
Chromosome karyotype study
|
$291.00 |
$291.00 |
$291.00 |
$116.00
|
|
Chromosome study additional
|
$245.00 |
$245.00 |
$245.00 |
$147.03
|
|
Chronic urticaria - sendout
|
$53.00 |
$53.00 |
$53.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$21.00 |
$21.00 |
$21.00 |
$123.20
|
|
Cilastatin sodium injection
|
$38.42 |
$38.42 |
$38.42 |
$77.40
|
|
Ciliary transsleral therapy
|
$1,826.00 |
$1,826.00 |
$1,826.00 |
$2,760.73
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$24.00 |
$24.00 |
$24.00 |
$35.00
|
|
Circum 28 days or older
|
$1,600.00 |
$1,600.00 |
$2,577.60 |
$3,786.00
|
|
Circumcise/surg/28 days or < 54160
|
$1,510.50 |
$1,510.50 |
$1,510.50 |
$1,219.20
|
|
Circumcision (newborn)
|
$1,510.50 |
$1,510.50 |
$1,510.50 |
$1,422.04
|
|
Cisplatin 1 mg/ml desensitization
|
$323.83 |
$323.83 |
$323.83 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$878.50 |
$878.50 |
$878.50 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$546.62 |
$546.62 |
$546.62 |
$569.44
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$5,029.06 |
$5,029.06 |
$47,487.00 |
$15,390.00
|
|
Clearance of airways
|
$264.00 |
$264.00 |
$264.00 |
$208.00
|
|
Clearance of tear duct
|
$318.00 |
$318.00 |
$318.00 |
$535.39
|
|
C-lens fitg corneosclrl lens
|
$165.50 |
$165.50 |
$165.50 |
$152.54
|
|
C-lens fitg tech aphakia 1
|
$165.50 |
$165.50 |
$165.50 |
$165.50
|
|
C-lens fitg tech aphakia ou
|
$165.50 |
$165.50 |
$165.50 |
$197.60
|
|
C-lens fitg tech corneosclrl
|
$107.50 |
$107.50 |
$107.50 |
$107.50
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$93.09 |
$93.09 |
$93.09 |
$55.20
|
|
Clip ligating vesolock lg
|
$1,757.50 |
$1,757.50 |
$8,331.81 |
$4,404.05
|
|
Cllr miami j sm
|
$210.62 |
$210.62 |
$1,477.45 |
$577.22
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$40.45 |
$40.45 |
$40.45 |
$78.99
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$158.00 |
$158.00 |
$445.80 |
$492.25
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$838.50 |
$838.50 |
$1,507.80 |
$1,806.01
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$433.00 |
$433.00 |
$433.00 |
$1,615.35
|
|
Closed tx/acetabululm without manip 27220
|
$177.50 |
$177.50 |
$177.50 |
$470.00
|
|
Closed tx humerus fx with manip 23605
|
$1,433.50 |
$1,433.50 |
$1,507.80 |
$2,096.00
|
|
Closed tx humerus fx without manip 23600
|
$393.50 |
$393.50 |
$393.50 |
$487.48
|
|
Closed tx humerus fx w/manip 24505
|
$838.50 |
$838.50 |
$1,507.80 |
$1,540.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$298.50 |
$298.50 |
$445.80 |
$376.35
|
|
Closed tx orbit without manipulj
|
$634.80 |
$634.80 |
$891.00 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,935.00 |
$1,935.00 |
$2,989.20 |
$2,532.00
|
|
Closed tx septal&nose fx
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$3,624.40
|
|
Closed tx sesamoid fx 28530
|
$445.50 |
$445.50 |
$445.50 |
$416.50
|
|
Closed tx/talus fracture without manip 28430
|
$298.50 |
$298.50 |
$298.50 |
$414.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$289.20 |
$289.20 |
$498.00 |
$470.73
|
|
Close tear duct opening
|
$970.00 |
$970.00 |
$970.00 |
$365.00
|
|
Close tear duct opening
|
$191.00 |
$191.00 |
$191.00 |
$353.74
|
