|
Change cystostomy tube; complex 51710
|
$1,369.50 |
$1,369.50 |
$1,369.50 |
$1,470.75
|
|
Change cystostomy tube simple
|
$1,387.00 |
$1,387.00 |
$1,387.00 |
$451.00
|
|
Change g-tube to g-j perc
|
$3,318.50 |
$3,318.50 |
$3,318.50 |
$2,198.40
|
|
Change nephroureteral cath
|
$4,806.00 |
$4,806.00 |
$4,806.00 |
$2,969.25
|
|
Change of ureter tube/stent
|
$2,403.00 |
$2,403.00 |
$2,403.00 |
$2,423.46
|
|
Change of windpipe airway 31502
|
$2,436.00 |
$2,436.00 |
$2,436.00 |
$388.00
|
|
Change ureter stent percut
|
$5,513.50 |
$5,513.50 |
$5,513.50 |
$3,863.60
|
|
Chemo adm cns w/lmbr punct
|
$522.00 |
$522.00 |
$522.00 |
$665.40
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$540.80
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$273.50 |
$273.50 |
$273.50 |
$552.00
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$811.50 |
$811.50 |
$811.50 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$888.00 |
$888.00 |
$888.00 |
$932.40
|
|
Chemodenervation anal musc
|
$370.00 |
$370.00 |
$370.00 |
$2,462.82
|
|
Chemodenervation/face muscl/unilat 64612
|
$967.00 |
$967.00 |
$967.00 |
$569.00
|
|
Chemodenerv eccrine glands 64650
|
$353.00 |
$353.00 |
$353.00 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$966.00 |
$966.00 |
$966.00 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$698.60
|
|
Chemodenerv saliv glands bilat 64611
|
$353.00 |
$353.00 |
$353.00 |
$455.00
|
|
Chemo extend IV infus w/pump
|
$1,369.50 |
$1,369.50 |
$1,369.50 |
$737.10
|
|
Chemo ia infuse each addl hr
|
$65.00 |
$65.00 |
$65.00 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$464.00 |
$464.00 |
$464.00 |
$572.00
|
|
Chemo ia push tecnique
|
$464.00 |
$464.00 |
$464.00 |
$493.25
|
|
Chest 2 vws w oblique
|
$172.00 |
$172.00 |
$172.00 |
$377.06
|
|
Chest apical lordotic proj
|
$123.50 |
$123.50 |
$123.50 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$822.50 |
$822.50 |
$822.50 |
$1,350.03
|
|
Chest X-ray
|
$172.00 |
$172.00 |
$172.00 |
$294.06
|
|
Chest X-ray (single view)
|
$172.00 |
$172.00 |
$172.00 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$113.00 |
$113.00 |
$113.00 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$399.00 |
$399.00 |
$399.00 |
$511.59
|
|
Chimerism anal no cell selec
|
$242.00 |
$242.00 |
$242.00 |
$347.20
|
|
Chimerism anal w/cell select
|
$182.50 |
$182.50 |
$182.50 |
$585.60
|
|
Chlamydia type
|
$2.50 |
$2.50 |
$2.50 |
$34.20
|
|
Chloride
|
$31.50 |
$31.50 |
$31.50 |
$40.95
|
|
Chloride 24 hour urine
|
$35.00 |
$35.00 |
$35.00 |
$49.50
|
|
Chloroprocaine hcl injection
|
$59.47 |
$59.47 |
$59.47 |
$61.51
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$96.45 |
$96.45 |
$96.45 |
$78.43
|
|
Chlorpromazine 100 mg tablet
|
$0.45 |
$0.45 |
$0.45 |
$3.95
|
|
Chmotx admn plrl cav thrcnts
|
$464.00 |
$464.00 |
$464.00 |
$489.30
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$455.00 |
$455.00 |
$455.00 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,674.50 |
$3,674.50 |
$3,674.50 |
$3,690.60
|
|
Cholesterol
|
$23.00 |
$23.00 |
$23.00 |
$45.76
|
|
Cholesterol body fluid
|
$1,637.50 |
$1,637.50 |
$1,637.50 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$62.50 |
$62.50 |
$62.50 |
$115.80
|
|
Cholinesterase
|
$23.00 |
$23.00 |
$23.00 |
$38.69
|
|
Chorion biopsy
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,086.00
|
|
Chrom analysis
|
$202.00 |
$202.00 |
$202.00 |
$156.00
|
|
Chromatography
|
$159.50 |
$159.50 |
$159.50 |
$81.25
|
|
Chromogenic substrate assay
|
$284.50 |
$284.50 |
$284.50 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$510.50 |
$510.50 |
$510.50 |
$247.59
|
|
Chromosome analys amniotic
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$450.00
|
|
Chromosome analysis 100
|
$233.50 |
$233.50 |
$233.50 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$782.50 |
$782.50 |
$782.50 |
$512.20
|
|
Chromosome analysis 45
|
$943.50 |
$943.50 |
$943.50 |
$429.28
|
|
Chromosome banding study
|
$74.00 |
$74.00 |
$74.00 |
$184.24
|
|
Chromosome count additional
|
$62.50 |
$62.50 |
$62.50 |
$92.45
|
|
Chromosome karyotype study
|
$158.00 |
$158.00 |
$158.00 |
$119.87
|
|
Chromosome study additional
|
$216.00 |
$216.00 |
$216.00 |
$147.03
|
|
Chronic urticaria - sendout
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$242.38 |
$242.38 |
$242.38 |
$124.15
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$27.00 |
$27.00 |
$27.00 |
$34.88
|
|
Circum 28 days or older
|
$5,694.00 |
$5,694.00 |
$5,694.00 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$1,394.00 |
$1,394.00 |
$1,394.00 |
$1,219.20
|
|
Circumcision (newborn)
|
$4,599.00 |
$4,599.00 |
$4,599.00 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$41.82 |
$41.82 |
$41.82 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$394.00 |
$394.00 |
$394.00 |
$655.00
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$164.41 |
$164.41 |
$164.41 |
$569.55
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$2,311.40 |
$2,311.40 |
$2,311.40 |
$15,390.00
|
|
Clearance of tear duct
|
$365.00 |
$365.00 |
$365.00 |
$656.38
|
|
Clip ligating vesolock lg
|
$407.42 |
$407.42 |
$407.42 |
$4,320.00
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$3.50 |
$3.50 |
$3.50 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$347.50 |
$347.50 |
$347.50 |
$508.45
|
|
Closed tx humerus fx with manip 23605
|
$3,064.00 |
$3,064.00 |
$3,064.00 |
$2,211.05
|
|
Closed tx humerus fx w/manip 24505
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$428.00 |
$428.00 |
$428.00 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$2,520.60
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$272.50 |
$272.50 |
$272.50 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$5,694.00 |
$5,694.00 |
$5,694.00 |
$1,641.60
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$810.00 |
$810.00 |
$810.00 |
$1,259.62
|
|
Clot factor xii hageman
|
$211.50 |
$211.50 |
$211.50 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$124.50 |
$124.50 |
$124.50 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$60.00 |
$60.00 |
$60.00 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$353.00 |
$353.00 |
$353.00 |
$641.90
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,893.86
|
|
Clsd tx coccygeal fracture 27200
|
$284.00 |
$284.00 |
$284.00 |
$388.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$347.50 |
$347.50 |
$347.50 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$353.00 |
$353.00 |
$353.00 |
$462.80
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$3,165.00 |
$3,165.00 |
$3,165.00 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$443.00 |
$443.00 |
$443.00 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,079.50 |
$3,079.50 |
$3,079.50 |
$1,656.90
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$1,571.25
|
|
Clsd tx hip disloc without anes 27265
|
$320.00 |
$320.00 |
$320.00 |
$630.00
|
|
Clsd tx humerus fract without manip 24500
|
$284.00 |
$284.00 |
$284.00 |
$492.99
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$284.00 |
$284.00 |
$284.00 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$443.00 |
$443.00 |
$443.00 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$419.50 |
$419.50 |
$419.50 |
$520.38
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$4,818.00 |
$4,818.00 |
$4,818.00 |
$3,678.17
|
|
Clsd tx patella disloc without anes 27560
|
$353.00 |
$353.00 |
$353.00 |
$566.72
|
