|
Chemodenerv musc neck dyston 64616
|
$680.00 |
$680.00 |
$680.00 |
$698.60
|
|
Chemodenerv saliv glands bilat 64611
|
$357.00 |
$357.00 |
$357.00 |
$455.00
|
|
Chemo extend IV infus w/pump
|
$363.00 |
$363.00 |
$363.00 |
$737.10
|
|
Chemo ia infuse each addl hr
|
$73.50 |
$73.50 |
$73.50 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$524.50 |
$524.50 |
$524.50 |
$572.00
|
|
Chemo ia push tecnique
|
$524.50 |
$524.50 |
$524.50 |
$493.25
|
|
Chemo intralesional over 7
|
$637.00 |
$637.00 |
$637.00 |
$360.60
|
|
Chemo intralesional up to 7 96405
|
$211.50 |
$211.50 |
$211.50 |
$162.50
|
|
Chest 2 vws w oblique
|
$204.50 |
$204.50 |
$204.50 |
$377.06
|
|
Chest apical lordotic proj
|
$195.00 |
$195.00 |
$195.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,351.50 |
$1,351.50 |
$1,351.50 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,042.50 |
$1,042.50 |
$1,042.50 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$892.00 |
$892.00 |
$892.00 |
$1,350.03
|
|
Chest X-ray
|
$219.50 |
$219.50 |
$219.50 |
$294.06
|
|
Chest X-ray (single view)
|
$223.00 |
$223.00 |
$223.00 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$94.50 |
$94.50 |
$94.50 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$440.50 |
$440.50 |
$440.50 |
$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 culture
|
$123.00 |
$123.00 |
$123.00 |
$93.90
|
|
Chlamydia type
|
$51.00 |
$51.00 |
$51.00 |
$34.20
|
|
Chlnggrphy intraop addl s&i
|
$144.00 |
$144.00 |
$144.00 |
$301.40
|
|
Chloride
|
$41.50 |
$41.50 |
$41.50 |
$40.95
|
|
Chloride 24 hour urine
|
$41.50 |
$41.50 |
$41.50 |
$49.50
|
|
Chmotx admn plrl cav thrcnts
|
$524.50 |
$524.50 |
$524.50 |
$489.30
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$372.50 |
$372.50 |
$372.50 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$3,690.60
|
|
Cholesterol
|
$41.00 |
$41.00 |
$41.00 |
$45.76
|
|
Cholesterol body fluid
|
$1,637.50 |
$1,637.50 |
$1,637.50 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$89.50 |
$89.50 |
$89.50 |
$115.80
|
|
Cholinesterase
|
$52.00 |
$52.00 |
$52.00 |
$38.69
|
|
Cholinesterase challenge
|
$355.00 |
$355.00 |
$355.00 |
$366.72
|
|
Chorion biopsy
|
$905.00 |
$905.00 |
$905.00 |
$1,086.00
|
|
Chrnc care mgmt phys 1st 30
|
$262.00 |
$262.00 |
$262.00 |
$156.00
|
|
Chromatography
|
$159.50 |
$159.50 |
$159.50 |
$81.25
|
|
Chromogenic substrate assay
|
$321.00 |
$321.00 |
$321.00 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$510.50 |
$510.50 |
$510.50 |
$247.59
|
|
Chromosome analysis 100
|
$988.50 |
$988.50 |
$988.50 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$237.50 |
$237.50 |
$237.50 |
$512.20
|
|
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
|
$272.50 |
$272.50 |
$272.50 |
$119.87
|
|
Chronic urticaria - sendout
|
$300.00 |
$300.00 |
$300.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$220.50 |
$220.50 |
$220.50 |
$124.15
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$13.50 |
$13.50 |
$13.50 |
$34.88
|
|
Circum 28 days or older
|
$2,784.50 |
$2,784.50 |
$2,784.50 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$811.50 |
$811.50 |
$811.50 |
$1,219.20
|
|
Circumcision (newborn)
|
$2,784.50 |
$2,784.50 |
$2,784.50 |
$1,395.20
|
|
C-kit mutation liquid tumor - sendout
|
$394.00 |
$394.00 |
$394.00 |
$655.00
|
|
Clean out mastoid cavity
|
$600.00 |
$600.00 |
$600.00 |
$1,033.60
|
|
Clearance of tear duct
|
$328.50 |
$328.50 |
$328.50 |
$656.38
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$11.37 |
$11.37 |
$11.37 |
$55.20
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$3.50 |
$3.50 |
$3.50 |
$81.90
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,883.00 |
$1,883.00 |
$1,883.00 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$241.00 |
$241.00 |
$241.00 |
$478.53
|
|
Closed tx humerus fx without manip 23600
|
$189.00 |
$189.00 |
$189.00 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$1,731.00 |
$1,731.00 |
$1,731.00 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$308.50 |
$308.50 |
$308.50 |
$376.96
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$2,520.60
|
|
Closed tx sesamoid fx 28530
|
$358.50 |
$358.50 |
$358.50 |
$445.00
|
|
Closed tx/talus fracture without manip 28430
|
$283.50 |
$283.50 |
$283.50 |
$421.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$458.00 |
$458.00 |
$458.00 |
$481.80
|
|
Close tear duct opening
|
$348.00 |
$348.00 |
$348.00 |
$436.44
|
|
Close tear duct opening
|
$391.00 |
$391.00 |
$391.00 |
$353.74
|
|
Closure of eyelid by suture
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$1,613.00
|
|
Closure of windpipe lesion 31820
|
$3,734.50 |
$3,734.50 |
$3,734.50 |
$3,837.72
|
|
Clot factor viii reltd antgn
|
$134.50 |
$134.50 |
$134.50 |
$158.20
|
|
Clot factor xiii fibrin scrn
|
$146.00 |
$146.00 |
$146.00 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$60.00 |
$60.00 |
$60.00 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$765.50 |
$765.50 |
$765.50 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$185.50 |
$185.50 |
$185.50 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$185.50 |
$185.50 |
$185.50 |
$476.80
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,891.00 |
$1,891.00 |
$1,891.00 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$358.50 |
$358.50 |
$358.50 |
$448.80
|
|
Clsd tx coccygeal fracture 27200
|
$266.00 |
$266.00 |
$266.00 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$185.50 |
$185.50 |
$185.50 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$180.00 |
$180.00 |
$180.00 |
$653.60
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$295.50 |
$295.50 |
$295.50 |
$454.30
|
|
Clsd tx elbow dislocation child 24640
|
$365.00 |
$365.00 |
$365.00 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,982.50 |
$2,982.50 |
$2,982.50 |
$2,184.08
|
|
Clsd tx fracture of radius 25500
|
$185.50 |
$185.50 |
$185.50 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$362.00 |
$362.00 |
$362.00 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$365.00 |
$365.00 |
$365.00 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$190.00 |
$190.00 |
$190.00 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$185.50 |
$185.50 |
$185.50 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$1,571.25
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$185.50 |
$185.50 |
$185.50 |
$445.80
|
|
Clsd tx hip disloc without anes 27265
|
$189.00 |
$189.00 |
$189.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$190.00 |
$190.00 |
$190.00 |
$538.45
|
|
Clsd tx humerus fract without manip 24500
|
$190.00 |
$190.00 |
$190.00 |
$492.99
|
|
Clsd tx mandibular fx without manip 21450
|
$600.00 |
$600.00 |
$600.00 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$185.50 |
$185.50 |
$185.50 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$478.00 |
$478.00 |
$478.00 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$365.00 |
$365.00 |
$365.00 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$276.50 |
$276.50 |
$276.50 |
$520.38
|
|
Clsd tx/metatarsal fx without manip 28470
|
$283.50 |
$283.50 |
$283.50 |
$418.20
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$3,805.50 |
$3,805.50 |
$3,805.50 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$277.50 |
$277.50 |
$277.50 |
$566.72
|
