|
Chemodenervation/face muscl/unilat 64612
|
$418.00 |
$418.00 |
$418.00 |
$569.00
|
|
Chemodenerv eccrine glands 64650
|
$353.00 |
$353.00 |
$353.00 |
$521.82
|
|
Chemodenerv musc migraine 64615
|
$332.00 |
$332.00 |
$332.00 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$698.60
|
|
Chemodenerv trunk musc 1-5 64646
|
$779.00 |
$779.00 |
$779.00 |
$1,064.00
|
|
Chemodenerv trunk musc 6/] 64647
|
$779.00 |
$779.00 |
$779.00 |
$1,250.60
|
|
Chemo extend IV infus w/pump
|
$217.00 |
$217.00 |
$217.00 |
$737.10
|
|
Chemo ia infuse each addl hr
|
$64.50 |
$64.50 |
$64.50 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$460.50 |
$460.50 |
$460.50 |
$572.00
|
|
Chemo ia push tecnique
|
$495.50 |
$495.50 |
$495.50 |
$493.25
|
|
Chest 2 vws w oblique
|
$65.50 |
$65.50 |
$65.50 |
$377.06
|
|
Chest CT scan (with and without contrast)
|
$118.00 |
$118.00 |
$118.00 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$1,500.50 |
$1,500.50 |
$1,500.50 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$712.00 |
$712.00 |
$712.00 |
$1,350.03
|
|
Chest X-ray
|
$193.50 |
$193.50 |
$193.50 |
$294.06
|
|
Chest X-ray (single view)
|
$387.00 |
$387.00 |
$387.00 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$177.00 |
$177.00 |
$177.00 |
$147.95
|
|
Chg radiologic exam esophagus double contrast
|
$381.00 |
$381.00 |
$381.00 |
$511.59
|
|
Chimerism anal no cell selec
|
$743.00 |
$743.00 |
$743.00 |
$347.20
|
|
Chimerism anal w/cell select
|
$1,867.00 |
$1,867.00 |
$1,867.00 |
$585.60
|
|
Chlamydia type
|
$2.50 |
$2.50 |
$2.50 |
$34.20
|
|
Chloride
|
$23.00 |
$23.00 |
$23.00 |
$40.95
|
|
Chloride 24 hour urine
|
$25.00 |
$25.00 |
$25.00 |
$49.50
|
|
Chloroprocaine hcl injection
|
$9.50 |
$9.50 |
$9.50 |
$61.51
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$14.79 |
$14.79 |
$14.79 |
$78.43
|
|
Chlorpromazine 100 mg tablet
|
$22.91 |
$22.91 |
$22.91 |
$3.95
|
|
Chmotx admn plrl cav thrcnts
|
$460.50 |
$460.50 |
$460.50 |
$489.30
|
|
Cholangiogram percutaneous compl
|
$3,426.50 |
$3,426.50 |
$3,426.50 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$862.50 |
$862.50 |
$862.50 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,384.00 |
$4,384.00 |
$4,384.00 |
$3,690.60
|
|
Cholesterol
|
$22.50 |
$22.50 |
$22.50 |
$45.76
|
|
Cholesterol body fluid
|
$998.00 |
$998.00 |
$998.00 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$69.50 |
$69.50 |
$69.50 |
$115.80
|
|
Chorion biopsy
|
$982.00 |
$982.00 |
$982.00 |
$1,086.00
|
|
Chromatography
|
$159.50 |
$159.50 |
$159.50 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$510.50 |
$510.50 |
$510.50 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$643.00 |
$643.00 |
$643.00 |
$512.20
|
|
Chromosome banding study
|
$74.00 |
$74.00 |
$74.00 |
$184.24
|
|
Chromosome count additional
|
$62.50 |
$62.50 |
$62.50 |
$92.45
|
|
Chronic urticaria - sendout
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$88.00 |
$88.00 |
$88.00 |
$124.15
|
|
Circum 28 days or older
|
$4,428.50 |
$4,428.50 |
$4,428.50 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$2,004.50 |
$2,004.50 |
$2,004.50 |
$1,219.20
|
|
Circumcision (newborn)
|
$2,788.50 |
$2,788.50 |
$2,788.50 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$129.00 |
$129.00 |
$129.00 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$655.00
|
|
Clearance of airways
|
$229.00 |
$229.00 |
$229.00 |
$208.86
|
|
Clearance of tear duct
|
$356.00 |
$356.00 |
$356.00 |
$656.38
|
|
Clip ligating vesolock lg
|
$465.50 |
$465.50 |
$465.50 |
$4,320.00
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$3.50 |
$3.50 |
$3.50 |
$81.90
|
|
Closed tx humerus fx w/manip 24505
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,507.80
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,527.50 |
$2,527.50 |
$2,527.50 |
$2,520.60
|
|
Closed tx septal&nose fx
|
$2,749.50 |
$2,749.50 |
$2,749.50 |
$3,624.40
|
|
Clot factor xii hageman
|
$25.50 |
$25.50 |
$25.50 |
$134.39
|
|
Clot factor xiii fibrin stab
|
$60.00 |
$60.00 |
$60.00 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$641.90
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,800.50 |
$1,800.50 |
$1,800.50 |
$1,893.86
|
|
Clsd tx coccygeal fracture 27200
|
$284.00 |
$284.00 |
$284.00 |
$388.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$369.00 |
$369.00 |
$369.00 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$365.50 |
$365.50 |
$365.50 |
$462.80
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$365.50 |
$365.50 |
$365.50 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$365.50 |
$365.50 |
$365.50 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,808.50 |
$5,808.50 |
$5,808.50 |
$1,656.90
|
|
Clsd tx fx radius/ulna without manip 25560
|
$366.00 |
$366.00 |
$366.00 |
$459.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$4,332.50 |
$4,332.50 |
$4,332.50 |
$1,571.25
|
|
Clsd tx hip disloc without anes 27265
|
$365.50 |
$365.50 |
$365.50 |
$630.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$3,527.50 |
$3,527.50 |
$3,527.50 |
$606.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$2,695.34 |
$2,695.34 |
$2,695.34 |
$3,678.17
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,527.50 |
$2,527.50 |
$2,527.50 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$365.50 |
$365.50 |
$365.50 |
$566.72
|
|
Clsd tx pelvic ring fx
|
$284.00 |
$284.00 |
$284.00 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,000.50 |
$2,000.50 |
$2,000.50 |
$2,146.20
|
|
Clsd tx radius fracture w/manip 24655
|
$2,527.50 |
$2,527.50 |
$2,527.50 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,197.50 |
$2,197.50 |
$2,197.50 |
$1,839.54
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$2,075.00 |
$2,075.00 |
$2,075.00 |
$1,690.70
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,527.50 |
$2,527.50 |
$2,527.50 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$365.50 |
$365.50 |
$365.50 |
$394.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,509.50 |
$2,509.50 |
$2,509.50 |
$1,565.74
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$3,457.88 |
$3,457.88 |
$3,457.88 |
$600.60
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,509.50 |
$2,509.50 |
$2,509.50 |
$1,815.75
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,509.50 |
$2,509.50 |
$2,509.50 |
$2,021.04
|
|
Cmbn ant pst colprhy
|
$7,995.00 |
$7,995.00 |
$7,995.00 |
$4,928.00
|
|
#cms hgb-sulfhemoglobin
|
$74.00 |
$74.00 |
$74.00 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$180.00 |
$180.00 |
$180.00 |
$100.80
|
|
Cmv pcr-sendout
|
$433.60 |
$433.60 |
$433.60 |
$177.50
|
|
Cocaine 4 % nasal solution
|
$562.77 |
$562.77 |
$562.77 |
$629.41
|
|
Cocaine hcl nasal (numbrino)
|
$562.77 |
$562.77 |
$562.77 |
$512.30
|
|
Cold agglutinin titer
|
$41.00 |
$41.00 |
$41.00 |
$50.00
|
|
Collagenase, clost hist inj
|
$185.00 |
$185.00 |
$185.00 |
$12,906.28
|
|
Collection blood specimen from completely implantable venous access device
|
$76.00 |
$76.00 |
$76.00 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$76.00 |
$76.00 |
$76.00 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$24.00 |
$24.00 |
$24.00 |
$21.00
|
|
Collj & interpj data ea 30 d
|
$29.00 |
$29.00 |
$29.00 |
$172.35
|
|
Colonoscopy (diagnostic)
|
$4,092.00 |
$4,092.00 |
$4,092.00 |
$1,899.00
|
|
Colonoscopy flex with decompression 45393
|
$3,787.00 |
$3,787.00 |
$3,787.00 |
$1,946.25
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,750.00 |
$2,750.00 |
$2,750.00 |
$2,288.00
|
|
Colonoscopy stoma w/snare 44394
|
$2,262.00 |
$2,262.00 |
$2,262.00 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$1,436.00 |
$1,436.00 |
$1,436.00 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$1,899.00
|
|
Colonoscopy w/balloon dilat
|
$3,604.00 |
$3,604.00 |
$3,604.00 |
$1,645.43
|
