|
Cetuximab 100 mg/50 ml intravenous solution
|
$15,519.00 |
$15,519.00 |
$18,622.80 |
|
|
#cf-97variants
|
$125.00 |
$164.00 |
$2,935.50 |
|
|
Cftr gene dup/delet variants
|
$781.50 |
$978.00 |
$1,707.50 |
|
|
Cftr gene intron poly t
|
$150.50 |
$150.50 |
$150.50 |
|
|
Cftr gene known fam variants
|
$91.00 |
$91.00 |
$168.00 |
|
|
Change cystostomy tube; complex 51710
|
$83.00 |
$926.00 |
$1,454.00 |
|
|
Change cystostomy tube simple
|
$183.00 |
$424.00 |
$2,954.00 |
|
|
Change g-tube to g-j perc
|
$2,040.50 |
$2,450.50 |
$3,318.50 |
|
|
Change nephroureteral cath
|
$1,171.00 |
$2,756.50 |
$4,806.00 |
|
|
Change of ureter tube/stent
|
$1,171.00 |
$2,417.00 |
$5,532.00 |
|
|
Change of windpipe airway 31502
|
$35.00 |
$165.00 |
$2,436.00 |
|
|
Change stent via transureth
|
$3,714.00 |
$3,714.00 |
$3,714.00 |
|
|
Change ureter stent percut
|
$2,602.50 |
$5,513.50 |
$7,675.67 |
|
|
Chemical peel face epiderm 15788
|
$519.50 |
$519.50 |
$519.50 |
|
|
Chemical peel nonfacial; epidermal
|
$944.00 |
$944.00 |
$944.00 |
|
|
Chemo adm cns w/lmbr punct
|
$363.00 |
$684.00 |
$3,415.50 |
|
|
Chemodener muscle larynx emg
|
$811.50 |
$846.00 |
$2,094.00 |
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$732.00 |
$1,776.00 |
$2,597.00 |
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$246.50 |
$273.50 |
$797.50 |
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$779.00 |
$814.50 |
$3,472.50 |
|
|
Chemodenerv 1 extremity 1-4 64642
|
$112.00 |
$179.20 |
$5,194.00 |
|
|
Chemodenervation anal musc
|
$257.00 |
$272.50 |
$3,470.00 |
|
|
Chemodenervation/face muscl/unilat 64612
|
$121.00 |
$534.50 |
$3,781.81 |
|
|
Chemodenervation nerve of eye muscle 67345
|
$216.00 |
$224.00 |
$2,477.88 |
|
|
Chemodenerv eccrine glands
|
$353.00 |
$357.00 |
$514.00 |
|
|
Chemodenerv eccrine glands 64650
|
$39.00 |
$70.00 |
$479.50 |
|
|
Chemodenerv musc migraine 64615
|
$127.00 |
$353.00 |
$966.00 |
|
|
Chemodenerv musc neck dyston 64616
|
$117.00 |
$294.00 |
$1,133.00 |
|
|
Chemodenerv saliv glands bilat 64611
|
$353.00 |
$353.00 |
$7,804.50 |
|
|
Chemodenerv trunk musc 1-5 64646
|
$122.50 |
$196.00 |
$2,126.00 |
|
|
Chemodenerv trunk musc 6/] 64647
|
$779.00 |
$811.50 |
$992.00 |
|
|
Chemo extend IV infus w/pump
|
$217.00 |
$652.80 |
$2,960.50 |
|
|
Chemo ia infuse each addl hr
|
$64.50 |
$68.50 |
$73.50 |
|
|
Chemo ia infusion up to 1 hr
|
$460.50 |
$486.00 |
$524.50 |
|
|
Chemo ia push tecnique
|
$464.00 |
$495.50 |
$715.50 |
|
|
Chemo intralesional over 7
|
$6.00 |
$444.00 |
$637.00 |
|
|
Chemo intralesional up to 7 96405
|
$6.00 |
$131.00 |
$211.50 |
|
|
Chemotherapy injection 96542
|
$200.50 |
$401.00 |
$444.00 |
|
|
Chemotx admn pertl cav impl
|
$369.00 |
$369.00 |
$689.50 |
|
|
Chest 2 vws w oblique
|
$65.50 |
$174.00 |
$386.50 |
|
|
Chest apical lordotic proj
|
$112.00 |
$161.00 |
$386.50 |
|
|
Chest CT scan (with and without contrast)
|
$118.00 |
$1,247.00 |
$3,141.00 |
|
|
Chest CT scan (with contrast)
|
$639.50 |
$1,229.00 |
$2,628.00 |
|
|
Chest CT scan (without contrast)
|
$296.00 |
$830.50 |
$1,919.40 |
|
|
Chest X-ray
|
$141.00 |
$188.50 |
$406.00 |
|
|
Chest X-ray (single view)
|
$96.00 |
$214.00 |
$1,132.50 |
|
|
Chg pr pul rehab for copd patients
|
$76.00 |
$102.50 |
$177.00 |
|
|
Chg radiologic exam esophagus double contrast
|
$229.00 |
$381.00 |
$1,609.00 |
|
|
Chimerism anal no cell selec
|
$242.00 |
$242.00 |
$743.00 |
|
|
Chimerism anal w/cell select
|
$182.50 |
$182.50 |
$1,867.00 |
|
|
Chiropractic manj 5 regions
|
$43.00 |
$43.00 |
$68.80 |
|
|
Chiropract manj 1-2 regions
|
$20.50 |
$22.50 |
$32.80 |
|
|
Chiropract manj 3-4 regions
|
$31.50 |
$31.50 |
$50.40 |
|
|
Chiropract manj xtrspinl 1/>
|
$22.00 |
$22.00 |
$35.20 |
|
|
Chlamydia culture
|
$20.80 |
$83.50 |
$123.00 |
|
|
Chlamydia type
|
$2.50 |
$20.00 |
$108.00 |
|
|
Chlnggrphy intraop addl s&i
|
$112.00 |
$194.50 |
$319.50 |
|
|
Chloride
|
$14.00 |
$28.50 |
$61.00 |
|
|
Chloride 24 hour urine
|
$11.50 |
$31.00 |
$108.00 |
|
|
Chloroprocaine hcl injection
|
$9.50 |
$27.14 |
$59.47 |
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$14.79 |
$48.23 |
$96.60 |
|
|
Chlorpromazine 100 mg tablet
|
$0.45 |
$11.46 |
$139.97 |
|
|
Chmotx admn plrl cav thrcnts
|
$460.50 |
$486.00 |
$524.50 |
|
|
Cholangiogram percutaneous compl
|
$3,332.50 |
$3,426.50 |
$3,807.00 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$15.00 |
$372.50 |
$3,396.67 |
|
|
Cholecystectomy w/cholangiography 47605
|
$1,214.00 |
$1,270.50 |
$5,921.00 |
|
|
Cholecystostomy complete w/supervision & interpretation
|
$330.50 |
$3,426.50 |
$4,626.00 |
|
|
Cholesterol
|
$10.40 |
$28.00 |
$130.80 |
|
|
Cholesterol body fluid
|
$998.00 |
$1,028.00 |
$1,637.50 |
|
|
Cholesterol (Lipid) Test
|
$62.50 |
$69.50 |
$246.60 |
|
|
Choline c-11
|
$5,777.00 |
$5,777.00 |
$5,777.00 |
|
|
Cholinesterase
|
$5.50 |
$23.00 |
$54.00 |
|
|
Cholinesterase challenge
|
$355.00 |
$461.00 |
$469.50 |
|
|
Chorion biopsy
|
$905.00 |
$1,059.00 |
$1,176.50 |
|
|
Chorionic gonadotropin/1000u
|
$387.21 |
$387.21 |
$387.21 |
|
|
Chrnc care mgmt phys 1st 30
|
$51.50 |
$74.50 |
$262.00 |
|
|
Chrom analysis
|
$42.00 |
$177.50 |
$202.00 |
|
|
Chromatography
|
$159.50 |
$159.50 |
$255.20 |
|
|
Chromogenic substrate assay
|
$284.50 |
$284.50 |
$343.50 |
|
|
Chromo high res and frag x - sendout
|
$75.00 |
$510.50 |
$523.50 |
|
|
Chromosome analys amniotic
|
$215.00 |
$235.00 |
$1,044.00 |
|
|
Chromosome analysis 100
|
$233.50 |
$521.50 |
$988.50 |
|
|
Chromosome analysis 15-20 cell count
|
$110.00 |
$366.00 |
$954.00 |
|
|
Chromosome analysis 20-25
|
$193.00 |
$234.50 |
$544.50 |
|
|
Chromosome analysis 45
|
$195.00 |
$203.50 |
$943.50 |
|
|
Chromosome analysis 5
|
$228.50 |
$357.50 |
$1,035.00 |
|
|
Chromosome analysis 50-100
|
$224.50 |
$234.50 |
$524.00 |
|
|
Chromosome analys placenta
|
$232.50 |
$255.00 |
$593.50 |
|
|
Chromosome banding study
|
$74.00 |
$74.00 |
$227.00 |
|
|
Chromosome count additional
|
$62.50 |
$62.50 |
$117.50 |
|
|
Chromosome karyotype study
|
$83.00 |
$151.00 |
$272.50 |
|
|
Chromosome study additional
|
$44.00 |
$46.50 |
$331.00 |
|
|
Chronic urticaria - sendout
|
$75.00 |
$75.00 |
$300.00 |
|
|
Chylomicron screen, bf - sendout
|
$88.00 |
$88.00 |
$463.50 |
|
|
Cidofovir injection
|
$405.10 |
$405.10 |
$405.10 |
|
|
Cilastatin sodium injection
|
$44.02 |
$44.02 |
$44.02 |
|
|
Ciliary transsleral therapy
|
$2,977.50 |
$2,977.50 |
$7,598.50 |
|
|
Ciltacabtagene car-pos t
|
$391,541.25 |
$391,541.25 |
$391,541.25 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$6.30 |
$13.50 |
$45.00 |
|
|
Circum 28 days or older
|
$205.50 |
$2,784.50 |
$16,079.50 |
|