|
Change ureter stent percut
|
$3,425.35 |
$3,425.35 |
$3,425.35 |
$3,886.89
|
|
Chemo adm cns w/lmbr punct
|
$216.59 |
$216.59 |
$359.66 |
$720.20
|
|
Chemo ia push tecnique
|
$364.22 |
$364.22 |
$364.22 |
$499.50
|
|
Chemotx admn pertl cav impl
|
$378.96 |
$378.96 |
$378.96 |
$590.00
|
|
Chest 2 vws w oblique
|
$111.64 |
$111.64 |
$111.64 |
$375.60
|
|
Chest apical lordotic proj
|
$92.23 |
$92.23 |
$157.05 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$933.07 |
$933.07 |
$1,370.02 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$777.51 |
$777.51 |
$1,141.68 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$582.37 |
$582.37 |
$621.96 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$73.82 |
$73.82 |
$87.64 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$77.70 |
$77.70 |
$80.40 |
$134.50
|
|
Chest Ultrasound
|
$172.87 |
$172.87 |
$309.28 |
$463.88
|
|
Chest X-ray
|
$82.66 |
$82.66 |
$151.42 |
$294.06
|
|
Chest X-ray (single view)
|
$68.54 |
$68.54 |
$145.53 |
$236.60
|
|
Chg radiologic exam esophagus double contrast
|
$177.01 |
$177.01 |
$177.01 |
$520.80
|
|
Chimerism anal no cell selec
|
$305.00 |
$305.00 |
$305.00 |
$393.74
|
|
Chimerism anal w/cell select
|
$383.38 |
$383.38 |
$383.38 |
$649.00
|
|
Chlamydia culture
|
$21.02 |
$21.02 |
$23.86 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$12.10 |
$12.10 |
$12.10 |
$66.60
|
|
Chlamydia type
|
$19.15 |
$19.15 |
$39.39 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$159.96 |
$159.96 |
$159.96 |
$281.18
|
|
Chloride
|
$17.25 |
$17.25 |
$34.58 |
$42.63
|
|
Chloride 24 hour urine
|
$3.53 |
$3.53 |
$44.76 |
$50.88
|
|
Chloroprocaine hcl injection
|
$61.38 |
$61.38 |
$61.38 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,183.76 |
$1,183.76 |
$1,183.76 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$60.30 |
$60.30 |
$60.30 |
$79.74
|
|
Cholangiogram percutaneous compl
|
$1,311.51 |
$1,311.51 |
$2,864.66 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$207.70 |
$207.70 |
$457.21 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,268.08 |
$2,268.08 |
$2,268.08 |
$3,856.84
|
|
Cholesterol
|
$10.98 |
$10.98 |
$59.50 |
$45.76
|
|
Cholesterol body fluid
|
$31.95 |
$31.95 |
$3,217.08 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$60.56 |
$60.56 |
$167.24 |
$115.80
|
|
Cholinesterase
|
$8.44 |
$8.44 |
$11.76 |
$39.48
|
|
Chrom analysis
|
$35.45 |
$35.45 |
$37.32 |
$156.00
|
|
Chromatography
|
$10.78 |
$10.78 |
$19.37 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$61.15 |
$61.15 |
$83.88 |
$250.00
|
|
Chromosome analys amniotic
|
$176.61 |
$176.61 |
$186.17 |
$450.00
|
|
Chromosome analysis 100
|
$176.18 |
$176.18 |
$176.18 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$127.66 |
$127.66 |
$346.26 |
$517.11
|
|
Chromosome analysis 45
|
$161.12 |
$161.12 |
$161.12 |
$382.85
|
|
Chromosome analysis 5
|
$167.53 |
$167.53 |
$167.53 |
$644.80
|
|
Chromosome analys placenta
|
$119.43 |
$119.43 |
$202.08 |
$572.99
|
|
Chromosome count additional
|
$27.43 |
$27.43 |
$134.00 |
$96.50
|
|
Chromosome karyotype study
|
$34.18 |
$34.18 |
$35.92 |
$120.00
|
|
Chromosome study additional
|
$35.03 |
$35.03 |
$36.99 |
$151.09
|
|
Chronic urticaria - sendout
|
$22.21 |
$22.21 |
$22.21 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$36.26 |
$36.26 |
$36.26 |
$136.09
|
|
Cilastatin sodium injection
|
$89.52 |
$89.52 |
$89.52 |
$77.40
|
|
Cinacalcet 30 mg tablet
|
$46.10 |
$46.10 |
$46.10 |
$41.25
|
|
Circumcision (newborn)
|
$170.61 |
$170.61 |
$170.61 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$16.89 |
$16.89 |
$16.89 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$353.24 |
$353.24 |
$484.34 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,189.12 |
$1,189.12 |
$1,189.12 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$2,973.53 |
$2,973.53 |
$20,704.61 |
$15,560.16
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$34.04 |
$34.04 |
$34.04 |
$55.20
|
|
Clip ligating vesolock lg
|
$6,198.83 |
$6,198.83 |
$6,968.27 |
$4,320.00
|
|
Cllr miami j sm
|
$80.14 |
$80.14 |
$80.14 |
$536.64
|
|
Clot factor fletcher fact
|
$45.98 |
$45.98 |
$108.61 |
$119.50
|
|
Clot factor viii reltd antgn
|
$17.17 |
$17.17 |
$17.17 |
$140.42
|
|
Clot factor wght kininogen
|
$134.81 |
$134.81 |
$134.81 |
$157.50
|
|
Clot factor xii hageman
|
$20.75 |
$20.75 |
$21.05 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$7.76 |
$7.76 |
$9.77 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$27.15 |
$27.15 |
$27.15 |
$106.40
|
|
Clsd tx clavicle dislocation without manip 23540
|
$145.53 |
$145.53 |
$145.53 |
$419.40
|
|
Clsd tx elbow dislocation child 24640
|
$51.73 |
$51.73 |
$51.73 |
$465.21
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$252.19 |
$252.19 |
$252.19 |
$498.85
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$1,360.37 |
$1,360.37 |
$1,360.37 |
$3,678.17
|
|
Clsd tx toe dislocation without anes28660
|
$93.27 |
$93.27 |
$93.27 |
$412.00
|
|
Clsd tx vert body fx without manip req &w/csting/bracing
|
$240.94 |
$240.94 |
$240.94 |
$648.34
|
|
C motor evoked lwr limbs
|
$386.73 |
$386.73 |
$386.73 |
$627.89
|
|
C motor evoked uppr limbs
|
$373.60 |
$373.60 |
$373.60 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$546.99 |
$546.99 |
$546.99 |
$1,333.36
|
|
#cmvcul-virus inoculation shell
|
$26.80 |
$26.80 |
$35.62 |
$89.76
|
|
Cmv pcr-sendout
|
$35.62 |
$35.62 |
$37.62 |
$175.70
|
|
Co2 monitor per day
|
$39.68 |
$39.68 |
$39.68 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$6.17 |
$6.17 |
$6.17 |
$11,888.50
|
|
Coagulation time activated teg
|
$3.60 |
$3.60 |
$174.47 |
$52.47
|
|
Cocaine 4 % nasal solution
|
$669.74 |
$669.74 |
$669.74 |
$630.04
|
|
Coil axium 3d 14mmx40cm qc
|
$127.12 |
$127.12 |
$127.12 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$8.67 |
$8.67 |
$8.67 |
$48.10
|
|
Cold agglutinin titer
|
$8.65 |
$8.65 |
$8.67 |
$52.00
|
|
Collagen imp urinary 2.5 ml
|
$5,703.02 |
$5,703.02 |
$5,703.02 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$99.20 |
$99.20 |
$99.20 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$27.88 |
$27.88 |
$27.88 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$80.14 |
$80.14 |
$80.14 |
$224.11
|
|
Collar cerv patriot adlt
|
$27.88 |
$27.88 |
$27.88 |
$134.66
|
|
Collection blood specimen from completely implantable venous access device
|
$110.96 |
$110.96 |
$110.96 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$110.96 |
$110.96 |
$110.96 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$27.34 |
$27.34 |
$123.01 |
$173.50
|
|
Compatibility test each unit electronic
|
$123.01 |
$123.01 |
$229.95 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$32.43 |
$32.43 |
$123.01 |
$169.52
|
|
Complement antigen each component c3
|
$101.32 |
$101.32 |
$164.82 |
$110.00
|
|
Complement fixation each
|
$10.76 |
$10.76 |
$10.76 |
$29.12
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$437.11 |
$437.11 |
$437.11 |
$1,212.00
|
|
Concentration infection agents any type
|
$23.86 |
$23.86 |
$240.13 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$3,295.60 |
$3,295.60 |
$3,295.60 |
$3,352.21
|
|
Conjugated estrogens 25 mg solution for injection
|
$460.43 |
$460.43 |
$460.43 |
$860.00
|
|
Connect omega .5mm
|
$884.40 |
$884.40 |
$884.40 |
$1,260.00
|
|
Connector tis 2x10mm
|
$1,727.71 |
$1,727.71 |
$5,573.06 |
$4,024.34
|
|
Consultation pathology during surgery
|
$55.54 |
$55.54 |
$224.86 |
$100.89
|
