|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$11,520.45 |
$11,520.45 |
$11,520.45 |
$19,384.20
|
|
Cath place 1st order venous 36011
|
$451.22 |
$451.22 |
$451.22 |
$1,313.25
|
|
Cath place cardio brachytx
|
$1,239.42 |
$1,239.42 |
$1,239.42 |
$3,320.80
|
|
Cath plc art ang/grft lt/rt hr
|
$5,117.91 |
$5,117.91 |
$5,117.91 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$4,094.37 |
$4,094.37 |
$4,094.37 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$4,593.54 |
$4,593.54 |
$4,593.54 |
$10,429.27
|
|
Cath ptca pcltxl agent 3x20mm
|
$4,415.71 |
$4,415.71 |
$4,415.71 |
$11,167.20
|
|
Cath right heart w/o2 sat & card
|
$2,046.03 |
$2,046.03 |
$2,046.03 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$334.49 |
$334.49 |
$334.49 |
$841.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$114.27 |
$114.27 |
$114.27 |
$462.80
|
|
Cath segmntl pulm art
|
$714.87 |
$714.87 |
$714.87 |
$1,294.19
|
|
Cath steerable flex adv 12f
|
$1,556.52 |
$1,556.52 |
$1,556.52 |
$2,925.00
|
|
Cath stripping venous s&i
|
$193.28 |
$193.28 |
$193.28 |
$682.34
|
|
Cath temp pace flo bipol 5fr electrd
|
$5,184.78 |
$5,184.78 |
$5,184.78 |
$1,408.39
|
|
Cath uret open tp 6fx70cm
|
$474.94 |
$474.94 |
$474.94 |
$573.88
|
|
Cauterization chemical granulation tissue
|
$87.16 |
$87.16 |
$87.16 |
$340.90
|
|
#cbg+cort-cbg
|
$8.53 |
$8.53 |
$8.53 |
$66.55
|
|
Cdna analysis for variants
|
$193.78 |
$193.78 |
$193.78 |
$542.87
|
|
Cebpa gene full sequence
|
$253.02 |
$253.02 |
$253.02 |
$493.21
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$1.28 |
$1.28 |
$1.28 |
$39.52
|
|
#celiac hla-dq8
|
$71.18 |
$71.18 |
$71.18 |
$246.88
|
|
Cell count body fluid
|
$3.13 |
$3.13 |
$3.13 |
$63.52
|
|
Cell count w differential body fluid
|
$3.55 |
$3.55 |
$3.55 |
$92.56
|
|
Cell function assay w/stim
|
$60.79 |
$60.79 |
$60.79 |
$325.76
|
|
Cell marker study
|
$117.60 |
$117.60 |
$117.60 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$369.95 |
$369.95 |
$369.95 |
$952.82
|
|
#cf-97variants
|
$581.99 |
$581.99 |
$581.99 |
$639.44
|
|
Cftr gene dup/delet variants
|
$455.05 |
$455.05 |
$455.05 |
$757.25
|
|
Cftr gene intron poly t
|
$110.02 |
$110.02 |
$110.02 |
$301.65
|
|
Change cystostomy tube simple
|
$162.93 |
$162.93 |
$162.93 |
$477.60
|
|
Change g-tube to g-j perc
|
$631.09 |
$631.09 |
$631.09 |
$2,198.81
|
|
Change nephroureteral cath
|
$1,069.07 |
$1,069.07 |
$1,069.07 |
$3,083.97
|
|
Change of ureter tube/stent
|
$589.51 |
$589.51 |
$589.51 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$111.80 |
$111.80 |
$111.80 |
$401.50
|
|
Change ureter stent percut
|
$2,339.26 |
$2,339.26 |
$2,339.26 |
$3,886.89
|
|
Chemo adm cns w/lmbr punct
|
$210.50 |
$210.50 |
$210.50 |
$720.20
|
|
Chemodenerv saliv glands bilat 64611
|
$222.07 |
$222.07 |
$222.07 |
$477.75
|
|
Chemo ia infusion up to 1 hr
|
$197.16 |
$197.16 |
$197.16 |
$572.00
|
|
Chemo ia push tecnique
|
$133.48 |
$133.48 |
$133.48 |
$499.50
|
|
Chemo intralesional over 7
|
$147.59 |
$147.59 |
$147.59 |
$346.29
|
|
Chemo intralesional up to 7 96405
|
$94.67 |
$94.67 |
$94.67 |
$163.80
|
|
Chemotherapy injection 96542
|
$118.78 |
$118.78 |
$118.78 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$147.88 |
$147.88 |
$147.88 |
$590.00
|
|
Chest 2 vws w oblique
|
$99.23 |
$99.23 |
$99.23 |
$375.60
|
|
Chest apical lordotic proj
|
$81.98 |
$81.98 |
$81.98 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$679.55 |
$679.55 |
$679.55 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$566.26 |
$566.26 |
$566.26 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$452.97 |
$452.97 |
$452.97 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$76.38 |
$76.38 |
$76.38 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$80.40 |
$80.40 |
$80.40 |
$134.50
|
|
Chest Ultrasound
|
$182.57 |
$182.57 |
$182.57 |
$463.88
|
|
Chest X-ray
|
$73.47 |
$73.47 |
$73.47 |
$294.06
|
|
Chest X-ray (single view)
|
$60.93 |
$60.93 |
$60.93 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$75.99 |
$75.99 |
$75.99 |
$150.40
|
|
Chimerism anal no cell selec
|
$217.00 |
$217.00 |
$217.00 |
$393.74
|
|
Chimerism anal w/cell select
|
$272.77 |
$272.77 |
$272.77 |
$649.00
|
|
Chlamydia culture
|
$17.96 |
$17.96 |
$17.96 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$9.11 |
$9.11 |
$9.11 |
$66.60
|
|
Chlamydia type
|
$14.42 |
$14.42 |
$14.42 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$132.10 |
$132.10 |
$132.10 |
$281.18
|
|
Chloride
|
$13.90 |
$13.90 |
$13.90 |
$42.63
|
|
Chloride 24 hour urine
|
$2.84 |
$2.84 |
$2.84 |
$50.88
|
|
Cholangiogram percutaneous compl
|
$895.66 |
$895.66 |
$895.66 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$171.52 |
$171.52 |
$171.52 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,548.93 |
$1,548.93 |
$1,548.93 |
$3,856.84
|
|
Cholesterol
|
$8.85 |
$8.85 |
$8.85 |
$45.76
|
|
Cholesterol body fluid
|
$25.75 |
$25.75 |
$25.75 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$48.82 |
$48.82 |
$48.82 |
$115.80
|
|
Cholinesterase
|
$9.48 |
$9.48 |
$9.48 |
$39.48
|
|
Chrom analysis
|
$32.93 |
$32.93 |
$32.93 |
$156.00
|
|
Chromatography
|
$8.69 |
$8.69 |
$8.69 |
$84.60
|
|
Chromogenic substrate assay
|
$11.41 |
$11.41 |
$11.41 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$59.67 |
$59.67 |
$59.67 |
$250.00
|
|
Chromosome analys amniotic
|
$164.05 |
$164.05 |
$164.05 |
$450.00
|
|
Chromosome analysis 100
|
$163.66 |
$163.66 |
$163.66 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$118.58 |
$118.58 |
$118.58 |
$517.11
|
|
Chromosome analysis 5
|
$155.62 |
$155.62 |
$155.62 |
$644.80
|
|
Chromosome analys placenta
|
$110.94 |
$110.94 |
$110.94 |
$572.99
|
|
Chromosome count additional
|
$25.48 |
$25.48 |
$25.48 |
$96.50
|
|
Chromosome karyotype study
|
$31.75 |
$31.75 |
$31.75 |
$120.00
|
|
Chromosome study additional
|
$32.54 |
$32.54 |
$32.54 |
$151.09
|
|
Chronic urticaria - sendout
|
$9.54 |
$9.54 |
$9.54 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$29.23 |
$29.23 |
$29.23 |
$136.09
|
|
Cine/video x-rays
|
$579.58 |
$579.58 |
$579.58 |
$321.64
|
|
Cine/video x-rays add-on
|
$151.30 |
$151.30 |
$151.30 |
$293.05
|
|
Circumcision (newborn)
|
$177.23 |
$177.23 |
$177.23 |
$1,364.88
|
|
C-kit mutation liquid tumor - sendout
|
$344.60 |
$344.60 |
$344.60 |
$666.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$3,532.70 |
$3,532.70 |
$3,532.70 |
$15,560.16
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$18.19 |
$18.19 |
$18.19 |
$55.20
|
|
Clip ligating vesolock lg
|
$5,760.75 |
$5,760.75 |
$5,760.75 |
$4,320.00
|
|
Clot factor fletcher fact
|
$30.54 |
$30.54 |
$30.54 |
$119.50
|
|
Clot factor viii reltd antgn
|
$11.41 |
$11.41 |
$11.41 |
$140.42
|
|
Clot factor wght kininogen
|
$42.14 |
$42.14 |
$42.14 |
$157.50
|
|
Clot factor xii hageman
|
$13.98 |
$13.98 |
$13.98 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$5.15 |
$5.15 |
$5.15 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$18.03 |
$18.03 |
$18.03 |
$106.40
|
|
#cmvcul-virus inoculation shell
|
$26.82 |
$26.82 |
$26.82 |
$89.76
|
|
Cmv pcr-sendout
|
$26.82 |
$26.82 |
$26.82 |
$175.70
|
|
Coagulation time activated teg
|
$10.12 |
$10.12 |
$10.12 |
$52.47
|
|
Coil axium 3d 14mmx40cm qc
|
$99.79 |
$99.79 |
$99.79 |
$308.00
|