|
Chemotx admn pertl cav impl
|
$168.00 |
$168.00 |
$168.00 |
$590.00
|
|
Chest 2 vws w oblique
|
$104.55 |
$106.32 |
$333.49 |
$375.60
|
|
Chest apical lordotic proj
|
$86.38 |
$87.84 |
$294.91 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$584.49 |
$700.68 |
$1,686.53 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$487.04 |
$583.87 |
$1,505.85 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$389.60 |
$467.05 |
$903.43 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$55.29 |
$55.86 |
$121.60 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$58.20 |
$58.80 |
$121.60 |
$134.50
|
|
Chest Ultrasound
|
$153.91 |
$175.52 |
$408.74 |
$463.88
|
|
Chest X-ray
|
$77.41 |
$78.72 |
$254.03 |
$294.06
|
|
Chest X-ray (single view)
|
$64.19 |
$65.28 |
$215.07 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$74.29 |
$74.29 |
$74.29 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$161.02 |
$161.02 |
$347.62 |
$520.80
|
|
Chimerism anal no cell selec
|
$187.00 |
$187.00 |
$279.00 |
$393.74
|
|
Chimerism anal w/cell select
|
$235.06 |
$235.06 |
$350.70 |
$649.00
|
|
Chlamydia culture
|
$15.69 |
$19.24 |
$53.59 |
$91.00
|
|
Chlamydia trachomatis ag if
|
$7.96 |
$7.96 |
$22.49 |
$66.60
|
|
Chlamydia type
|
$6.87 |
$9.17 |
$15.45 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$134.68 |
$145.51 |
$186.18 |
$281.18
|
|
Chloride
|
$13.90 |
$15.04 |
$48.14 |
$42.63
|
|
Chloride 24 hour urine
|
$2.84 |
$2.88 |
$71.82 |
$50.88
|
|
Chloroprocaine hcl injection
|
$41.26 |
$41.26 |
$41.26 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$794.18 |
$794.18 |
$794.18 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$40.50 |
$40.50 |
$40.50 |
$79.74
|
|
Cholangiogram percutaneous compl
|
$1,041.06 |
$1,125.40 |
$2,880.28 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$174.87 |
$188.94 |
$414.04 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,800.38 |
$1,946.22 |
$4,927.80 |
$3,856.84
|
|
Cholesterol
|
$8.85 |
$8.96 |
$57.69 |
$45.76
|
|
Cholesterol body fluid
|
$25.75 |
$26.08 |
$5,343.42 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$48.82 |
$49.44 |
$192.15 |
$115.80
|
|
Cholinesterase
|
$9.48 |
$9.60 |
$24.74 |
$39.48
|
|
Cholinesterase challenge
|
$199.70 |
$199.70 |
$199.70 |
$366.72
|
|
Chrom analysis
|
$37.30 |
$41.50 |
$169.23 |
$156.00
|
|
Chromatography
|
$8.69 |
$8.80 |
$320.50 |
$84.60
|
|
Chromogenic substrate assay
|
$14.01 |
$26.54 |
$314.77 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$41.91 |
$51.42 |
$265.11 |
$250.00
|
|
Chromosome analys amniotic
|
$114.05 |
$185.81 |
$206.74 |
$450.00
|
|
Chromosome analysis 100
|
$185.37 |
$185.37 |
$206.24 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$134.31 |
$149.44 |
$378.95 |
$517.11
|
|
Chromosome analysis 45
|
$340.53 |
$340.53 |
$561.93 |
$382.85
|
|
Chromosome analysis 5
|
$176.27 |
$196.12 |
$261.67 |
$644.80
|
|
Chromosome analys placenta
|
$125.65 |
$139.80 |
$418.29 |
$572.99
|
|
Chromosome count additional
|
$28.86 |
$32.11 |
$194.82 |
$96.50
|
|
Chromosome karyotype study
|
$35.96 |
$40.01 |
$91.68 |
$120.00
|
|
Chromosome study additional
|
$36.85 |
$41.00 |
$155.86 |
$151.09
|
|
Chronic urticaria - sendout
|
$12.16 |
$12.16 |
$15.68 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$29.23 |
$29.60 |
$73.73 |
$136.09
|
|
Cidofovir injection
|
$1,356.87 |
$1,356.87 |
$1,356.87 |
$1,352.09
|
|
Cilastatin sodium injection
|
$59.98 |
$59.98 |
$59.98 |
$77.40
|
|
Cine/video x-rays
|
$590.90 |
$590.90 |
$665.45 |
$321.64
|
|
Cine/video x-rays add-on
|
$97.56 |
$132.94 |
$154.25 |
$293.05
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$12.99 |
$12.99 |
$16.49 |
$35.65
|
|
Circumcision (newborn)
|
$168.78 |
$185.57 |
$3,007.49 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$24.07 |
$24.07 |
$24.07 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$296.96 |
$443.05 |
$1,207.12 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$797.62 |
$797.62 |
$797.62 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$2,515.00 |
$8,287.82 |
$8,517.84 |
$15,560.16
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$29.09 |
$29.09 |
$32.09 |
$55.20
|
|
Clip ligating vesolock lg
|
$2,191.54 |
$6,001.70 |
$6,264.54 |
$4,320.00
|
|
Cllr miami j sm
|
$1,136.84 |
$1,136.84 |
$1,136.84 |
$536.64
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$77.17 |
$77.17 |
$77.17 |
$85.37
|
|
Closure paravalvlr leak pq
|
$6,484.19 |
$11,543.35 |
$37,002.82 |
$9,434.46
|
|
Clot factor fletcher fact
|
$30.38 |
$37.52 |
$117.66 |
$119.50
|
|
Clot factor viii reltd antgn
|
$11.35 |
$11.35 |
$14.01 |
$140.42
|
|
Clot factor wght kininogen
|
$41.91 |
$41.91 |
$300.26 |
$157.50
|
|
Clot factor xii hageman
|
$13.91 |
$17.18 |
$606.24 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$5.12 |
$6.33 |
$116.90 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$17.93 |
$22.15 |
$303.69 |
$106.40
|
|
C motor evoked lwr limbs
|
$1,068.84 |
$1,068.84 |
$1,413.62 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,068.84 |
$1,068.84 |
$1,387.72 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$853.83 |
$853.83 |
$1,404.62 |
$1,333.36
|
|
#cms hgb-sulfhemoglobin
|
$27.52 |
$27.52 |
$27.52 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$23.43 |
$28.73 |
$111.93 |
$89.76
|
|
Cmv pcr-sendout
|
$23.43 |
$28.73 |
$204.76 |
$175.70
|
|
Cnbp gene detc abnor allele
|
$178.78 |
$178.78 |
$178.78 |
$313.60
|
|
Co2 monitor per day
|
$141.16 |
$141.16 |
$269.34 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$5,135.61 |
$5,135.61 |
$5,135.61 |
$11,888.50
|
|
Coagulation time activated teg
|
$2.94 |
$5.04 |
$63.80 |
$52.47
|
|
Cocaine 4 % nasal solution
|
$393.08 |
$393.08 |
$393.08 |
$630.04
|
|
Coil axium 3d 14mmx40cm qc
|
$107.51 |
$127.71 |
$157.39 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$4.75 |
$6.12 |
$17.87 |
$48.10
|
|
Cold agglutinin titer
|
$4.75 |
$6.12 |
$18.72 |
$52.00
|
|
Colistimethate sodium inj
|
$51.57 |
$51.57 |
$51.57 |
$82.71
|
|
Collagen imp urinary 2.5 ml
|
$5,521.65 |
$5,521.65 |
$5,763.47 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$83.52 |
$90.24 |
$314.77 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$82.52 |
$82.52 |
$82.52 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
$224.11
|
|
Collar extrication adult univ
|
$1,233.86 |
$1,233.86 |
$1,233.86 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$90.23 |
$166.94 |
$185.96 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$68.93 |
$166.94 |
$242.42 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$1,390.87 |
$1,390.87 |
$1,390.87 |
$1,899.00
|
|
Colonoscopy stoma w/snare 44394
|
$1,812.59 |
$1,812.59 |
$1,812.59 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$1,772.87 |
$1,772.87 |
$1,772.87 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$1,390.87 |
$1,390.87 |
$1,390.87 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$1,812.59 |
$1,812.59 |
$1,812.59 |
$3,029.00
|
|
Colonoscopy (with biopsy)
|
$1,812.59 |
$1,812.59 |
$1,812.59 |
$2,214.00
|
|
Colonoscopy with biopsy
|
$1,812.59 |
$1,812.59 |
$1,812.59 |
$1,555.20
|
|
Colonoscopy (with polyp removal)
|
$1,812.59 |
$1,812.59 |
$1,812.59 |
$2,288.00
|
|
Compatibility test each unit antiglobulin technique
|
$62.78 |
$70.08 |
$266.26 |
$173.50
|
|
Compatibility test each unit electronic
|
$62.78 |
$94.53 |
$250.60 |
$171.00
|
