|
Cath plc art/angio/rt hrt cath
|
$16,536.22 |
$16,536.22 |
$16,536.22 |
$10,188.00
|
|
Cath plc art/grft/angio right hrt
|
$13,577.12 |
$13,577.12 |
$13,577.12 |
$10,673.00
|
|
Cath right heart w/o2 sat & card
|
$9,468.67 |
$9,468.67 |
$9,468.67 |
$6,356.90
|
|
Cath right hrt mnpul art
|
$2,476.06 |
$2,476.06 |
$2,476.06 |
$1,073.38
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$2,613.33 |
$2,613.33 |
$2,613.33 |
$474.40
|
|
Cauterization chemical granulation tissue
|
$722.71 |
$722.71 |
$722.71 |
$369.60
|
|
Cdna analysis for variants
|
$756.10 |
$756.10 |
$756.10 |
$547.30
|
|
Cdp-sot 6 cond w/i&r
|
$76.43 |
$76.43 |
$76.43 |
$215.20
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$25.23 |
$25.23 |
$25.23 |
$50.70
|
|
Cefepime 1 gram solution for injection
|
$46.75 |
$46.75 |
$46.75 |
$43.40
|
|
Cefoxitin 1 gram intravenous solution
|
$55.65 |
$55.65 |
$55.65 |
$63.20
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$1,098.91 |
$1,098.91 |
$1,098.91 |
$649.77
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$59.36 |
$59.36 |
$59.36 |
$59.79
|
|
Ceftazidime and avibactam
|
$1,998.21 |
$1,998.21 |
$1,998.21 |
$1,080.64
|
|
Ceftriaxone 1 gram solution for injection
|
$35.62 |
$35.62 |
$35.62 |
$81.36
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$46.75 |
$46.75 |
$46.75 |
$33.92
|
|
Cell count w differential body fluid
|
$167.70 |
$167.70 |
$167.70 |
$97.83
|
|
Cell enumeration & id
|
$654.45 |
$654.45 |
$654.45 |
$458.24
|
|
Cell marker study
|
$592.12 |
$592.12 |
$592.12 |
$234.58
|
|
Centruroides immune f(ab)
|
$18,555.20 |
$18,555.20 |
$18,555.20 |
$4,804.24
|
|
Cerebrospinal fld flw imag
|
$1,150.85 |
$1,150.85 |
$1,150.85 |
$895.95
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$6,276.58 |
$6,276.58 |
$6,276.58 |
$13,638.94
|
|
Cesarean section delivery only 59514
|
$1,265.11 |
$1,265.11 |
$1,265.11 |
$4,472.25
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$5,434.41 |
$5,434.41 |
$5,434.41 |
$3,868.18
|
|
#cf-97variants
|
$736.81 |
$736.81 |
$736.81 |
$597.75
|
|
Change cystostomy tube; complex 51710
|
$210.73 |
$210.73 |
$210.73 |
$1,403.09
|
|
Change cystostomy tube simple
|
$370.26 |
$370.26 |
$370.26 |
$527.34
|
|
Change g-tube to g-j perc
|
$4,357.77 |
$4,357.77 |
$4,357.77 |
$2,244.82
|
|
Change of windpipe airway 31502
|
$196.63 |
$196.63 |
$196.63 |
$412.00
|
|
Change stent via transureth
|
$3,208.41 |
$3,208.41 |
$3,208.41 |
$4,350.00
|
|
Change ureter stent percut
|
$5,559.81 |
$5,559.81 |
$5,559.81 |
$4,099.50
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$134.31 |
$134.31 |
$134.31 |
$621.50
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$174.37 |
$174.37 |
$174.37 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$256.74 |
$256.74 |
$256.74 |
$1,020.87
|
|
Chemodenerv 1 extremity 1-4 64642
|
$217.41 |
$217.41 |
$217.41 |
$988.50
|
|
Chemodenervation/face muscl/unilat 64612
|
$195.89 |
$195.89 |
$195.89 |
$672.49
|
|
Chemodenerv eccrine glands
|
$149.15 |
$149.15 |
$149.15 |
$379.38
|
|
Chemodenerv musc migraine 64615
|
$223.35 |
$223.35 |
$223.35 |
$560.56
|
|
Chemodenerv musc neck dyston 64616
|
$196.63 |
$196.63 |
$196.63 |
$808.84
|
|
Chemodenerv saliv glands bilat 64611
|
$184.76 |
$184.76 |
$184.76 |
$430.17
|
|
Chest 2 vws w oblique
|
$640.35 |
$640.35 |
$640.35 |
$377.06
|
|
Chest apical lordotic proj
|
$608.44 |
$608.44 |
$608.44 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$3,045.91 |
$3,045.91 |
$3,045.91 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$2,772.12 |
$2,772.12 |
$2,772.12 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$2,666.01 |
$2,666.01 |
$2,666.01 |
$1,350.03
|
|
Chest X-ray
|
$464.50 |
$464.50 |
$464.50 |
$302.90
|
|
Chest X-ray (single view)
|
$351.71 |
$351.71 |
$351.71 |
$246.94
|
|
Chlamydia culture
|
$233.73 |
$233.73 |
$233.73 |
$94.90
|
|
Chlamydia type
|
$172.15 |
$172.15 |
$172.15 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$372.49 |
$372.49 |
$372.49 |
$280.00
|
|
Chloride
|
$33.39 |
$33.39 |
$33.39 |
$39.05
|
|
Chloride 24 hour urine
|
$49.72 |
$49.72 |
$49.72 |
$46.13
|
|
Chloroprocaine hcl injection
|
$169.18 |
$169.18 |
$169.18 |
$70.66
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$236.70 |
$236.70 |
$236.70 |
$313.25
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$75.69 |
$75.69 |
$75.69 |
$91.92
|
|
Cholangiogram percutaneous compl
|
$4,454.97 |
$4,454.97 |
$4,454.97 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$809.53 |
$809.53 |
$809.53 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,165.59 |
$4,165.59 |
$4,165.59 |
$3,913.80
|
|
Cholesterol
|
$38.59 |
$38.59 |
$38.59 |
$46.15
|
|
Cholesterol body fluid
|
$336.87 |
$336.87 |
$336.87 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$169.92 |
$169.92 |
$169.92 |
$115.70
|
|
Cholinesterase
|
$182.54 |
$182.54 |
$182.54 |
$38.68
|
|
Chromatography
|
$141.73 |
$141.73 |
$141.73 |
$77.00
|
|
Chromogenic substrate assay
|
$313.87 |
$313.87 |
$313.87 |
$177.45
|
|
Chromo high res and frag x - sendout
|
$391.78 |
$391.78 |
$391.78 |
$261.30
|
|
Chromosome analys amniotic
|
$1,413.51 |
$1,413.51 |
$1,413.51 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$890.40 |
$890.40 |
$890.40 |
$433.01
|
|
Chromosome karyotype study
|
$253.77 |
$253.77 |
$253.77 |
$102.00
|
|
Chromosome study additional
|
$152.86 |
$152.86 |
$152.86 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$391.78 |
$391.78 |
$391.78 |
$123.20
|
|
Cinacalcet 30 mg tablet
|
$6.68 |
$6.68 |
$6.68 |
$53.80
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$34.88 |
$34.88 |
$34.88 |
$60.00
|
|
Circum 28 days or older
|
$305.71 |
$305.71 |
$305.71 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$361.36 |
$361.36 |
$361.36 |
$1,533.00
|
|
Circumcision (newborn)
|
$3,968.96 |
$3,968.96 |
$3,968.96 |
$1,549.50
|
|
Claviculectomy partial
|
$918.60 |
$918.60 |
$918.60 |
$3,821.05
|
|
Claviculectomy total
|
$1,111.52 |
$1,111.52 |
$1,111.52 |
$3,839.54
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$53.43 |
$53.43 |
$53.43 |
$66.73
|
|
Closed tx humerus fx with manip 23605
|
$638.87 |
$638.87 |
$638.87 |
$2,460.00
|
|
Closed tx humerus fx w/manip 24505
|
$5,062.67 |
$5,062.67 |
$5,062.67 |
$1,610.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$514.21 |
$514.21 |
$514.21 |
$432.80
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$949.76 |
$949.76 |
$949.76 |
$2,864.00
|
|
Close median sternotomy separation 21750
|
$1,038.06 |
$1,038.06 |
$1,038.06 |
$1,660.00
|
|
Closure enterostomy lg/sm intestine 44620
|
$1,245.08 |
$1,245.08 |
$1,245.08 |
$2,134.40
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$2,410.02 |
$2,410.02 |
$2,410.02 |
$3,936.80
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,454.32 |
$1,454.32 |
$1,454.32 |
$2,504.80
|
|
Closure paravalvlr leak pq
|
$786.52 |
$786.52 |
$786.52 |
$10,497.50
|
|
Clot factor xii hageman
|
$295.32 |
$295.32 |
$295.32 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$204.05 |
$204.05 |
$204.05 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$2,135.48 |
$2,135.48 |
$2,135.48 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$461.53 |
$461.53 |
$461.53 |
$611.10
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$302.00 |
$302.00 |
$302.00 |
$444.36
|
|
Clsd tx dist fib fx w/manip 27788
|
$3,882.15 |
$3,882.15 |
$3,882.15 |
$731.04
|
|
Clsd tx elbow dislocation child 24640
|
$1,227.27 |
$1,227.27 |
$1,227.27 |
$525.28
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$468.21 |
$468.21 |
$468.21 |
$508.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$1,006.90 |
$1,006.90 |
$1,006.90 |
$641.16
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,143.55 |
$5,143.55 |
$5,143.55 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$848.11 |
$848.11 |
$848.11 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$5,275.62 |
$5,275.62 |
$5,275.62 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$1,307.41 |
$1,307.41 |
$1,307.41 |
$716.95
|
