|
Chromo high res and frag x - sendout
|
$224.25 |
$224.25 |
$224.25 |
$269.00
|
|
Chromosome analysis 15-20 cell count
|
$455.00 |
$455.00 |
$455.00 |
$558.25
|
|
Chromosome analysis 5
|
$404.95 |
$404.95 |
$404.95 |
$719.23
|
|
Chromosome count additional
|
$46.80 |
$46.80 |
$46.80 |
$120.90
|
|
Chromosome karyotype study
|
$38.35 |
$38.35 |
$38.35 |
$120.60
|
|
Chronic urticaria - sendout
|
$99.45 |
$99.45 |
$99.45 |
$100.00
|
|
Chylomicron screen, bf - sendout
|
$163.15 |
$163.15 |
$163.15 |
$136.09
|
|
Cidofovir injection
|
$1,491.10 |
$1,491.10 |
$1,491.10 |
$1,099.26
|
|
Cilastatin sodium injection
|
$92.57 |
$92.57 |
$92.57 |
$43.44
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$24.70 |
$24.70 |
$24.70 |
$35.00
|
|
Circum 28 days or older
|
$3,817.88 |
$3,817.88 |
$3,817.88 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$617.93 |
$617.93 |
$617.93 |
$1,479.87
|
|
Circumcision (newborn)
|
$617.93 |
$617.93 |
$617.93 |
$1,516.80
|
|
Cisplatin 1 mg/ml desensitization
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$52.43
|
|
C-kit mutation liquid tumor - sendout
|
$480.35 |
$480.35 |
$480.35 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$996.12 |
$996.12 |
$996.12 |
$355.41
|
|
Clearance of airways
|
$144.30 |
$144.30 |
$144.30 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$44.77 |
$44.77 |
$44.77 |
$49.74
|
|
Cllr miami j sm
|
$490.10 |
$490.10 |
$490.10 |
$112.39
|
|
Clofarabine 1 mg/ml intravenous solution
|
$4,329.00 |
$4,329.00 |
$4,329.00 |
$298.90
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$96.77 |
$96.77 |
$96.77 |
$109.36
|
|
Closure paravalvlr leak pq
|
$8,207.99 |
$8,207.99 |
$8,207.99 |
$10,497.50
|
|
Clot factor xii hageman
|
$110.50 |
$110.50 |
$110.50 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$98.15 |
$98.15 |
$98.15 |
$81.25
|
|
Clot factor xiii fibrin stab
|
$115.70 |
$115.70 |
$115.70 |
$84.27
|
|
Clozapine, 25 mg
|
$4.87 |
$4.87 |
$4.87 |
$5.40
|
|
Cmbn ant pst colprhy
|
$12,152.82 |
$12,152.82 |
$12,152.82 |
$5,194.98
|
|
#cmvcul-virus inoculation shell
|
$133.25 |
$133.25 |
$133.25 |
$109.80
|
|
Cmv pcr-sendout
|
$61.75 |
$61.75 |
$61.75 |
$177.50
|
|
Co2 monitor per day
|
$518.05 |
$518.05 |
$518.05 |
$400.00
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$11,888.50 |
$11,888.50 |
$11,888.50 |
$3.78
|
|
Coagulation time activated teg
|
$61.75 |
$61.75 |
$61.75 |
$37.05
|
|
Cold agglutinin screen (arc)
|
$61.75 |
$61.75 |
$61.75 |
$48.57
|
|
Cold agglutinin titer
|
$69.55 |
$69.55 |
$69.55 |
$48.57
|
|
Colistimethate sodium inj
|
$86.42 |
$86.42 |
$86.42 |
$46.62
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$5.85 |
$5.85 |
$5.85 |
$32.26
|
|
Collar cerv ascend 172 reg
|
$235.30 |
$235.30 |
$235.30 |
$151.05
|
|
Collar cerv patriot adlt
|
$28.60 |
$28.60 |
$28.60 |
$83.20
|
|
Collection blood specimen from completely implantable venous access device
|
$875.19 |
$875.19 |
$875.19 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$785.85 |
$785.85 |
$785.85 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$198.25 |
$198.25 |
$198.25 |
$20.30
|
|
Colonoscopy (diagnostic)
|
$2,142.53 |
$2,142.53 |
$2,142.53 |
$1,500.00
|
|
Colonoscopy & polypectomy 44392
|
$2,911.49 |
$2,911.49 |
$2,911.49 |
$1,305.08
|
|
Colonoscopy stoma w/snare 44394
|
$3,037.12 |
$3,037.12 |
$3,037.12 |
$1,368.00
|
|
Colonoscopy submucous njx
|
$3,963.24 |
$3,963.24 |
$3,963.24 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$2,681.90 |
$2,681.90 |
$2,681.90 |
$1,261.31
|
|
Colonoscopy w/ablation
|
$2,975.70 |
$2,975.70 |
$2,975.70 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$3,429.86 |
$3,429.86 |
$3,429.86 |
$1,497.60
|
|
Colonoscopy w/control bleed
|
$3,116.20 |
$3,116.20 |
$3,116.20 |
$2,019.60
|
|
Colonoscopy (with biopsy)
|
$3,337.08 |
$3,337.08 |
$3,337.08 |
$2,074.50
|
|
Colonoscopy with biopsy
|
$2,749.31 |
$2,749.31 |
$2,749.31 |
$1,368.00
|
|
Colonoscopy (with polyp removal)
|
$2,960.72 |
$2,960.72 |
$2,960.72 |
$2,074.50
|
|
Colpocleisis (le forte type) 57120
|
$5,416.56 |
$5,416.56 |
$5,416.56 |
$4,279.19
|
|
Colpopexy extraperitoneal
|
$11,986.68 |
$11,986.68 |
$11,986.68 |
$4,423.50
|
|
Colposcopy/cervix/ conization 57461
|
$5,648.57 |
$5,648.57 |
$5,648.57 |
$3,474.84
|
|
Compatibility test each unit antiglobulin technique
|
$61.75 |
$61.75 |
$61.75 |
$156.60
|
|
Compatibility test each unit electronic
|
$61.75 |
$61.75 |
$61.75 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$44.85 |
$44.85 |
$44.85 |
$156.24
|
|
Compatibility test incubate
|
$44.85 |
$44.85 |
$44.85 |
$140.00
|
|
Comp cystometrogram/void presssure 51728
|
$858.00 |
$858.00 |
$858.00 |
$933.75
|
|
Complement antigen each component c3
|
$132.60 |
$132.60 |
$132.60 |
$110.00
|
|
Complete removal of vulva
|
$4,032.44 |
$4,032.44 |
$4,032.44 |
$3,519.29
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$4,636.89 |
$4,636.89 |
$4,636.89 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$6,190.52 |
$6,190.52 |
$6,190.52 |
$1,357.20
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$5,102.90 |
$5,102.90 |
$5,102.90 |
$1,244.80
|
|
Complx repair enel addl 5cm/< 13153
|
$3,973.09 |
$3,973.09 |
$3,973.09 |
$470.40
|
|
Complx repair fccmnaxghf 13132
|
$3,549.77 |
$3,549.77 |
$3,549.77 |
$1,193.40
|
|
Complx repair sal addl 5 cm/> 13122
|
$5,755.09 |
$5,755.09 |
$5,755.09 |
$546.29
|
|
Complx repair trunk addl 5cm/< 13102
|
$6,833.79 |
$6,833.79 |
$6,833.79 |
$716.95
|
|
Computed tomographic angiography head and neck with contrast
|
$2,678.65 |
$2,678.65 |
$2,678.65 |
$2,544.75
|
|
Concentration infection agents any type
|
$36.40 |
$36.40 |
$36.40 |
$48.00
|
|
Conization/cerv/loop electrode exc 57522
|
$4,703.42 |
$4,703.42 |
$4,703.42 |
$4,198.50
|
|
Conization of cervix
|
$3,852.15 |
$3,852.15 |
$3,852.15 |
$3,519.29
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,195.05 |
$1,195.05 |
$1,195.05 |
$768.50
|
|
Consultation pathology during surgery
|
$7,400.98 |
$7,400.98 |
$7,400.98 |
$89.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$208.65 |
$208.65 |
$208.65 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$6,845.85 |
$6,845.85 |
$6,845.85 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$7,758.53 |
$7,758.53 |
$7,758.53 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$6,836.91 |
$6,836.91 |
$6,836.91 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$3,827.76 |
$3,827.76 |
$3,827.76 |
$176.15
|
|
Consult comp w/report rfrd material
|
$2,943.85 |
$2,943.85 |
$2,943.85 |
$365.60
|
|
Contrast baths charges
|
$44.20 |
$44.20 |
$44.20 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$2,467.40 |
$2,467.40 |
$2,467.40 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$3,289.65 |
$3,289.65 |
$3,289.65 |
$3,167.26
|
|
Contrast x-ray gallbladder
|
$233.35 |
$233.35 |
$233.35 |
$260.14
|
|
Contrast x-ray of ankle
|
$438.75 |
$438.75 |
$438.75 |
$517.26
|
|
Contrast x-ray of elbow
|
$419.90 |
$419.90 |
$419.90 |
$566.28
|
|
Contrast x-ray of hip
|
$761.15 |
$761.15 |
$761.15 |
$676.12
|
|
Contrast x-ray of knee joint
|
$447.85 |
$447.85 |
$447.85 |
$623.50
|
|
Contrast x-ray of wrist
|
$301.60 |
$301.60 |
$301.60 |
$541.20
|
|
Control nose/throat bleeding with surg ivntj 42972
|
$16,419.24 |
$16,419.24 |
$16,419.24 |
$2,136.12
|
|
Control of nosebleedantersmpl 30901
|
$2,575.79 |
$2,575.79 |
$2,575.79 |
$336.00
|
|
Coombs direct
|
$74.75 |
$74.75 |
$74.75 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$121.55 |
$121.55 |
$121.55 |
$76.70
|
|
Coombs indirect titer reference
|
$144.30 |
$144.30 |
$144.30 |
$122.85
|
|
Copper cu 64 dotatate diag
|
$1,594.45 |
$1,594.45 |
$1,594.45 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$5,485.48 |
$5,485.48 |
$5,485.48 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$10,925.20 |
$10,925.20 |
$10,925.20 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$7,267.00 |
$7,267.00 |
$7,267.00 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$12,306.45 |
$12,306.45 |
$12,306.45 |
$12,021.10
|