|
Cast sup long arm adult plst
|
$59.36 |
$59.36 |
$59.36 |
$32.76
|
|
Cast sup long arm ped fbrgls
|
$62.72 |
$62.72 |
$62.72 |
$36.80
|
|
Cast sup long arm ped plster
|
$29.68 |
$29.68 |
$29.68 |
$15.00
|
|
Cast sup long leg fiberglass
|
$174.16 |
$174.16 |
$174.16 |
$157.80
|
|
Cast sup shrt leg ped fbrgls
|
$99.68 |
$99.68 |
$99.68 |
$52.00
|
|
Cast sup shrt leg ped plster
|
$47.04 |
$47.04 |
$47.04 |
$20.80
|
|
Cast sup shrt leg plaster
|
$93.52 |
$93.52 |
$93.52 |
$41.60
|
|
Cast sup sht arm adult fbrgl
|
$96.88 |
$96.88 |
$96.88 |
$36.00
|
|
Cast sup sht arm adult plstr
|
$44.80 |
$44.80 |
$44.80 |
$22.40
|
|
Cast sup sht arm ped fbrglas
|
$48.72 |
$48.72 |
$48.72 |
$24.96
|
|
Cast sup sht arm ped plaster
|
$22.40 |
$22.40 |
$22.40 |
$11.20
|
|
Cast sup sht arm splint fbrg
|
$80.08 |
$80.08 |
$80.08 |
$26.98
|
|
Cast sup sht arm splint plst
|
$38.08 |
$38.08 |
$38.08 |
$17.16
|
|
Cast sup sht arm splnt ped f
|
$39.76 |
$39.76 |
$39.76 |
$15.60
|
|
Cast sup sht arm splnt ped p
|
$19.04 |
$19.04 |
$19.04 |
$8.80
|
|
Cast sup sht leg splnt fbrgl
|
$73.92 |
$73.92 |
$73.92 |
$40.63
|
|
Cast sup sht leg splnt ped f
|
$36.96 |
$36.96 |
$36.96 |
$23.92
|
|
Cast sup sht leg splnt ped p
|
$17.36 |
$17.36 |
$17.36 |
$14.56
|
|
Cast sup sht leg splnt plstr
|
$35.28 |
$35.28 |
$35.28 |
$29.60
|
|
Cataract Surgery
|
$8,624.00 |
$8,624.00 |
$8,624.00 |
$4,946.91
|
|
Cataract surg w/iol 1 stage
|
$8,209.60 |
$8,209.60 |
$8,209.60 |
$4,068.80
|
|
Catecholamines,fractionated, urine
|
$174.72 |
$174.72 |
$174.72 |
$135.88
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$834.34
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$6,736.00
|
|
Cath ablt clsfast 7fx100cmx
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$6,386.85
|
|
Cath access del ds spyscop 2.0
|
$4,922.40 |
$4,922.40 |
$4,922.40 |
$5,244.39
|
|
Cath acuity innr ic130 6f 63cm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$9,722.95
|
|
Cath acunav ge 10frx90cm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$6,592.00
|
|
Cath adherent clot 10mm 6f 10
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$20,388.64
|
|
Cath baloon occl urnry 34f 7x2x65
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$6,766.86
|
|
Cath bi-dir df smarttouch
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$8,528.80
|
|
Cath blazer dx/20 2-10-2 space
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$4,231.00
|
|
Cath combo lt&rt heart w/inj/s
|
$11,132.80 |
$11,132.80 |
$11,132.80 |
$9,316.35
|
|
Cath council tip 16fr 5cc
|
$44.11 |
$44.11 |
$44.11 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$4,405.84
|
|
Cath del ampltz 12f 45d 80cm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$2,451.84
|
|
Cath epdrl brevi-stf 12in .043
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$2,003.82
|
|
Catheter declot mechanical
|
$4,020.80 |
$4,020.80 |
$4,020.80 |
$1,838.28
|
|
Catheter insert artery
|
$271.60 |
$271.60 |
$271.60 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$20.16 |
$20.16 |
$20.16 |
$40.95
|
|
Catheter stripping venous
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$3,193.94
|
|
Catheter without bag 2-way latex
|
$104.99 |
$104.99 |
$104.99 |
$82.80
|
|
Cath ext adhere actv m 28mm
|
$1.81 |
$1.81 |
$1.81 |
$1.81
|
|
Cath groshong MRI 8fr plstc port
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$1,758.92
|
|
Cath hawkone s directional
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$7,076.25
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$1,273.50
|
|
Cath imag ivus pv 8.5fx90 .035
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$4,536.00
|
|
Cath impl vasc access portal
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$156.85
|
|
Cath indw foley 3 way
|
$28.99 |
$28.99 |
$28.99 |
$38.52
|
|
Cath intrdsc spnecth 8 pin
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$1,994.50
|
|
Cathj rmvl dev ischmc rmdlg
|
$599.20 |
$599.20 |
$599.20 |
$599.20
|
|
Cathj umbilical vein dx/ther nb
|
$233.52 |
$233.52 |
$233.52 |
$246.00
|
|
Cath left heart/lv gram
|
$15,612.80 |
$15,612.80 |
$15,612.80 |
$7,923.88
|
|
Cath left heart transseptal punc
|
$9,632.00 |
$9,632.00 |
$9,632.00 |
$5,716.10
|
|
Cath lt/rt pulm art
|
$2,480.80 |
$2,480.80 |
$2,480.80 |
$1,256.00
|
|
Cath malecot 28fr 4-wing ltx
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$2,502.00
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$19,384.20
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$72.76 |
$72.76 |
$72.76 |
$64.06
|
|
Cath place 1st order venous 36011
|
$3,942.40 |
$3,942.40 |
$3,942.40 |
$1,357.20
|
|
Cath place cardio brachytx
|
$3,320.80 |
$3,320.80 |
$3,320.80 |
$3,135.13
|
|
Cath plc art ang/grft lt/rt hr
|
$22,293.60 |
$22,293.60 |
$22,293.60 |
$11,689.44
|
|
Cath plc art/angio/rt hrt cath
|
$21,616.00 |
$21,616.00 |
$21,616.00 |
$9,974.16
|
|
Cath plc art/grft/angio right hrt
|
$19,488.00 |
$19,488.00 |
$19,488.00 |
$10,600.47
|
|
Cath ptca pcltxl agent 3x20mm
|
$4,527.60 |
$4,527.60 |
$4,527.60 |
$11,356.50
|
|
Cath right heart w/o2 sat & card
|
$10,500.00 |
$10,500.00 |
$10,500.00 |
$6,356.90
|
|
Cath right hrt mnpul art
|
$2,368.80 |
$2,368.80 |
$2,368.80 |
$831.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$974.40 |
$974.40 |
$974.40 |
$462.80
|
|
Cath segmntl pulm art
|
$6,815.20 |
$6,815.20 |
$6,815.20 |
$1,250.25
|
|
Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site
|
$381.36 |
$381.36 |
$381.36 |
$381.36
|
|
Cath steerable flex adv 12f
|
$3,430.00 |
$3,430.00 |
$3,430.00 |
$2,925.00
|
|
Cath stripping venous s&i
|
$744.80 |
$744.80 |
$744.80 |
$682.34
|
|
Cath suction replogle 8fr neonatal esophageal
|
$3.92 |
$3.92 |
$3.92 |
$3.92
|
|
Cath symplicity spyral
|
$375.20 |
$375.20 |
$375.20 |
$32,630.40
|
|
Cath temp pace flo bipol 5fr electrd
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$1,434.72
|
|
Cath uret open tp 6fx70cm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$583.80
|
|
Cath w/drainage 2-way latex
|
$35.84 |
$35.84 |
$35.84 |
$71.20
|
|
Cath w/drainage 2-way silcne
|
$37.52 |
$37.52 |
$37.52 |
$38.22
|
|
Cauterization chemical granulation tissue
|
$873.60 |
$873.60 |
$873.60 |
$340.90
|
|
Cauterization of cervix 57510
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
$3,762.53
|
|
Cbc/diffwbc without platelet
|
$78.96 |
$78.96 |
$78.96 |
$60.32
|
|
CBC without platelet
|
$137.20 |
$137.20 |
$137.20 |
$54.89
|
|
#cbg+cort-cbg
|
$109.20 |
$109.20 |
$109.20 |
$66.55
|
|
Cciiv4 vacc abx free im
|
$31.36 |
$31.36 |
$31.36 |
$31.36
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$44.80 |
$44.80 |
$44.80 |
$35.28
|
|
Ccnd1/igh translocation alys
|
$347.20 |
$347.20 |
$347.20 |
$286.09
|
|
Cdna analysis for variants
|
$425.60 |
$425.60 |
$425.60 |
$547.95
|
|
Cdp-sot 6 cond w/i&r
|
$498.40 |
$498.40 |
$498.40 |
$242.36
|
|
Cdp-sot 6 cond w/i&r mct&adt
|
$392.00 |
$392.00 |
$392.00 |
$152.54
|
|
Cebpa gene full sequence
|
$2,699.20 |
$2,699.20 |
$2,699.20 |
$488.22
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$614.32 |
$614.32 |
$614.32 |
$40.39
|
|
Cefepime 1 gram solution for injection
|
$71.00 |
$71.00 |
$71.00 |
$44.99
|
|
Cefotaxime sodium injection
|
$49.64 |
$49.64 |
$49.64 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$103.60 |
$103.60 |
$103.60 |
$74.57
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$452.64 |
$452.64 |
$452.64 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$69.44 |
$69.44 |
$69.44 |
$59.79
|
|
Ceftazidime and avibactam
|
$728.53 |
$728.53 |
$728.53 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$655.72 |
$655.72 |
$655.72 |
$84.15
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$79.19 |
$79.19 |
$79.19 |
$31.51
|
|
#celiac hla-dq2
|
$225.12 |
$225.12 |
$225.12 |
$225.12
|
