|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$24.76 |
$24.76 |
$24.76 |
$60.00
|
|
Circumcision (newborn)
|
$2,455.91 |
$2,455.91 |
$2,455.91 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$22.94 |
$22.94 |
$22.94 |
$148.77
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,520.07 |
$1,520.07 |
$1,520.07 |
$572.12
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$17,205.92 |
$17,205.92 |
$17,205.92 |
$16,786.53
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$45.87 |
$45.87 |
$45.87 |
$66.73
|
|
Clip ligating vesolock lg
|
$2,105.74 |
$2,105.74 |
$2,105.74 |
$1,690.58
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$235.15 |
$235.15 |
$235.15 |
$81.90
|
|
Clot factor xiii fibrin stab
|
$48.05 |
$48.05 |
$48.05 |
$84.27
|
|
#cmvcul-virus inoculation shell
|
$14.56 |
$14.56 |
$14.56 |
$102.57
|
|
Cmv pcr-sendout
|
$56.06 |
$56.06 |
$56.06 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$8.01 |
$8.01 |
$8.01 |
$2,950.68
|
|
Coagulation time activated teg
|
$82.63 |
$82.63 |
$82.63 |
$50.05
|
|
Coagulation time otr method
|
$154.70 |
$154.70 |
$154.70 |
$6.20
|
|
Cocaine 4 % nasal solution
|
$856.13 |
$856.13 |
$856.13 |
$807.71
|
|
Cold agglutinin titer
|
$51.60 |
$51.60 |
$51.60 |
$48.57
|
|
Colistimethate sodium inj
|
$97.92 |
$97.92 |
$97.92 |
$84.60
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$9.83 |
$9.83 |
$9.83 |
$66.69
|
|
Collar cerv ascend 172 reg
|
$113.94 |
$113.94 |
$113.94 |
$241.88
|
|
Collection blood specimen from completely implantable venous access device
|
$189.65 |
$189.65 |
$189.65 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$210.76 |
$210.76 |
$210.76 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$1,759.94 |
$1,759.94 |
$1,759.94 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$188.92 |
$188.92 |
$188.92 |
$173.25
|
|
Compatibility test each unit electronic
|
$261.36 |
$261.36 |
$261.36 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$119.76 |
$119.76 |
$119.76 |
$169.52
|
|
Complement antigen each component c3
|
$4.18 |
$4.18 |
$4.18 |
$111.15
|
|
Complement fixation each
|
$16.02 |
$16.02 |
$16.02 |
$24.00
|
|
Concentration infection agents any type
|
$59.26 |
$59.26 |
$59.26 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$2,738.74 |
$2,738.74 |
$2,738.74 |
$2,423.65
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,089.09 |
$1,089.09 |
$1,089.09 |
$986.92
|
|
Connect omega .5mm
|
$433.16 |
$433.16 |
$433.16 |
$1,069.43
|
|
Consultation pathology during surgery
|
$41.22 |
$41.22 |
$41.22 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$566.89 |
$566.89 |
$566.89 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$20.99 |
$20.99 |
$20.99 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$118.92 |
$118.92 |
$118.92 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$76.19 |
$76.19 |
$76.19 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$27.24 |
$27.24 |
$27.24 |
$176.15
|
|
Consult comp w/report rfrd material
|
$118.92 |
$118.92 |
$118.92 |
$359.87
|
|
Contrast exam abdominl aorta 75625-26
|
$3,391.03 |
$3,391.03 |
$3,391.03 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$3,204.30 |
$3,204.30 |
$3,204.30 |
$3,724.63
|
|
Controller infinity pt dbs
|
$3,561.38 |
$3,561.38 |
$3,561.38 |
$4,320.00
|
|
Coombs direct
|
$89.91 |
$89.91 |
$89.91 |
$73.26
|
|
Coombs indirect titer reference
|
$80.27 |
$80.27 |
$80.27 |
$146.00
|
|
Copper cu 64 dotatate diag
|
$1,595.05 |
$1,595.05 |
$1,595.05 |
$2,083.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$15,534.80 |
$15,534.80 |
$15,534.80 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$14,122.48 |
$14,122.48 |
$14,122.48 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$16,664.65 |
$16,664.65 |
$16,664.65 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$9,222.31 |
$9,222.31 |
$9,222.31 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,950.49 |
$7,950.49 |
$7,950.49 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$1,742.47 |
$1,742.47 |
$1,742.47 |
$489.00
|
|
Cortisol total am
|
$352.72 |
$352.72 |
$352.72 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$372.74 |
$372.74 |
$372.74 |
$222.48
|
|
Coveredge 32 lead kit 40cm 48
|
$2,738.74 |
$2,738.74 |
$2,738.74 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$58.61 |
$58.61 |
$58.61 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$508.15 |
$508.15 |
$508.15 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$508.15 |
$508.15 |
$508.15 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$72.80 |
$72.80 |
$72.80 |
$56.44
|
|
#covid19rsv-rsv
|
$70.62 |
$70.62 |
$70.62 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$12.34 |
$12.34 |
$12.34 |
$65.36
|
|
C-peptide
|
$142.69 |
$142.69 |
$142.69 |
$100.00
|
|
C-reactive protein
|
$118.30 |
$118.30 |
$118.30 |
$63.00
|
|
C-reactive protein high sensitivity
|
$86.64 |
$86.64 |
$86.64 |
$91.65
|
|
C-reactive protein, quantitative
|
$28.03 |
$28.03 |
$28.03 |
$62.50
|
|
Creatine kinase
|
$295.94 |
$295.94 |
$295.94 |
$59.78
|
|
Creatine kinase mb
|
$500.50 |
$500.50 |
$500.50 |
$111.00
|
|
Creatinine
|
$223.86 |
$223.86 |
$223.86 |
$44.10
|
|
Creatinine 24 hour urine
|
$232.24 |
$232.24 |
$232.24 |
$59.80
|
|
Creatinine clearance urine
|
$375.29 |
$375.29 |
$375.29 |
$87.50
|
|
#creutz-prot.,western blot
|
$153.18 |
$153.18 |
$153.18 |
$173.00
|
|
Critical care 30-74 minutes
|
$5,443.99 |
$5,443.99 |
$5,443.99 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$2,232.05 |
$2,232.05 |
$2,232.05 |
$777.00
|
|
Crotalidae poly immune fab
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$5,160.00
|
|
Cryofibrinogen qualitative - sendout
|
$3.00 |
$3.00 |
$3.00 |
$50.88
|
|
Cryoprecipitate each unit
|
$185.64 |
$185.64 |
$185.64 |
$185.64
|
|
Crystal identification light microscopy
|
$114.30 |
$114.30 |
$114.30 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$854.68 |
$854.68 |
$854.68 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,958.23 |
$2,958.23 |
$2,958.23 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,835.84 |
$3,835.84 |
$3,835.84 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$3,665.85 |
$3,665.85 |
$3,665.85 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,916.10 |
$5,916.10 |
$5,916.10 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$4,168.90 |
$4,168.90 |
$4,168.90 |
$1,955.80
|
|
CT Angiogram of the Head
|
$3,474.38 |
$3,474.38 |
$3,474.38 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$872.15 |
$872.15 |
$872.15 |
$1,588.60
|
|
CT angio pelvis
|
$3,072.16 |
$3,072.16 |
$3,072.16 |
$1,775.28
|
|
CT guidance for needle placement
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,429.07 |
$1,429.07 |
$1,429.07 |
$1,085.05
|
|
CT guid parench tis ablat
|
$444.08 |
$444.08 |
$444.08 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$148.15 |
$148.15 |
$148.15 |
$192.00
|
|
CT neck soft tissue w/contrast
|
$3,200.29 |
$3,200.29 |
$3,200.29 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$2,656.48 |
$2,656.48 |
$2,656.48 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$3,264.36 |
$3,264.36 |
$3,264.36 |
$1,959.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,688.14 |
$2,688.14 |
$2,688.14 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,489.04 |
$2,489.04 |
$2,489.04 |
$1,351.20
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$5,692.24 |
$5,692.24 |
$5,692.24 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$5,222.31 |
$5,222.31 |
$5,222.31 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,961.32 |
$4,961.32 |
$4,961.32 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$2,485.76 |
$2,485.76 |
$2,485.76 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$2,390.03 |
$2,390.03 |
$2,390.03 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$2,484.67 |
$2,484.67 |
$2,484.67 |
$400.20
|
|
CT t-spine w /wo contrast
|
$2,748.57 |
$2,748.57 |
$2,748.57 |
$2,030.60
|