|
Chloramphenicol sodium injec
|
$28.62 |
$28.62 |
$28.62 |
$126.46
|
|
Chloride
|
$216.90 |
$216.90 |
$216.90 |
$39.05
|
|
Chloride 24 hour urine
|
$210.15 |
$210.15 |
$210.15 |
$46.13
|
|
Chloroprocaine hcl injection
|
$35.64 |
$35.64 |
$35.64 |
$70.66
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,286.10 |
$1,286.10 |
$1,286.10 |
$313.25
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$99.08 |
$99.08 |
$99.08 |
$91.92
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$820.35 |
$820.35 |
$820.35 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,246.65 |
$4,246.65 |
$4,246.65 |
$3,913.80
|
|
Cholesterol
|
$257.85 |
$257.85 |
$257.85 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$508.05 |
$508.05 |
$508.05 |
$115.70
|
|
Cholinesterase
|
$5.96 |
$5.96 |
$5.96 |
$38.68
|
|
Chromatography
|
$8.10 |
$8.10 |
$8.10 |
$77.00
|
|
Chromosome analysis 15-20 cell count
|
$89.10 |
$89.10 |
$89.10 |
$433.01
|
|
Chylomicron screen, bf - sendout
|
$13.53 |
$13.53 |
$13.53 |
$123.20
|
|
Cidofovir injection
|
$3,196.80 |
$3,196.80 |
$3,196.80 |
$1,447.81
|
|
Cilastatin sodium injection
|
$84.68 |
$84.68 |
$84.68 |
$79.29
|
|
Cinacalcet 30 mg tablet
|
$74.70 |
$74.70 |
$74.70 |
$53.80
|
|
Cine/video x-rays
|
$415.35 |
$415.35 |
$415.35 |
$229.44
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$30.60 |
$30.60 |
$30.60 |
$60.00
|
|
Cisplatin 1 mg/ml desensitization
|
$28.35 |
$28.35 |
$28.35 |
$148.77
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,879.20 |
$1,879.20 |
$1,879.20 |
$572.12
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$1,111.95 |
$1,111.95 |
$1,111.95 |
$16,786.53
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$56.70 |
$56.70 |
$56.70 |
$66.73
|
|
Clip ligating vesolock lg
|
$2,447.55 |
$2,447.55 |
$2,447.55 |
$1,690.58
|
|
Cllr miami j sm
|
$504.45 |
$504.45 |
$504.45 |
$610.38
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$290.38 |
$290.38 |
$290.38 |
$81.90
|
|
Closure paravalvlr leak pq
|
$22,815.00 |
$22,815.00 |
$22,815.00 |
$10,497.50
|
|
Clot factor xii hageman
|
$17.87 |
$17.87 |
$17.87 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$13.27 |
$13.27 |
$13.27 |
$50.41
|
|
Clotting assay whole blood
|
$144.90 |
$144.90 |
$144.90 |
$105.95
|
|
#cmvcul-virus inoculation shell
|
$18.00 |
$18.00 |
$18.00 |
$102.57
|
|
Cmv pcr-sendout
|
$18.00 |
$18.00 |
$18.00 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$7.65 |
$7.65 |
$7.65 |
$2,950.68
|
|
Coagulation time activated teg
|
$16.65 |
$16.65 |
$16.65 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$807.71
|
|
Cold agglutinin titer
|
$5.56 |
$5.56 |
$5.56 |
$48.57
|
|
Colistimethate sodium inj
|
$120.96 |
$120.96 |
$120.96 |
$84.60
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$11.25 |
$11.25 |
$11.25 |
$66.69
|
|
Collar cerv ascend 172 reg
|
$298.35 |
$298.35 |
$298.35 |
$241.88
|
|
Collection blood specimen from completely implantable venous access device
|
$136.80 |
$136.80 |
$136.80 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$247.50 |
$247.50 |
$247.50 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$24.75 |
$24.75 |
$24.75 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$261.00 |
$261.00 |
$261.00 |
$173.25
|
|
Compatibility test each unit electronic
|
$198.00 |
$198.00 |
$198.00 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$278.55 |
$278.55 |
$278.55 |
$169.52
|
|
Complement antigen each component c3
|
$12.74 |
$12.74 |
$12.74 |
$111.15
|
|
Concentration infection agents any type
|
$73.26 |
$73.26 |
$73.26 |
$51.32
|
|
Conivaptan hcl
|
$2,948.40 |
$2,948.40 |
$2,948.40 |
$438.57
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,346.30 |
$1,346.30 |
$1,346.30 |
$986.92
|
|
Connector tis 2x10mm
|
$5,380.65 |
$5,380.65 |
$5,380.65 |
$3,934.53
|
|
Consultation/report referred material w/preparation of slides
|
$52.65 |
$52.65 |
$52.65 |
$239.85
|
|
Contrast exam abdominl aorta 75625-26
|
$3,090.60 |
$3,090.60 |
$3,090.60 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$3,533.85 |
$3,533.85 |
$3,533.85 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$4,922.55 |
$4,922.55 |
$4,922.55 |
$4,178.00
|
|
Contrast x-ray gallbladder
|
$649.80 |
$649.80 |
$649.80 |
$312.00
|
|
Controller infinity pt dbs
|
$4,137.30 |
$4,137.30 |
$4,137.30 |
$4,320.00
|
|
Conversion ext bil drg cath
|
$5,900.85 |
$5,900.85 |
$5,900.85 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$2,598.75 |
$2,598.75 |
$2,598.75 |
$3,569.60
|
|
Coombs direct
|
$166.95 |
$166.95 |
$166.95 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$244.80 |
$244.80 |
$244.80 |
$94.90
|
|
Coombs indirect titer reference
|
$266.40 |
$266.40 |
$266.40 |
$146.00
|
|
Core ndl bx lng/med perq
|
$1,397.70 |
$1,397.70 |
$1,397.70 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$18,048.60 |
$18,048.60 |
$18,048.60 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$17,027.10 |
$17,027.10 |
$17,027.10 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$21,283.65 |
$21,283.65 |
$21,283.65 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$12,352.95 |
$12,352.95 |
$12,352.95 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$11,764.80 |
$11,764.80 |
$11,764.80 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$1,418.40 |
$1,418.40 |
$1,418.40 |
$489.00
|
|
Cortisol total am
|
$368.10 |
$368.10 |
$368.10 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$460.80 |
$460.80 |
$460.80 |
$222.48
|
|
Counseling smoke cess interm >10mins
|
$57.60 |
$57.60 |
$57.60 |
$57.85
|
|
Cover wrist
|
$1,111.95 |
$1,111.95 |
$1,111.95 |
$308.82
|
|
Covid-19 administration immunization im inj 1st/only component
|
$167.40 |
$167.40 |
$167.40 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$501.75 |
$501.75 |
$501.75 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$501.75 |
$501.75 |
$501.75 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$68.85 |
$68.85 |
$68.85 |
$56.44
|
|
#coxa-coxsackie a serotype a16
|
$15.25 |
$15.25 |
$15.25 |
$65.36
|
|
C-peptide
|
$3.60 |
$3.60 |
$3.60 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$1,967.85 |
$1,967.85 |
$1,967.85 |
$1,466.97
|
|
C-reactive protein high sensitivity
|
$186.30 |
$186.30 |
$186.30 |
$91.65
|
|
Creatine kinase
|
$349.20 |
$349.20 |
$349.20 |
$59.78
|
|
Creatinine
|
$296.55 |
$296.55 |
$296.55 |
$44.10
|
|
Creatinine 24 hour urine
|
$276.75 |
$276.75 |
$276.75 |
$59.80
|
|
Creatinine clearance urine
|
$499.05 |
$499.05 |
$499.05 |
$87.50
|
|
#creutz-prot.,western blot
|
$15.19 |
$15.19 |
$15.19 |
$173.00
|
|
Critical care 30-74 minutes
|
$6,254.55 |
$6,254.55 |
$6,254.55 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$3,127.50 |
$3,127.50 |
$3,127.50 |
$777.00
|
|
Crotalidae poly immune fab
|
$4,317.30 |
$4,317.30 |
$4,317.30 |
$5,160.00
|
|
Cryofibrinogen qualitative - sendout
|
$3.71 |
$3.71 |
$3.71 |
$50.88
|
|
Cryoprecipitate each unit
|
$117.90 |
$117.90 |
$117.90 |
$185.64
|
|
Crystal identification light microscopy
|
$246.60 |
$246.60 |
$246.60 |
$65.25
|
|
Csf leakage imaging
|
$1,411.20 |
$1,411.20 |
$1,411.20 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$2,333.70 |
$2,333.70 |
$2,333.70 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$4,639.95 |
$4,639.95 |
$4,639.95 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$5,565.15 |
$5,565.15 |
$5,565.15 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$3,862.35 |
$3,862.35 |
$3,862.35 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$6,534.90 |
$6,534.90 |
$6,534.90 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$6,547.50 |
$6,547.50 |
$6,547.50 |
$1,955.80
|
|
CT Angiogram of the Head
|
$4,612.05 |
$4,612.05 |
$4,612.05 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$406.35 |
$406.35 |
$406.35 |
$1,588.60
|
