|
Chest CT scan (without contrast)
|
$3,065.84 |
$3,065.84 |
$3,065.84 |
$1,350.03
|
|
Chest X-ray
|
$519.21 |
$519.21 |
$519.21 |
$302.90
|
|
Chest X-ray (single view)
|
$399.55 |
$399.55 |
$399.55 |
$246.94
|
|
Chg pr pul rehab for copd patients
|
$142.89 |
$142.89 |
$142.89 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$129.36 |
$129.36 |
$129.36 |
$548.90
|
|
Chlamydia culture
|
$6.62 |
$6.62 |
$12.85 |
$94.90
|
|
Chlamydia type
|
$6.62 |
$6.62 |
$12.85 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$479.81 |
$479.81 |
$479.81 |
$280.00
|
|
Chloride
|
$32.64 |
$32.64 |
$45.68 |
$39.05
|
|
Chloride 24 hour urine
|
$140.24 |
$140.24 |
$316.34 |
$46.13
|
|
Chloroprocaine hcl injection
|
$26.76 |
$26.76 |
$26.76 |
$70.66
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$595.06 |
$595.06 |
$595.06 |
$313.25
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$57.33 |
$57.33 |
$104.50 |
$91.92
|
|
Cholangiogram percutaneous compl
|
$2,171.78 |
$2,171.78 |
$2,171.78 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$799.98 |
$799.98 |
$799.98 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,728.11 |
$4,728.11 |
$4,728.11 |
$3,913.80
|
|
Cholesterol
|
$31.41 |
$31.41 |
$193.16 |
$46.15
|
|
Cholesterol body fluid
|
$50.28 |
$50.28 |
$99.36 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$298.41 |
$298.41 |
$354.02 |
$115.70
|
|
Cholinesterase
|
$4.15 |
$4.15 |
$8.06 |
$38.68
|
|
Chrom analysis
|
$34.53 |
$34.53 |
$67.06 |
$128.25
|
|
Chromatography
|
$7.45 |
$7.45 |
$14.47 |
$77.00
|
|
Chromo high res and frag x - sendout
|
$48.08 |
$48.08 |
$93.38 |
$261.30
|
|
Chromosome analysis 15-20 cell count
|
$64.39 |
$64.39 |
$125.05 |
$433.01
|
|
Chromosome analysis 5
|
$51.45 |
$51.45 |
$51.45 |
$663.30
|
|
Chromosome analys placenta
|
$66.63 |
$66.63 |
$129.39 |
$660.00
|
|
Chromosome count additional
|
$10.29 |
$10.29 |
$19.99 |
$110.00
|
|
Chromosome karyotype study
|
$14.34 |
$14.34 |
$21.70 |
$102.00
|
|
Chromosome study additional
|
$55.28 |
$55.28 |
$107.35 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$8.84 |
$8.84 |
$17.16 |
$123.20
|
|
Cilastatin sodium injection
|
$65.86 |
$65.86 |
$65.86 |
$79.29
|
|
Cinacalcet 30 mg tablet
|
$34.99 |
$34.99 |
$34.99 |
$53.80
|
|
Cine/video x-rays
|
$503.63 |
$503.63 |
$503.63 |
$229.44
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$29.99 |
$29.99 |
$29.99 |
$60.00
|
|
Circumcision (newborn)
|
$834.38 |
$834.38 |
$834.38 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$18.53 |
$18.53 |
$18.53 |
$148.77
|
|
C-kit mutation liquid tumor - sendout
|
$246.96 |
$246.96 |
$246.96 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$498.92 |
$498.92 |
$498.92 |
$572.12
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$13,110.93 |
$13,110.93 |
$13,110.93 |
$16,786.53
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$488.04 |
$488.04 |
$488.04 |
$66.73
|
|
Clip ligating vesolock lg
|
$1,899.54 |
$1,899.54 |
$1,899.54 |
$1,690.58
|
|
Cllr miami j sm
|
$448.06 |
$448.06 |
$448.06 |
$610.38
|
|
Clofarabine 1 mg/ml intravenous solution
|
$3,365.13 |
$3,365.13 |
$3,365.13 |
$1,199.25
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$50.57 |
$50.57 |
$50.57 |
$81.90
|
|
Closure paravalvlr leak pq
|
$11,588.01 |
$11,588.01 |
$11,588.01 |
$10,497.50
|
|
Clot factor xii hageman
|
$11.68 |
$11.68 |
$22.68 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$8.67 |
$8.67 |
$16.84 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$38.81 |
$38.81 |
$75.38 |
$84.27
|
|
C motor evoked upr&lwr limbs
|
$1,158.95 |
$1,158.95 |
$1,158.95 |
$1,308.00
|
|
#cmvcul-virus inoculation shell
|
$19.07 |
$19.07 |
$37.04 |
$102.57
|
|
Cmv pcr-sendout
|
$25.70 |
$25.70 |
$70.27 |
$173.25
|
|
Co2 monitor per day
|
$169.35 |
$169.35 |
$169.35 |
$388.85
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$2.65 |
$2.65 |
$2.65 |
$2,950.68
|
|
Coagulation time activated teg
|
$105.26 |
$105.26 |
$172.45 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$411.90 |
$411.90 |
$411.90 |
$807.71
|
|
Cold agglutinin titer
|
$3.64 |
$3.64 |
$7.06 |
$48.57
|
|
Colistimethate sodium inj
|
$54.69 |
$54.69 |
$54.69 |
$84.60
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$35.87 |
$35.87 |
$35.87 |
$66.69
|
|
Collar cerv ascend 172 reg
|
$134.95 |
$134.95 |
$134.95 |
$241.88
|
|
Collar cerv patriot adlt
|
$6.77 |
$6.77 |
$6.77 |
$153.57
|
|
Collection blood specimen from completely implantable venous access device
|
$94.08 |
$94.08 |
$94.08 |
$164.50
|
|
Collection of venous blood by venipuncture
|
$20.00 |
$20.00 |
$30.84 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$96.14 |
$96.14 |
$105.07 |
$173.25
|
|
Compatibility test each unit electronic
|
$9.71 |
$9.71 |
$130.25 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$175.87 |
$175.87 |
$256.37 |
$169.52
|
|
Compatibility test incubate
|
$44.99 |
$44.99 |
$86.80 |
$143.65
|
|
Complement antigen each component c3
|
$98.22 |
$98.22 |
$207.86 |
$111.15
|
|
Complement fixation each
|
$15.59 |
$15.59 |
$30.27 |
$24.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$664.74 |
$664.74 |
$664.74 |
$1,051.20
|
|
Concentration infection agents any type
|
$57.33 |
$57.33 |
$92.96 |
$51.32
|
|
Conjugated estrogens 25 mg solution for injection
|
$193.16 |
$193.16 |
$193.16 |
$986.92
|
|
Connector tis 2x10mm
|
$2,470.78 |
$2,470.78 |
$2,470.78 |
$3,934.53
|
|
Consultation pathology during surgery
|
$100.55 |
$100.55 |
$100.55 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$25.80 |
$25.80 |
$256.37 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$20.13 |
$20.13 |
$27.93 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$33.36 |
$33.36 |
$62.63 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$108.49 |
$108.49 |
$108.49 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$66.45 |
$66.45 |
$66.45 |
$176.15
|
|
Consult comp w/report rfrd material
|
$41.46 |
$41.46 |
$41.46 |
$359.87
|
|
Contrast exam abdominl aorta 75625-26
|
$2,574.27 |
$2,574.27 |
$2,574.27 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$2,881.79 |
$2,881.79 |
$2,881.79 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$1,903.65 |
$1,903.65 |
$1,903.65 |
$4,178.00
|
|
Contrast x-ray gallbladder
|
$527.44 |
$527.44 |
$527.44 |
$312.00
|
|
Contrast x-ray of brain
|
$1,016.95 |
$1,016.95 |
$1,016.95 |
$479.72
|
|
Contrast x-ray of brain
|
$1,409.44 |
$1,409.44 |
$1,409.44 |
$930.42
|
|
Controller infinity pt dbs
|
$1,356.81 |
$1,356.81 |
$1,356.81 |
$4,320.00
|
|
Conversion ext bil drg cath
|
$6,108.74 |
$6,108.74 |
$6,108.74 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$2,025.66 |
$2,025.66 |
$2,025.66 |
$3,569.60
|
|
Coombs direct
|
$112.49 |
$112.49 |
$140.24 |
$73.26
|
|
Coombs indirect titer reference
|
$77.33 |
$77.33 |
$177.59 |
$146.00
|
|
Core ndl bx lng/med perq
|
$1,526.16 |
$1,526.16 |
$1,526.16 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$14,675.01 |
$14,675.01 |
$14,675.01 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$13,340.84 |
$13,340.84 |
$13,340.84 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$15,742.23 |
$15,742.23 |
$15,742.23 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$11,127.02 |
$11,127.02 |
$11,127.02 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$9,592.34 |
$9,592.34 |
$9,592.34 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$935.81 |
$935.81 |
$935.81 |
$489.00
|
|
Cortisol total am
|
$209.92 |
$209.92 |
$405.41 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$122.31 |
$122.31 |
$122.31 |
$222.48
|
|
Counseling smoke cess interm >10mins
|
$72.33 |
$72.33 |
$160.46 |
$57.85
|
