|
Carboxyhemoglobin quantitative
|
$10.84 |
$10.84 |
$10.84 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$14.00 |
$14.00 |
$14.00 |
$146.25
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,234.80 |
$1,234.80 |
$1,234.80 |
$2,752.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$122.50 |
$122.50 |
$122.50 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$122.50 |
$122.50 |
$122.50 |
$205.57
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$555.10 |
$555.10 |
$555.10 |
$1,519.00
|
|
Cardioversion/elective/internal 92961
|
$469.70 |
$469.70 |
$469.70 |
$1,158.00
|
|
Carfilzomib 10 mg intravenous solution
|
$12,722.50 |
$12,722.50 |
$12,722.50 |
$8,057.09
|
|
Carmustine 100 mg intravenous powder for solution
|
$628.77 |
$628.77 |
$628.77 |
$1,596.90
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,616.65 |
$1,616.65 |
$1,616.65 |
$1,068.06
|
|
Carpal Tunnel Release Surgery
|
$792.05 |
$792.05 |
$792.05 |
$3,639.36
|
|
Car seat/bed test 60 minutes
|
$184.80 |
$184.80 |
$184.80 |
$117.65
|
|
Car seat/bed test additional 30 minutes
|
$93.80 |
$93.80 |
$93.80 |
$70.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$690.06 |
$690.06 |
$690.06 |
$842.61
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$5,652.50 |
$5,652.50 |
$5,652.50 |
$6,190.10
|
|
Cath ablt clsfast 7fx100cmx
|
$3,380.30 |
$3,380.30 |
$3,380.30 |
$3,906.88
|
|
Cath ablt rx lasr 2.0mm turbo
|
$5,093.20 |
$5,093.20 |
$5,093.20 |
$6,606.72
|
|
Cath access del ds spyscop 2.0
|
$4,427.29 |
$4,427.29 |
$4,427.29 |
$5,805.19
|
|
Cath acuity innr ic130 6f 63cm
|
$8,379.00 |
$8,379.00 |
$8,379.00 |
$9,363.28
|
|
Cath acunav ge 10frx90cm
|
$5,567.71 |
$5,567.71 |
$5,567.71 |
$6,022.02
|
|
Cath adherent clot 10mm 6f 10
|
$21,213.50 |
$21,213.50 |
$21,213.50 |
$18,673.71
|
|
Cath baloon occl urnry 34f 7x2x65
|
$8,232.00 |
$8,232.00 |
$8,232.00 |
$5,875.79
|
|
Cath bi-dir df smarttouch
|
$9,018.45 |
$9,018.45 |
$9,018.45 |
$8,469.98
|
|
Cath blazer dx/20 2-10-2 space
|
$3,366.44 |
$3,366.44 |
$3,366.44 |
$4,348.60
|
|
Cath combo lt&rt heart w/inj/s
|
$4,550.35 |
$4,550.35 |
$4,550.35 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$7,595.08 |
$7,595.08 |
$7,595.08 |
$4,691.52
|
|
Cath del ampltz 12f 45d 80cm
|
$3,388.00 |
$3,388.00 |
$3,388.00 |
$2,463.75
|
|
Cath epdrl brevi-stf 12in .043
|
$1,627.50 |
$1,627.50 |
$1,627.50 |
$2,103.20
|
|
Catheter declot mechanical
|
$1,493.10 |
$1,493.10 |
$1,493.10 |
$1,838.28
|
|
Catheter insert artery
|
$96.25 |
$96.25 |
$96.25 |
$391.20
|
|
Catheterization collection of specimen single patient all places of service
|
$43.75 |
$43.75 |
$43.75 |
$44.40
|
|
Cath groshong MRI 8fr plstc port
|
$1,853.72 |
$1,853.72 |
$1,853.72 |
$2,323.56
|
|
Cath hawkone s directional
|
$7,178.22 |
$7,178.22 |
$7,178.22 |
$7,160.28
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$493.76 |
$493.76 |
$493.76 |
$748.30
|
|
Cath imag ivus pv 8.5fx90 .035
|
$4,108.65 |
$4,108.65 |
$4,108.65 |
$4,499.78
|
|
Cathj umbilical vein dx/ther nb
|
$793.80 |
$793.80 |
$793.80 |
$268.73
|
|
Cath left heart/lv gram
|
$5,657.75 |
$5,657.75 |
$5,657.75 |
$7,564.20
|
|
Cath left heart transseptal punc
|
$1,171.10 |
$1,171.10 |
$1,171.10 |
$5,939.71
|
|
Cath lt/rt pulm art
|
$205.80 |
$205.80 |
$205.80 |
$1,321.95
|
|
Cath malecot 28fr 4-wing ltx
|
$4,531.45 |
$4,531.45 |
$4,531.45 |
$2,744.00
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$14,161.84 |
$14,161.84 |
$14,161.84 |
$17,578.26
|
|
Cath place 1st order venous 36011
|
$205.80 |
$205.80 |
$205.80 |
$1,377.75
|
|
Cath place cardio brachytx
|
$1,163.05 |
$1,163.05 |
$1,163.05 |
$2,978.25
|
|
Cath plc art ang/grft lt/rt hr
|
$6,706.00 |
$6,706.00 |
$6,706.00 |
$11,733.15
|
|
Cath plc art/angio/rt hrt cath
|
$4,550.35 |
$4,550.35 |
$4,550.35 |
$10,188.00
|
|
Cath plc art/grft/angio right hrt
|
$4,550.35 |
$4,550.35 |
$4,550.35 |
$10,673.00
|
|
Cath ptca pcltxl agent 3x20mm
|
$8,305.50 |
$8,305.50 |
$8,305.50 |
$11,105.64
|
|
Cath right heart w/o2 sat & card
|
$3,301.20 |
$3,301.20 |
$3,301.20 |
$6,356.90
|
|
Cath right hrt mnpul art
|
$205.80 |
$205.80 |
$205.80 |
$1,073.38
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$96.25 |
$96.25 |
$96.25 |
$474.40
|
|
Cath segmntl pulm art
|
$205.80 |
$205.80 |
$205.80 |
$1,458.34
|
|
Cath steerable flex adv 12f
|
$3,380.30 |
$3,380.30 |
$3,380.30 |
$2,925.00
|
|
Cath temp pace flo bipol 5fr electrd
|
$349.13 |
$349.13 |
$349.13 |
$951.16
|
|
Cath uret open tp 6fx70cm
|
$554.52 |
$554.52 |
$554.52 |
$505.37
|
|
Cauterization chemical granulation tissue
|
$156.80 |
$156.80 |
$156.80 |
$369.60
|
|
Cauterization of cervix 57510
|
$1,246.00 |
$1,246.00 |
$1,246.00 |
$3,762.53
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$39.48 |
$39.48 |
$39.48 |
$50.70
|
|
Cefepime 1 gram solution for injection
|
$35.78 |
$35.78 |
$35.78 |
$43.40
|
|
Cefotaxime sodium injection
|
$33.78 |
$33.78 |
$33.78 |
$40.63
|
|
Cefoxitin 1 gram intravenous solution
|
$45.69 |
$45.69 |
$45.69 |
$63.20
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$151.31 |
$151.31 |
$151.31 |
$649.77
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$91.26 |
$91.26 |
$91.26 |
$59.79
|
|
Ceftazidime and avibactam
|
$1,417.82 |
$1,417.82 |
$1,417.82 |
$1,080.64
|
|
Ceftriaxone 1 gram solution for injection
|
$34.92 |
$34.92 |
$34.92 |
$81.36
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$34.37 |
$34.37 |
$34.37 |
$33.92
|
|
Cell count body fluid
|
$175.70 |
$175.70 |
$175.70 |
$63.63
|
|
Cell count w differential body fluid
|
$175.70 |
$175.70 |
$175.70 |
$97.83
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$5,566.00 |
$5,566.00 |
$5,566.00 |
$3,868.18
|
|
Change cystostomy tube; complex 51710
|
$793.80 |
$793.80 |
$793.80 |
$1,403.09
|
|
Change cystostomy tube simple
|
$324.45 |
$324.45 |
$324.45 |
$527.34
|
|
Change g-tube to g-j perc
|
$4,181.10 |
$4,181.10 |
$4,181.10 |
$2,244.82
|
|
Change of ureter tube/stent
|
$1,719.20 |
$1,719.20 |
$1,719.20 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$156.80 |
$156.80 |
$156.80 |
$412.00
|
|
Chemo adm cns w/lmbr punct
|
$259.70 |
$259.70 |
$259.70 |
$742.20
|
|
Chemotx admn pertl cav impl
|
$346.85 |
$346.85 |
$346.85 |
$507.17
|
|
Chest 2 vws w oblique
|
$497.70 |
$497.70 |
$497.70 |
$377.06
|
|
Chest apical lordotic proj
|
$452.90 |
$452.90 |
$452.90 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$1,751.40 |
$1,751.40 |
$1,751.40 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$1,591.80 |
$1,591.80 |
$1,591.80 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$1,432.20 |
$1,432.20 |
$1,432.20 |
$1,350.03
|
|
Chest X-ray
|
$412.65 |
$412.65 |
$412.65 |
$302.90
|
|
Chest X-ray (single view)
|
$292.60 |
$292.60 |
$292.60 |
$246.94
|
|
Chg radiologic exam esophagus double contrast
|
$276.85 |
$276.85 |
$276.85 |
$548.90
|
|
Chloride
|
$49.00 |
$49.00 |
$49.00 |
$39.05
|
|
Chloride 24 hour urine
|
$103.25 |
$103.25 |
$103.25 |
$46.13
|
|
Chloroprocaine hcl injection
|
$34.32 |
$34.32 |
$34.32 |
$70.66
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$175.07 |
$175.07 |
$175.07 |
$313.25
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$81.67 |
$81.67 |
$81.67 |
$91.92
|
|
Cholangiogram percutaneous compl
|
$3,987.20 |
$3,987.20 |
$3,987.20 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$598.50 |
$598.50 |
$598.50 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$10,593.80 |
$10,593.80 |
$10,593.80 |
$3,913.80
|
|
Cholesterol
|
$42.00 |
$42.00 |
$42.00 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$299.95 |
$299.95 |
$299.95 |
$115.70
|
|
Chromosome karyotype study
|
$32.81 |
$32.81 |
$32.81 |
$102.00
|
|
Cidofovir injection
|
$2,243.49 |
$2,243.49 |
$2,243.49 |
$1,447.81
|
|
Cilastatin sodium injection
|
$119.52 |
$119.52 |
$119.52 |
$79.29
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$85.30 |
$85.30 |
$85.30 |
$60.00
|
|
Circumcise/surg/28 days or < 54160
|
$397.25 |
$397.25 |
$397.25 |
$1,533.00
|
|
Circumcision (newborn)
|
$1,201.90 |
$1,201.90 |
$1,201.90 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$161.99 |
$161.99 |
$161.99 |
$148.77
|
