|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$261.51 |
$261.51 |
$261.51 |
$92.91
|
|
Calcium ionized
|
$47.88 |
$47.88 |
$47.88 |
$86.35
|
|
Calcium total
|
$82.56 |
$82.56 |
$82.56 |
$48.75
|
|
Calprotectin fecal
|
$314.08 |
$314.08 |
$314.08 |
$170.00
|
|
Carbamazepine free
|
$212.00 |
$212.00 |
$212.00 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$431.59 |
$431.59 |
$431.59 |
$113.25
|
|
Carbon dioxide
|
$78.08 |
$78.08 |
$78.08 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$705.33 |
$705.33 |
$705.33 |
$141.98
|
|
Carboxyhemoglobin quantitative
|
$301.81 |
$301.81 |
$301.81 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$303.36 |
$303.36 |
$303.36 |
$146.90
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$15,473.12 |
$15,473.12 |
$15,473.12 |
$2,792.00
|
|
Cardiolipin antibody iga
|
$407.20 |
$407.20 |
$407.20 |
$114.40
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$5,150.04 |
$5,150.04 |
$5,150.04 |
$1,504.08
|
|
Carotid Artery Ultrasound (Duplex)
|
$3,874.68 |
$3,874.68 |
$3,874.68 |
$1,067.40
|
|
Cath cv dl inj 7fx16cm
|
$4,521.01 |
$4,521.01 |
$4,521.01 |
$2,712.53
|
|
Catheter insert artery
|
$1,331.78 |
$1,331.78 |
$1,331.78 |
$388.85
|
|
Cath lt/rt pulm art
|
$1,321.95 |
$1,321.95 |
$1,321.95 |
$1,527.00
|
|
Cath plc art ang/grft lt/rt hr
|
$20,845.89 |
$20,845.89 |
$20,845.89 |
$11,689.44
|
|
Cath right heart w/o2 sat & card
|
$38,518.72 |
$38,518.72 |
$38,518.72 |
$6,306.85
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$404.25 |
$404.25 |
$404.25 |
$42.00
|
|
Cefoxitin 1 gram intravenous solution
|
$256.88 |
$256.88 |
$256.88 |
$52.04
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$326.56 |
$326.56 |
$326.56 |
$51.66
|
|
Ceftriaxone 1 gram solution for injection
|
$261.23 |
$261.23 |
$261.23 |
$86.58
|
|
Cell count body fluid
|
$75.52 |
$75.52 |
$75.52 |
$63.52
|
|
Cell count w differential body fluid
|
$289.37 |
$289.37 |
$289.37 |
$95.55
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$85,291.74 |
$85,291.74 |
$85,291.74 |
$30,922.02
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$4,536.77 |
$4,536.77 |
$4,536.77 |
$3,358.00
|
|
Change cystostomy tube; complex 51710
|
$9,120.64 |
$9,120.64 |
$9,120.64 |
$1,546.40
|
|
Change cystostomy tube simple
|
$686.60 |
$686.60 |
$686.60 |
$479.00
|
|
Change nephroureteral cath
|
$24,811.20 |
$24,811.20 |
$24,811.20 |
$2,969.25
|
|
Chemodenerv trunk musc 1-5 64646
|
$5,410.92 |
$5,410.92 |
$5,410.92 |
$970.61
|
|
Chest 2 vws w oblique
|
$1,774.24 |
$1,774.24 |
$1,774.24 |
$373.20
|
|
Chest apical lordotic proj
|
$1,301.76 |
$1,301.76 |
$1,301.76 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$8,275.93 |
$8,275.93 |
$8,275.93 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$7,510.18 |
$7,510.18 |
$7,510.18 |
$1,350.03
|
|
Chest X-ray
|
$1,000.25 |
$1,000.25 |
$1,000.25 |
$294.06
|
|
Chest X-ray (single view)
|
$932.91 |
$932.91 |
$932.91 |
$229.08
|
|
Chloride
|
$73.60 |
$73.60 |
$73.60 |
$38.50
|
|
Chloride 24 hour urine
|
$154.53 |
$154.53 |
$154.53 |
$46.13
|
|
Chloroprocaine hcl injection
|
$171.13 |
$171.13 |
$171.13 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$361.13 |
$361.13 |
$361.13 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$710.77 |
$710.77 |
$710.77 |
$89.81
|
|
Cholecystostomy complete w/supervision & interpretation
|
$42,304.00 |
$42,304.00 |
$42,304.00 |
$3,856.84
|
|
Cholesterol
|
$69.60 |
$69.60 |
$69.60 |
$46.15
|
|
Cholesterol body fluid
|
$135.78 |
$135.78 |
$135.78 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$561.35 |
$561.35 |
$561.35 |
$115.70
|
|
Chromatography
|
$288.96 |
$288.96 |
$288.96 |
$80.60
|
|
Chromo high res and frag x - sendout
|
$431.38 |
$431.38 |
$431.38 |
$264.25
|
|
Chromosome karyotype study
|
$535.52 |
$535.52 |
$535.52 |
$102.72
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$211.39 |
$211.39 |
$211.39 |
$45.27
|
|
Cisplatin 1 mg/ml desensitization
|
$716.19 |
$716.19 |
$716.19 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$6,177.56 |
$6,177.56 |
$6,177.56 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$289.71 |
$289.71 |
$289.71 |
$61.26
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$84.15 |
$84.15 |
$84.15 |
$81.02
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$612.80
|
|
Closed tx humerus fx with manip 23605
|
$21,567.36 |
$21,567.36 |
$21,567.36 |
$2,460.00
|
|
Closed tx humerus fx without manip 23600
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$21,567.36 |
$21,567.36 |
$21,567.36 |
$1,592.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$3,369.28 |
$3,369.28 |
$3,369.28 |
$480.80
|
|
Clos txnose fx without stablz 21315
|
$20,468.96 |
$20,468.96 |
$20,468.96 |
$2,587.20
|
|
Clotting assay whole blood
|
$495.92 |
$495.92 |
$495.92 |
$105.95
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$625.13
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$21,567.36 |
$21,567.36 |
$21,567.36 |
$1,839.79
|
|
Clsd tx clavicle dislocation without manip 23540
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$498.05
|
|
Clsd tx/clavicular fx without manip 23500
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$488.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$426.82
|
|
Clsd tx dist fib fx w/manip 27788
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$728.00
|
|
Clsd tx elbow dislocation child 24640
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$21,567.36 |
$21,567.36 |
$21,567.36 |
$2,587.60
|
|
Clsd tx fracture of radius 25500
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$392.50
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$1,593.29 |
$1,593.29 |
$1,593.29 |
$469.10
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$597.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,180.25 |
$5,180.25 |
$5,180.25 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$547.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$5,180.25 |
$5,180.25 |
$5,180.25 |
$1,827.71
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$476.00
|
|
Clsd tx hip disloc without anes 27265
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$716.95
|
|
Clsd tx humeral fract without manip 24530
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$623.93
|
|
Clsd tx humerus fract without manip 24500
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$546.86
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$3,926.72 |
$3,926.72 |
$3,926.72 |
$1,014.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$519.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$716.95
|
|
Clsd tx/metatarsal fx without manip 28470
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$418.20
|
|
Clsd tx patella disloc without anes 27560
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$665.50
|
|
Clsd tx/patellar fx without manip 27520
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$544.80
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$21,567.36 |
$21,567.36 |
$21,567.36 |
$2,370.40
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$501.80
|
|
Clsd tx radius fracture w/manip 24655
|
$21,567.36 |
$21,567.36 |
$21,567.36 |
$1,868.38
|
|
Clsd tx shoulder dislc/fx 23665
|
$21,567.36 |
$21,567.36 |
$21,567.36 |
$2,055.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$21,567.36 |
$21,567.36 |
$21,567.36 |
$2,423.85
|
|
Clsd tx temporomandibular dislocat 21480
|
$4,862.22 |
$4,862.22 |
$4,862.22 |
$506.40
|
|
Clsd tx toe dislocation without anes28660
|
$1,340.67 |
$1,340.67 |
$1,340.67 |
$415.20
|
|
Clsd tx trimall ankle fx without manip 27816
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$597.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$21,567.36 |
$21,567.36 |
$21,567.36 |
$1,707.42
|