|
Cholesterol (Lipid) Test
|
$163.80 |
$163.80 |
$163.80 |
$115.80
|
|
Cholinesterase
|
$26.00 |
$26.00 |
$26.00 |
$39.48
|
|
Chorionic gonadotropin/1000u
|
$1,564.55 |
$1,564.55 |
$1,564.55 |
$548.36
|
|
Chrom analysis
|
$32.50 |
$32.50 |
$32.50 |
$156.00
|
|
Chromatography
|
$57.85 |
$57.85 |
$57.85 |
$84.60
|
|
Chromosome analysis 15-20 cell count
|
$406.90 |
$406.90 |
$406.90 |
$517.11
|
|
Chromosome analysis 5
|
$379.60 |
$379.60 |
$379.60 |
$644.80
|
|
Chromosome count additional
|
$81.25 |
$81.25 |
$81.25 |
$96.50
|
|
Chromosome karyotype study
|
$81.25 |
$81.25 |
$81.25 |
$120.00
|
|
Chromosome study additional
|
$178.75 |
$178.75 |
$178.75 |
$151.09
|
|
Chylomicron screen, bf - sendout
|
$53.95 |
$53.95 |
$53.95 |
$136.09
|
|
Cidofovir injection
|
$5,382.00 |
$5,382.00 |
$5,382.00 |
$1,352.09
|
|
Cid transmit coil and cable
|
$1,815.45 |
$1,815.45 |
$1,815.45 |
$292.46
|
|
Cilastatin sodium injection
|
$264.55 |
$264.55 |
$264.55 |
$77.40
|
|
Ciltacabtagene car-pos t
|
$2,307,997.90 |
$2,307,997.90 |
$2,307,997.90 |
$1,573,072.37
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$68.90 |
$68.90 |
$68.90 |
$35.65
|
|
Cisplatin 1 mg/ml desensitization
|
$59.15 |
$59.15 |
$59.15 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$404.30 |
$404.30 |
$404.30 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$313.30 |
$313.30 |
$313.30 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$36,550.80 |
$36,550.80 |
$36,550.80 |
$15,560.16
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$130.65 |
$130.65 |
$130.65 |
$55.20
|
|
Clip ligating vesolock lg
|
$19,936.80 |
$19,936.80 |
$19,936.80 |
$4,320.00
|
|
Clofarabine 1 mg/ml intravenous solution
|
$425.75 |
$425.75 |
$425.75 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$223.60 |
$223.60 |
$223.60 |
$85.37
|
|
Closed tx sesamoid fx 28530
|
$863.20 |
$863.20 |
$863.20 |
$445.50
|
|
Closure paravalvlr leak pq
|
$67,823.60 |
$67,823.60 |
$67,823.60 |
$9,434.46
|
|
Clot factor xii hageman
|
$487.50 |
$487.50 |
$487.50 |
$138.40
|
|
Clot factor xiii fibrin stab
|
$121.55 |
$121.55 |
$121.55 |
$106.40
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$863.20 |
$863.20 |
$863.20 |
$464.20
|
|
C motor evoked lwr limbs
|
$1,557.40 |
$1,557.40 |
$1,557.40 |
$627.89
|
|
C motor evoked uppr limbs
|
$1,557.40 |
$1,557.40 |
$1,557.40 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$1,927.25 |
$1,927.25 |
$1,927.25 |
$1,333.36
|
|
#cms hgb-carboxyhemoglobin
|
$103.35 |
$103.35 |
$103.35 |
$61.60
|
|
#cmvcul-virus inoculation shell
|
$199.55 |
$199.55 |
$199.55 |
$89.76
|
|
Cmv pcr-sendout
|
$172.25 |
$172.25 |
$172.25 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$12.35 |
$12.35 |
$12.35 |
$11,888.50
|
|
Coagulation time activated teg
|
$37.05 |
$37.05 |
$37.05 |
$52.47
|
|
Coch implant trans coil repl
|
$1,054.30 |
$1,054.30 |
$1,054.30 |
$677.57
|
|
Cold agglutinin titer
|
$14.30 |
$14.30 |
$14.30 |
$52.00
|
|
Colistimethate sodium inj
|
$254.15 |
$254.15 |
$254.15 |
$82.71
|
|
Collagenase, clost hist inj
|
$195.00 |
$195.00 |
$195.00 |
$12,906.28
|
|
Collagen based wound filler
|
$10,094.50 |
$10,094.50 |
$10,094.50 |
$1,794.78
|
|
Collagen dressing <=16 sq in
|
$61.10 |
$61.10 |
$61.10 |
$42.50
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$562.25 |
$562.25 |
$562.25 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$347.10 |
$347.10 |
$347.10 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$347.75 |
$347.75 |
$347.75 |
$155.40
|
|
Colon motility 6 hr study
|
$1,057.55 |
$1,057.55 |
$1,057.55 |
$477.92
|
|
Compatibility test each unit antiglobulin technique
|
$144.95 |
$144.95 |
$144.95 |
$173.50
|
|
Compatibility test each unit electronic
|
$103.35 |
$103.35 |
$103.35 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$163.80 |
$163.80 |
$163.80 |
$169.52
|
|
Compatibility test incubate
|
$74.10 |
$74.10 |
$74.10 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$2,055.95 |
$2,055.95 |
$2,055.95 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,846.00 |
$1,846.00 |
$1,846.00 |
$1,111.03
|
|
Complement antigen each component c3
|
$490.10 |
$490.10 |
$490.10 |
$110.00
|
|
Complex cystometrogram 51726
|
$1,846.00 |
$1,846.00 |
$1,846.00 |
$727.35
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,839.50 |
$1,839.50 |
$1,839.50 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,576.25 |
$1,576.25 |
$1,576.25 |
$1,191.78
|
|
Complex uroflowmetry (electronic) 51741
|
$507.65 |
$507.65 |
$507.65 |
$344.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,576.25 |
$1,576.25 |
$1,576.25 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,576.25 |
$1,576.25 |
$1,576.25 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$486.20 |
$486.20 |
$486.20 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,734.20 |
$1,734.20 |
$1,734.20 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$877.50 |
$877.50 |
$877.50 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$877.50 |
$877.50 |
$877.50 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$1,266.20 |
$1,266.20 |
$1,266.20 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$595.40 |
$595.40 |
$595.40 |
$537.00
|
|
Composite drsg >16<=48 sq in
|
$336.05 |
$336.05 |
$336.05 |
$42.60
|
|
Composite drsg <= 16 sq in
|
$241.15 |
$241.15 |
$241.15 |
$6.62
|
|
Concentration infection agents any type
|
$67.60 |
$67.60 |
$67.60 |
$51.32
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,689.05 |
$2,689.05 |
$2,689.05 |
$860.00
|
|
Connect omega .5mm
|
$5,908.50 |
$5,908.50 |
$5,908.50 |
$1,260.00
|
|
Connector tis 2x10mm
|
$15,466.10 |
$15,466.10 |
$15,466.10 |
$4,024.34
|
|
Consultation pathology during surgery
|
$445.90 |
$445.90 |
$445.90 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$349.70 |
$349.70 |
$349.70 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$255.45 |
$255.45 |
$255.45 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$512.85 |
$512.85 |
$512.85 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$844.35 |
$844.35 |
$844.35 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$991.25 |
$991.25 |
$991.25 |
$176.28
|
|
Consult comp w/report rfrd material
|
$590.85 |
$590.85 |
$590.85 |
$374.40
|
|
Contrast baths charges
|
$98.15 |
$98.15 |
$98.15 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$8,858.20 |
$8,858.20 |
$8,858.20 |
$3,480.00
|
|
Contrast exam thoracic aorta
|
$3,732.95 |
$3,732.95 |
$3,732.95 |
$3,616.90
|
|
Contrast exam thoracic aorta 75605-26
|
$4,479.15 |
$4,479.15 |
$4,479.15 |
$3,745.00
|
|
Contrast x-ray gallbladder
|
$581.10 |
$581.10 |
$581.10 |
$341.00
|
|
Contrast x-ray of ankle
|
$612.30 |
$612.30 |
$612.30 |
$684.00
|
|
Contrast x-ray of elbow
|
$800.15 |
$800.15 |
$800.15 |
$708.00
|
|
Contrast x-ray of hip
|
$1,058.85 |
$1,058.85 |
$1,058.85 |
$796.38
|
|
Contrast x-ray of knee joint
|
$1,218.10 |
$1,218.10 |
$1,218.10 |
$790.50
|
|
Contrast x-ray of wrist
|
$941.20 |
$941.20 |
$941.20 |
$667.50
|
|
Controller infinity pt dbs
|
$10,700.95 |
$10,700.95 |
$10,700.95 |
$4,836.44
|
|
Conversion ext bil drg cath
|
$4,661.80 |
$4,661.80 |
$4,661.80 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$5,428.15 |
$5,428.15 |
$5,428.15 |
$2,777.60
|
|
Conv gtube to jtube
|
$3,206.45 |
$3,206.45 |
$3,206.45 |
$2,099.70
|
|
Coombs direct
|
$79.95 |
$79.95 |
$79.95 |
$76.80
|
|
Core ndl bx lng/med perq
|
$4,640.35 |
$4,640.35 |
$4,640.35 |
$2,904.48
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$103,868.05 |
$103,868.05 |
$103,868.05 |
$7,849.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$27,659.45 |
$27,659.45 |
$27,659.45 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$24,402.95 |
$24,402.95 |
$24,402.95 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$25,198.55 |
$25,198.55 |
$25,198.55 |
$11,228.50
|
