|
Cast sup lng leg splnt fbrgl
|
$61.75 |
$61.75 |
$61.75 |
$85.60
|
|
Cast sup long arm adult fbrg
|
$75.40 |
$75.40 |
$75.40 |
$58.20
|
|
Cast sup long arm adult plst
|
$24.05 |
$24.05 |
$24.05 |
$32.76
|
|
Cast sup long arm ped fbrgls
|
$19.50 |
$19.50 |
$19.50 |
$36.80
|
|
Cast sup long leg fiberglass
|
$149.50 |
$149.50 |
$149.50 |
$157.80
|
|
Cast sup sht arm adult fbrgl
|
$52.00 |
$52.00 |
$52.00 |
$36.00
|
|
Cast sup sht arm adult plstr
|
$61.75 |
$61.75 |
$61.75 |
$22.40
|
|
Cast sup sht arm ped plaster
|
$3.90 |
$3.90 |
$3.90 |
$11.20
|
|
Cast sup sht arm splint fbrg
|
$23.40 |
$23.40 |
$23.40 |
$26.98
|
|
Cast sup sht arm splint plst
|
$33.15 |
$33.15 |
$33.15 |
$17.16
|
|
Cast sup sht leg splnt fbrgl
|
$33.80 |
$33.80 |
$33.80 |
$40.63
|
|
Cast sup sht leg splnt plstr
|
$22.75 |
$22.75 |
$22.75 |
$29.60
|
|
Cataract Surgery
|
$2,102.10 |
$2,102.10 |
$2,102.10 |
$5,044.00
|
|
Cataract surg w/iol 1 stage
|
$2,870.40 |
$2,870.40 |
$2,870.40 |
$4,538.46
|
|
Catecholamines,fractionated, urine
|
$32.50 |
$32.50 |
$32.50 |
$133.70
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$247.00 |
$247.00 |
$247.00 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$2,681.25 |
$2,681.25 |
$2,681.25 |
$6,606.72
|
|
Cath ablt rx lasr 2.0mm turbo
|
$1,842.75 |
$1,842.75 |
$1,842.75 |
$6,540.75
|
|
Cath acuity innr ic130 6f 63cm
|
$58,500.00 |
$58,500.00 |
$58,500.00 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$4,344.60 |
$4,344.60 |
$4,344.60 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$10,133.50 |
$10,133.50 |
$10,133.50 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$1,191.45 |
$1,191.45 |
$1,191.45 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$2,501.20 |
$2,501.20 |
$2,501.20 |
$8,461.48
|
|
Cath blazer dx/20 2-10-2 space
|
$2,922.40 |
$2,922.40 |
$2,922.40 |
$4,212.11
|
|
Cath combo lt&rt heart w/inj/s
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$9,316.35
|
|
Cath council tip 16fr 5cc
|
$16.90 |
$16.90 |
$16.90 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$2,102.10 |
$2,102.10 |
$2,102.10 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$746.20 |
$746.20 |
$746.20 |
$2,393.00
|
|
Cath epdrl brevi-stf 12in .043
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,928.17
|
|
Catheter declot mechanical
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$1,929.15
|
|
Catheter insert artery
|
$1,209.65 |
$1,209.65 |
$1,209.65 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$13.00 |
$13.00 |
$13.00 |
$40.95
|
|
Catheter stripping venous
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$3,193.94
|
|
Cath follower heyman 20f
|
$5.85 |
$5.85 |
$5.85 |
$128.00
|
|
Cath groshong MRI 8fr plstc port
|
$1,111.50 |
$1,111.50 |
$1,111.50 |
$1,690.71
|
|
Cath hawkone s directional
|
$1,469.65 |
$1,469.65 |
$1,469.65 |
$7,076.25
|
|
Cath imag ivus pv 8.5fx90 .035
|
$3,071.25 |
$3,071.25 |
$3,071.25 |
$4,680.00
|
|
Cath infuse micro 150cm rapidtransit
|
$3.90 |
$3.90 |
$3.90 |
$13.23
|
|
Cathj rmvl dev ischmc rmdlg
|
$909.35 |
$909.35 |
$909.35 |
$599.20
|
|
Cathj umbilical vein dx/ther nb
|
$283.40 |
$283.40 |
$283.40 |
$246.00
|
|
Cath left heart/lv gram
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$8,035.50
|
|
Cath left heart transseptal punc
|
$7,712.90 |
$7,712.90 |
$7,712.90 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$2,254.85 |
$2,254.85 |
$2,254.85 |
$1,273.15
|
|
Cath malecot 28fr 4-wing ltx
|
$525.20 |
$525.20 |
$525.20 |
$2,549.50
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$12,993.50 |
$12,993.50 |
$12,993.50 |
$19,384.20
|
|
Cath place 1st order venous 36011
|
$2,925.65 |
$2,925.65 |
$2,925.65 |
$1,313.25
|
|
Cath place cardio brachytx
|
$780.00 |
$780.00 |
$780.00 |
$3,320.80
|
|
Cath plc art ang/grft lt/rt hr
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$10,429.27
|
|
Cath ptca pcltxl agent 3x20mm
|
$14,690.00 |
$14,690.00 |
$14,690.00 |
$11,167.20
|
|
Cath right heart w/o2 sat & card
|
$15,733.25 |
$15,733.25 |
$15,733.25 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$2,390.70 |
$2,390.70 |
$2,390.70 |
$841.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$675.35 |
$675.35 |
$675.35 |
$462.80
|
|
Cath segmntl pulm art
|
$2,620.15 |
$2,620.15 |
$2,620.15 |
$1,294.19
|
|
Cath steerable flex adv 12f
|
$70,200.00 |
$70,200.00 |
$70,200.00 |
$2,925.00
|
|
Cath stripping venous s&i
|
$712.40 |
$712.40 |
$712.40 |
$682.34
|
|
Cath uret open tp 6fx70cm
|
$651.30 |
$651.30 |
$651.30 |
$573.88
|
|
Cauterization chemical granulation tissue
|
$484.25 |
$484.25 |
$484.25 |
$340.90
|
|
Cauterization of cervix 57510
|
$11,883.95 |
$11,883.95 |
$11,883.95 |
$3,762.53
|
|
#cbg+cort-cbg
|
$78.00 |
$78.00 |
$78.00 |
$66.55
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$70.85 |
$70.85 |
$70.85 |
$36.21
|
|
Cdna analysis for variants
|
$2,237.95 |
$2,237.95 |
$2,237.95 |
$542.87
|
|
Cdp-sot 6 cond w/i&r
|
$481.65 |
$481.65 |
$481.65 |
$251.50
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$36.50 |
$36.50 |
$36.50 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$24.05 |
$24.05 |
$24.05 |
$45.47
|
|
Cefotaxime sodium injection
|
$45.71 |
$45.71 |
$45.71 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$78.49 |
$78.49 |
$78.49 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$602.45 |
$602.45 |
$602.45 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$71.53 |
$71.53 |
$71.53 |
$58.89
|
|
Ceftazidime and avibactam
|
$971.96 |
$971.96 |
$971.96 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$874.44 |
$874.44 |
$874.44 |
$83.39
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$13.69 |
$13.69 |
$13.69 |
$30.66
|
|
#celiac hla-dq8
|
$289.90 |
$289.90 |
$289.90 |
$246.88
|
|
Cell count w differential body fluid
|
$70.85 |
$70.85 |
$70.85 |
$92.56
|
|
Cell cryopreserve/storage
|
$162.50 |
$162.50 |
$162.50 |
$62.72
|
|
Cell enumeration & id
|
$677.30 |
$677.30 |
$677.30 |
$542.40
|
|
Cell function assay w/stim
|
$572.65 |
$572.65 |
$572.65 |
$325.76
|
|
Cell marker study
|
$415.35 |
$415.35 |
$415.35 |
$239.85
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$5,052.01 |
$5,052.01 |
$5,052.01 |
$21,625.43
|
|
Centralization wrist on ulna
|
$3,481.40 |
$3,481.40 |
$3,481.40 |
$4,641.60
|
|
Cerclage of uterine cervix nonob 57700
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$3,762.53
|
|
Cerebrospinal fld flw imag
|
$3,166.15 |
$3,166.15 |
$3,166.15 |
$952.82
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$18,718.23 |
$18,718.23 |
$18,718.23 |
$10,638.62
|
|
Cerv collar supp adj cerv ba
|
$382.85 |
$382.85 |
$382.85 |
$997.49
|
|
Cervical laminoplsty 2/> seg
|
$6,294.60 |
$6,294.60 |
$6,294.60 |
$2,128.21
|
|
Cervical lymphadenectomy 38720
|
$5,707.00 |
$5,707.00 |
$5,707.00 |
$7,127.17
|
|
Cervical or vaginal cancer screening g0101
|
$300.95 |
$300.95 |
$300.95 |
$109.46
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$70.20 |
$70.20 |
$70.20 |
$3,011.40
|
|
#cf-97variants
|
$518.70 |
$518.70 |
$518.70 |
$639.44
|
|
Cftr gene intron poly t
|
$785.20 |
$785.20 |
$785.20 |
$301.65
|
|
Change cystostomy tube; complex 51710
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$1,527.00
|
|
Change cystostomy tube simple
|
$909.35 |
$909.35 |
$909.35 |
$477.60
|
|
Change gastric port open
|
$1,674.40 |
$1,674.40 |
$1,674.40 |
$4,332.25
|
|
Change g-tube to g-j perc
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,198.81
|
|
Change nephroureteral cath
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,083.97
|
|
Change of ureter tube/stent
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$867.75 |
$867.75 |
$867.75 |
$401.50
|
|
Change stent via transureth
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,927.00
|
|
Change ureter stent percut
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,886.89
|
