|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$14,398.64 |
$14,398.64 |
$14,398.64 |
$10,638.62
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$5,846.19 |
$5,846.19 |
$5,846.19 |
$3,011.40
|
|
#cf-97variants
|
$2,560.00 |
$2,560.00 |
$2,560.00 |
$639.44
|
|
Cftr gene dup/delet variants
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$757.25
|
|
Change cystostomy tube simple
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$477.60
|
|
Change of windpipe airway 31502
|
$857.00 |
$857.00 |
$857.00 |
$401.50
|
|
Chemo adm cns w/lmbr punct
|
$1,674.00 |
$1,674.00 |
$1,674.00 |
$720.20
|
|
Chest apical lordotic proj
|
$317.00 |
$317.00 |
$317.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$350.00 |
$350.00 |
$350.00 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$350.00 |
$350.00 |
$350.00 |
$134.50
|
|
Chest Ultrasound
|
$606.00 |
$606.00 |
$606.00 |
$463.88
|
|
Chest X-ray
|
$317.00 |
$317.00 |
$317.00 |
$294.06
|
|
Chest X-ray (single view)
|
$317.00 |
$317.00 |
$317.00 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$308.00 |
$308.00 |
$308.00 |
$150.40
|
|
Chlamydia culture
|
$90.00 |
$90.00 |
$90.00 |
$91.00
|
|
Chlamydia type
|
$26.00 |
$26.00 |
$26.00 |
$34.98
|
|
Chloride
|
$23.00 |
$23.00 |
$23.00 |
$42.63
|
|
Chloride 24 hour urine
|
$26.00 |
$26.00 |
$26.00 |
$50.88
|
|
Chloroprocaine hcl injection
|
$101.99 |
$101.99 |
$101.99 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,250.34 |
$1,250.34 |
$1,250.34 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$139.03 |
$139.03 |
$139.03 |
$79.74
|
|
Chlorpromazine 100 mg tablet
|
$26.74 |
$26.74 |
$26.74 |
$6.96
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$602.40
|
|
Cholesterol
|
$22.00 |
$22.00 |
$22.00 |
$45.76
|
|
Cholesterol body fluid
|
$217.00 |
$217.00 |
$217.00 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$67.00 |
$67.00 |
$67.00 |
$115.80
|
|
Cholinesterase
|
$36.00 |
$36.00 |
$36.00 |
$39.48
|
|
Chromatography
|
$83.00 |
$83.00 |
$83.00 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$262.00 |
$262.00 |
$262.00 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$577.00 |
$577.00 |
$577.00 |
$517.11
|
|
Chromosome analysis 5
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$644.80
|
|
Chromosome count additional
|
$124.00 |
$124.00 |
$124.00 |
$96.50
|
|
Chromosome karyotype study
|
$154.00 |
$154.00 |
$154.00 |
$120.00
|
|
Chromosome study additional
|
$158.00 |
$158.00 |
$158.00 |
$151.09
|
|
Chronic urticaria - sendout
|
$58.00 |
$58.00 |
$58.00 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$283.00 |
$283.00 |
$283.00 |
$136.09
|
|
Cidofovir injection
|
$2,857.22 |
$2,857.22 |
$2,857.22 |
$1,352.09
|
|
Cilastatin sodium injection
|
$137.14 |
$137.14 |
$137.14 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$29.40 |
$29.40 |
$29.40 |
$35.65
|
|
Cisplatin 1 mg/ml desensitization
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$1,516.00 |
$1,516.00 |
$1,516.00 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,592.00 |
$6,592.00 |
$6,592.00 |
$15,560.16
|
|
Clearance of airways
|
$581.00 |
$581.00 |
$581.00 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$63.35 |
$63.35 |
$63.35 |
$55.20
|
|
Clip ligating vesolock lg
|
$514.48 |
$514.48 |
$514.48 |
$4,320.00
|
|
Clofarabine 1 mg/ml intravenous solution
|
$4,560.00 |
$4,560.00 |
$4,560.00 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$176.40 |
$176.40 |
$176.40 |
$85.37
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$858.00 |
$858.00 |
$858.00 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$864.00 |
$864.00 |
$864.00 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$858.00 |
$858.00 |
$858.00 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$858.00 |
$858.00 |
$858.00 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$2,569.28
|
|
Closed tx/talus fracture without manip 28430
|
$858.00 |
$858.00 |
$858.00 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$871.00 |
$871.00 |
$871.00 |
$472.50
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,862.00 |
$1,862.00 |
$1,862.00 |
$1,259.62
|
|
Clot factor viii reltd antgn
|
$94.00 |
$94.00 |
$94.00 |
$140.42
|
|
Clot factor xii hageman
|
$89.00 |
$89.00 |
$89.00 |
$138.40
|
|
Clot factor xiii fibrin stab
|
$75.00 |
$75.00 |
$75.00 |
$106.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$858.00 |
$858.00 |
$858.00 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$858.00 |
$858.00 |
$858.00 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$858.00 |
$858.00 |
$858.00 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,980.00
|
|
Clsd tx clavicle dislocation without manip 23540
|
$858.00 |
$858.00 |
$858.00 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$858.00 |
$858.00 |
$858.00 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$858.00 |
$858.00 |
$858.00 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$858.00 |
$858.00 |
$858.00 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$858.00 |
$858.00 |
$858.00 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$858.00 |
$858.00 |
$858.00 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$5,805.00 |
$5,805.00 |
$5,805.00 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$858.00 |
$858.00 |
$858.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$858.00 |
$858.00 |
$858.00 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$858.00 |
$858.00 |
$858.00 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$858.00 |
$858.00 |
$858.00 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$858.00 |
$858.00 |
$858.00 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$858.00 |
$858.00 |
$858.00 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$858.00 |
$858.00 |
$858.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$858.00 |
$858.00 |
$858.00 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$858.00 |
$858.00 |
$858.00 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$977.00 |
$977.00 |
$977.00 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$858.00 |
$858.00 |
$858.00 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$858.00 |
$858.00 |
$858.00 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$858.00 |
$858.00 |
$858.00 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$858.00 |
$858.00 |
$858.00 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$858.00 |
$858.00 |
$858.00 |
$429.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$858.00 |
$858.00 |
$858.00 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$858.00 |
$858.00 |
$858.00 |
$498.85
|
|
Clsd tx pelvic ring fx
|
$858.00 |
$858.00 |
$858.00 |
$424.50
|
|
Clsd tx pelvic ring fx
|
$858.00 |
$858.00 |
$858.00 |
$660.40
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$2,222.00
|
