|
#celiac hla-dq2
|
$75.52 |
$75.52 |
$75.52 |
|
|
#celiac hla-dq8
|
$89.92 |
$89.92 |
$89.92 |
|
|
Cell count body fluid
|
$9.60 |
$9.60 |
$38.25 |
|
|
Cell count w differential body fluid
|
$39.68 |
$39.68 |
$50.25 |
|
|
Cell cryopreserve/storage
|
$40.50 |
$40.50 |
$40.50 |
|
|
Cell enumeration & id
|
$1,578.75 |
$1,578.75 |
$1,578.75 |
|
|
Cell enumeration phys interp
|
$114.75 |
$114.75 |
$114.75 |
|
|
Cell function assay w/stim
|
$124.16 |
$124.16 |
$852.00 |
|
|
Cell marker study
|
$27.20 |
$27.20 |
$482.25 |
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$6,720.00 |
$6,720.00 |
$24,516.60 |
|
|
Cephalin floculation test
|
$16.50 |
$16.50 |
$16.50 |
|
|
Cerebrospinal fld flw imag
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$14,042.42 |
$14,042.42 |
$14,042.42 |
|
|
Cervical or vaginal cancer screening g0101
|
$35.52 |
$35.52 |
$35.52 |
|
|
Cesarean section delivery only 59514
|
$682.88 |
$682.88 |
$2,294.25 |
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$1,349.09 |
$1,349.09 |
$3,948.57 |
|
|
#cf-97variants
|
$366.08 |
$366.08 |
$1,231.50 |
|
|
Cftr gene dup/delet variants
|
$92.25 |
$92.25 |
$92.25 |
|
|
Change cystostomy tube; complex 51710
|
$260.80 |
$260.80 |
$260.80 |
|
|
Change cystostomy tube simple
|
$41.28 |
$41.28 |
$360.00 |
|
|
Change g-tube to g-j perc
|
$1,356.80 |
$1,356.80 |
$4,932.75 |
|
|
Change nephroureteral cath
|
$1,365.44 |
$1,365.44 |
$6,096.00 |
|
|
Change of ureter tube/stent
|
$1,365.44 |
$1,365.44 |
$1,365.44 |
|
|
Change of windpipe airway 31502
|
$27.52 |
$27.52 |
$653.25 |
|
|
Chct for mal hyperthermia
|
$882.75 |
$882.75 |
$882.75 |
|
|
Chemo adm cns w/lmbr punct
|
$864.00 |
$864.00 |
$864.00 |
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$77.76 |
$77.76 |
$77.76 |
|
|
Chemodenervation/face muscl/unilat 64612
|
$267.52 |
$267.52 |
$699.00 |
|
|
Chemodenerv eccrine glands 64650
|
$27.52 |
$27.52 |
$27.52 |
|
|
Chemodenerv musc migraine 64615
|
$252.16 |
$252.16 |
$252.16 |
|
|
Chemodenerv musc neck dyston 64616
|
$168.00 |
$168.00 |
$466.50 |
|
|
Chemodenerv saliv glands bilat 64611
|
$476.25 |
$476.25 |
$476.25 |
|
|
Chemodenerv trunk musc 1-5 64646
|
$786.00 |
$786.00 |
$786.00 |
|
|
Chemodenerv trunk musc 6/] 64647
|
$900.00 |
$900.00 |
$900.00 |
|
|
Chemo ia push tecnique
|
$858.75 |
$858.75 |
$858.75 |
|
|
Chemotaxis assay
|
$97.50 |
$97.50 |
$97.50 |
|
|
Chest 2 vws w oblique
|
$181.12 |
$181.12 |
$296.25 |
|
|
Chest apical lordotic proj
|
$168.00 |
$168.00 |
$283.50 |
|
|
Chest CT scan (with and without contrast)
|
$852.80 |
$852.80 |
$1,965.00 |
|
|
Chest CT scan (with contrast)
|
$744.00 |
$744.00 |
$1,747.50 |
|
|
Chest CT scan (without contrast)
|
$578.56 |
$578.56 |
$1,552.50 |
|
|
Chest X-ray
|
$128.00 |
$128.00 |
$285.00 |
|
|
Chest X-ray (single view)
|
$113.60 |
$113.60 |
$246.75 |
|
|
Chg radiologic exam esophagus double contrast
|
$229.44 |
$229.44 |
$458.25 |
|
|
Chikungunya vaccine live im
|
$647.25 |
$647.25 |
$647.25 |
|
|
Chlamydia culture
|
$111.04 |
$111.04 |
$122.25 |
|
|
Chlamydia trachomatis ag if
|
$22.40 |
$22.40 |
$72.75 |
|
|
Chlamydia type
|
$17.28 |
$17.28 |
$34.50 |
|
|
Chlmyd pneum dna dir probe
|
$122.25 |
$122.25 |
$122.25 |
|
|
Chlmyd pneum dna quant
|
$261.00 |
$261.00 |
$261.00 |
|
|
Chlnggrphy intraop addl s&i
|
$89.25 |
$89.25 |
$139.52 |
|
|
Chloramphenicol sodium injec
|
$135.11 |
$135.11 |
$135.11 |
|
|
Chloride
|
$31.50 |
$31.50 |
$70.72 |
|
|
Chloride 24 hour urine
|
$31.50 |
$31.50 |
$50.88 |
|
|
Chloroprocaine (clorotekal)
|
$50.75 |
$50.75 |
$50.75 |
|
|
Chloroprocaine hcl injection
|
$78.06 |
$78.06 |
$78.06 |
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$72.36 |
$72.36 |
$700.37 |
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$47.03 |
$47.03 |
$105.04 |
|
|
Cholangiogram percutaneous compl
|
$1,899.52 |
$1,899.52 |
$2,877.75 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$189.00 |
$189.00 |
$348.48 |
|
|
Cholecystectomy w/cholangiography 47605
|
$875.84 |
$875.84 |
$875.84 |
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,297.25 |
$2,297.25 |
$3,383.68 |
|
|
Cholera vaccine live oral
|
$645.00 |
$645.00 |
$645.00 |
|
|
Cholesterol
|
$27.00 |
$27.00 |
$52.80 |
|
|
Cholesterol body fluid
|
$14.40 |
$14.40 |
$174.00 |
|
|
Cholesterol (Lipid) Test
|
$112.00 |
$112.00 |
$120.75 |
|
|
Cholinesterase
|
$7.04 |
$7.04 |
$49.50 |
|
|
Cholinesterase challenge
|
$830.25 |
$830.25 |
$830.25 |
|
|
Chorionic gonadotropin/1000u
|
$734.42 |
$734.42 |
$734.42 |
|
|
Chrom analysis
|
$122.25 |
$122.25 |
$122.25 |
|
|
Chromatogram assay sugars
|
$192.00 |
$192.00 |
$192.00 |
|
|
Chromatography
|
$29.44 |
$29.44 |
$119.25 |
|
|
Chromogenic substrate assay
|
$72.00 |
$72.00 |
$72.00 |
|
|
Chromo high res and frag x - sendout
|
$114.56 |
$114.56 |
$132.00 |
|
|
Chromosome analys amniotic
|
$162.88 |
$162.88 |
$688.50 |
|
|
Chromosome analysis 100
|
$678.00 |
$678.00 |
$678.00 |
|
|
Chromosome analysis 15-20 cell count
|
$224.96 |
$224.96 |
$381.75 |
|
|
Chromosome analysis 20-25
|
$536.25 |
$536.25 |
$536.25 |
|
|
Chromosome analysis 45
|
$147.52 |
$147.52 |
$522.00 |
|
|
Chromosome analysis 5
|
$160.00 |
$160.00 |
$818.25 |
|
|
Chromosome analysis 50-100
|
$536.25 |
$536.25 |
$536.25 |
|
|
Chromosome analys placenta
|
$162.88 |
$162.88 |
$583.50 |
|
|
Chromosome banding study
|
$211.50 |
$211.50 |
$211.50 |
|
|
Chromosome count additional
|
$18.56 |
$18.56 |
$82.50 |
|
|
Chromosome karyotype study
|
$109.44 |
$109.44 |
$112.50 |
|
|
Chromosome study additional
|
$131.25 |
$131.25 |
$131.25 |
|
|
Chronic urticaria - sendout
|
$75.75 |
$75.75 |
$75.75 |
|
|
Chylomicron screen, bf - sendout
|
$312.00 |
$312.00 |
$312.00 |
|
|
Cid ext speech process repl
|
$20.25 |
$20.25 |
$20.25 |
|
|
Cidofovir injection
|
$1,735.35 |
$1,735.35 |
$1,735.35 |
|
|
Cilastatin sodium injection
|
$103.67 |
$103.67 |
$103.67 |
|
|
Cine/video x-rays
|
$327.75 |
$327.75 |
$327.75 |
|
|
Cine/video x-rays add-on
|
$129.00 |
$129.00 |
$129.00 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$13.16 |
$13.16 |
$25.17 |
|
|
Ciprofloxacin otic susp 6 mg
|
$63.31 |
$63.31 |
$63.31 |
|
|
Circum 28 days or older
|
$159.04 |
$159.04 |
$1,353.00 |
|
|
Circumcise/surg/28 days or < 54160
|
$116.48 |
$116.48 |
$4,726.50 |
|
|
Circumcision (newborn)
|
$74.56 |
$74.56 |
$4,726.50 |
|
|
Cisplatin 1 mg/ml desensitization
|
$5.92 |
$5.92 |
$1,203.75 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,051.65 |
$1,051.65 |
$1,051.65 |
|
