|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$26.57 |
$26.57 |
$26.57 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$37.71 |
$37.71 |
$37.71 |
$44.03
|
|
Cefoxitin 1 gram intravenous solution
|
$96.19 |
$96.19 |
$96.19 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$23.60 |
$23.60 |
$23.60 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$25.63 |
$25.63 |
$25.63 |
$63.05
|
|
Ceftazidime and avibactam
|
$278.16 |
$278.16 |
$278.16 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$116.35 |
$116.35 |
$116.35 |
$84.18
|
|
Cell count w differential body fluid
|
$209.52 |
$209.52 |
$209.52 |
$93.23
|
|
Cell function assay w/stim
|
$477.36 |
$477.36 |
$477.36 |
$314.25
|
|
Cerebrospinal fld flw imag
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$938.50
|
|
#cf-97variants
|
$1,100.88 |
$1,100.88 |
$1,100.88 |
$622.20
|
|
Cftr gene known fam variants
|
$139.68 |
$139.68 |
$139.68 |
$195.20
|
|
Change cystostomy tube simple
|
$771.12 |
$771.12 |
$771.12 |
$451.00
|
|
Change nephroureteral cath
|
$4,425.12 |
$4,425.12 |
$4,425.12 |
$2,969.25
|
|
Change of windpipe airway 31502
|
$819.36 |
$819.36 |
$819.36 |
$388.00
|
|
Chemo adm cns w/lmbr punct
|
$716.40 |
$716.40 |
$716.40 |
$665.40
|
|
Chemo intralesional up to 7 96405
|
$766.80 |
$766.80 |
$766.80 |
$162.50
|
|
Chemotherapy injection 96542
|
$716.40 |
$716.40 |
$716.40 |
$434.00
|
|
Chest 2 vws w oblique
|
$629.28 |
$629.28 |
$629.28 |
$377.06
|
|
Chest apical lordotic proj
|
$524.16 |
$524.16 |
$524.16 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,525.84 |
$3,525.84 |
$3,525.84 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$3,209.76 |
$3,209.76 |
$3,209.76 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$2,765.52 |
$2,765.52 |
$2,765.52 |
$1,350.03
|
|
Chest X-ray
|
$503.28 |
$503.28 |
$503.28 |
$294.06
|
|
Chest X-ray (single view)
|
$431.28 |
$431.28 |
$431.28 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$128.16 |
$128.16 |
$128.16 |
$147.95
|
|
Chlamydia culture
|
$84.24 |
$84.24 |
$84.24 |
$93.90
|
|
Chlamydia type
|
$90.00 |
$90.00 |
$90.00 |
$34.20
|
|
Chloride
|
$85.68 |
$85.68 |
$85.68 |
$40.95
|
|
Chloride 24 hour urine
|
$72.00 |
$72.00 |
$72.00 |
$49.50
|
|
Chloroprocaine hcl injection
|
$0.29 |
$0.29 |
$0.29 |
$61.51
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$236.20 |
$236.20 |
$236.20 |
$78.43
|
|
Cholangiogram percutaneous compl
|
$7,622.64 |
$7,622.64 |
$7,622.64 |
$3,495.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$926.64 |
$926.64 |
$926.64 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$7,622.64 |
$7,622.64 |
$7,622.64 |
$3,690.60
|
|
Cholesterol
|
$156.24 |
$156.24 |
$156.24 |
$45.76
|
|
Cholesterol body fluid
|
$262.80 |
$262.80 |
$262.80 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$245.52 |
$245.52 |
$245.52 |
$115.80
|
|
Cholinesterase
|
$59.04 |
$59.04 |
$59.04 |
$38.69
|
|
Chrom analysis
|
$88.56 |
$88.56 |
$88.56 |
$156.00
|
|
Chromatography
|
$66.24 |
$66.24 |
$66.24 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$735.84 |
$735.84 |
$735.84 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$673.20 |
$673.20 |
$673.20 |
$512.20
|
|
Chromosome karyotype study
|
$88.56 |
$88.56 |
$88.56 |
$119.87
|
|
Chromosome study additional
|
$1,660.32 |
$1,660.32 |
$1,660.32 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$168.48 |
$168.48 |
$168.48 |
$124.15
|
|
Cilastatin sodium injection
|
$108.68 |
$108.68 |
$108.68 |
$77.40
|
|
Cine/video x-rays add-on
|
$606.96 |
$606.96 |
$606.96 |
$219.00
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$64.80 |
$64.80 |
$64.80 |
$34.88
|
|
Circumcision (newborn)
|
$4,425.12 |
$4,425.12 |
$4,425.12 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$33.91 |
$33.91 |
$33.91 |
$192.66
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$16,020.00 |
$16,020.00 |
$16,020.00 |
$15,390.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$78.55 |
$78.55 |
$78.55 |
$55.20
|
|
Clip ligating vesolock lg
|
$540.00 |
$540.00 |
$540.00 |
$4,320.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$501.84 |
$501.84 |
$501.84 |
$481.80
|
|
Closure paravalvlr leak pq
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$7,723.17
|
|
Clot factor xii hageman
|
$326.88 |
$326.88 |
$326.88 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$87.84 |
$87.84 |
$87.84 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$211.68 |
$211.68 |
$211.68 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$707.76 |
$707.76 |
$707.76 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$1,068.48 |
$1,068.48 |
$1,068.48 |
$476.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$627.84 |
$627.84 |
$627.84 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$450.72 |
$450.72 |
$450.72 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,184.08
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$518.40 |
$518.40 |
$518.40 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,656.90
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,571.25
|
|
Clsd tx hip disloc without anes 27265
|
$518.40 |
$518.40 |
$518.40 |
$630.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$614.16 |
$614.16 |
$614.16 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$741.60 |
$741.60 |
$741.60 |
$606.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$518.40 |
$518.40 |
$518.40 |
$520.38
|
|
Clsd tx patella disloc without anes 27560
|
$980.64 |
$980.64 |
$980.64 |
$566.72
|
|
Clsd tx radius fracture w/manip 24655
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,782.86
|
|
Clsd tx shoulder dislc/fx 23665
|
$3,006.00 |
$3,006.00 |
$3,006.00 |
$1,839.54
|
|
Clsd tx temporomandibular dislocat 21480
|
$726.48 |
$726.48 |
$726.48 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$817.92 |
$817.92 |
$817.92 |
$400.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$982.08 |
$982.08 |
$982.08 |
$488.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,565.74
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$1,043.28 |
$1,043.28 |
$1,043.28 |
$496.61
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$669.60 |
$669.60 |
$669.60 |
$600.60
|
|
Cls tx of heel fracture w/manip 28405
|
$4,502.16 |
$4,502.16 |
$4,502.16 |
$748.00
|
|
Cltx humrl cndylr fx w/mnpj
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,815.75
|
|
Cltx lunate dislc w/mnpj
|
$5,009.04 |
$5,009.04 |
$5,009.04 |
$2,437.00
|
|
Cltx post ankle fx w/mnpj
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,893.86
|
|
C motor evoked lwr limbs
|
$1,146.24 |
$1,146.24 |
$1,146.24 |
$627.89
|
|
C motor evoked uppr limbs
|
$2,197.44 |
$2,197.44 |
$2,197.44 |
$824.67
|
|
C motor evoked upr&lwr limbs
|
$2,197.44 |
$2,197.44 |
$2,197.44 |
$1,308.00
|
|
#cms hgb-carboxyhemoglobin
|
$264.96 |
$264.96 |
$264.96 |
$61.60
|
|
#cmvcul-virus inoculation shell
|
$203.76 |
$203.76 |
$203.76 |
$100.80
|
|
Cmv pcr-sendout
|
$379.44 |
$379.44 |
$379.44 |
$177.50
|
|
Coagulation time activated teg
|
$134.64 |
$134.64 |
$134.64 |
$53.72
|
|
Cold agglutinin screen (arc)
|
$102.24 |
$102.24 |
$102.24 |
$45.00
|
|
Cold agglutinin titer
|
$130.32 |
$130.32 |
$130.32 |
$50.00
|
|
Collection blood specimen from completely implantable venous access device
|
$241.92 |
$241.92 |
$241.92 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$271.44 |
$271.44 |
$271.44 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$29.52 |
$29.52 |
$29.52 |
$21.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$6,868.08 |
$6,868.08 |
$6,868.08 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$216.00 |
$216.00 |
$216.00 |
$170.05
|
|
Compatibility test each unit electronic
|
$216.00 |
$216.00 |
$216.00 |
$172.26
|
