|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$20,041.70 |
$20,041.70 |
$20,041.70 |
$10,638.62
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$5,673.85 |
$5,673.85 |
$5,673.85 |
$3,028.20
|
|
#cf-97variants
|
$2,580.90 |
$2,580.90 |
$2,580.90 |
$612.26
|
|
Cftr gene dup/delet variants
|
$1,054.90 |
$1,054.90 |
$1,054.90 |
$757.25
|
|
Cftr gene intron poly t
|
$1,229.20 |
$1,229.20 |
$1,229.20 |
$301.65
|
|
Change cystostomy tube; complex 51710
|
$3,265.50 |
$3,265.50 |
$3,265.50 |
$1,484.16
|
|
Change cystostomy tube simple
|
$12,606.23 |
$12,606.23 |
$12,606.23 |
$473.00
|
|
Change g-tube to g-j perc
|
$3,084.90 |
$3,084.90 |
$3,084.90 |
$2,198.40
|
|
Change nephroureteral cath
|
$4,632.22 |
$4,632.22 |
$4,632.22 |
$3,000.00
|
|
Change of ureter tube/stent
|
$8,235.36 |
$8,235.36 |
$8,235.36 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$1,479.10 |
$1,479.10 |
$1,479.10 |
$398.43
|
|
Change stent via transureth
|
$6,201.30 |
$6,201.30 |
$6,201.30 |
$3,807.55
|
|
Change ureter stent percut
|
$5,978.00 |
$5,978.00 |
$5,978.00 |
$3,863.60
|
|
Chemo adm cns w/lmbr punct
|
$547.40 |
$547.40 |
$547.40 |
$696.95
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$701.40 |
$701.40 |
$701.40 |
$574.56
|
|
Chemodenerv 1 extremity 1-4 64642
|
$1,084.30 |
$1,084.30 |
$1,084.30 |
$988.50
|
|
Chemodenervation anal musc
|
$19,871.84 |
$19,871.84 |
$19,871.84 |
$2,535.40
|
|
Chemodenerv musc neck dyston 64616
|
$15,597.27 |
$15,597.27 |
$15,597.27 |
$698.60
|
|
Chemodenerv saliv glands bilat 64611
|
$635.60 |
$635.60 |
$635.60 |
$472.33
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,827.70 |
$1,827.70 |
$1,827.70 |
$1,253.20
|
|
Chemo extend IV infus w/pump
|
$747.60 |
$747.60 |
$747.60 |
$748.55
|
|
Chemo ia infusion up to 1 hr
|
$725.90 |
$725.90 |
$725.90 |
$572.00
|
|
Chemo ia push tecnique
|
$233.10 |
$233.10 |
$233.10 |
$495.00
|
|
Chemo intralesional over 7
|
$301.70 |
$301.70 |
$301.70 |
$321.50
|
|
Chemo intralesional up to 7 96405
|
$396.20 |
$396.20 |
$396.20 |
$162.40
|
|
Chemotherapy injection 96542
|
$533.40 |
$533.40 |
$533.40 |
$434.00
|
|
Chest 2 vws w oblique
|
$966.00 |
$966.00 |
$966.00 |
$373.60
|
|
Chest apical lordotic proj
|
$900.20 |
$900.20 |
$900.20 |
$309.65
|
|
Chest CT scan (with and without contrast)
|
$3,416.00 |
$3,416.00 |
$3,416.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$3,173.80 |
$3,173.80 |
$3,173.80 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,611.00 |
$2,611.00 |
$2,611.00 |
$1,350.03
|
|
Chest X-ray
|
$674.10 |
$674.10 |
$674.10 |
$295.03
|
|
Chest X-ray (single view)
|
$537.60 |
$537.60 |
$537.60 |
$241.20
|
|
Chg radiologic exam esophagus double contrast
|
$855.40 |
$855.40 |
$855.40 |
$512.00
|
|
Chimerism anal no cell selec
|
$847.00 |
$847.00 |
$847.00 |
$380.00
|
|
Chimerism anal w/cell select
|
$896.00 |
$896.00 |
$896.00 |
$585.60
|
|
Chlamydia culture
|
$325.50 |
$325.50 |
$325.50 |
$92.16
|
|
Chlamydia trachomatis ag if
|
$25.20 |
$25.20 |
$25.20 |
$67.20
|
|
Chlamydia type
|
$226.10 |
$226.10 |
$226.10 |
$34.98
|
|
Chloramphenicol sodium injec
|
$602.17 |
$602.17 |
$602.17 |
$113.84
|
|
Chloride
|
$63.00 |
$63.00 |
$63.00 |
$40.95
|
|
Chloride 24 hour urine
|
$94.50 |
$94.50 |
$94.50 |
$50.40
|
|
Chloroprocaine hcl injection
|
$147.17 |
$147.17 |
$147.17 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,538.60 |
$1,538.60 |
$1,538.60 |
$369.74
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$173.77 |
$173.77 |
$173.77 |
$78.43
|
|
Chmotx admn plrl cav thrcnts
|
$728.70 |
$728.70 |
$728.70 |
$513.25
|
|
Cholangiogram percutaneous compl
|
$5,752.60 |
$5,752.60 |
$5,752.60 |
$3,384.15
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$921.20 |
$921.20 |
$921.20 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,797.20 |
$2,797.20 |
$2,797.20 |
$3,739.81
|
|
Cholesterol
|
$60.90 |
$60.90 |
$60.90 |
$45.50
|
|
Cholesterol body fluid
|
$1,131.20 |
$1,131.20 |
$1,131.20 |
$88.65
|
|
Cholesterol (Lipid) Test
|
$184.10 |
$184.10 |
$184.10 |
$115.80
|
|
Cholinesterase
|
$119.70 |
$119.70 |
$119.70 |
$39.32
|
|
Chorion biopsy
|
$1,399.30 |
$1,399.30 |
$1,399.30 |
$1,392.05
|
|
Chrom analysis
|
$343.00 |
$343.00 |
$343.00 |
$156.00
|
|
Chromatography
|
$308.00 |
$308.00 |
$308.00 |
$81.25
|
|
Chromogenic substrate assay
|
$480.20 |
$480.20 |
$480.20 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$1,273.30 |
$1,273.30 |
$1,273.30 |
$250.00
|
|
Chromosome analys amniotic
|
$1,143.10 |
$1,143.10 |
$1,143.10 |
$450.00
|
|
Chromosome analysis 100
|
$418.60 |
$418.60 |
$418.60 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$747.60 |
$747.60 |
$747.60 |
$512.20
|
|
Chromosome analysis 45
|
$315.70 |
$315.70 |
$315.70 |
$380.91
|
|
Chromosome analysis 5
|
$1,045.10 |
$1,045.10 |
$1,045.10 |
$644.80
|
|
Chromosome analysis 50-100
|
$1,129.10 |
$1,129.10 |
$1,129.10 |
$434.40
|
|
Chromosome analys placenta
|
$396.20 |
$396.20 |
$396.20 |
$572.99
|
|
Chromosome count additional
|
$149.80 |
$149.80 |
$149.80 |
$92.45
|
|
Chromosome karyotype study
|
$205.80 |
$205.80 |
$205.80 |
$120.00
|
|
Chromosome study additional
|
$385.70 |
$385.70 |
$385.70 |
$152.86
|
|
Chronic urticaria - sendout
|
$259.00 |
$259.00 |
$259.00 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$135.10 |
$135.10 |
$135.10 |
$135.10
|
|
Cidofovir injection
|
$2,422.52 |
$2,422.52 |
$2,422.52 |
$1,447.81
|
|
Cilastatin sodium injection
|
$503.47 |
$503.47 |
$503.47 |
$77.40
|
|
Ciliary transsleral therapy
|
$10,650.74 |
$10,650.74 |
$10,650.74 |
$3,078.36
|
|
Cine/video x-rays
|
$440.30 |
$440.30 |
$440.30 |
$327.75
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$111.30 |
$111.30 |
$111.30 |
$36.23
|
|
Circum 28 days or older
|
$15,076.79 |
$15,076.79 |
$15,076.79 |
$3,786.00
|
|
Circumcise/surg/28 days or < 54160
|
$4,342.10 |
$4,342.10 |
$4,342.10 |
$1,219.20
|
|
Circumcision (newborn)
|
$17,566.43 |
$17,566.43 |
$17,566.43 |
$1,358.70
|
|
Cisplatin 1 mg/ml desensitization
|
$2,563.57 |
$2,563.57 |
$2,563.57 |
$198.28
|
|
C-kit mutation liquid tumor - sendout
|
$1,145.20 |
$1,145.20 |
$1,145.20 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$788.37 |
$788.37 |
$788.37 |
$586.54
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$28,907.55 |
$28,907.55 |
$28,907.55 |
$15,779.40
|
|
Clearance of airways
|
$397.60 |
$397.60 |
$397.60 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$172.02 |
$172.02 |
$172.02 |
$55.20
|
|
Clip ligating vesolock lg
|
$1,410.96 |
$1,410.96 |
$1,410.96 |
$4,194.00
|
|
Cllr miami j sm
|
$2,372.30 |
$2,372.30 |
$2,372.30 |
$552.23
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$171.32 |
$171.32 |
$171.32 |
$83.14
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$944.30 |
$944.30 |
$944.30 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,339.80 |
$1,339.80 |
$1,339.80 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$3,489.50 |
$3,489.50 |
$3,489.50 |
$2,269.80
|
|
Closed tx humerus fx w/manip 24505
|
$1,920.10 |
$1,920.10 |
$1,920.10 |
$1,540.50
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$473.20 |
$473.20 |
$473.20 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,579.80 |
$3,579.80 |
$3,579.80 |
$2,562.40
|
|
Closed tx septal&nose fx
|
$4,728.50 |
$4,728.50 |
$4,728.50 |
$3,624.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$445.20 |
$445.20 |
$445.20 |
$472.50
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,115.10 |
$1,115.10 |
$1,115.10 |
$1,244.64
|
|
Closure paravalvlr leak pq
|
$41,293.70 |
$41,293.70 |
$41,293.70 |
$8,455.19
|
|
Clot factor fletcher fact
|
$242.90 |
$242.90 |
$242.90 |
$116.82
|
|
Clot factor viii reltd antgn
|
$377.30 |
$377.30 |
$377.30 |
$159.06
|
|
Clot factor wght kininogen
|
$262.50 |
$262.50 |
$262.50 |
$157.50
|
