|
Cast sup shrt leg ped fbrgls
|
$43.20 |
$43.20 |
$52.00 |
|
|
Cast sup shrt leg ped plster
|
$18.00 |
$18.00 |
$20.80 |
|
|
Cast sup shrt leg plaster
|
$34.20 |
$34.20 |
$41.60 |
|
|
Cast sup sht arm adult fbrgl
|
$41.40 |
$41.40 |
$48.80 |
|
|
Cast sup sht arm adult plstr
|
$19.20 |
$19.20 |
$22.40 |
|
|
Cast sup sht arm ped fbrglas
|
$21.00 |
$21.00 |
$24.80 |
|
|
Cast sup sht arm ped plaster
|
$8.40 |
$8.40 |
$11.20 |
|
|
Cast sup sht arm splint fbrg
|
$25.20 |
$25.20 |
$30.40 |
|
|
Cast sup sht arm splint plst
|
$15.60 |
$15.60 |
$17.60 |
|
|
Cast sup sht arm splnt ped f
|
$14.40 |
$14.40 |
$16.00 |
|
|
Cast sup sht arm splnt ped p
|
$6.60 |
$6.60 |
$8.80 |
|
|
Cast sup sht leg splnt fbrgl
|
$39.60 |
$39.60 |
$47.20 |
|
|
Cast sup sht leg splnt ped f
|
$20.40 |
$20.40 |
$24.00 |
|
|
Cast sup sht leg splnt ped p
|
$13.80 |
$13.80 |
$15.20 |
|
|
Cast sup sht leg splnt plstr
|
$24.00 |
$24.00 |
$29.60 |
|
|
Cataract Surgery
|
$2,715.20 |
$10,852.99 |
$18,066.53 |
|
|
Cataract surg w/iol 1 stage
|
$4,068.80 |
$4,068.80 |
$58,182.54 |
|
|
Catecholamines,fractionated, urine
|
$55.20 |
$133.70 |
$198.72 |
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$216.00 |
$605.45 |
$2,550.27 |
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$2,464.20 |
$9,235.20 |
$37,693.21 |
|
|
Cath ablt clsfast 7fx100cmx
|
$580.00 |
$1,944.00 |
$4,707.84 |
|
|
Cath ablt rx lasr 2.0mm turbo
|
$108.00 |
$7,085.39 |
$28,688.72 |
|
|
Cath access del ds spyscop 2.0
|
$5,512.80 |
$17,305.17 |
$17,984.40 |
|
|
Cath acuity innr ic130 6f 63cm
|
$80.52 |
$7,211.40 |
$251,288.10 |
|
|
Cath acunav ge 10frx90cm
|
$4,358.90 |
$5,813.35 |
$22,264.12 |
|
|
Cath adherent clot 10mm 6f 10
|
$108.00 |
$21,180.00 |
$83,762.70 |
|
|
Cath baloon occl urnry 34f 7x2x65
|
$52.14 |
$2,669.75 |
$25,593.69 |
|
|
Cath bi-dir df smarttouch
|
$1,297.50 |
$8,461.48 |
$92,138.97 |
|
|
Cath blazer dx/20 2-10-2 space
|
$1,552.20 |
$3,672.00 |
$29,316.94 |
|
|
Cath combo lt&rt heart w/inj/s
|
$2,375.00 |
$6,645.00 |
$17,861.04 |
|
|
Cath council tip 16fr 5cc
|
$44.80 |
$44.80 |
$44.80 |
|
|
Cath cv dl inj 7fx16cm
|
$392.12 |
$3,423.08 |
$20,250.00 |
|
|
Cath del ampltz 12f 45d 80cm
|
$185.67 |
$1,906.13 |
$7,560.00 |
|
|
Cath entrl fd nutri 5fr 40cm
|
$18.40 |
$18.40 |
$18.40 |
|
|
Cath epdrl brevi-stf 12in .043
|
$168.54 |
$1,924.20 |
$7,263.52 |
|
|
Catheter declot mechanical
|
$298.40 |
$1,635.00 |
$13,538.27 |
|
|
Catheter insert artery
|
$208.20 |
$441.60 |
$527.40 |
|
|
Catheterization collection of specimen single patient all places of service
|
$7.15 |
$87.50 |
$255.60 |
|
|
Catheter stripping venous
|
$647.40 |
$3,095.95 |
$12,196.95 |
|
|
Catheter without bag 2-way latex
|
$0.60 |
$0.60 |
$0.60 |
|
|
Cath ext adhere actv m 28mm
|
$1.80 |
$1.80 |
$1.80 |
|
|
Cath follower heyman 20f
|
$0.74 |
$0.74 |
$0.74 |
|
|
Cath groshong MRI 8fr plstc port
|
$540.00 |
$855.01 |
$8,292.51 |
|
|
Cath hawkone s directional
|
$4,342.75 |
$7,076.40 |
$26,804.06 |
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,643.50 |
$5,356.42 |
$26,762.18 |
|
|
Cath indw foley 3 way
|
$55.20 |
$55.20 |
$55.20 |
|
|
Cath infuse micro 150cm rapidtransit
|
$5.60 |
$14.86 |
$16.20 |
|
|
Cath insertion tray w/bag
|
$3.18 |
$3.18 |
$88.80 |
|
|
Cathj rmvl dev ischmc rmdlg
|
$253.60 |
$253.60 |
$253.60 |
|
|
Cathj umbilical vein dx/ther nb
|
$79.20 |
$238.00 |
$748.80 |
|
|
Cath left heart/lv gram
|
$2,375.00 |
$6,715.00 |
$12,518.40 |
|
|
Cath left heart transseptal punc
|
$1,000.00 |
$4,765.80 |
$11,643.12 |
|
|
Cath lt/rt pulm art
|
$200.00 |
$1,149.60 |
$48,846.74 |
|
|
Cath malecot 28fr 4-wing ltx
|
$108.00 |
$1,336.74 |
$13,085.71 |
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$11,432.50 |
$21,113.38 |
$71,198.29 |
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$1.68 |
$1.68 |
$1.68 |
|
|
Cath place 1st order venous 36011
|
$200.00 |
$1,399.20 |
$39,612.13 |
|
|
Cath place cardio brachytx
|
$349.60 |
$349.60 |
$6,033.00 |
|
|
Cath plc art ang/grft lt/rt hr
|
$2,375.00 |
$12,257.40 |
$21,644.64 |
|
|
Cath plc art/angio/rt hrt cath
|
$2,375.00 |
$8,330.00 |
$18,517.68 |
|
|
Cath plc art/grft/angio right hrt
|
$2,375.00 |
$10,808.40 |
$17,861.76 |
|
|
Cath ptca pcltxl agent 3x20mm
|
$7,881.75 |
$11,556.00 |
$47,325.93 |
|
|
Cath right heart w/o2 sat & card
|
$1,669.80 |
$6,555.60 |
$12,407.50 |
|
|
Cath right hrt mnpul art
|
$363.60 |
$965.00 |
$2,268.00 |
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$82.80 |
$474.40 |
$2,629.72 |
|
|
Cath segmntl pulm art
|
$450.00 |
$1,465.00 |
$82,478.28 |
|
|
Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site
|
$328.29 |
$443.87 |
$956.62 |
|
|
Cath steerable flex adv 12f
|
$2,294.50 |
$3,029.00 |
$12,564.40 |
|
|
Cath stripping venous s&i
|
$250.00 |
$775.00 |
$3,575.40 |
|
|
Cath suction replogle 8fr neonatal esophageal
|
$16.80 |
$16.80 |
$16.80 |
|
|
Cath temp pace flo bipol 5fr electrd
|
$270.00 |
$1,512.00 |
$3,214.98 |
|
|
Cath uret open tp 6fx70cm
|
$14.40 |
$270.00 |
$3,240.00 |
|
|
Cath w/drainage 2-way latex
|
$2.40 |
$3.00 |
$71.20 |
|
|
Cath w/drainage 2-way silcne
|
$4.80 |
$4.80 |
$4.80 |
|
|
Cath without bag 2-way silicone
|
$8.40 |
$8.40 |
$8.40 |
|
|
Cauterization chemical granulation tissue
|
$105.00 |
$362.60 |
$837.00 |
|
|
Cauterization of cervix 57510
|
$254.40 |
$372.80 |
$6,868.08 |
|
|
Cbc/diffwbc without platelet
|
$16.00 |
$16.00 |
$16.00 |
|
|
CBC without platelet
|
$13.60 |
$13.60 |
$13.60 |
|
|
#cbg+cort-cbg
|
$36.00 |
$150.50 |
$192.00 |
|
|
Cciiv4 vacc abx free im
|
$45.60 |
$45.60 |
$45.60 |
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$32.80 |
$97.55 |
$97.55 |
|
|
Ccnd1/igh translocation alys
|
$199.02 |
$435.40 |
$810.00 |
|
|
Cdna analysis for variants
|
$154.77 |
$937.20 |
$2,425.50 |
|
|
Cdp-sot 6 cond w/i&r
|
$215.20 |
$453.60 |
$579.00 |
|
|
Cebpa gene full sequence
|
$528.00 |
$872.90 |
$1,225.60 |
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$6.48 |
$32.55 |
$287.00 |
|
|
Cefepime 1 gram solution for injection
|
$8.55 |
$37.71 |
$1,454.60 |
|
|
Cefotaxime sodium injection
|
$8.80 |
$49.51 |
$3,296.47 |
|
|
Cefotetan 1 gm vial
|
$51.20 |
$51.20 |
$51.20 |
|
|
Cefoxitin 1 gram intravenous solution
|
$20.74 |
$64.30 |
$1,146.07 |
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$7.85 |
$171.78 |
$2,400.82 |
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$7.78 |
$46.11 |
$348.95 |
|
|
Ceftazidime and avibactam
|
$162.81 |
$315.89 |
$3,583.30 |
|
|
Ceftizoxime sodium / 500 mg
|
$8.00 |
$8.00 |
$8.00 |
|
|
Ceftriaxone 1 gram solution for injection
|
$6.48 |
$40.32 |
$1,289.57 |
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$20.12 |
$28.52 |
$194.95 |
|
|
#celiac hla-dq2
|
$206.40 |
$875.70 |
$1,443.40 |
|
|
#celiac hla-dq8
|
$86.13 |
$354.20 |
$2,878.80 |
|
|
Cell count body fluid
|
$20.00 |
$111.60 |
$2,485.00 |
|
