|
Change ureter stent percut
|
$4,249.20 |
$4,249.20 |
$8,498.40 |
$4,099.50
|
|
Chemo adm cns w/lmbr punct
|
$591.60 |
$591.60 |
$591.60 |
$749.01
|
|
Chemodenerv musc neck dyston 64616
|
$1,113.60 |
$1,113.60 |
$1,113.60 |
$783.90
|
|
Chemodenerv saliv glands bilat 64611
|
$718.80 |
$718.80 |
$718.80 |
$430.17
|
|
Chemo ia push tecnique
|
$364.80 |
$364.80 |
$364.80 |
$589.90
|
|
Chemotx admn pertl cav impl
|
$620.40 |
$620.40 |
$620.40 |
$507.17
|
|
Chest 2 vws w oblique
|
$210.00 |
$210.00 |
$210.00 |
$334.02
|
|
Chest apical lordotic proj
|
$195.60 |
$195.60 |
$195.60 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,166.90
|
|
Chest X-ray
|
$185.40 |
$185.40 |
$185.40 |
$265.85
|
|
Chest X-ray (single view)
|
$162.60 |
$162.60 |
$162.60 |
$192.50
|
|
Chg pr pul rehab for copd patients
|
$289.20 |
$289.20 |
$289.20 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$520.80 |
$520.80 |
$520.80 |
$555.00
|
|
Chimerism anal no cell selec
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$440.00
|
|
Chimerism anal w/cell select
|
$713.40 |
$713.40 |
$713.40 |
$585.60
|
|
Chlamydia culture
|
$59.40 |
$59.40 |
$59.40 |
$96.51
|
|
Chlamydia trachomatis ag if
|
$183.60 |
$183.60 |
$183.60 |
$30.40
|
|
Chlamydia type
|
$28.20 |
$54.00 |
$54.00 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$258.00 |
$258.00 |
$258.00 |
$252.99
|
|
Chloramphenicol sodium injec
|
$126.46 |
$126.46 |
$126.46 |
$126.46
|
|
Chloride
|
$70.80 |
$70.80 |
$70.80 |
$37.48
|
|
Chloride 24 hour urine
|
$101.40 |
$101.40 |
$101.40 |
$40.80
|
|
Chloroprocaine hcl injection
|
$44.99 |
$44.99 |
$44.99 |
$68.40
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$220.01 |
$661.24 |
$661.24 |
$358.30
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$51.16 |
$53.03 |
$53.03 |
$53.03
|
|
Chlorpromazine 100 mg tablet
|
$10.28 |
$10.28 |
$10.28 |
$2.40
|
|
Chmotx admn plrl cav thrcnts
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$437.19
|
|
Cholangiogram percutaneous compl
|
$2,134.80 |
$2,134.80 |
$2,134.80 |
$3,611.95
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$258.00 |
$258.00 |
$258.00 |
$546.01
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,690.60 |
$3,690.60 |
$3,690.60 |
$3,690.60
|
|
Cholesterol
|
$98.40 |
$98.40 |
$98.40 |
$40.95
|
|
Cholesterol body fluid
|
$120.00 |
$4,368.60 |
$4,368.60 |
$67.50
|
|
Cholesterol (Lipid) Test
|
$305.40 |
$305.40 |
$305.40 |
$101.43
|
|
Cholinesterase
|
$140.40 |
$140.40 |
$140.40 |
$49.40
|
|
Chorionic gonadotropin/1000u
|
$205.25 |
$205.25 |
$205.25 |
$788.58
|
|
Chrom analysis
|
$397.20 |
$397.20 |
$397.20 |
$156.00
|
|
Chromatogram assay sugars
|
$73.20 |
$73.20 |
$145.20 |
$86.42
|
|
Chromatography
|
$175.20 |
$175.20 |
$175.20 |
$81.25
|
|
Chromogenic substrate assay
|
$237.60 |
$237.60 |
$237.60 |
$188.40
|
|
Chromo high res and frag x - sendout
|
$575.40 |
$575.40 |
$575.40 |
$269.00
|
|
Chromosome analys amniotic
|
$1,204.80 |
$1,204.80 |
$1,204.80 |
$466.00
|
|
Chromosome analysis 15-20 cell count
|
$1,595.40 |
$1,595.40 |
$1,595.40 |
$558.25
|
|
Chromosome analysis 5
|
$1,873.80 |
$1,873.80 |
$1,873.80 |
$719.23
|
|
Chromosome analys placenta
|
$1,366.20 |
$1,366.20 |
$1,366.20 |
$660.00
|
|
Chromosome banding study
|
$575.40 |
$575.40 |
$575.40 |
$235.95
|
|
Chromosome count additional
|
$189.00 |
$189.00 |
$189.00 |
$120.90
|
|
Chromosome karyotype study
|
$363.60 |
$363.60 |
$363.60 |
$120.60
|
|
Chromosome study additional
|
$174.00 |
$174.00 |
$174.00 |
$144.12
|
|
Chronic urticaria - sendout
|
$58.80 |
$58.80 |
$223.80 |
$100.00
|
|
Chylomicron screen, bf - sendout
|
$217.20 |
$217.20 |
$217.20 |
$136.09
|
|
Cidofovir injection
|
$1,099.26 |
$1,099.26 |
$1,099.26 |
$1,099.26
|
|
Cilastatin sodium injection
|
$119.57 |
$119.57 |
$119.57 |
$43.44
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$62.97 |
$62.97 |
$62.97 |
$35.00
|
|
Ciprofloxacin otic susp 6 mg
|
$436.97 |
$436.97 |
$436.97 |
$876.00
|
|
Cisplatin 1 mg/ml desensitization
|
$1.98 |
$1.98 |
$1.98 |
$52.43
|
|
C-kit mutation liquid tumor - sendout
|
$1,040.40 |
$1,040.40 |
$1,040.40 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$608.04 |
$608.04 |
$608.04 |
$355.41
|
|
Clearance of airways
|
$246.60 |
$246.60 |
$246.60 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$66.73 |
$66.73 |
$66.73 |
$49.74
|
|
Clip phn wireless f/baha4 proc
|
$170.40 |
$170.40 |
$170.40 |
$170.40
|
|
Clofarabine 1 mg/ml intravenous solution
|
$303.49 |
$303.49 |
$303.49 |
$298.90
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$51.55 |
$51.55 |
$51.55 |
$109.36
|
|
Clos txnose fx without stablz 21315
|
$3,309.00 |
$3,309.00 |
$3,309.00 |
$2,739.17
|
|
Closure paravalvlr leak pq
|
$7,619.40 |
$7,619.40 |
$39,409.80 |
$10,497.50
|
|
Clot factor xii hageman
|
$288.00 |
$288.00 |
$288.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$189.60 |
$189.60 |
$189.60 |
$81.25
|
|
C motor evoked lwr limbs
|
$1,360.20 |
$1,360.20 |
$1,360.20 |
$619.82
|
|
C motor evoked uppr limbs
|
$749.40 |
$749.40 |
$749.40 |
$749.40
|
|
C motor evoked upr&lwr limbs
|
$1,150.20 |
$1,150.20 |
$1,150.20 |
$1,209.08
|
|
#cmvcul-virus inoculation shell
|
$194.40 |
$194.40 |
$194.40 |
$109.80
|
|
Cmv pcr-sendout
|
$498.60 |
$498.60 |
$498.60 |
$177.50
|
|
Co2 monitor per day
|
$586.20 |
$586.20 |
$586.20 |
$400.00
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$4.22 |
$4.22 |
$4.22 |
$3.78
|
|
Coagulation time activated teg
|
$112.80 |
$112.80 |
$112.80 |
$37.05
|
|
Cochlear implt f/up exam <7
|
$1,256.40 |
$1,256.40 |
$1,256.40 |
$369.60
|
|
Cochlear implt f/up exam 7/>
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$345.60
|
|
Codeine 15 mg/ml inj 2 ml
|
$43.17 |
$43.17 |
$43.17 |
$43.17
|
|
Cold agglutinin screen (arc)
|
$221.40 |
$221.40 |
$221.40 |
$48.57
|
|
Cold agglutinin titer
|
$177.60 |
$177.60 |
$177.60 |
$48.57
|
|
Colistimethate sodium inj
|
$46.62 |
$46.62 |
$46.62 |
$46.62
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$25.80 |
$25.80 |
$25.80 |
$32.26
|
|
Collar cerv adlt perfit ace extric
|
$48.60 |
$48.60 |
$48.60 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$169.80 |
$169.80 |
$240.00 |
$151.05
|
|
Collar cerv patriot adlt
|
$36.00 |
$36.00 |
$36.00 |
$83.20
|
|
Collection blood specimen from completely implantable venous access device
|
$159.60 |
$159.60 |
$159.60 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$155.40 |
$155.40 |
$155.40 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$43.20 |
$43.20 |
$43.20 |
$20.30
|
|
Compatibility test each unit antiglobulin technique
|
$156.60 |
$156.60 |
$156.60 |
$156.60
|
|
Compatibility test each unit electronic
|
$163.80 |
$163.80 |
$163.80 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$183.60 |
$183.60 |
$183.60 |
$156.24
|
|
Compatibility test incubate
|
$161.40 |
$161.40 |
$161.40 |
$140.00
|
|
Complement antigen each component c3
|
$275.40 |
$275.40 |
$275.40 |
$110.00
|
|
Comprehensive hearing test
|
$304.80 |
$304.80 |
$304.80 |
$255.00
|
|
Concentration infection agents any type
|
$105.60 |
$105.60 |
$105.60 |
$48.00
|
|
Conditioning play audiometry 92582
|
$213.00 |
$213.00 |
$213.00 |
$176.93
|
|
Conjugated estrogens 25 mg solution for injection
|
$839.07 |
$839.07 |
$839.07 |
$768.50
|
|
Connect omega .5mm
|
$1,064.40 |
$1,064.40 |
$1,348.80 |
$847.52
|
|
Consultation pathology during surgery
|
$199.20 |
$199.20 |
$199.20 |
$89.00
|
