|
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 |
$28.20 |
$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 |
$220.01 |
$661.24 |
$358.30
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$51.16 |
$51.16 |
$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 |
$120.00 |
$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
|
$162.60 |
$162.60 |
$397.20 |
$156.00
|
|
Chromatogram assay sugars
|
$145.20 |
$145.20 |
$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 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
|
$907.80 |
$907.80 |
$1,366.20 |
$660.00
|
|
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
|
$223.80 |
$223.80 |
$223.80 |
$100.00
|
|
Chylomicron screen, bf - sendout
|
$277.80 |
$277.80 |
$277.80 |
$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
|
|
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 |
$7,619.40 |
$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 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 ascend 172 reg
|
$240.00 |
$240.00 |
$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
|
$1,348.80 |
$1,348.80 |
$1,348.80 |
$847.52
|
|
Consultation pathology during surgery
|
$199.20 |
$199.20 |
$199.20 |
$89.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$230.40 |
$230.40 |
$230.40 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$226.20 |
$226.20 |
$226.20 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$389.40 |
$389.40 |
$389.40 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$333.00 |
$333.00 |
$333.00 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$444.60 |
$444.60 |
$444.60 |
$176.15
|
|
Consult comp w/report rfrd material
|
$709.20 |
$709.20 |
$709.20 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$3,167.26
|
|
Contrast x-ray of ankle
|
$782.40 |
$782.40 |
$782.40 |
$517.26
|
|
Contrast x-ray of elbow
|
$903.60 |
$903.60 |
$903.60 |
$566.28
|
|
Contrast x-ray of hip
|
$964.80 |
$964.80 |
$964.80 |
$676.12
|
|
Contrast x-ray of knee joint
|
$914.40 |
$914.40 |
$914.40 |
$623.50
|
|
Contrast x-ray of wrist
|
$760.80 |
$760.80 |
$760.80 |
$541.20
|
|
Controler lvad heartmate 3 includes ebb
|
$16,599.60 |
$16,599.60 |
$16,599.60 |
$13,218.75
|
|
Conversion ext bil drg cath
|
$7,362.00 |
$7,362.00 |
$7,362.00 |
$4,270.00
|
|
Convert nephrostomy catheter
|
$7,859.40 |
$7,859.40 |
$7,859.40 |
$4,197.30
|
|
Coombs direct
|
$99.00 |
$99.00 |
$99.00 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$115.20 |
$115.20 |
$115.20 |
$76.70
|
|
Coombs indirect titer reference
|
$314.40 |
$314.40 |
$314.40 |
$122.85
|
|
Core ndl bx lng/med perq
|
$2,524.80 |
$2,524.80 |
$2,524.80 |
$2,963.00
|
