|
Chorion biopsy
|
$2,448.71 |
$2,448.71 |
$2,448.71 |
|
|
Chorionic gonadotropin/1000u
|
$205.25 |
$522.82 |
$522.82 |
|
|
Chrom analysis
|
$115.20 |
$309.60 |
$1,490.47 |
|
|
Chromatogram assay sugars
|
$60.60 |
$106.20 |
$187.80 |
|
|
Chromatography
|
$51.50 |
$129.00 |
$1,677.57 |
|
|
Chromogenic substrate assay
|
$171.60 |
$237.60 |
$688.55 |
|
|
Chromo high res and frag x - sendout
|
$196.50 |
$559.80 |
$2,137.20 |
|
|
Chromosome analys amniotic
|
$1,107.60 |
$1,204.80 |
$1,490.47 |
|
|
Chromosome analysis 100
|
$660.80 |
$660.80 |
$660.80 |
|
|
Chromosome analysis 15-20 cell count
|
$372.25 |
$1,126.80 |
$1,765.80 |
|
|
Chromosome analysis 20-25
|
$1,551.02 |
$1,551.02 |
$1,551.02 |
|
|
Chromosome analysis 45
|
$1,834.11 |
$1,834.11 |
$1,834.11 |
|
|
Chromosome analysis 5
|
$554.40 |
$1,685.40 |
$2,364.52 |
|
|
Chromosome analysis 50-100
|
$643.39 |
$643.39 |
$1,147.80 |
|
|
Chromosome analys placenta
|
$563.40 |
$907.80 |
$1,366.20 |
|
|
Chromosome banding study
|
$413.40 |
$575.40 |
$575.40 |
|
|
Chromosome count additional
|
$156.60 |
$189.00 |
$297.98 |
|
|
Chromosome karyotype study
|
$79.20 |
$360.60 |
$408.00 |
|
|
Chromosome study additional
|
$108.00 |
$174.00 |
$545.40 |
|
|
Chronic urticaria - sendout
|
$58.80 |
$198.00 |
$545.89 |
|
|
Chylomicron screen, bf - sendout
|
$192.00 |
$217.20 |
$989.42 |
|
|
Cidofovir injection
|
$1,099.26 |
$1,757.82 |
$3,408.85 |
|
|
Cilastatin sodium injection
|
$111.50 |
$119.35 |
$161.84 |
|
|
Ciliary transsleral therapy
|
$4,492.80 |
$4,492.80 |
$4,492.80 |
|
|
Cinacalcet 30 mg tablet
|
$1.36 |
$1.36 |
$1.36 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$36.78 |
$62.97 |
$62.97 |
|
|
Ciprofloxacin otic susp 6 mg
|
$355.38 |
$355.38 |
$436.97 |
|
|
Cisplatin 1 mg/ml desensitization
|
$1.98 |
$1.98 |
$311.40 |
|
|
C-kit mutation liquid tumor - sendout
|
$556.00 |
$867.00 |
$1,271.34 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$88.00 |
$485.84 |
$4,359.60 |
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$29,150.00 |
$29,150.00 |
$96,772.50 |
|
|
Clearance of airways
|
$82.20 |
$166.00 |
$249.60 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$66.73 |
$66.73 |
$205.01 |
|
|
Clip ligating vesolock lg
|
$1,955.00 |
$1,955.00 |
$8,779.91 |
|
|
Clip phn wireless f/baha4 proc
|
$170.40 |
$170.40 |
$170.40 |
|
|
Cllr miami j sm
|
$1,023.00 |
$1,023.05 |
$2,308.45 |
|
|
Clofarabine 1 mg/ml intravenous solution
|
$303.49 |
$611.07 |
$30,465.30 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$38.72 |
$471.38 |
$471.38 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$630.00 |
$630.00 |
$630.00 |
|
|
Closed tx humerus fx w/manip 24505
|
$1,018.00 |
$1,018.00 |
$1,018.00 |
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$172.00 |
$172.00 |
$172.00 |
|
|
Clostridium toxin a w/optic
|
$249.00 |
$249.00 |
$249.00 |
|
|
Clos txnose fx without stablz 21315
|
$3,309.00 |
$3,309.00 |
$4,296.60 |
|
|
Closure paravalvlr leak pq
|
$5,037.60 |
$7,619.40 |
$89,252.00 |
|
|
Clot factor fletcher fact
|
$222.54 |
$222.54 |
$222.54 |
|
|
Clot factor wght kininogen
|
$222.54 |
$222.54 |
$222.54 |
|
|
Clot factor xii hageman
|
$105.00 |
$243.60 |
$362.40 |
|
|
Clot factor xiii fibrin scrn
|
$69.00 |
$189.60 |
$199.80 |
|
|
Clot factor xiii fibrin stab
|
$1,054.98 |
$1,054.98 |
$1,054.98 |
|
|
Clotting assay whole blood
|
$64.50 |
$66.00 |
$68.00 |
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$932.00 |
$932.00 |
$932.00 |
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$759.50 |
$759.50 |
$759.50 |
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
|
|
Clsd tx elbow dislocation child 24640
|
$162.50 |
$162.50 |
$162.50 |
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$319.00 |
$319.00 |
$319.00 |
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,041.50 |
$1,041.50 |
$1,041.50 |
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,041.50 |
$1,041.50 |
$1,041.50 |
|
|
Clsd tx hip disloc without anes 27265
|
$1,262.50 |
$1,262.50 |
$1,262.50 |
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$714.50 |
$714.50 |
$714.50 |
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$4,296.60 |
$4,296.60 |
$4,296.60 |
|
|
Clsd tx patella disloc without anes 27560
|
$824.50 |
$824.50 |
$824.50 |
|
|
Clsd tx radius fracture w/manip 24655
|
$988.00 |
$988.00 |
$988.00 |
|
|
Clsd tx temporomandibular dislocat 21480
|
$292.80 |
$292.80 |
$292.80 |
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,301.00 |
$1,301.00 |
$1,301.00 |
|
|
C motor evoked lwr limbs
|
$328.20 |
$1,360.20 |
$2,199.70 |
|
|
C motor evoked uppr limbs
|
$640.80 |
$749.40 |
$2,255.99 |
|
|
C motor evoked upr&lwr limbs
|
$677.40 |
$1,150.20 |
$3,765.68 |
|
|
#cms hgb-carboxyhemoglobin
|
$159.64 |
$159.64 |
$159.64 |
|
|
#cms hgb-sulfhemoglobin
|
$159.64 |
$159.64 |
$159.64 |
|
|
#cmvcul-virus inoculation shell
|
$79.00 |
$184.80 |
$562.23 |
|
|
Cmv pcr-sendout
|
$79.50 |
$320.40 |
$1,227.06 |
|
|
Co2 monitor per day
|
$307.80 |
$586.20 |
$586.20 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$4.22 |
$17,031.40 |
$17,031.40 |
|
|
Coagulation time activated teg
|
$26.00 |
$31.80 |
$112.80 |
|
|
Coagulation time lee & white
|
$65.40 |
$65.40 |
$65.40 |
|
|
Coagulation time otr method
|
$88.20 |
$88.20 |
$88.20 |
|
|
Cocaine 4 % nasal solution
|
$20.59 |
$20.59 |
$20.59 |
|
|
Cocaine hcl nasal (numbrino)
|
$1,265.64 |
$1,265.64 |
$1,265.64 |
|
|
Coch implant microphone repl
|
$501.60 |
$501.60 |
$501.60 |
|
|
Cochlear implt f/up exam <7
|
$1,256.40 |
$1,256.40 |
$1,256.40 |
|
|
Cochlear implt f/up exam 7/>
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
|
|
Codeine 15 mg/ml inj 2 ml
|
$43.17 |
$83.42 |
$83.42 |
|
|
Cold agglutinin screen (arc)
|
$53.50 |
$102.00 |
$255.00 |
|
|
Cold agglutinin titer
|
$55.20 |
$113.40 |
$225.60 |
|
|
Colistimethate sodium inj
|
$46.62 |
$48.13 |
$293.45 |
|
|
Collagenase, clost hist inj
|
$79,648.34 |
$79,648.34 |
$79,648.34 |
|
|
Collagen based wound filler
|
$9,735.00 |
$9,735.00 |
$9,735.00 |
|
|
Collagen dressing <=16 sq in
|
$47.40 |
$57.00 |
$73.20 |
|
|
Collagen drsg>16<=48 sq in
|
$25.80 |
$4,793.40 |
$4,793.40 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$238.00 |
$384.00 |
$2,036.49 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$18.60 |
$25.80 |
$7,751.83 |
|
|
Collar cerv adlt perfit ace extric
|
$18.60 |
$19.80 |
$48.60 |
|
|
Collar cerv ascend 172 reg
|
$21.60 |
$171.00 |
$8,357.63 |
|
|
Collar cerv patriot adlt
|
$30.60 |
$36.00 |
$178.20 |
|
|
Collar extrication adult univ
|
$4,064.94 |
$4,064.94 |
$4,064.94 |
|
|
Collection blood specimen from completely implantable venous access device
|
$97.20 |
$163.50 |
$405.47 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$154.80 |
$163.12 |
$378.88 |
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$96.95 |
$96.95 |
$96.95 |
|
|
Compatibility test each unit antiglobulin technique
|
$70.20 |
$169.50 |
$234.60 |
|
|
Compatibility test each unit electronic
|
$111.00 |
$159.00 |
$225.31 |
|
