|
Cast sup sht arm adult plstr
|
$22.40 |
$22.40 |
$22.40 |
$22.40
|
|
Cast sup sht arm ped fbrglas
|
$24.80 |
$24.80 |
$24.80 |
$24.96
|
|
Cast sup sht arm ped plaster
|
$11.20 |
$11.20 |
$11.20 |
$11.20
|
|
Cast sup sht arm splint fbrg
|
$30.40 |
$30.40 |
$30.40 |
$26.98
|
|
Cast sup sht arm splint plst
|
$17.60 |
$17.60 |
$17.60 |
$17.16
|
|
Cast sup sht arm splnt ped f
|
$16.00 |
$16.00 |
$16.00 |
$15.60
|
|
Cast sup sht arm splnt ped p
|
$8.80 |
$8.80 |
$8.80 |
$8.80
|
|
Cast sup sht leg splnt fbrgl
|
$47.20 |
$47.20 |
$47.20 |
$40.63
|
|
Cast sup sht leg splnt ped f
|
$24.00 |
$24.00 |
$24.00 |
$23.92
|
|
Cast sup sht leg splnt ped p
|
$15.20 |
$15.20 |
$15.20 |
$14.56
|
|
Cast sup sht leg splnt plstr
|
$29.60 |
$29.60 |
$29.60 |
$29.60
|
|
Cataract Surgery
|
$2,715.20 |
$2,715.20 |
$2,715.20 |
$5,044.00
|
|
Cataract surg w/iol 1 stage
|
$4,068.80 |
$4,068.80 |
$4,068.80 |
$4,538.46
|
|
Catecholamines,fractionated, urine
|
$55.20 |
$55.20 |
$55.20 |
$133.70
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$12,130.16 |
$12,130.16 |
$12,130.16 |
$6,606.72
|
|
Cath ablt clsfast 7fx100cmx
|
$5,266.90 |
$5,266.90 |
$5,266.90 |
$2,808.00
|
|
Cath acuity innr ic130 6f 63cm
|
$987.84 |
$987.84 |
$987.84 |
$9,931.73
|
|
Cath acunav ge 10frx90cm
|
$7,346.16 |
$7,346.16 |
$7,346.16 |
$6,475.07
|
|
Cath adherent clot 10mm 6f 10
|
$6,615.17 |
$6,615.17 |
$6,615.17 |
$19,800.55
|
|
Cath baloon occl urnry 34f 7x2x65
|
$143.20 |
$143.20 |
$143.20 |
$6,882.20
|
|
Cath bi-dir df smarttouch
|
$4,986.64 |
$4,986.64 |
$4,986.64 |
$8,461.48
|
|
Cath blazer dx/20 2-10-2 space
|
$2,823.91 |
$2,823.91 |
$2,823.91 |
$4,212.11
|
|
Cath combo lt&rt heart w/inj/s
|
$7,923.88 |
$7,923.88 |
$7,923.88 |
$9,316.35
|
|
Cath council tip 16fr 5cc
|
$44.80 |
$44.80 |
$44.80 |
$40.96
|
|
Cath cv dl inj 7fx16cm
|
$705.62 |
$705.62 |
$705.62 |
$4,488.99
|
|
Cath del ampltz 12f 45d 80cm
|
$3,588.05 |
$3,588.05 |
$3,588.05 |
$2,393.00
|
|
Cath entrl fd nutri 5fr 40cm
|
$18.40 |
$18.40 |
$18.40 |
$18.40
|
|
Catheter declot mechanical
|
$298.40 |
$298.40 |
$298.40 |
$1,929.15
|
|
Catheter insert artery
|
$264.80 |
$264.80 |
$264.80 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$18.40 |
$18.40 |
$18.40 |
$40.95
|
|
Catheter stripping venous
|
$3,157.54 |
$3,157.54 |
$3,157.54 |
$3,193.94
|
|
Cath groshong MRI 8fr plstc port
|
$1,058.42 |
$1,058.42 |
$1,058.42 |
$1,690.71
|
|
Cath hawkone s directional
|
$9,436.88 |
$9,436.88 |
$9,436.88 |
$7,076.25
|
|
Cath imag ivus pv 8.5fx90 .035
|
$2,097.28 |
$2,097.28 |
$2,097.28 |
$4,680.00
|
|
Cath indw foley 3 way
|
$55.20 |
$55.20 |
$55.20 |
$41.20
|
|
Cath infuse micro 150cm rapidtransit
|
$5.60 |
$5.60 |
$5.60 |
$13.23
|
|
Cathj rmvl dev ischmc rmdlg
|
$253.60 |
$253.60 |
$253.60 |
$599.20
|
|
Cathj umbilical vein dx/ther nb
|
$207.31 |
$207.31 |
$207.31 |
$246.00
|
|
Cath left heart/lv gram
|
$7,923.88 |
$7,923.88 |
$7,923.88 |
$8,035.50
|
|
Cath left heart transseptal punc
|
$6,650.56 |
$6,650.56 |
$6,650.56 |
$5,921.76
|
|
Cath lt/rt pulm art
|
$4,060.80 |
$4,060.80 |
$4,060.80 |
$1,273.15
|
|
Cath malecot 28fr 4-wing ltx
|
$1,270.10 |
$1,270.10 |
$1,270.10 |
$2,549.50
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$29,589.90 |
$29,589.90 |
$29,589.90 |
$19,384.20
|
|
Cath place 1st order venous 36011
|
$4,217.60 |
$4,217.60 |
$4,217.60 |
$1,313.25
|
|
Cath place cardio brachytx
|
$349.60 |
$349.60 |
$349.60 |
$3,320.80
|
|
Cath plc art ang/grft lt/rt hr
|
$14,809.32 |
$14,809.32 |
$14,809.32 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$10,558.58 |
$10,558.58 |
$10,558.58 |
$10,086.05
|
|
Cath plc art/grft/angio right hrt
|
$12,321.79 |
$12,321.79 |
$12,321.79 |
$10,429.27
|
|
Cath ptca pcltxl agent 3x20mm
|
$16,181.60 |
$16,181.60 |
$16,181.60 |
$11,167.20
|
|
Cath right heart w/o2 sat & card
|
$7,923.88 |
$7,923.88 |
$7,923.88 |
$6,406.86
|
|
Cath right hrt mnpul art
|
$1,951.20 |
$1,951.20 |
$1,951.20 |
$841.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$474.40 |
$474.40 |
$474.40 |
$462.80
|
|
Cath segmntl pulm art
|
$4,411.20 |
$4,411.20 |
$4,411.20 |
$1,294.19
|
|
Cath steerable flex adv 12f
|
$2,895.67 |
$2,895.67 |
$2,895.67 |
$2,925.00
|
|
Cath stripping venous s&i
|
$405.60 |
$405.60 |
$405.60 |
$682.34
|
|
Cath temp pace flo bipol 5fr electrd
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
$1,408.39
|
|
Cath uret open tp 6fx70cm
|
$57.51 |
$57.51 |
$57.51 |
$573.88
|
|
Cath w/drainage 2-way latex
|
$71.20 |
$71.20 |
$71.20 |
$71.20
|
|
Cauterization chemical granulation tissue
|
$430.80 |
$430.80 |
$430.80 |
$340.90
|
|
Cauterization of cervix 57510
|
$372.80 |
$372.80 |
$372.80 |
$3,762.53
|
|
Cbc/diffwbc without platelet
|
$16.00 |
$16.00 |
$16.00 |
$60.32
|
|
CBC without platelet
|
$13.60 |
$13.60 |
$13.60 |
$54.89
|
|
#cbg+cort-cbg
|
$36.00 |
$36.00 |
$36.00 |
$66.55
|
|
Cciiv4 vacc abx free im
|
$45.60 |
$45.60 |
$45.60 |
$31.36
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$32.80 |
$32.80 |
$32.80 |
$36.21
|
|
Ccnd1/igh translocation alys
|
$199.02 |
$199.02 |
$199.02 |
$286.09
|
|
Cdna analysis for variants
|
$370.40 |
$370.40 |
$370.40 |
$542.87
|
|
Cdp-sot 6 cond w/i&r
|
$215.20 |
$215.20 |
$215.20 |
$251.50
|
|
Cebpa gene full sequence
|
$528.00 |
$528.00 |
$528.00 |
$493.21
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$35.95 |
$35.95 |
$35.95 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$39.82 |
$39.82 |
$39.82 |
$45.47
|
|
Cefotaxime sodium injection
|
$8.80 |
$8.80 |
$8.80 |
$43.10
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$2.40 |
$2.40 |
$2.40 |
$58.89
|
|
Ceftizoxime sodium / 500 mg
|
$8.00 |
$8.00 |
$8.00 |
$8.00
|
|
Ceftriaxone 1 gram solution for injection
|
$37.31 |
$37.31 |
$37.31 |
$83.39
|
|
#celiac hla-dq2
|
$206.40 |
$206.40 |
$206.40 |
$225.12
|
|
#celiac hla-dq8
|
$245.60 |
$245.60 |
$245.60 |
$246.88
|
|
Cell count body fluid
|
$56.44 |
$56.44 |
$56.44 |
$63.52
|
|
Cell count w differential body fluid
|
$56.44 |
$56.44 |
$56.44 |
$92.56
|
|
Cell cryopreserve/storage
|
$56.44 |
$56.44 |
$56.44 |
$62.72
|
|
Cell enumeration & id
|
$542.40 |
$542.40 |
$542.40 |
$542.40
|
|
Cell enumeration phys interp
|
$61.60 |
$61.60 |
$61.60 |
$82.32
|
|
Cell function assay w/stim
|
$335.20 |
$335.20 |
$335.20 |
$325.76
|
|
Cell marker study
|
$302.40 |
$302.40 |
$302.40 |
$239.85
|
|
Centralization wrist on ulna
|
$4,641.60 |
$4,641.60 |
$4,641.60 |
$4,641.60
|
|
Cephalin floculation test
|
$10.40 |
$10.40 |
$10.40 |
$5.45
|
|
Cerclage of uterine cervix nonob 57700
|
$833.60 |
$833.60 |
$833.60 |
$3,762.53
|
|
Cerebrospinal fld flw imag
|
$722.40 |
$722.40 |
$722.40 |
$952.82
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$12.00 |
$12.00 |
$12.00 |
$10,638.62
|
|
Cervical lymphadenectomy 38720
|
$6,633.60 |
$6,633.60 |
$6,633.60 |
$7,127.17
|
|
Cervical or vaginal cancer screening g0101
|
$85.60 |
$85.60 |
$85.60 |
$109.46
|
|
Cesarean section delivery only 59514
|
$1,844.00 |
$1,844.00 |
$1,844.00 |
$2,194.65
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$80.80 |
$80.80 |
$80.80 |
$3,011.40
|
|
#cf-97variants
|
$1,113.60 |
$1,113.60 |
$1,113.60 |
$639.44
|
|
Cftr gene dup/delet variants
|
$870.40 |
$870.40 |
$870.40 |
$757.25
|
|
Cftr gene intron poly t
|
$337.60 |
$337.60 |
$337.60 |
$301.65
|
|
Cftr gene known fam variants
|
$195.20 |
$195.20 |
$195.20 |
$195.20
|
|
Change cystostomy tube; complex 51710
|
$1,293.24 |
$1,293.24 |
$1,293.24 |
$1,527.00
|
|
Change cystostomy tube simple
|
$245.89 |
$245.89 |
$245.89 |
$477.60
|
|
Change gastric port open
|
$1,230.40 |
$1,230.40 |
$1,230.40 |
$4,332.25
|
