|
Cell count w differential body fluid
|
$83.20 |
$83.20 |
$83.20 |
$92.56
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$34,004.00 |
$34,004.00 |
$34,004.00 |
$21,625.43
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$18,898.20 |
$18,898.20 |
$18,898.20 |
$10,638.62
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$4,685.70 |
$4,685.70 |
$4,685.70 |
$3,011.40
|
|
Chest CT scan (with contrast)
|
$1,812.20 |
$1,812.20 |
$1,812.20 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,441.70 |
$1,441.70 |
$1,441.70 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$178.75 |
$178.75 |
$178.75 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$151.45 |
$151.45 |
$151.45 |
$134.50
|
|
Chest Ultrasound
|
$512.20 |
$512.20 |
$512.20 |
$463.88
|
|
Chest X-ray
|
$206.70 |
$206.70 |
$206.70 |
$294.06
|
|
Chest X-ray (single view)
|
$167.70 |
$167.70 |
$167.70 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$371.80 |
$371.80 |
$371.80 |
$150.40
|
|
Chloride
|
$39.65 |
$39.65 |
$39.65 |
$42.63
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$116.50 |
$116.50 |
$116.50 |
$79.74
|
|
Chlorpromazine 100 mg tablet
|
$2.10 |
$2.10 |
$2.10 |
$6.96
|
|
Cholesterol
|
$40.95 |
$40.95 |
$40.95 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$695.00 |
$695.00 |
$695.00 |
$115.80
|
|
Cinacalcet 30 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$41.25
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$37.00 |
$37.00 |
$37.00 |
$35.65
|
|
Cisplatin 1 mg/ml desensitization
|
$379.00 |
$379.00 |
$379.00 |
$205.56
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$496.70 |
$496.70 |
$496.70 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$15,050.75 |
$15,050.75 |
$15,050.75 |
$15,560.16
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$17.50 |
$17.50 |
$17.50 |
$55.20
|
|
Clip ligating vesolock lg
|
$8,209.50 |
$8,209.50 |
$8,209.50 |
$4,320.00
|
|
Clip phn wireless f/baha4 proc
|
$538.82 |
$538.82 |
$538.82 |
$449.46
|
|
Cllr miami j sm
|
$607.31 |
$607.31 |
$607.31 |
$536.64
|
|
Clofarabine 1 mg/ml intravenous solution
|
$17,608.50 |
$17,608.50 |
$17,608.50 |
$4,784.71
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,138.15 |
$1,138.15 |
$1,138.15 |
$648.96
|
|
Clsd tx elbow dislocation child 24640
|
$350.00 |
$350.00 |
$350.00 |
$465.21
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$1,726.01
|
|
Clsd tx temporomandibular dislocat 21480
|
$304.00 |
$304.00 |
$304.00 |
$424.38
|
|
Coagulation time activated teg
|
$50.05 |
$50.05 |
$50.05 |
$52.47
|
|
Coil axium 3d 14mmx40cm qc
|
$2,948.58 |
$2,948.58 |
$2,948.58 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$66.95 |
$66.95 |
$66.95 |
$48.10
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$271.05 |
$271.05 |
$271.05 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$44.47 |
$44.47 |
$44.47 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$50.43 |
$50.43 |
$50.43 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$1,198.73 |
$1,198.73 |
$1,198.73 |
$224.11
|
|
Collar cerv patriot adlt
|
$3.18 |
$3.18 |
$3.18 |
$134.66
|
|
Collar extrication adult univ
|
$41.92 |
$41.92 |
$41.92 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$306.80 |
$306.80 |
$306.80 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$306.80 |
$306.80 |
$306.80 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$144.95 |
$144.95 |
$144.95 |
$173.50
|
|
Compatibility test each unit electronic
|
$191.75 |
$191.75 |
$191.75 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$107.25 |
$107.25 |
$107.25 |
$169.52
|
|
Complement antigen each component c3
|
$91.00 |
$91.00 |
$91.00 |
$110.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,752.13 |
$1,752.13 |
$1,752.13 |
$1,350.27
|
|
Computed tomographic angiography head and neck with contrast
|
$694.85 |
$694.85 |
$694.85 |
$2,247.00
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$3,352.21 |
$3,352.21 |
$3,352.21 |
$3,352.21
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,780.10 |
$1,780.10 |
$1,780.10 |
$860.00
|
|
Connect omega .5mm
|
$20,722.49 |
$20,722.49 |
$20,722.49 |
$1,260.00
|
|
Connector tis 2x10mm
|
$6,756.42 |
$6,756.42 |
$6,756.42 |
$4,024.34
|
|
Controler lvad heartmate 3 includes ebb
|
$9,782.99 |
$9,782.99 |
$9,782.99 |
$12,355.20
|
|
Controller infinity pt dbs
|
$27,497.09 |
$27,497.09 |
$27,497.09 |
$4,836.44
|
|
Control of nosebleedantersmpl 30901
|
$491.40 |
$491.40 |
$491.40 |
$352.80
|
|
Coombs direct
|
$74.75 |
$74.75 |
$74.75 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$92.30 |
$92.30 |
$92.30 |
$107.25
|
|
Coombs indirect titer reference
|
$112.45 |
$112.45 |
$112.45 |
$156.71
|
|
Cornea 1/2moon str split thick
|
$794.53 |
$794.53 |
$794.53 |
$7,193.20
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$5,705.60 |
$5,705.60 |
$5,705.60 |
$7,849.80
|
|
Cortisol total am
|
$122.20 |
$122.20 |
$122.20 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$101.75 |
$101.75 |
$101.75 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$9,235.69 |
$9,235.69 |
$9,235.69 |
$4,180.79
|
|
Cover wrist
|
$0.01 |
$0.01 |
$0.01 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.50 |
$71.50 |
$71.50 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$443.95 |
$443.95 |
$443.95 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$443.95 |
$443.95 |
$443.95 |
$540.00
|
|
Covid-19 lab test non-cdc
|
$146.90 |
$146.90 |
$146.90 |
$82.40
|
|
CPAP or BiPAP Setup (first day)
|
$641.55 |
$641.55 |
$641.55 |
$584.50
|
|
C-peptide
|
$163.80 |
$163.80 |
$163.80 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$777.71
|
|
Cr-51 sodium chromate
|
$7,028.75 |
$7,028.75 |
$7,028.75 |
$688.80
|
|
C-reactive protein
|
$70.85 |
$70.85 |
$70.85 |
$69.36
|
|
C-reactive protein high sensitivity
|
$129.35 |
$129.35 |
$129.35 |
$85.50
|
|
Creatine kinase
|
$66.30 |
$66.30 |
$66.30 |
$66.30
|
|
Creatine kinase mb
|
$109.20 |
$109.20 |
$109.20 |
$113.63
|
|
Creatinine
|
$594.00 |
$594.00 |
$594.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$803.00 |
$803.00 |
$803.00 |
$57.85
|
|
Critical care each additional 30 minutes
|
$325.00 |
$325.00 |
$325.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$7,358.85 |
$7,358.85 |
$7,358.85 |
$4,288.58
|
|
Cryoprecipitate each unit
|
$123.50 |
$123.50 |
$123.50 |
$144.78
|
|
Crystal identification light microscopy
|
$83.20 |
$83.20 |
$83.20 |
$66.43
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,206.80 |
$4,206.80 |
$4,206.80 |
$2,839.85
|
|
CT Angiogram of the Abdomen and Both Legs
|
$2,367.95 |
$2,367.95 |
$2,367.95 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$983.45 |
$983.45 |
$983.45 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,528.50 |
$2,528.50 |
$2,528.50 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$1,881.75
|
|
CT heart w/evaluation of calcium without contrast
|
$65.00 |
$65.00 |
$65.00 |
$150.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,115.15 |
$4,115.15 |
$4,115.15 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,664.05 |
$3,664.05 |
$3,664.05 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,052.40 |
$3,052.40 |
$3,052.40 |
$2,272.00
|
|
Culture aerobic additional method definitive id each
|
$62.40 |
$62.40 |
$62.40 |
$72.00
|
|
Culture anaerobic additional method definitive id each
|
$53.30 |
$53.30 |
$53.30 |
$84.76
|
|
Culture anaerobic except blood
|
$82.55 |
$82.55 |
$82.55 |
$121.22
|
|
Culture body fluid
|
$380.00 |
$380.00 |
$380.00 |
$126.75
|
|
Culture fungi definitive id yeast
|
$111.80 |
$111.80 |
$111.80 |
$80.00
|
|
Culture fungi skin/hair/nail
|
$55.25 |
$55.25 |
$55.25 |
$74.75
|
|
Culture screening strep group a
|
$78.00 |
$78.00 |
$78.00 |
$84.60
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$325.00 |
$325.00 |
$325.00 |
$408.37
|