|
Cervical or vaginal cancer screening g0101
|
$272.00 |
$272.00 |
$272.00 |
$109.46
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$4,685.70 |
$4,685.70 |
$4,685.70 |
$3,011.40
|
|
Change cystostomy tube simple
|
$14,514.85 |
$14,514.85 |
$14,514.85 |
$477.60
|
|
Change of windpipe airway 31502
|
$3,121.00 |
$3,121.00 |
$3,121.00 |
$401.50
|
|
Chemo ia push tecnique
|
$579.00 |
$579.00 |
$579.00 |
$499.50
|
|
Chest CT scan (with and without contrast)
|
$5,747.00 |
$5,747.00 |
$5,747.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$4,352.00 |
$4,352.00 |
$4,352.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$3,221.00 |
$3,221.00 |
$3,221.00 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$245.00 |
$245.00 |
$245.00 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$215.00 |
$215.00 |
$215.00 |
$134.50
|
|
Chest Ultrasound
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$463.88
|
|
Chest X-ray
|
$545.00 |
$545.00 |
$545.00 |
$294.06
|
|
Chest X-ray (single view)
|
$22,458.89 |
$22,458.89 |
$22,458.89 |
$236.60
|
|
Chloride
|
$75.00 |
$75.00 |
$75.00 |
$42.63
|
|
Chloride 24 hour urine
|
$126.00 |
$126.00 |
$126.00 |
$50.88
|
|
Chloroprocaine hcl injection
|
$102.90 |
$102.90 |
$102.90 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$735.85 |
$735.85 |
$735.85 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$5.10 |
$5.10 |
$5.10 |
$79.74
|
|
Chlorpromazine 100 mg tablet
|
$1.25 |
$1.25 |
$1.25 |
$6.96
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,197.00 |
$1,197.00 |
$1,197.00 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$10,685.00 |
$10,685.00 |
$10,685.00 |
$3,856.84
|
|
Cholesterol
|
$75.00 |
$75.00 |
$75.00 |
$45.76
|
|
Cholesterol body fluid
|
$21.00 |
$21.00 |
$21.00 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$286.00 |
$286.00 |
$286.00 |
$115.80
|
|
Cholinesterase
|
$160.00 |
$160.00 |
$160.00 |
$39.48
|
|
Chromatography
|
$124.00 |
$124.00 |
$124.00 |
$84.60
|
|
Chromosome analysis 15-20 cell count
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$517.11
|
|
Chromosome karyotype study
|
$100.00 |
$100.00 |
$100.00 |
$120.00
|
|
Cinacalcet 30 mg tablet
|
$1.00 |
$1.00 |
$1.00 |
$41.25
|
|
Cine/video x-rays
|
$167.00 |
$167.00 |
$167.00 |
$321.64
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$37.00 |
$37.00 |
$37.00 |
$35.65
|
|
Circumcision (newborn)
|
$4,284.00 |
$4,284.00 |
$4,284.00 |
$1,364.88
|
|
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
|
$23,155.00 |
$23,155.00 |
$23,155.00 |
$15,560.16
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$49.00 |
$49.00 |
$49.00 |
$55.20
|
|
Clip ligating vesolock lg
|
$12,630.00 |
$12,630.00 |
$12,630.00 |
$4,320.00
|
|
Clip phn wireless f/baha4 proc
|
$828.95 |
$828.95 |
$828.95 |
$449.46
|
|
Cllr miami j sm
|
$934.33 |
$934.33 |
$934.33 |
$536.64
|
|
Clofarabine 1 mg/ml intravenous solution
|
$17,608.50 |
$17,608.50 |
$17,608.50 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$79.35 |
$79.35 |
$79.35 |
$85.37
|
|
Clot factor xii hageman
|
$146.00 |
$146.00 |
$146.00 |
$138.40
|
|
Cmbn ant pst colprhy
|
$31,106.81 |
$31,106.81 |
$31,106.81 |
$4,928.00
|
|
Cmv pcr-sendout
|
$487.00 |
$487.00 |
$487.00 |
$175.70
|
|
Co2 monitor per day
|
$868.00 |
$868.00 |
$868.00 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$17,257.50 |
$17,257.50 |
$17,257.50 |
$11,888.50
|
|
Coagulation time activated teg
|
$131.00 |
$131.00 |
$131.00 |
$52.47
|
|
Cocaine 4 % nasal solution
|
$3,354.90 |
$3,354.90 |
$3,354.90 |
$630.04
|
|
Coil axium 3d 14mmx40cm qc
|
$4,536.28 |
$4,536.28 |
$4,536.28 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$158.00 |
$158.00 |
$158.00 |
$48.10
|
|
Cold agglutinin titer
|
$65.00 |
$65.00 |
$65.00 |
$52.00
|
|
Colectomy/end colost/close dis seg 44143
|
$5,902.00 |
$5,902.00 |
$5,902.00 |
$2,880.80
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$825.00 |
$825.00 |
$825.00 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$68.41 |
$68.41 |
$68.41 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$77.58 |
$77.58 |
$77.58 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$1,844.20 |
$1,844.20 |
$1,844.20 |
$224.11
|
|
Collar cerv patriot adlt
|
$4.89 |
$4.89 |
$4.89 |
$134.66
|
|
Collar extrication adult univ
|
$64.50 |
$64.50 |
$64.50 |
$766.23
|
|
Colpopexy extraperitoneal
|
$32,651.55 |
$32,651.55 |
$32,651.55 |
$6,570.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$37,332.58 |
$37,332.58 |
$37,332.58 |
$3,907.93
|
|
Compatibility test each unit antiglobulin technique
|
$194.00 |
$194.00 |
$194.00 |
$173.50
|
|
Compatibility test each unit electronic
|
$272.00 |
$272.00 |
$272.00 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$130.00 |
$130.00 |
$130.00 |
$169.52
|
|
Compatibility test incubate
|
$39.00 |
$39.00 |
$39.00 |
$156.24
|
|
Complement antigen each component c3
|
$316.00 |
$316.00 |
$316.00 |
$110.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$18,196.25 |
$18,196.25 |
$18,196.25 |
$1,191.78
|
|
Complx repair fccmnaxghf 13131
|
$4,910.00 |
$4,910.00 |
$4,910.00 |
$805.20
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,695.58 |
$2,695.58 |
$2,695.58 |
$1,350.27
|
|
Computed tomographic angiography head and neck with contrast
|
$2,945.00 |
$2,945.00 |
$2,945.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$80.00 |
$80.00 |
$80.00 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$5,157.25 |
$5,157.25 |
$5,157.25 |
$3,352.21
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,780.10 |
$1,780.10 |
$1,780.10 |
$860.00
|
|
Connect omega .5mm
|
$32,593.25 |
$32,593.25 |
$32,593.25 |
$1,260.00
|
|
Connector tis 2x10mm
|
$10,394.49 |
$10,394.49 |
$10,394.49 |
$4,024.34
|
|
Consultation pathology during surgery
|
$147.00 |
$147.00 |
$147.00 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$240.00 |
$240.00 |
$240.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$282.00 |
$282.00 |
$282.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$333.00 |
$333.00 |
$333.00 |
$226.50
|
|
Consultation/report referred slides prepared elsewhere
|
$300.00 |
$300.00 |
$300.00 |
$176.28
|
|
Contrast x-ray of wrist
|
$2,558.00 |
$2,558.00 |
$2,558.00 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$15,050.75 |
$15,050.75 |
$15,050.75 |
$12,355.20
|
|
Controller infinity pt dbs
|
$42,303.21 |
$42,303.21 |
$42,303.21 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$378.00 |
$378.00 |
$378.00 |
$383.52
|
|
Coombs direct
|
$125.00 |
$125.00 |
$125.00 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$142.00 |
$142.00 |
$142.00 |
$107.25
|
|
Coombs indirect titer reference
|
$210.00 |
$210.00 |
$210.00 |
$156.71
|
|
Cor hlx vlgs dstl mtar osteo
|
$29,528.43 |
$29,528.43 |
$29,528.43 |
$4,539.20
|
|
Cornea 1/2moon str split thick
|
$1,222.35 |
$1,222.35 |
$1,222.35 |
$7,193.20
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$8,777.85 |
$8,777.85 |
$8,777.85 |
$7,849.80
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$46,451.00 |
$46,451.00 |
$46,451.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$31,599.00 |
$31,599.00 |
$31,599.00 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$26,228.00 |
$26,228.00 |
$26,228.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$12,700.00 |
$12,700.00 |
$12,700.00 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$16,118.00 |
$16,118.00 |
$16,118.00 |
$7,988.40
|
|
Cortisol total am
|
$264.00 |
$264.00 |
$264.00 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$101.75 |
$101.75 |
$101.75 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$14,208.75 |
$14,208.75 |
$14,208.75 |
$4,180.79
|
|
Cover wrist
|
$0.01 |
$0.01 |
$0.01 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$110.00 |
$110.00 |
$110.00 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$683.00 |
$683.00 |
$683.00 |
$592.49
|
