|
Calcium total
|
$46.15 |
$46.15 |
$46.15 |
$43.20
|
|
Calprotectin fecal
|
$234.65 |
$234.65 |
$234.65 |
$170.00
|
|
Candida dna
|
$92.30 |
$92.30 |
$92.30 |
$66.05
|
|
Carbamazepine total therapeutic drug level
|
$146.90 |
$146.90 |
$146.90 |
$108.81
|
|
Carbon dioxide
|
$32.50 |
$32.50 |
$32.50 |
$42.00
|
|
Carboplatin 10 mg/ml desensitization
|
$113.55 |
$113.55 |
$113.55 |
$59.36
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,347.74 |
$1,347.74 |
$1,347.74 |
$334.92
|
|
Carboxyhemoglobin quantitative
|
$50.70 |
$50.70 |
$50.70 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$122.85 |
$122.85 |
$122.85 |
$125.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,146.30 |
$2,146.30 |
$2,146.30 |
$2,538.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$173.55 |
$173.55 |
$173.55 |
$258.10
|
|
Cardiolipin antibody iga
|
$159.25 |
$159.25 |
$159.25 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$981.50 |
$981.50 |
$981.50 |
$1,461.75
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$48.75 |
$48.75 |
$48.75 |
$131.70
|
|
Caregiver training strategies&tq ea addl 15 min
|
$24.70 |
$24.70 |
$24.70 |
$66.39
|
|
Carotid Artery Ultrasound (Duplex)
|
$514.80 |
$514.80 |
$514.80 |
$1,037.60
|
|
Carpal Tunnel Release Surgery
|
$11,122.40 |
$11,122.40 |
$11,122.40 |
$3,503.75
|
|
Car seat/bed test 60 minutes
|
$88.40 |
$88.40 |
$88.40 |
$137.65
|
|
Car seat/bed test additional 30 minutes
|
$49.40 |
$49.40 |
$49.40 |
$83.46
|
|
Cataract Surgery
|
$6,967.37 |
$6,967.37 |
$6,967.37 |
$2,715.20
|
|
Cath combo lt&rt heart w/inj/s
|
$5,727.80 |
$5,727.80 |
$5,727.80 |
$10,029.00
|
|
Catheterization collection of specimen single patient all places of service
|
$59.15 |
$59.15 |
$59.15 |
$58.50
|
|
Catheter stripping venous
|
$10,398.84 |
$10,398.84 |
$10,398.84 |
$3,414.00
|
|
Cath left heart/lv gram
|
$4,777.50 |
$4,777.50 |
$4,777.50 |
$8,923.85
|
|
Cath left heart transseptal punc
|
$4,777.50 |
$4,777.50 |
$4,777.50 |
$6,169.00
|
|
Cath plc art/angio/rt hrt cath
|
$5,508.10 |
$5,508.10 |
$5,508.10 |
$11,927.25
|
|
Cath right heart w/o2 sat & card
|
$4,044.95 |
$4,044.95 |
$4,044.95 |
$6,790.00
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$1,819.49 |
$1,819.49 |
$1,819.49 |
$505.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$35.91 |
$35.91 |
$35.91 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$41.40 |
$41.40 |
$41.40 |
$39.95
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$40.36 |
$40.36 |
$40.36 |
$46.57
|
|
Ceftazidime and avibactam
|
$1,842.67 |
$1,842.67 |
$1,842.67 |
$824.61
|
|
Ceftriaxone 1 gram solution for injection
|
$19.01 |
$19.01 |
$19.01 |
$51.80
|
|
Cell count body fluid
|
$104.65 |
$104.65 |
$104.65 |
$56.44
|
|
Cell count w differential body fluid
|
$107.25 |
$107.25 |
$107.25 |
$83.71
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$20,268.49 |
$20,268.49 |
$20,268.49 |
$48.19
|
|
Change cystostomy tube simple
|
$11,253.22 |
$11,253.22 |
$11,253.22 |
$426.63
|
|
Chemo extend IV infus w/pump
|
$307.45 |
$307.45 |
$307.45 |
$510.90
|
|
Chemo intralesional over 7
|
$182.65 |
$182.65 |
$182.65 |
$248.12
|
|
Chemo intralesional up to 7 96405
|
$135.85 |
$135.85 |
$135.85 |
$174.30
|
|
Chest 2 vws w oblique
|
$386.10 |
$386.10 |
$386.10 |
$334.02
|
|
Chest apical lordotic proj
|
$358.15 |
$358.15 |
$358.15 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$2,416.05 |
$2,416.05 |
$2,416.05 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,981.85 |
$1,981.85 |
$1,981.85 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,835.60 |
$1,835.60 |
$1,835.60 |
$1,166.90
|
|
Chest X-ray
|
$336.70 |
$336.70 |
$336.70 |
$265.85
|
|
Chest X-ray (single view)
|
$305.50 |
$305.50 |
$305.50 |
$192.50
|
|
Chloride
|
$32.50 |
$32.50 |
$32.50 |
$37.48
|
|
Chloride 24 hour urine
|
$40.30 |
$40.30 |
$40.30 |
$40.80
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$364.00 |
$364.00 |
$364.00 |
$358.30
|
|
Cholesterol
|
$50.70 |
$50.70 |
$50.70 |
$40.95
|
|
Cholesterol (Lipid) Test
|
$111.80 |
$111.80 |
$111.80 |
$101.43
|
|
Cholinesterase
|
$70.20 |
$70.20 |
$70.20 |
$49.40
|
|
Chromosome analysis 15-20 cell count
|
$396.50 |
$396.50 |
$396.50 |
$558.25
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$29.57 |
$29.57 |
$29.57 |
$35.00
|
|
Circum 28 days or older
|
$9,518.35 |
$9,518.35 |
$9,518.35 |
$4,074.80
|
|
Circumcision (newborn)
|
$570.70 |
$570.70 |
$570.70 |
$1,516.80
|
|
Cisplatin 1 mg/ml desensitization
|
$901.55 |
$901.55 |
$901.55 |
$52.43
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$454.67 |
$454.67 |
$454.67 |
$355.41
|
|
Clearance of airways
|
$482.30 |
$482.30 |
$482.30 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$61.26 |
$61.26 |
$61.26 |
$49.74
|
|
Clozapine, 25 mg
|
$7.51 |
$7.51 |
$7.51 |
$5.40
|
|
Cmbn ant pst colprhy
|
$25,423.81 |
$25,423.81 |
$25,423.81 |
$5,194.98
|
|
Co2 monitor per day
|
$282.10 |
$282.10 |
$282.10 |
$400.00
|
|
Coagulation time activated teg
|
$86.45 |
$86.45 |
$86.45 |
$37.05
|
|
Cocaine 4 % nasal solution
|
$2,729.35 |
$2,729.35 |
$2,729.35 |
$836.06
|
|
Cold agglutinin titer
|
$99.45 |
$99.45 |
$99.45 |
$48.57
|
|
Collection blood specimen from completely implantable venous access device
|
$2,130.55 |
$2,130.55 |
$2,130.55 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$237.90 |
$237.90 |
$237.90 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$1,775.10 |
$1,775.10 |
$1,775.10 |
$20.30
|
|
Colonoscopy (diagnostic)
|
$4,294.64 |
$4,294.64 |
$4,294.64 |
$1,500.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$4,823.13 |
$4,823.13 |
$4,823.13 |
$1,846.40
|
|
Colonoscopy submucous njx
|
$5,442.07 |
$5,442.07 |
$5,442.07 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$5,809.37 |
$5,809.37 |
$5,809.37 |
$1,261.31
|
|
Colonoscopy w/control bleed
|
$5,713.26 |
$5,713.26 |
$5,713.26 |
$2,019.60
|
|
Colonoscopy (with biopsy)
|
$4,710.86 |
$4,710.86 |
$4,710.86 |
$2,074.50
|
|
Colonoscopy (with polyp removal)
|
$4,970.82 |
$4,970.82 |
$4,970.82 |
$2,074.50
|
|
Compatibility test each unit antiglobulin technique
|
$132.60 |
$132.60 |
$132.60 |
$156.60
|
|
Compatibility test each unit electronic
|
$274.95 |
$274.95 |
$274.95 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$124.15 |
$124.15 |
$124.15 |
$156.24
|
|
Compatibility test incubate
|
$88.40 |
$88.40 |
$88.40 |
$140.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$963.30 |
$963.30 |
$963.30 |
$978.47
|
|
Complement antigen each component c3
|
$84.50 |
$84.50 |
$84.50 |
$110.00
|
|
Complex cystometrogram 51726
|
$209.30 |
$209.30 |
$209.30 |
$710.40
|
|
Computed tomographic angiography head and neck with contrast
|
$2,899.65 |
$2,899.65 |
$2,899.65 |
$2,544.75
|
|
Concentration infection agents any type
|
$63.70 |
$63.70 |
$63.70 |
$48.00
|
|
Conization/cerv/loop electrode exc 57522
|
$10,044.11 |
$10,044.11 |
$10,044.11 |
$4,198.50
|
|
Conization of cervix
|
$10,719.64 |
$10,719.64 |
$10,719.64 |
$3,519.29
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,635.33 |
$1,635.33 |
$1,635.33 |
$768.50
|
|
Consultation pathology during surgery cytological exam initial site
|
$542.75 |
$542.75 |
$542.75 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$12,413.97 |
$12,413.97 |
$12,413.97 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$12,413.97 |
$12,413.97 |
$12,413.97 |
$200.00
|
|
Consult comp w/report rfrd material
|
$81.25 |
$81.25 |
$81.25 |
$365.60
|
|
Contrast baths charges
|
$41.60 |
$41.60 |
$41.60 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$2,791.10 |
$2,791.10 |
$2,791.10 |
$3,458.54
|
|
Contrast x-ray of elbow
|
$1,359.80 |
$1,359.80 |
$1,359.80 |
$566.28
|
|
Contrast x-ray of hip
|
$1,543.75 |
$1,543.75 |
$1,543.75 |
$676.12
|
|
Contrast x-ray of knee joint
|
$962.00 |
$962.00 |
$962.00 |
$623.50
|
|
Contrast x-ray of wrist
|
$1,543.75 |
$1,543.75 |
$1,543.75 |
$541.20
|
|
Coombs direct
|
$79.95 |
$79.95 |
$79.95 |
$70.74
|
