|
Cath place 1st order venous 36011
|
$1,759.20 |
$1,759.20 |
$1,759.20 |
$1,377.75
|
|
Cath plc art ang/grft lt/rt hr
|
$16,723.80 |
$16,723.80 |
$16,723.80 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$13,033.20 |
$13,033.20 |
$13,033.20 |
$9,954.00
|
|
Cath ptca pcltxl agent 3x20mm
|
$9,966.60 |
$9,966.60 |
$9,966.60 |
$11,356.50
|
|
Cath right heart w/o2 sat & card
|
$8,403.60 |
$8,403.60 |
$8,403.60 |
$6,406.86
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$445.80 |
$445.80 |
$445.80 |
$469.09
|
|
Cath steerable flex adv 12f
|
$210.27 |
$210.27 |
$210.27 |
$2,925.00
|
|
Cath temp pace flo bipol 5fr electrd
|
$104.08 |
$104.08 |
$104.08 |
$1,518.52
|
|
Cath uret open tp 6fx70cm
|
$62.90 |
$62.90 |
$62.90 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$438.00 |
$438.00 |
$438.00 |
$340.90
|
|
#cbg+cort-cbg
|
$34.20 |
$34.20 |
$34.20 |
$73.10
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$57.60 |
$57.60 |
$57.60 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$34.20 |
$34.20 |
$34.20 |
$44.03
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$585.60 |
$585.60 |
$585.60 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$32.40 |
$32.40 |
$32.40 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$61.20 |
$61.20 |
$61.20 |
$84.18
|
|
#celiac hla-dq2
|
$148.20 |
$148.20 |
$148.20 |
$225.12
|
|
Cell count w differential body fluid
|
$133.20 |
$133.20 |
$133.20 |
$93.23
|
|
Cell function assay w/stim
|
$415.80 |
$415.80 |
$415.80 |
$314.25
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$31,844.40 |
$31,844.40 |
$31,844.40 |
$21,238.53
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$12,862.20 |
$12,862.20 |
$12,862.20 |
$10,638.62
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$4,044.60 |
$4,044.60 |
$4,044.60 |
$3,028.20
|
|
#cf-97variants
|
$426.60 |
$426.60 |
$426.60 |
$622.20
|
|
Chemo adm cns w/lmbr punct
|
$523.80 |
$523.80 |
$523.80 |
$665.40
|
|
Chemodenerv musc migraine 64615
|
$144.00 |
$144.00 |
$144.00 |
$540.80
|
|
Chemotherapy injection 96542
|
$226.80 |
$226.80 |
$226.80 |
$434.00
|
|
Chest 2 vws w oblique
|
$300.00 |
$300.00 |
$300.00 |
$377.06
|
|
Chest apical lordotic proj
|
$340.80 |
$340.80 |
$340.80 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,141.00 |
$3,141.00 |
$3,141.00 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,628.00 |
$2,628.00 |
$2,628.00 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,919.40 |
$1,919.40 |
$1,919.40 |
$1,350.03
|
|
Chest X-ray
|
$265.80 |
$265.80 |
$265.80 |
$294.06
|
|
Chest X-ray (single view)
|
$223.80 |
$223.80 |
$223.80 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$141.00 |
$141.00 |
$141.00 |
$147.95
|
|
Chloride 24 hour urine
|
$105.00 |
$105.00 |
$105.00 |
$49.50
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$96.60 |
$96.60 |
$96.60 |
$78.43
|
|
Cholesterol
|
$122.40 |
$122.40 |
$122.40 |
$45.76
|
|
Cholesterol body fluid
|
$5.40 |
$5.40 |
$5.40 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$238.80 |
$238.80 |
$238.80 |
$115.80
|
|
Chromatography
|
$226.80 |
$226.80 |
$226.80 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$288.00 |
$288.00 |
$288.00 |
$247.59
|
|
Circum 28 days or older
|
$452.40 |
$452.40 |
$452.40 |
$3,860.64
|
|
Circumcise/surg/28 days or < 54160
|
$366.00 |
$366.00 |
$366.00 |
$1,219.20
|
|
Cisplatin 1 mg/ml desensitization
|
$135.00 |
$135.00 |
$135.00 |
$192.66
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$1,675.80 |
$1,675.80 |
$1,675.80 |
$15,390.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$58.80 |
$58.80 |
$58.80 |
$55.20
|
|
Clip ligating vesolock lg
|
$562.72 |
$562.72 |
$562.72 |
$4,320.00
|
|
Closed tx humerus fx with manip 23605
|
$3,783.60 |
$3,783.60 |
$3,783.60 |
$2,211.05
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,823.00 |
$2,823.00 |
$2,823.00 |
$2,520.60
|
|
Clot factor xii hageman
|
$627.00 |
$627.00 |
$627.00 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$198.00 |
$198.00 |
$198.00 |
$55.44
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$286.80 |
$286.80 |
$286.80 |
$641.90
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$286.80 |
$286.80 |
$286.80 |
$476.80
|
|
Clsd tx dist fib fx w/manip 27788
|
$286.80 |
$286.80 |
$286.80 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$286.80 |
$286.80 |
$286.80 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$3,783.60 |
$3,783.60 |
$3,783.60 |
$2,184.08
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$286.80 |
$286.80 |
$286.80 |
$411.73
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,976.40 |
$1,976.40 |
$1,976.40 |
$1,656.90
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$1,571.25
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$2,823.00 |
$2,823.00 |
$2,823.00 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$286.80 |
$286.80 |
$286.80 |
$606.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$2,826.00 |
$2,826.00 |
$2,826.00 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$286.80 |
$286.80 |
$286.80 |
$566.72
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$3,783.60 |
$3,783.60 |
$3,783.60 |
$2,146.20
|
|
Clsd tx radius fracture w/manip 24655
|
$999.60 |
$999.60 |
$999.60 |
$1,782.86
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,823.00 |
$2,823.00 |
$2,823.00 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$343.80 |
$343.80 |
$343.80 |
$394.40
|
|
Clsd tx toe dislocation without anes28660
|
$286.80 |
$286.80 |
$286.80 |
$400.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$999.60 |
$999.60 |
$999.60 |
$1,565.74
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$286.80 |
$286.80 |
$286.80 |
$600.60
|
|
Cls tx of heel fracture w/manip 28405
|
$3,783.60 |
$3,783.60 |
$3,783.60 |
$748.00
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$3,603.60 |
$3,603.60 |
$3,603.60 |
$2,317.60
|
|
Cltx lunate dislc w/mnpj
|
$3,783.60 |
$3,783.60 |
$3,783.60 |
$2,437.00
|
|
Cltx post ankle fx w/mnpj
|
$286.80 |
$286.80 |
$286.80 |
$1,893.86
|
|
Cmv pcr-sendout
|
$316.80 |
$316.80 |
$316.80 |
$177.50
|
|
Coagulation time activated teg
|
$98.40 |
$98.40 |
$98.40 |
$53.72
|
|
Cold agglutinin titer
|
$12.00 |
$12.00 |
$12.00 |
$50.00
|
|
Collection blood specimen from completely implantable venous access device
|
$181.20 |
$181.20 |
$181.20 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$181.20 |
$181.20 |
$181.20 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$20.40 |
$20.40 |
$20.40 |
$21.00
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$109.20 |
$109.20 |
$109.20 |
$312.90
|
|
Compatibility test each unit antiglobulin technique
|
$139.20 |
$139.20 |
$139.20 |
$170.05
|
|
Compatibility test each unit electronic
|
$139.20 |
$139.20 |
$139.20 |
$172.26
|
|
Complement antigen each component c3
|
$443.40 |
$443.40 |
$443.40 |
$108.55
|
|
Complx repair fccmnaxghf 13131
|
$450.00 |
$450.00 |
$450.00 |
$810.40
|
|
Complx repair fccmnaxghf 13132
|
$939.60 |
$939.60 |
$939.60 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$481.20 |
$481.20 |
$481.20 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$481.20 |
$481.20 |
$481.20 |
$502.50
|
|
Condylomata destruction 56420
|
$333.00 |
$333.00 |
$333.00 |
$469.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,479.60 |
$1,479.60 |
$1,479.60 |
$871.08
|
|
Contrast baths charges
|
$179.40 |
$179.40 |
$179.40 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$3,111.60 |
$3,111.60 |
$3,111.60 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$3,111.60 |
$3,111.60 |
$3,111.60 |
$3,728.24
|
|
Contrast x-ray of hip
|
$411.60 |
$411.60 |
$411.60 |
$771.12
|
|
Contrast x-ray of knee joint
|
$480.60 |
$480.60 |
$480.60 |
$769.88
|
|
Controller infinity pt dbs
|
$677.38 |
$677.38 |
$677.38 |
$4,611.60
|
|
Control nosebleed pack+caut 30905
|
$304.80 |
$304.80 |
$304.80 |
$392.60
|
|
Control of nosebleed ant comp 30903
|
$304.80 |
$304.80 |
$304.80 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$600.00 |
$600.00 |
$600.00 |
$355.50
|
|
Coombs direct
|
$86.40 |
$86.40 |
$86.40 |
$75.00
|
