|
Chlamydia culture
|
$245.84 |
$245.84 |
$245.84 |
$92.16
|
|
Chlamydia trachomatis ag if
|
$135.17 |
$135.17 |
$135.17 |
$67.20
|
|
Chlamydia type
|
$45.44 |
$45.44 |
$45.44 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$654.55 |
$654.55 |
$654.55 |
$301.40
|
|
Chloride
|
$55.98 |
$55.98 |
$55.98 |
$40.95
|
|
Chloride 24 hour urine
|
$58.32 |
$58.32 |
$58.32 |
$50.40
|
|
Chloroprocaine (clorotekal)
|
$152.84 |
$152.84 |
$152.84 |
$37.89
|
|
Chloroprocaine hcl injection
|
$186.01 |
$186.01 |
$186.01 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$809.64 |
$809.64 |
$809.64 |
$369.74
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$252.30 |
$252.30 |
$252.30 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,023.02 |
$1,023.02 |
$1,023.02 |
$602.40
|
|
Cholesterol
|
$66.42 |
$66.42 |
$66.42 |
$45.50
|
|
Cholesterol body fluid
|
$14,098.22 |
$14,098.22 |
$14,098.22 |
$88.65
|
|
Cholesterol (Lipid) Test
|
$143.36 |
$143.36 |
$143.36 |
$115.80
|
|
Cholinesterase
|
$99.08 |
$99.08 |
$99.08 |
$39.32
|
|
Cholinesterase challenge
|
$1,101.37 |
$1,101.37 |
$1,101.37 |
$366.72
|
|
Chorion biopsy
|
$2,448.71 |
$2,448.71 |
$2,448.71 |
$1,392.05
|
|
Chrom analysis
|
$1,490.47 |
$1,490.47 |
$1,490.47 |
$156.00
|
|
Chromatography
|
$1,677.57 |
$1,677.57 |
$1,677.57 |
$81.25
|
|
Chromogenic substrate assay
|
$688.55 |
$688.55 |
$688.55 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$2,137.20 |
$2,137.20 |
$2,137.20 |
$250.00
|
|
Chromosome analys amniotic
|
$1,490.47 |
$1,490.47 |
$1,490.47 |
$450.00
|
|
Chromosome analysis 100
|
$660.80 |
$660.80 |
$660.80 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$1,689.78 |
$1,689.78 |
$1,689.78 |
$512.20
|
|
Chromosome analysis 20-25
|
$1,551.02 |
$1,551.02 |
$1,551.02 |
$409.20
|
|
Chromosome analysis 45
|
$1,834.11 |
$1,834.11 |
$1,834.11 |
$380.91
|
|
Chromosome analysis 5
|
$2,364.52 |
$2,364.52 |
$2,364.52 |
$644.80
|
|
Chromosome analysis 50-100
|
$643.39 |
$643.39 |
$643.39 |
$434.40
|
|
Chromosome count additional
|
$297.98 |
$297.98 |
$297.98 |
$92.45
|
|
Chromosome karyotype study
|
$342.58 |
$342.58 |
$342.58 |
$120.00
|
|
Chromosome study additional
|
$434.42 |
$434.42 |
$434.42 |
$152.86
|
|
Chronic urticaria - sendout
|
$545.89 |
$545.89 |
$545.89 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$989.42 |
$989.42 |
$989.42 |
$135.10
|
|
Cidofovir injection
|
$3,408.85 |
$3,408.85 |
$3,408.85 |
$1,447.81
|
|
Cilastatin sodium injection
|
$161.84 |
$161.84 |
$161.84 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$62.28 |
$62.28 |
$62.28 |
$36.23
|
|
Cisplatin 1 mg/ml desensitization
|
$311.40 |
$311.40 |
$311.40 |
$198.28
|
|
C-kit mutation liquid tumor - sendout
|
$1,271.34 |
$1,271.34 |
$1,271.34 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$4,359.60 |
$4,359.60 |
$4,359.60 |
$586.54
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$96,772.50 |
$96,772.50 |
$96,772.50 |
$15,779.40
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$205.01 |
$205.01 |
$205.01 |
$55.20
|
|
Clip ligating vesolock lg
|
$8,779.91 |
$8,779.91 |
$8,779.91 |
$4,194.00
|
|
Cllr miami j sm
|
$2,308.45 |
$2,308.45 |
$2,308.45 |
$552.23
|
|
Clofarabine 1 mg/ml intravenous solution
|
$30,465.30 |
$30,465.30 |
$30,465.30 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$470.01 |
$470.01 |
$470.01 |
$83.14
|
|
Closure paravalvlr leak pq
|
$89,252.00 |
$89,252.00 |
$89,252.00 |
$8,455.19
|
|
Clot factor fletcher fact
|
$222.54 |
$222.54 |
$222.54 |
$116.82
|
|
Clot factor wght kininogen
|
$222.54 |
$222.54 |
$222.54 |
$157.50
|
|
Clot factor xii hageman
|
$243.60 |
$243.60 |
$243.60 |
$135.01
|
|
Clot factor xiii fibrin scrn
|
$111.85 |
$111.85 |
$111.85 |
$57.75
|
|
Clot factor xiii fibrin stab
|
$1,054.98 |
$1,054.98 |
$1,054.98 |
$106.26
|
|
C motor evoked lwr limbs
|
$2,199.70 |
$2,199.70 |
$2,199.70 |
$627.89
|
|
C motor evoked uppr limbs
|
$2,255.99 |
$2,255.99 |
$2,255.99 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$3,765.68 |
$3,765.68 |
$3,765.68 |
$1,308.00
|
|
#cms hgb-carboxyhemoglobin
|
$159.64 |
$159.64 |
$159.64 |
$61.60
|
|
#cms hgb-sulfhemoglobin
|
$159.64 |
$159.64 |
$159.64 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$562.23 |
$562.23 |
$562.23 |
$87.75
|
|
Cmv pcr-sendout
|
$1,227.06 |
$1,227.06 |
$1,227.06 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$27.41 |
$27.41 |
$27.41 |
$12,560.76
|
|
Coagulation time activated teg
|
$52.47 |
$52.47 |
$52.47 |
$53.55
|
|
Cocaine 4 % nasal solution
|
$20.59 |
$20.59 |
$20.59 |
$629.41
|
|
Cold agglutinin titer
|
$101.42 |
$101.42 |
$101.42 |
$51.60
|
|
Colistimethate sodium inj
|
$293.45 |
$293.45 |
$293.45 |
$71.09
|
|
Collagenase, clost hist inj
|
$79,648.34 |
$79,648.34 |
$79,648.34 |
$12,906.28
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$7,751.83 |
$7,751.83 |
$7,751.83 |
$62.40
|
|
Collar cerv ascend 172 reg
|
$8,357.63 |
$8,357.63 |
$8,357.63 |
$213.89
|
|
Collar extrication adult univ
|
$4,064.94 |
$4,064.94 |
$4,064.94 |
$800.32
|
|
Collection blood specimen from completely implantable venous access device
|
$405.47 |
$405.47 |
$405.47 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$378.88 |
$378.88 |
$378.88 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$127.85 |
$127.85 |
$127.85 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$224.87 |
$224.87 |
$224.87 |
$172.00
|
|
Compatibility test each unit electronic
|
$164.33 |
$164.33 |
$164.33 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$164.33 |
$164.33 |
$164.33 |
$167.17
|
|
Compatibility test incubate
|
$164.33 |
$164.33 |
$164.33 |
$149.60
|
|
Complement antigen each component c3
|
$1,346.42 |
$1,346.42 |
$1,346.42 |
$110.00
|
|
Complement fixation each
|
$219.65 |
$219.65 |
$219.65 |
$29.12
|
|
Complex cystometrogram 51726
|
$2,255.83 |
$2,255.83 |
$2,255.83 |
$727.35
|
|
Complex uroflowmetry (electronic) 51741
|
$429.68 |
$429.68 |
$429.68 |
$344.68
|
|
Compre oph exam new pt 1/>
|
$481.97 |
$481.97 |
$481.97 |
$188.51
|
|
Computed tomographic angiography head and neck with contrast
|
$3,131.78 |
$3,131.78 |
$3,131.78 |
$2,237.25
|
|
Concentration infection agents any type
|
$55.98 |
$55.98 |
$55.98 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$14,684.79 |
$14,684.79 |
$14,684.79 |
$3,352.21
|
|
Conivaptan hcl
|
$8,559.35 |
$8,559.35 |
$8,559.35 |
$1,625.08
|
|
Conjugated estrogens 25 mg solution for injection
|
$3,800.85 |
$3,800.85 |
$3,800.85 |
$839.07
|
|
Connector tis 2x10mm
|
$22,784.39 |
$22,784.39 |
$22,784.39 |
$4,055.00
|
|
Consultation pathology during surgery
|
$122.39 |
$122.39 |
$122.39 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,462.31 |
$2,462.31 |
$2,462.31 |
$407.20
|
|
Consultation pathology during surgery frozen section each additional block
|
$122.39 |
$122.39 |
$122.39 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$224.87 |
$224.87 |
$224.87 |
$224.87
|
|
Consultation/report referred material w/preparation of slides
|
$854.15 |
$854.15 |
$854.15 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$759.77 |
$759.77 |
$759.77 |
$176.15
|
|
Consultation with family
|
$31.73 |
$31.73 |
$31.73 |
$135.79
|
|
Consult comp w/report rfrd material
|
$587.35 |
$587.35 |
$587.35 |
$375.00
|
|
Contrast baths charges
|
$51.41 |
$51.41 |
$51.41 |
$74.25
|
|
Contrast exam abdominl aorta 75625-26
|
$10,763.97 |
$10,763.97 |
$10,763.97 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$10,507.94 |
$10,507.94 |
$10,507.94 |
$3,663.60
|
|
Contrast x-ray gallbladder
|
$892.65 |
$892.65 |
$892.65 |
$341.00
|
|
Contrast x-ray of ankle
|
$2,637.18 |
$2,637.18 |
$2,637.18 |
$676.80
|
|
Contrast x-ray of brain
|
$3,125.30 |
$3,125.30 |
$3,125.30 |
$1,077.92
|
|
Contrast x-ray of elbow
|
$3,232.06 |
$3,232.06 |
$3,232.06 |
$686.95
|
