|
Ceftaroline fosamil 600 mg intravenous solution
|
$1,027.50 |
$1,027.50 |
$1,027.50 |
$606.21
|
|
Ceftriaxone 1 gram solution for injection
|
$3.90 |
$3.90 |
$3.90 |
$84.18
|
|
#celiac hla-dq2
|
$139.80 |
$139.80 |
$139.80 |
$225.12
|
|
Cell count w differential body fluid
|
$121.20 |
$121.20 |
$121.20 |
$93.23
|
|
#cf-97variants
|
$423.00 |
$423.00 |
$423.00 |
$622.20
|
|
Change cystostomy tube simple
|
$417.60 |
$417.60 |
$417.60 |
$451.00
|
|
Chemo adm cns w/lmbr punct
|
$432.00 |
$432.00 |
$432.00 |
$665.40
|
|
Chest 2 vws w oblique
|
$274.20 |
$274.20 |
$274.20 |
$377.06
|
|
Chest apical lordotic proj
|
$294.00 |
$294.00 |
$294.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,096.00 |
$3,096.00 |
$3,096.00 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,587.80 |
$2,587.80 |
$2,587.80 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,892.40 |
$1,892.40 |
$1,892.40 |
$1,350.03
|
|
Chest X-ray
|
$261.00 |
$261.00 |
$261.00 |
$294.06
|
|
Chest X-ray (single view)
|
$221.40 |
$221.40 |
$221.40 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$141.00 |
$141.00 |
$141.00 |
$147.95
|
|
Chloride
|
$80.40 |
$80.40 |
$80.40 |
$40.95
|
|
Chloride 24 hour urine
|
$28.20 |
$28.20 |
$28.20 |
$49.50
|
|
Chloroprocaine hcl injection
|
$73.80 |
$73.80 |
$73.80 |
$61.51
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$84.00 |
$84.00 |
$84.00 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$514.80 |
$514.80 |
$514.80 |
$602.40
|
|
Cholesterol
|
$75.60 |
$75.60 |
$75.60 |
$45.76
|
|
Cholesterol body fluid
|
$5.40 |
$5.40 |
$5.40 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$100.80 |
$100.80 |
$100.80 |
$115.80
|
|
Chromatography
|
$54.00 |
$54.00 |
$54.00 |
$81.25
|
|
Circumcise/surg/28 days or < 54160
|
$366.00 |
$366.00 |
$366.00 |
$1,219.20
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$58.80 |
$58.80 |
$58.80 |
$55.20
|
|
Closed tx humerus fx with manip 23605
|
$3,402.60 |
$3,402.60 |
$3,402.60 |
$2,211.05
|
|
Closed tx humerus fx w/manip 24505
|
$258.60 |
$258.60 |
$258.60 |
$1,507.80
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$1,794.60 |
$1,794.60 |
$1,794.60 |
$1,934.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$258.60 |
$258.60 |
$258.60 |
$641.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$258.60 |
$258.60 |
$258.60 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$258.60 |
$258.60 |
$258.60 |
$462.80
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$258.60 |
$258.60 |
$258.60 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$288.00 |
$288.00 |
$288.00 |
$520.80
|
|
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
|
$899.40 |
$899.40 |
$899.40 |
$1,571.25
|
|
Clsd tx hip disloc without anes 27265
|
$258.60 |
$258.60 |
$258.60 |
$630.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$2,539.20 |
$2,539.20 |
$2,539.20 |
$883.00
|
|
Clsd tx/metatarsal fx without manip 28470
|
$182.40 |
$182.40 |
$182.40 |
$418.20
|
|
Clsd tx patella disloc without anes 27560
|
$258.60 |
$258.60 |
$258.60 |
$566.72
|
|
Clsd tx shoulder dislc/fx 23665
|
$899.40 |
$899.40 |
$899.40 |
$1,839.54
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,539.20 |
$2,539.20 |
$2,539.20 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$305.40 |
$305.40 |
$305.40 |
$394.40
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$899.40 |
$899.40 |
$899.40 |
$1,565.74
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$264.60 |
$264.60 |
$264.60 |
$452.40
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$258.60 |
$258.60 |
$258.60 |
$600.60
|
|
Cltx post ankle fx w/mnpj
|
$258.60 |
$258.60 |
$258.60 |
$1,893.86
|
|
Cmv pcr-sendout
|
$288.60 |
$288.60 |
$288.60 |
$177.50
|
|
Cold agglutinin titer
|
$12.00 |
$12.00 |
$12.00 |
$50.00
|
|
Colectomy/end colost/close dis seg 44143
|
$2,179.20 |
$2,179.20 |
$2,179.20 |
$2,880.80
|
|
Colectomy partial w/anastomosis 44140
|
$2,086.80 |
$2,086.80 |
$2,086.80 |
$2,510.73
|
|
Collection blood specimen from completely implantable venous access device
|
$178.80 |
$178.80 |
$178.80 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$178.80 |
$178.80 |
$178.80 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$15.00 |
$15.00 |
$15.00 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$745.20 |
$745.20 |
$745.20 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$875.40 |
$875.40 |
$875.40 |
$2,288.00
|
|
Colonoscopy submucous njx
|
$664.80 |
$664.80 |
$664.80 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$519.60 |
$519.60 |
$519.60 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$928.80 |
$928.80 |
$928.80 |
$2,708.80
|
|
Colonoscopy w/control bleed
|
$867.00 |
$867.00 |
$867.00 |
$2,030.25
|
|
Colonoscopy (with biopsy)
|
$847.20 |
$847.20 |
$847.20 |
$2,080.00
|
|
Colonoscopy with biopsy
|
$562.80 |
$562.80 |
$562.80 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$1,038.60 |
$1,038.60 |
$1,038.60 |
$2,288.00
|
|
Colostomy skin level cecostomy 44320
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$2,269.80
|
|
Compatibility test each unit antiglobulin technique
|
$78.60 |
$78.60 |
$78.60 |
$170.05
|
|
Complement antigen each component c3
|
$42.00 |
$42.00 |
$42.00 |
$108.55
|
|
Complx repair fccmnaxghf 13132
|
$846.00 |
$846.00 |
$846.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$259.80 |
$259.80 |
$259.80 |
$490.50
|
|
Complx repair sal addl 5 cm/> 13122
|
$426.60 |
$426.60 |
$426.60 |
$502.50
|
|
Condylomata destruction 56420
|
$323.40 |
$323.40 |
$323.40 |
$469.00
|
|
Cont gluc mntr analysis i&r 95251
|
$63.60 |
$63.60 |
$63.60 |
$65.70
|
|
Contrast x-ray of hip
|
$626.40 |
$626.40 |
$626.40 |
$771.12
|
|
Control nosebleed pack+caut 30905
|
$265.20 |
$265.20 |
$265.20 |
$392.60
|
|
Control of nosebleedantersmpl 30901
|
$530.40 |
$530.40 |
$530.40 |
$355.50
|
|
Coombs direct
|
$36.00 |
$36.00 |
$36.00 |
$75.00
|
|
Coombs indirect titer reference
|
$75.00 |
$75.00 |
$75.00 |
$146.40
|
|
Core ndl bx lng/med perq
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$2,678.00
|
|
Cortisol total am
|
$49.80 |
$49.80 |
$49.80 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$392.40 |
$392.40 |
$392.40 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$96.60 |
$96.60 |
$96.60 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$42.00 |
$42.00 |
$42.00 |
$55.90
|
|
Counseling visit to discuss need for ldct g0296
|
$54.00 |
$54.00 |
$54.00 |
$98.14
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$625.20 |
$625.20 |
$625.20 |
$592.49
|
|
Covid-19 lab test non-cdc
|
$93.00 |
$93.00 |
$93.00 |
$80.50
|
|
#covid19rsv-rsv
|
$84.60 |
$84.60 |
$84.60 |
$145.60
|
|
C-peptide
|
$176.40 |
$176.40 |
$176.40 |
$97.30
|
|
C-reactive protein
|
$24.00 |
$24.00 |
$24.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$100.80 |
$100.80 |
$100.80 |
$85.00
|
|
Creatine kinase
|
$84.60 |
$84.60 |
$84.60 |
$66.30
|
|
Creatine kinase isoenzymes
|
$31.80 |
$31.80 |
$31.80 |
$56.80
|
|
Creatine kinase mb
|
$162.60 |
$162.60 |
$162.60 |
$114.00
|
|
Creatine - sendout
|
$12.00 |
$12.00 |
$12.00 |
$39.00
|
|
Creatinine
|
$80.40 |
$80.40 |
$80.40 |
$44.72
|
|
Creatinine 24 hour urine
|
$80.40 |
$80.40 |
$80.40 |
$58.85
|
|
Creatinine clearance urine
|
$171.00 |
$171.00 |
$171.00 |
$89.50
|
|
Critical care 30-74 minutes
|
$280.20 |
$280.20 |
$280.20 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$181.20 |
$181.20 |
$181.20 |
$731.40
|
|
Crotalidae poly immune fab
|
$10,873.20 |
$10,873.20 |
$10,873.20 |
$5,590.35
|
|
Cryoprecipitate each unit
|
$45.00 |
$45.00 |
$45.00 |
$144.78
|
|
Crystal identification light microscopy
|
$15.00 |
$15.00 |
$15.00 |
$62.50
|
