|
Calcium ionized
|
$211.80 |
$211.80 |
$211.80 |
$90.00
|
|
Calcium total
|
$84.60 |
$84.60 |
$84.60 |
$50.00
|
|
Calprotectin fecal
|
$498.60 |
$498.60 |
$498.60 |
$169.95
|
|
Candida dna
|
$34.20 |
$34.20 |
$34.20 |
$62.50
|
|
Cannula ercp contour 5-4-3 tip
|
$6,449.18 |
$6,449.18 |
$6,449.18 |
$34,218.66
|
|
Capsaicin 8% patch
|
$3,555.00 |
$3,555.00 |
$3,555.00 |
$4,719.65
|
|
Cap trach decann 15mm
|
$264.60 |
$264.60 |
$264.60 |
$2,597.62
|
|
Carbamazepine free
|
$78.60 |
$78.60 |
$78.60 |
$59.15
|
|
Carbamazepine free -sendout
|
$205.80 |
$205.80 |
$205.80 |
$47.94
|
|
Carbon dioxide
|
$104.40 |
$104.40 |
$104.40 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$221.40 |
$221.40 |
$221.40 |
$186.10
|
|
Carboxyhemoglobin quantitative
|
$63.60 |
$63.60 |
$63.60 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$327.60 |
$327.60 |
$327.60 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,099.40 |
$2,099.40 |
$2,099.40 |
$2,626.88
|
|
Cardiolipin antibody iga
|
$82.80 |
$82.80 |
$82.80 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$821.40 |
$821.40 |
$821.40 |
$1,396.00
|
|
Cardioversion/elective/internal 92961
|
$868.80 |
$868.80 |
$868.80 |
$1,114.00
|
|
Carfilzomib 10 mg intravenous solution
|
$3,758.40 |
$3,758.40 |
$3,758.40 |
$6,877.19
|
|
Carotid Artery Ultrasound (Duplex)
|
$868.80 |
$868.80 |
$868.80 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$3,608.80
|
|
Ca screen;flexi sigmoidscope
|
$226.80 |
$226.80 |
$226.80 |
$1,206.00
|
|
Cath cv dl inj 7fx16cm
|
$380.32 |
$380.32 |
$380.32 |
$3,889.06
|
|
Catheter insert artery
|
$239.40 |
$239.40 |
$239.40 |
$388.85
|
|
Cath groshong MRI 8fr plstc port
|
$381.02 |
$381.02 |
$381.02 |
$1,653.00
|
|
Cath malecot 28fr 4-wing ltx
|
$424.60 |
$424.60 |
$424.60 |
$2,173.58
|
|
Cath uret open tp 6fx70cm
|
$28.17 |
$28.17 |
$28.17 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$280.80 |
$280.80 |
$280.80 |
$340.90
|
|
Cdna analysis for variants
|
$463.20 |
$463.20 |
$463.20 |
$525.00
|
|
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
|
|
Ceftriaxone 1 gram solution for injection
|
$3.90 |
$3.90 |
$3.90 |
$84.18
|
|
#celiac hla-dq2
|
$136.20 |
$136.20 |
$136.20 |
$225.12
|
|
Cell count w differential body fluid
|
$130.20 |
$130.20 |
$130.20 |
$93.23
|
|
Cell function assay w/stim
|
$249.00 |
$249.00 |
$249.00 |
$314.25
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$31,844.40 |
$31,844.40 |
$31,844.40 |
$21,238.53
|
|
#cf-97variants
|
$414.00 |
$414.00 |
$414.00 |
$622.20
|
|
Change cystostomy tube simple
|
$445.80 |
$445.80 |
$445.80 |
$451.00
|
|
Change of windpipe airway 31502
|
$82.80 |
$82.80 |
$82.80 |
$388.00
|
|
Chest 2 vws w oblique
|
$388.80 |
$388.80 |
$388.80 |
$377.06
|
|
Chest apical lordotic proj
|
$332.40 |
$332.40 |
$332.40 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,396.00 |
$3,396.00 |
$3,396.00 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$2,839.20 |
$2,839.20 |
$2,839.20 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$2,073.00 |
$2,073.00 |
$2,073.00 |
$1,350.03
|
|
Chest X-ray
|
$294.60 |
$294.60 |
$294.60 |
$294.06
|
|
Chest X-ray (single view)
|
$250.20 |
$250.20 |
$250.20 |
$239.04
|
|
Chlamydia culture
|
$217.20 |
$217.20 |
$217.20 |
$93.90
|
|
Chlamydia type
|
$10.20 |
$10.20 |
$10.20 |
$34.20
|
|
Chloride 24 hour urine
|
$77.40 |
$77.40 |
$77.40 |
$49.50
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$534.00 |
$534.00 |
$534.00 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$84.00 |
$84.00 |
$84.00 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$726.60 |
$726.60 |
$726.60 |
$602.40
|
|
Cholecystectomy w/cholangiography 47605
|
$2,338.80 |
$2,338.80 |
$2,338.80 |
$1,963.37
|
|
Cholesterol
|
$114.00 |
$114.00 |
$114.00 |
$45.76
|
|
Cholesterol body fluid
|
$5.40 |
$5.40 |
$5.40 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$221.40 |
$221.40 |
$221.40 |
$115.80
|
|
Chromatography
|
$54.00 |
$54.00 |
$54.00 |
$81.25
|
|
Chromosome analysis 5
|
$788.40 |
$788.40 |
$788.40 |
$644.80
|
|
Chromosome count additional
|
$293.40 |
$293.40 |
$293.40 |
$92.45
|
|
Chromosome karyotype study
|
$86.40 |
$86.40 |
$86.40 |
$119.87
|
|
Cisplatin 1 mg/ml desensitization
|
$135.00 |
$135.00 |
$135.00 |
$192.66
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$48.00 |
$48.00 |
$48.00 |
$55.20
|
|
Clos txnose fx without stablz 21315
|
$2,863.20 |
$2,863.20 |
$2,863.20 |
$2,326.08
|
|
Closure enterostomy lg/sm intestine 44620
|
$1,407.00 |
$1,407.00 |
$1,407.00 |
$1,641.60
|
|
Closure enterostomy lg/sm intestine anast 44626
|
$2,404.80 |
$2,404.80 |
$2,404.80 |
$2,835.00
|
|
Clot factor xiii fibrin scrn
|
$183.00 |
$183.00 |
$183.00 |
$55.44
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$627.00 |
$627.00 |
$627.00 |
$641.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$261.60 |
$261.60 |
$261.60 |
$653.60
|
|
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
|
$909.00 |
$909.00 |
$909.00 |
$1,571.25
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$261.60 |
$261.60 |
$261.60 |
$520.38
|
|
Clsd tx shoulder dislc/fx 23665
|
$909.00 |
$909.00 |
$909.00 |
$1,839.54
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,569.20 |
$2,569.20 |
$2,569.20 |
$2,211.05
|
|
Clsd tx temporomandibular dislocat 21480
|
$311.40 |
$311.40 |
$311.40 |
$394.40
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$261.60 |
$261.60 |
$261.60 |
$600.60
|
|
Cmv pcr-sendout
|
$345.60 |
$345.60 |
$345.60 |
$177.50
|
|
Coagulation time activated teg
|
$85.20 |
$85.20 |
$85.20 |
$53.72
|
|
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/ ileostomy w/prctect 44155
|
$3,304.20 |
$3,304.20 |
$3,304.20 |
$4,562.58
|
|
Colectomy partial w/anastomosis 44140
|
$2,086.80 |
$2,086.80 |
$2,086.80 |
$2,510.73
|
|
Colectomy prtl w/coloproctostomy 44145
|
$2,991.00 |
$2,991.00 |
$2,991.00 |
$3,142.80
|
|
Colectomy prtl w/remove terminal ileum+ileocolos 44160
|
$2,578.20 |
$2,578.20 |
$2,578.20 |
$2,343.60
|
|
Colectomy prtl w/skin level cecost/colostomy 44141
|
$2,144.40 |
$2,144.40 |
$2,144.40 |
$3,270.00
|
|
Colectomy/w colostomy or ileostomy 44144
|
$2,313.60 |
$2,313.60 |
$2,313.60 |
$3,176.40
|
|
Colistimethate sodium inj
|
$94.20 |
$94.20 |
$94.20 |
$68.47
|
|
Collection blood specimen from completely implantable venous access device
|
$183.60 |
$183.60 |
$183.60 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$183.60 |
$183.60 |
$183.60 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$19.20 |
$19.20 |
$19.20 |
$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/band ligation
|
$867.00 |
$867.00 |
$867.00 |
$2,080.80
|
|
Colonoscopy (with biopsy)
|
$847.20 |
$847.20 |
$847.20 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$1,038.60 |
$1,038.60 |
$1,038.60 |
$2,288.00
|
|
Colonoscopy w/resection
|
$928.80 |
$928.80 |
$928.80 |
$3,029.60
|
|
Colostomy skin level cecostomy 44320
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$2,269.80
|
|
Compatibility test each unit antiglobulin technique
|
$77.40 |
$77.40 |
$77.40 |
$170.05
|
|
Complement antigen each component c3
|
$27.00 |
$27.00 |
$27.00 |
$108.55
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$454.80 |
$454.80 |
$454.80 |
$1,191.78
|
