|
Chlamydia type
|
$32.40 |
$32.40 |
$32.40 |
|
|
Chlnggrphy intraop addl s&i
|
$0.60 |
$0.60 |
$0.60 |
|
|
Chloride
|
$3.00 |
$3.00 |
$3.00 |
|
|
Chloride 24 hour urine
|
$16.20 |
$16.20 |
$16.20 |
|
|
Chloroprocaine hcl injection
|
$22.80 |
$22.80 |
$22.80 |
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$48.00 |
$48.00 |
$48.00 |
|
|
Chmotx admn plrl cav thrcnts
|
$351.60 |
$351.60 |
$351.60 |
|
|
Cholangiogram percutaneous compl
|
$0.60 |
$0.60 |
$0.60 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$0.60 |
$0.60 |
$0.60 |
|
|
Cholecystostomy complete w/supervision & interpretation
|
$0.60 |
$0.60 |
$0.60 |
|
|
Cholesterol
|
$6.00 |
$6.00 |
$6.00 |
|
|
Cholesterol (Lipid) Test
|
$30.60 |
$30.60 |
$30.60 |
|
|
Chromatography
|
$40.20 |
$40.20 |
$40.20 |
|
|
Chromosome analysis 15-20 cell count
|
$519.60 |
$519.60 |
$519.60 |
|
|
Chromosome analysis 5
|
$202.80 |
$202.80 |
$202.80 |
|
|
Chromosome count additional
|
$32.40 |
$32.40 |
$32.40 |
|
|
Chromosome karyotype study
|
$32.40 |
$32.40 |
$32.40 |
|
|
Chylomicron screen, bf - sendout
|
$40.20 |
$40.20 |
$40.20 |
|
|
Cilastatin sodium injection
|
$11.40 |
$11.40 |
$11.40 |
|
|
Cinacalcet 30 mg tablet
|
$93.60 |
$93.60 |
$93.60 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$1.20 |
$1.20 |
$1.20 |
|
|
Circumcision (newborn)
|
$433.20 |
$433.20 |
$433.20 |
|
|
Cisplatin 1 mg/ml desensitization
|
$1.20 |
$1.20 |
$1.20 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$128.40 |
$128.40 |
$128.40 |
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$2,157.00 |
$2,157.00 |
$2,157.00 |
|
|
Clearance of airways
|
$23.40 |
$23.40 |
$23.40 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$6.00 |
$6.00 |
$6.00 |
|
|
Clip ligating vesolock lg
|
$451.20 |
$451.20 |
$451.20 |
|
|
Clot factor xii hageman
|
$97.20 |
$97.20 |
$97.20 |
|
|
Clot factor xiii fibrin stab
|
$97.20 |
$97.20 |
$97.20 |
|
|
#cmvcul-virus inoculation shell
|
$48.60 |
$48.60 |
$48.60 |
|
|
Cmv pcr-sendout
|
$194.40 |
$194.40 |
$194.40 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$4,809.00 |
$4,809.00 |
$4,809.00 |
|
|
Cold agglutinin titer
|
$42.00 |
$42.00 |
$42.00 |
|
|
Colistimethate sodium inj
|
$12.00 |
$12.00 |
$12.00 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$89.40 |
$89.40 |
$89.40 |
|
|
Collar cerv ascend 172 reg
|
$106.80 |
$106.80 |
$106.80 |
|
|
Collection blood specimen from completely implantable venous access device
|
$234.00 |
$234.00 |
$234.00 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$263.40 |
$263.40 |
$263.40 |
|
|
Compatibility test each unit antiglobulin technique
|
$16.20 |
$16.20 |
$16.20 |
|
|
Compatibility test each unit electronic
|
$9.60 |
$9.60 |
$9.60 |
|
|
Compatibility test each unit immediate spin technique
|
$12.60 |
$12.60 |
$12.60 |
|
|
Compatibility test incubate
|
$1.20 |
$1.20 |
$1.20 |
|
|
Complement antigen each component c3
|
$40.20 |
$40.20 |
$40.20 |
|
|
Complement fixation each
|
$24.00 |
$24.00 |
$24.00 |
|
|
Concentration infection agents any type
|
$32.40 |
$32.40 |
$32.40 |
|
|
Connect omega .5mm
|
$55.80 |
$55.80 |
$55.80 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$7.80 |
$7.80 |
$7.80 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$48.60 |
$48.60 |
$48.60 |
|
|
Contrast exam abdominl aorta 75625-26
|
$0.60 |
$0.60 |
$0.60 |
|
|
Contrast exam thoracic aorta 75605-26
|
$0.60 |
$0.60 |
$0.60 |
|
|
Contrast x-ray of knee joint
|
$0.60 |
$0.60 |
$0.60 |
|
|
Contrast x-ray of wrist
|
$0.60 |
$0.60 |
$0.60 |
|
|
Controller infinity pt dbs
|
$2,937.60 |
$2,937.60 |
$2,937.60 |
|
|
Conversion ext bil drg cath
|
$0.60 |
$0.60 |
$0.60 |
|
|
Convert nephrostomy catheter
|
$0.60 |
$0.60 |
$0.60 |
|
|
Coombs direct
|
$12.60 |
$12.60 |
$12.60 |
|
|
Coombs indirect qualitative each reagent red cell reference
|
$19.20 |
$19.20 |
$19.20 |
|
|
Coombs indirect titer reference
|
$51.60 |
$51.60 |
$51.60 |
|
|
Core ndl bx lng/med perq
|
$0.60 |
$0.60 |
$0.60 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$0.60 |
$0.60 |
$0.60 |
|
|
Coronary angio/lv gram/lt heart
|
$0.60 |
$0.60 |
$0.60 |
|
|
Coronary angio/lv gram/rt< heart
|
$0.60 |
$0.60 |
$0.60 |
|
|
Coronary art/grft angio s&i
|
$0.60 |
$0.60 |
$0.60 |
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$0.60 |
$0.60 |
$0.60 |
|
|
Cortisol total am
|
$24.00 |
$24.00 |
$24.00 |
|
|
Cosyntropin 0.25 mg solution for injection
|
$20.40 |
$20.40 |
$20.40 |
|
|
Co-treatment - group 15 mins, st
|
$45.60 |
$45.60 |
$45.60 |
|
|
Counseling smoke cess interm >10mins
|
$31.80 |
$31.80 |
$31.80 |
|
|
#coxa-coxsackie a serotype a16
|
$64.80 |
$64.80 |
$64.80 |
|
|
CPAP or BiPAP Setup (first day)
|
$190.80 |
$190.80 |
$190.80 |
|
|
C-peptide
|
$24.00 |
$24.00 |
$24.00 |
|
|
CPR (Cardiopulmonary Resuscitation)
|
$127.20 |
$127.20 |
$127.20 |
|
|
Crbrospnl fld flw imag cistern
|
$326.40 |
$326.40 |
$326.40 |
|
|
C-reactive protein
|
$24.00 |
$24.00 |
$24.00 |
|
|
C-reactive protein high sensitivity
|
$25.80 |
$25.80 |
$25.80 |
|
|
C-reactive protein, quantitative
|
$48.60 |
$48.60 |
$48.60 |
|
|
Creatine kinase
|
$9.60 |
$9.60 |
$9.60 |
|
|
Creatine kinase isoenzymes
|
$40.20 |
$40.20 |
$40.20 |
|
|
Creatine kinase mb
|
$24.00 |
$24.00 |
$24.00 |
|
|
Creatinine
|
$3.00 |
$3.00 |
$3.00 |
|
|
Creatinine 24 hour urine
|
$16.20 |
$16.20 |
$16.20 |
|
|
Creatinine clearance urine
|
$19.20 |
$19.20 |
$19.20 |
|
|
#creutz-prot.,western blot
|
$121.80 |
$121.80 |
$121.80 |
|
|
Crisis psychotherapy 90839
|
$263.40 |
$263.40 |
$263.40 |
|
|
Crisis psychotherapy additional 30 mins 90840
|
$146.40 |
$146.40 |
$146.40 |
|
|
Crotalidae poly immune fab
|
$3,408.60 |
$3,408.60 |
$3,408.60 |
|
|
Crutches underarm other than wood adjustable or e0114
|
$34.20 |
$34.20 |
$34.20 |
|
|
Cryofibrinogen qualitative - sendout
|
$22.20 |
$22.20 |
$22.20 |
|
|
Cryptococcus abs qn - sendout
|
$76.20 |
$76.20 |
$76.20 |
|
|
Crystal identification light microscopy
|
$24.00 |
$24.00 |
$24.00 |
|
|
C-Section Delivery (full care)
|
$5,346.60 |
$5,346.60 |
$5,346.60 |
|
|
Cta lower extremity without & w/contrast (both sides)
|
$217.80 |
$217.80 |
$217.80 |
|
|
CT Angiogram of Abdomen and Pelvis
|
$232.80 |
$232.80 |
$232.80 |
|
|
CT Angiogram of the Abdomen
|
$181.80 |
$181.80 |
$181.80 |
|
|
CT Angiogram of the Abdomen and Both Legs
|
$220.80 |
$220.80 |
$220.80 |
|
|
CT Angiogram of the Chest (for blood clot)
|
$175.80 |
$175.80 |
$175.80 |
|
|
CT Angiogram of the Head
|
$172.80 |
$172.80 |
$172.80 |
|
|
CT Angiogram of the Neck
|
$169.80 |
$169.80 |
$169.80 |
|
|
CT angio hrt w/3d image
|
$253.80 |
$253.80 |
$253.80 |
|