|
Calprotectin fecal
|
$67.20 |
$67.20 |
$67.20 |
$170.00
|
|
Candida dna
|
$100.00 |
$100.00 |
$100.00 |
$61.10
|
|
Carbamazepine total therapeutic drug level
|
$87.20 |
$87.20 |
$87.20 |
$122.85
|
|
Carbon dioxide
|
$25.60 |
$25.60 |
$25.60 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$66.40 |
$66.40 |
$66.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$100.00 |
$100.00 |
$100.00 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,692.00 |
$2,692.00 |
$2,692.00 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$248.80 |
$248.80 |
$248.80 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$208.00 |
$208.00 |
$208.00 |
$204.54
|
|
Cardiolipin antibody iga
|
$104.80 |
$104.80 |
$104.80 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,544.00 |
$1,544.00 |
$1,544.00 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$123.20 |
$123.20 |
$123.20 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$61.60 |
$61.60 |
$61.60 |
$51.52
|
|
Carfilzomib 10 mg intravenous solution
|
$3,955.84 |
$3,955.84 |
$3,955.84 |
$6,306.47
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,244.80 |
$1,244.80 |
$1,244.80 |
$1,024.32
|
|
Cath ablt clsfast 7fx100cmx
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$2,808.00
|
|
Cath acuity innr ic130 6f 63cm
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$9,931.73
|
|
Cath adherent clot 10mm 6f 10
|
$304.00 |
$304.00 |
$304.00 |
$19,800.55
|
|
Cath cv dl inj 7fx16cm
|
$1,838.40 |
$1,838.40 |
$1,838.40 |
$4,488.99
|
|
Cath groshong MRI 8fr plstc port
|
$812.00 |
$812.00 |
$812.00 |
$1,690.71
|
|
Cath malecot 28fr 4-wing ltx
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$2,549.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$556.00 |
$556.00 |
$556.00 |
$462.80
|
|
Cath uret open tp 6fx70cm
|
$45.60 |
$45.60 |
$45.60 |
$573.88
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$157.07 |
$157.07 |
$157.07 |
$39.52
|
|
Cefoxitin 1 gram intravenous solution
|
$65.75 |
$65.75 |
$65.75 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$66.39 |
$66.39 |
$66.39 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$227.10 |
$227.10 |
$227.10 |
$83.39
|
|
Cell count body fluid
|
$32.00 |
$32.00 |
$32.00 |
$63.52
|
|
Cell count w differential body fluid
|
$39.20 |
$39.20 |
$39.20 |
$92.56
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$11,543.31 |
$11,543.31 |
$11,543.31 |
$21,625.43
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$9,008.93 |
$9,008.93 |
$9,008.93 |
$10,638.62
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$1,233.12 |
$1,233.12 |
$1,233.12 |
$3,011.40
|
|
Change cystostomy tube simple
|
$628.80 |
$628.80 |
$628.80 |
$477.60
|
|
Chemotherapy injection 96542
|
$552.00 |
$552.00 |
$552.00 |
$442.20
|
|
Chest 2 vws w oblique
|
$332.00 |
$332.00 |
$332.00 |
$375.60
|
|
Chest apical lordotic proj
|
$164.00 |
$164.00 |
$164.00 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,312.80 |
$3,312.80 |
$3,312.80 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,877.60 |
$2,877.60 |
$2,877.60 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,341.60 |
$2,341.60 |
$2,341.60 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$187.20 |
$187.20 |
$187.20 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$154.40 |
$154.40 |
$154.40 |
$134.50
|
|
Chest Ultrasound
|
$568.00 |
$568.00 |
$568.00 |
$463.88
|
|
Chest X-ray
|
$196.00 |
$196.00 |
$196.00 |
$294.06
|
|
Chest X-ray (single view)
|
$121.60 |
$121.60 |
$121.60 |
$236.60
|
|
Chlamydia culture
|
$116.00 |
$116.00 |
$116.00 |
$91.00
|
|
Chloride
|
$26.40 |
$26.40 |
$26.40 |
$42.63
|
|
Chloride 24 hour urine
|
$37.60 |
$37.60 |
$37.60 |
$50.88
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$794.40 |
$794.40 |
$794.40 |
$602.40
|
|
Cholesterol
|
$26.40 |
$26.40 |
$26.40 |
$45.76
|
|
Cholesterol body fluid
|
$52.00 |
$52.00 |
$52.00 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$77.60 |
$77.60 |
$77.60 |
$115.80
|
|
Chrom analysis
|
$84.80 |
$84.80 |
$84.80 |
$156.00
|
|
Chromo high res and frag x - sendout
|
$139.20 |
$139.20 |
$139.20 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$306.40 |
$306.40 |
$306.40 |
$517.11
|
|
Chromosome analysis 45
|
$366.40 |
$366.40 |
$366.40 |
$382.85
|
|
Chromosome analysis 5
|
$644.80 |
$644.80 |
$644.80 |
$644.80
|
|
Cilastatin sodium injection
|
$68.08 |
$68.08 |
$68.08 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$127.20 |
$127.20 |
$127.20 |
$35.65
|
|
Cisplatin 1 mg/ml desensitization
|
$701.37 |
$701.37 |
$701.37 |
$205.56
|
|
Clearance of airways
|
$144.80 |
$144.80 |
$144.80 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$156.88 |
$156.88 |
$156.88 |
$55.20
|
|
Cllr miami j sm
|
$282.40 |
$282.40 |
$282.40 |
$536.64
|
|
Clot factor xii hageman
|
$88.80 |
$88.80 |
$88.80 |
$138.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$506.40 |
$506.40 |
$506.40 |
$648.96
|
|
Clsd tx elbow dislocation child 24640
|
$506.40 |
$506.40 |
$506.40 |
$465.21
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$471.20 |
$471.20 |
$471.20 |
$464.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,064.80 |
$1,064.80 |
$1,064.80 |
$1,726.01
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
$1,828.80
|
|
Clsd tx temporomandibular dislocat 21480
|
$420.80 |
$420.80 |
$420.80 |
$424.38
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$1,592.00
|
|
#cmvcul-virus inoculation shell
|
$112.80 |
$112.80 |
$112.80 |
$89.76
|
|
Cmv pcr-sendout
|
$86.40 |
$86.40 |
$86.40 |
$175.70
|
|
Cold agglutinin titer
|
$46.40 |
$46.40 |
$46.40 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$184.00 |
$184.00 |
$184.00 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$20.00 |
$20.00 |
$20.00 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$63.20 |
$63.20 |
$63.20 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$57.60 |
$57.60 |
$57.60 |
$224.11
|
|
Collection blood specimen from completely implantable venous access device
|
$141.60 |
$141.60 |
$141.60 |
$162.00
|
|
Compatibility test each unit antiglobulin technique
|
$145.60 |
$145.60 |
$145.60 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$144.00 |
$144.00 |
$144.00 |
$169.52
|
|
Complement antigen each component c3
|
$75.20 |
$75.20 |
$75.20 |
$110.00
|
|
Computed tomographic angiography head and neck with contrast
|
$3,008.00 |
$3,008.00 |
$3,008.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$43.20 |
$43.20 |
$43.20 |
$51.32
|
|
Consultation pathology during surgery cytological exam initial site
|
$138.40 |
$138.40 |
$138.40 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$74.40 |
$74.40 |
$74.40 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$122.40 |
$122.40 |
$122.40 |
$226.50
|
|
Contrast baths charges
|
$75.20 |
$75.20 |
$75.20 |
$75.60
|
|
Control of nosebleed ant comp 30903
|
$296.00 |
$296.00 |
$296.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$264.00 |
$264.00 |
$264.00 |
$352.80
|
|
Coombs direct
|
$32.80 |
$32.80 |
$32.80 |
$76.80
|
|
Copper intrauterine device
|
$2,848.80 |
$2,848.80 |
$2,848.80 |
$1,953.00
|
|
Cortisol total am
|
$74.40 |
$74.40 |
$74.40 |
$121.20
|
|
Counseling smoke cess interm >10mins
|
$67.20 |
$67.20 |
$67.20 |
$54.60
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
$49.13
|
|
Covid-19 convalescent plasma
|
$881.60 |
$881.60 |
$881.60 |
$590.80
|
|
#covid19rsv-rsv
|
$171.20 |
$171.20 |
$171.20 |
$145.60
|
|
CPAP or BiPAP Setup (first day)
|
$300.80 |
$300.80 |
$300.80 |
$584.50
|
|
C-peptide
|
$118.40 |
$118.40 |
$118.40 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,277.60 |
$1,277.60 |
$1,277.60 |
$777.71
|
|
C-reactive protein
|
$44.00 |
$44.00 |
$44.00 |
$69.36
|
