|
Chlorpromazine 100 mg tablet
|
$12.52 |
$12.52 |
$12.52 |
$6.96
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$257.66 |
$257.66 |
$257.66 |
$602.40
|
|
Cholesterol
|
$28.06 |
$28.06 |
$28.06 |
$45.76
|
|
Cholesterol body fluid
|
$609.62 |
$609.62 |
$609.62 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$27.78 |
$27.78 |
$27.78 |
$115.80
|
|
Chromatography
|
$46.93 |
$46.93 |
$46.93 |
$84.60
|
|
Chromogenic substrate assay
|
$180.54 |
$180.54 |
$180.54 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$305.09 |
$305.09 |
$305.09 |
$250.00
|
|
Chromosome analysis 100
|
$823.03 |
$823.03 |
$823.03 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$267.90 |
$267.90 |
$267.90 |
$517.11
|
|
Chromosome analysis 50-100
|
$495.71 |
$495.71 |
$495.71 |
$434.40
|
|
Chromosome count additional
|
$219.30 |
$219.30 |
$219.30 |
$96.50
|
|
Chromosome karyotype study
|
$108.36 |
$108.36 |
$108.36 |
$120.00
|
|
Cilastatin sodium injection
|
$82.44 |
$82.44 |
$82.44 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$51.86 |
$51.86 |
$51.86 |
$35.65
|
|
Circumcision (newborn)
|
$119.78 |
$119.78 |
$119.78 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$190.13 |
$190.13 |
$190.13 |
$205.56
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$7,332.42 |
$7,332.42 |
$7,332.42 |
$15,560.16
|
|
Clearance of airways
|
$46.03 |
$46.03 |
$46.03 |
$213.07
|
|
Clip ligating vesolock lg
|
$1,822.80 |
$1,822.80 |
$1,822.80 |
$4,320.00
|
|
Cllr miami j sm
|
$440.66 |
$440.66 |
$440.66 |
$536.64
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$43.92 |
$43.92 |
$43.92 |
$85.37
|
|
Clotting assay whole blood
|
$857.30 |
$857.30 |
$857.30 |
$105.95
|
|
#cmvcul-virus inoculation shell
|
$206.81 |
$206.81 |
$206.81 |
$89.76
|
|
Cmv pcr-sendout
|
$528.42 |
$528.42 |
$528.42 |
$175.70
|
|
Cocaine 4 % nasal solution
|
$615.22 |
$615.22 |
$615.22 |
$630.04
|
|
Coch imp ext proc/contr rplc
|
$15,889.83 |
$15,889.83 |
$15,889.83 |
$17,034.00
|
|
Cold agglutinin titer
|
$40.66 |
$40.66 |
$40.66 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$257.66 |
$257.66 |
$257.66 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$62.72 |
$62.72 |
$62.72 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$94.70 |
$94.70 |
$94.70 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$224.11 |
$224.11 |
$224.11 |
$224.11
|
|
Collar cerv patriot adlt
|
$169.40 |
$169.40 |
$169.40 |
$134.66
|
|
Collar extrication adult univ
|
$976.64 |
$976.64 |
$976.64 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$104.89 |
$104.89 |
$104.89 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$18.37 |
$18.37 |
$18.37 |
$155.40
|
|
Combination bilateral ho
|
$3,060.01 |
$3,060.01 |
$3,060.01 |
$4,015.50
|
|
Combo ankle/foot prosthesis
|
$735.06 |
$735.06 |
$735.06 |
$512.40
|
|
Compatibility test each unit antiglobulin technique
|
$165.26 |
$165.26 |
$165.26 |
$173.50
|
|
Compatibility test each unit electronic
|
$11.87 |
$11.87 |
$11.87 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$144.42 |
$144.42 |
$144.42 |
$169.52
|
|
Compatibility test incubate
|
$144.26 |
$144.26 |
$144.26 |
$156.24
|
|
Complement antigen each component c3
|
$121.58 |
$121.58 |
$121.58 |
$110.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,095.25 |
$1,095.25 |
$1,095.25 |
$1,350.27
|
|
Compre oph exam est pt 1/>
|
$23.02 |
$23.02 |
$23.02 |
$207.20
|
|
Computed tomographic angiography head and neck with contrast
|
$1,849.46 |
$1,849.46 |
$1,849.46 |
$2,247.00
|
|
Concentration infection agents any type
|
$82.94 |
$82.94 |
$82.94 |
$51.32
|
|
Conjugated estrogens 25 mg solution for injection
|
$721.37 |
$721.37 |
$721.37 |
$860.00
|
|
Connector tis 2x10mm
|
$2,258.65 |
$2,258.65 |
$2,258.65 |
$4,024.34
|
|
Consultation pathology during surgery cytological exam initial site
|
$41.66 |
$41.66 |
$41.66 |
$430.00
|
|
Contrast baths charges
|
$65.46 |
$65.46 |
$65.46 |
$75.60
|
|
Contrast x-ray of elbow
|
$811.38 |
$811.38 |
$811.38 |
$708.00
|
|
Contrast x-ray of hip
|
$343.56 |
$343.56 |
$343.56 |
$796.38
|
|
Contrast x-ray of knee joint
|
$343.56 |
$343.56 |
$343.56 |
$790.50
|
|
Controler lvad heartmate 3 includes ebb
|
$9,606.69 |
$9,606.69 |
$9,606.69 |
$12,355.20
|
|
Controller infinity pt dbs
|
$6,186.15 |
$6,186.15 |
$6,186.15 |
$4,836.44
|
|
Coombs direct
|
$94.92 |
$94.92 |
$94.92 |
$76.80
|
|
Coombs indirect titer reference
|
$460.88 |
$460.88 |
$460.88 |
$156.71
|
|
Core ndl bx lng/med perq
|
$3,996.05 |
$3,996.05 |
$3,996.05 |
$2,904.48
|
|
Cortisol acth stimulation test - sendout
|
$40.82 |
$40.82 |
$40.82 |
$146.25
|
|
Cortisol total am
|
$117.60 |
$117.60 |
$117.60 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$80.96 |
$80.96 |
$80.96 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$3,594.08 |
$3,594.08 |
$3,594.08 |
$4,180.79
|
|
Covers for upright each
|
$60.20 |
$60.20 |
$60.20 |
$82.21
|
|
Cover wrist
|
$498.34 |
$498.34 |
$498.34 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$14.34 |
$14.34 |
$14.34 |
$49.13
|
|
Covid-19 lab test non-cdc
|
$134.34 |
$134.34 |
$134.34 |
$82.40
|
|
#covid19rsv-rsv
|
$666.51 |
$666.51 |
$666.51 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$48.72 |
$48.72 |
$48.72 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$246.90 |
$246.90 |
$246.90 |
$584.50
|
|
C-peptide
|
$39.93 |
$39.93 |
$39.93 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$453.54 |
$453.54 |
$453.54 |
$777.71
|
|
Cranial cervical orthosis
|
$2,214.74 |
$2,214.74 |
$2,214.74 |
$2,616.15
|
|
C-reactive protein
|
$42.90 |
$42.90 |
$42.90 |
$69.36
|
|
C-reactive protein high sensitivity
|
$42.90 |
$42.90 |
$42.90 |
$85.50
|
|
Creatine kinase
|
$23.02 |
$23.02 |
$23.02 |
$66.30
|
|
Creatine kinase mb
|
$78.74 |
$78.74 |
$78.74 |
$113.63
|
|
Creatinine
|
$96.66 |
$96.66 |
$96.66 |
$46.20
|
|
Creatinine 24 hour urine
|
$34.55 |
$34.55 |
$34.55 |
$57.85
|
|
Creatinine clearance urine
|
$49.62 |
$49.62 |
$49.62 |
$90.26
|
|
#creutz-prot.,western blot
|
$341.60 |
$341.60 |
$341.60 |
$163.50
|
|
Critical care each additional 30 minutes
|
$543.70 |
$543.70 |
$543.70 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,485.57 |
$1,485.57 |
$1,485.57 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$1,384.15 |
$1,384.15 |
$1,384.15 |
$144.78
|
|
Crystal identification light microscopy
|
$95.98 |
$95.98 |
$95.98 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$1,573.32 |
$1,573.32 |
$1,573.32 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,986.77 |
$1,986.77 |
$1,986.77 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,781.41 |
$2,781.41 |
$2,781.41 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,589.34 |
$1,589.34 |
$1,589.34 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,589.34 |
$1,589.34 |
$1,589.34 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$794.70 |
$794.70 |
$794.70 |
$1,915.30
|
|
CT Angiogram of the Head
|
$1,589.34 |
$1,589.34 |
$1,589.34 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$1,192.13 |
$1,192.13 |
$1,192.13 |
$1,881.75
|
|
CT angio pelvis
|
$1,192.13 |
$1,192.13 |
$1,192.13 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$1,589.34 |
$1,589.34 |
$1,589.34 |
$1,691.30
|
|
CT guidance for needle placement
|
$2,384.09 |
$2,384.09 |
$2,384.09 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,379.44 |
$2,379.44 |
$2,379.44 |
$1,215.06
|
|
CT guid cryo ablat intramuscular
|
$801.47 |
$801.47 |
$801.47 |
$2,039.76
|
|
CT heart w/evaluation of calcium without contrast
|
$794.70 |
$794.70 |
$794.70 |
$150.00
|
|
Ctlso a-p-l control molded
|
$3,150.22 |
$3,150.22 |
$3,150.22 |
$3,746.69
|
