|
Cerv collar supp adj cerv ba
|
$1,118.43 |
$1,118.43 |
$1,118.43 |
$997.49
|
|
Cervical collar molded to pt
|
$1,690.02 |
$1,690.02 |
$1,690.02 |
$890.52
|
|
Cerv sr wire occ/man pre ots
|
$337.90 |
$337.90 |
$337.90 |
$187.60
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$3,179.81 |
$3,179.81 |
$3,179.81 |
$3,011.40
|
|
#cf-97variants
|
$305.20 |
$305.20 |
$305.20 |
$639.44
|
|
Change g-tube to g-j perc
|
$993.89 |
$993.89 |
$993.89 |
$2,198.81
|
|
Chemo adm cns w/lmbr punct
|
$439.66 |
$439.66 |
$439.66 |
$720.20
|
|
Chemodenerv musc neck dyston 64616
|
$1,004.25 |
$1,004.25 |
$1,004.25 |
$719.20
|
|
Chemo extend IV infus w/pump
|
$748.55 |
$748.55 |
$748.55 |
$748.55
|
|
Chest 2 vws w oblique
|
$138.49 |
$138.49 |
$138.49 |
$375.60
|
|
Chest apical lordotic proj
|
$138.54 |
$138.54 |
$138.54 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,368.81 |
$1,368.81 |
$1,368.81 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$912.46 |
$912.46 |
$912.46 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$912.46 |
$912.46 |
$912.46 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$125.50 |
$125.50 |
$125.50 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$93.07 |
$93.07 |
$93.07 |
$134.50
|
|
Chest Ultrasound
|
$505.79 |
$505.79 |
$505.79 |
$463.88
|
|
Chest X-ray
|
$208.99 |
$208.99 |
$208.99 |
$294.06
|
|
Chest X-ray (single view)
|
$208.99 |
$208.99 |
$208.99 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$257.82 |
$257.82 |
$257.82 |
$150.40
|
|
Chlamydia culture
|
$31.81 |
$31.81 |
$31.81 |
$91.00
|
|
Chlnggrphy intraop addl s&i
|
$152.43 |
$152.43 |
$152.43 |
$281.18
|
|
Chloride
|
$59.86 |
$59.86 |
$59.86 |
$42.63
|
|
Chloride 24 hour urine
|
$30.91 |
$30.91 |
$30.91 |
$50.88
|
|
Chloroprocaine hcl injection
|
$65.36 |
$65.36 |
$65.36 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$186.09 |
$186.09 |
$186.09 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$68.54 |
$68.54 |
$68.54 |
$79.74
|
|
Chlorpromazine 100 mg tablet
|
$27.58 |
$27.58 |
$27.58 |
$6.96
|
|
Cholangiogram percutaneous compl
|
$2,727.87 |
$2,727.87 |
$2,727.87 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$208.99 |
$208.99 |
$208.99 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,059.91 |
$1,059.91 |
$1,059.91 |
$3,856.84
|
|
Cholesterol
|
$23.52 |
$23.52 |
$23.52 |
$45.76
|
|
Cholesterol body fluid
|
$592.70 |
$592.70 |
$592.70 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$30.91 |
$30.91 |
$30.91 |
$115.80
|
|
Cholinesterase challenge
|
$138.82 |
$138.82 |
$138.82 |
$366.72
|
|
Chrom analysis
|
$84.00 |
$84.00 |
$84.00 |
$156.00
|
|
Chromatography
|
$30.69 |
$30.69 |
$30.69 |
$84.60
|
|
Chromogenic substrate assay
|
$150.98 |
$150.98 |
$150.98 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$229.38 |
$229.38 |
$229.38 |
$250.00
|
|
Chromosome analysis 100
|
$762.05 |
$762.05 |
$762.05 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$436.30 |
$436.30 |
$436.30 |
$517.11
|
|
Chromosome analysis 5
|
$197.96 |
$197.96 |
$197.96 |
$644.80
|
|
Chromosome analysis 50-100
|
$481.94 |
$481.94 |
$481.94 |
$434.40
|
|
Chromosome count additional
|
$169.29 |
$169.29 |
$169.29 |
$96.50
|
|
Chromosome karyotype study
|
$133.95 |
$133.95 |
$133.95 |
$120.00
|
|
Cidofovir injection
|
$979.05 |
$979.05 |
$979.05 |
$1,352.09
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$59.18 |
$59.18 |
$59.18 |
$35.65
|
|
Circumcision (newborn)
|
$131.94 |
$131.94 |
$131.94 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$208.79 |
$208.79 |
$208.79 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$1,049.61 |
$1,049.61 |
$1,049.61 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$325.32 |
$325.32 |
$325.32 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$15,560.16 |
$15,560.16 |
$15,560.16 |
$15,560.16
|
|
Clearance of airways
|
$54.26 |
$54.26 |
$54.26 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$68.61 |
$68.61 |
$68.61 |
$55.20
|
|
Clip ligating vesolock lg
|
$2,120.38 |
$2,120.38 |
$2,120.38 |
$4,320.00
|
|
Cllr miami j sm
|
$585.37 |
$585.37 |
$585.37 |
$536.64
|
|
Clotting assay whole blood
|
$227.14 |
$227.14 |
$227.14 |
$105.95
|
|
C motor evoked lwr limbs
|
$418.26 |
$418.26 |
$418.26 |
$627.89
|
|
C motor evoked uppr limbs
|
$83.89 |
$83.89 |
$83.89 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$836.75 |
$836.75 |
$836.75 |
$1,333.36
|
|
Cmv pcr-sendout
|
$416.42 |
$416.42 |
$416.42 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$3,224.72 |
$3,224.72 |
$3,224.72 |
$11,888.50
|
|
Cocaine 4 % nasal solution
|
$702.78 |
$702.78 |
$702.78 |
$630.04
|
|
Coch imp ext proc/contr rplc
|
$16,672.10 |
$16,672.10 |
$16,672.10 |
$17,034.00
|
|
Cold agglutinin titer
|
$37.63 |
$37.63 |
$37.63 |
$52.00
|
|
Collagen based wound filler
|
$30.24 |
$30.24 |
$30.24 |
$1,794.78
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$278.60 |
$278.60 |
$278.60 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$71.40 |
$71.40 |
$71.40 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$129.42 |
$129.42 |
$129.42 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$306.21 |
$306.21 |
$306.21 |
$224.11
|
|
Collar cerv patriot adlt
|
$231.39 |
$231.39 |
$231.39 |
$134.66
|
|
Collar extrication adult univ
|
$1,297.30 |
$1,297.30 |
$1,297.30 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$137.70 |
$137.70 |
$137.70 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$26.77 |
$26.77 |
$26.77 |
$155.40
|
|
Combination bilateral ho
|
$4,064.65 |
$4,064.65 |
$4,064.65 |
$4,015.50
|
|
Combo ankle/foot prosthesis
|
$976.36 |
$976.36 |
$976.36 |
$512.40
|
|
Compatibility test each unit antiglobulin technique
|
$134.46 |
$134.46 |
$134.46 |
$173.50
|
|
Compatibility test each unit electronic
|
$9.86 |
$9.86 |
$9.86 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$140.39 |
$140.39 |
$140.39 |
$169.52
|
|
Compatibility test incubate
|
$140.22 |
$140.22 |
$140.22 |
$156.24
|
|
Complement antigen each component c3
|
$112.56 |
$112.56 |
$112.56 |
$110.00
|
|
Complex cystometrogram 51726
|
$525.67 |
$525.67 |
$525.67 |
$727.35
|
|
Complex uroflowmetry (electronic) 51741
|
$169.57 |
$169.57 |
$169.57 |
$344.68
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,454.82 |
$1,454.82 |
$1,454.82 |
$1,350.27
|
|
Comprehensive hearing test
|
$261.46 |
$261.46 |
$261.46 |
$261.46
|
|
Computed tomographic angiography head and neck with contrast
|
$1,007.66 |
$1,007.66 |
$1,007.66 |
$2,247.00
|
|
Concentration infection agents any type
|
$80.64 |
$80.64 |
$80.64 |
$51.32
|
|
Conjugated estrogens 25 mg solution for injection
|
$744.16 |
$744.16 |
$744.16 |
$860.00
|
|
Connector tis 2x10mm
|
$2,627.35 |
$2,627.35 |
$2,627.35 |
$4,024.34
|
|
Consultation pathology during surgery cytological exam initial site
|
$34.94 |
$34.94 |
$34.94 |
$430.00
|
|
Cont gluc mntr analysis i&r 95251
|
$521.08 |
$521.08 |
$521.08 |
$80.00
|
|
Contrast baths charges
|
$81.48 |
$81.48 |
$81.48 |
$75.60
|
|
Contrast x-ray gallbladder
|
$201.99 |
$201.99 |
$201.99 |
$341.00
|
|
Contrast x-ray of ankle
|
$304.53 |
$304.53 |
$304.53 |
$684.00
|
|
Contrast x-ray of elbow
|
$295.96 |
$295.96 |
$295.96 |
$708.00
|
|
Contrast x-ray of hip
|
$278.66 |
$278.66 |
$278.66 |
$796.38
|
|
Contrast x-ray of knee joint
|
$278.66 |
$278.66 |
$278.66 |
$790.50
|
|
Contrast x-ray of wrist
|
$278.77 |
$278.77 |
$278.77 |
$667.50
|
|
Controler lvad heartmate 3 includes ebb
|
$16,946.16 |
$16,946.16 |
$16,946.16 |
$12,355.20
|
|
Controller infinity pt dbs
|
$10,293.36 |
$10,293.36 |
$10,293.36 |
$4,836.44
|
