|
Cell function assay w/stim
|
$358.40 |
$358.40 |
$358.40 |
$325.76
|
|
Cell marker study
|
$324.80 |
$324.80 |
$324.80 |
$239.85
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$8,427.75 |
$8,427.75 |
$8,427.75 |
$10,638.62
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$3,414.03 |
$3,414.03 |
$3,414.03 |
$3,011.40
|
|
Change cystostomy tube simple
|
$657.60 |
$657.60 |
$657.60 |
$477.60
|
|
Chemo extend IV infus w/pump
|
$855.20 |
$855.20 |
$855.20 |
$748.55
|
|
Chemotx admn pertl cav impl
|
$736.00 |
$736.00 |
$736.00 |
$590.00
|
|
Chest 2 vws w oblique
|
$501.60 |
$501.60 |
$501.60 |
$375.60
|
|
Chest apical lordotic proj
|
$354.40 |
$354.40 |
$354.40 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,654.40 |
$2,654.40 |
$2,654.40 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,200.00 |
$2,200.00 |
$2,200.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$1,746.40 |
$1,746.40 |
$1,746.40 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$185.60 |
$185.60 |
$185.60 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$127.20 |
$127.20 |
$127.20 |
$134.50
|
|
Chest Ultrasound
|
$542.40 |
$542.40 |
$542.40 |
$463.88
|
|
Chest X-ray
|
$326.40 |
$326.40 |
$326.40 |
$294.06
|
|
Chest X-ray (single view)
|
$296.80 |
$296.80 |
$296.80 |
$236.60
|
|
Chg radiologic exam esophagus double contrast
|
$586.40 |
$586.40 |
$586.40 |
$520.80
|
|
Chlamydia culture
|
$103.20 |
$103.20 |
$103.20 |
$91.00
|
|
Chlnggrphy intraop addl s&i
|
$148.00 |
$148.00 |
$148.00 |
$281.18
|
|
Chloramphenicol sodium injec
|
$45.96 |
$45.96 |
$45.96 |
$113.84
|
|
Chloride
|
$30.40 |
$30.40 |
$30.40 |
$42.63
|
|
Chloride 24 hour urine
|
$49.60 |
$49.60 |
$49.60 |
$50.88
|
|
Chloroprocaine hcl injection
|
$68.64 |
$68.64 |
$68.64 |
$69.08
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$77.44 |
$77.44 |
$77.44 |
$79.74
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$766.40 |
$766.40 |
$766.40 |
$602.40
|
|
Cholesterol
|
$36.80 |
$36.80 |
$36.80 |
$45.76
|
|
Cholesterol body fluid
|
$1.60 |
$1.60 |
$1.60 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$124.00 |
$124.00 |
$124.00 |
$115.80
|
|
Cholinesterase
|
$35.20 |
$35.20 |
$35.20 |
$39.48
|
|
Chrom analysis
|
$84.80 |
$84.80 |
$84.80 |
$156.00
|
|
Chromatography
|
$60.00 |
$60.00 |
$60.00 |
$84.60
|
|
Chromogenic substrate assay
|
$289.60 |
$289.60 |
$289.60 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$436.00 |
$436.00 |
$436.00 |
$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
|
|
Chronic urticaria - sendout
|
$100.00 |
$100.00 |
$100.00 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$169.60 |
$169.60 |
$169.60 |
$136.09
|
|
Cidofovir injection
|
$1,521.24 |
$1,521.24 |
$1,521.24 |
$1,352.09
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$194.72 |
$194.72 |
$194.72 |
$35.65
|
|
Cisplatin 1 mg/ml desensitization
|
$310.21 |
$310.21 |
$310.21 |
$205.56
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$521.81 |
$521.81 |
$521.81 |
$576.60
|
|
Clearance of airways
|
$192.80 |
$192.80 |
$192.80 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$75.52 |
$75.52 |
$75.52 |
$55.20
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$612.80 |
$612.80 |
$612.80 |
$520.80
|
|
Closed tx humerus fx w/manip 24505
|
$1,426.40 |
$1,426.40 |
$1,426.40 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$581.60 |
$581.60 |
$581.60 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,325.60 |
$3,325.60 |
$3,325.60 |
$2,569.28
|
|
Clot factor xii hageman
|
$88.80 |
$88.80 |
$88.80 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$40.00 |
$40.00 |
$40.00 |
$56.85
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$726.40 |
$726.40 |
$726.40 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$545.60 |
$545.60 |
$545.60 |
$535.60
|
|
Clsd tx/clavicular fx without manip 23500
|
$482.40 |
$482.40 |
$482.40 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$520.80 |
$520.80 |
$520.80 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$777.60 |
$777.60 |
$777.60 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$685.60 |
$685.60 |
$685.60 |
$465.21
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$580.00 |
$580.00 |
$580.00 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,123.20 |
$1,123.20 |
$1,123.20 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$856.00 |
$856.00 |
$856.00 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$533.60 |
$533.60 |
$533.60 |
$577.20
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$495.20 |
$495.20 |
$495.20 |
$498.85
|
|
Clsd tx/metatarsal fx without manip 28470
|
$508.80 |
$508.80 |
$508.80 |
$429.00
|
|
Clsd tx/patellar fx without manip 27520
|
$544.80 |
$544.80 |
$544.80 |
$498.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,548.00 |
$2,548.00 |
$2,548.00 |
$2,222.00
|
|
Clsd tx radius fracture w/manip 24655
|
$1,502.40 |
$1,502.40 |
$1,502.40 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$473.60 |
$473.60 |
$473.60 |
$452.40
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,466.40 |
$2,466.40 |
$2,466.40 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$513.60 |
$513.60 |
$513.60 |
$424.38
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,704.80 |
$1,704.80 |
$1,704.80 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$612.80 |
$612.80 |
$612.80 |
$473.00
|
|
#cmvcul-virus inoculation shell
|
$159.20 |
$159.20 |
$159.20 |
$89.76
|
|
Cmv pcr-sendout
|
$345.60 |
$345.60 |
$345.60 |
$175.70
|
|
Cocaine 4 % nasal solution
|
$395.00 |
$395.00 |
$395.00 |
$630.04
|
|
Cold agglutinin titer
|
$63.20 |
$63.20 |
$63.20 |
$52.00
|
|
Collagen based wound filler
|
$692.80 |
$692.80 |
$692.80 |
$1,794.78
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$278.40 |
$278.40 |
$278.40 |
$303.73
|
|
Collar cerv adlt perfit ace extric
|
$31.20 |
$31.20 |
$31.20 |
$67.73
|
|
Collection blood specimen from completely implantable venous access device
|
$72.00 |
$72.00 |
$72.00 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$120.00 |
$120.00 |
$120.00 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$144.00 |
$144.00 |
$144.00 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$136.00 |
$136.00 |
$136.00 |
$169.52
|
|
Complement antigen each component c3
|
$104.80 |
$104.80 |
$104.80 |
$110.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$1,212.00
|
|
Complx repair fccmnaxghf 13132
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$1,107.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$723.20 |
$723.20 |
$723.20 |
$508.44
|
|
Complx repair trunk addl 5cm/< 13102
|
$844.00 |
$844.00 |
$844.00 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$1,172.80 |
$1,172.80 |
$1,172.80 |
$1,350.27
|
|
Comprehensive hearing test
|
$331.20 |
$331.20 |
$331.20 |
$261.46
|
|
Computed tomographic angiography head and neck with contrast
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$41.60 |
$41.60 |
$41.60 |
$51.32
|
|
Condylomata destruction 56420
|
$560.00 |
$560.00 |
$560.00 |
$467.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$512.22 |
$512.22 |
$512.22 |
$860.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$91.20 |
$91.20 |
$91.20 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$115.20 |
$115.20 |
$115.20 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$250.40 |
$250.40 |
$250.40 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$171.20 |
$171.20 |
$171.20 |
$224.83
|
|
Contrast baths charges
|
$99.20 |
$99.20 |
$99.20 |
$75.60
|
|
Contrast x-ray of ankle
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$684.00
|
