|
Calcitonin (salmon) 200 unit/ml injection solution
|
$567.61 |
$567.61 |
$567.61 |
$2,210.98
|
|
Calcium 24 hour urine
|
$88.00 |
$88.00 |
$88.00 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$67.05 |
$67.05 |
$67.05 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$65.94 |
$65.94 |
$65.94 |
$64.49
|
|
Calcium ionized
|
$159.20 |
$159.20 |
$159.20 |
$90.00
|
|
Calcium total
|
$85.60 |
$85.60 |
$85.60 |
$50.00
|
|
Calprotectin fecal
|
$422.40 |
$422.40 |
$422.40 |
$170.00
|
|
Carbamazepine free
|
$71.20 |
$71.20 |
$71.20 |
$60.00
|
|
Carbamazepine total therapeutic drug level
|
$144.80 |
$144.80 |
$144.80 |
$122.85
|
|
Carbon dioxide
|
$64.00 |
$64.00 |
$64.00 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$171.20 |
$171.20 |
$171.20 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$100.00 |
$100.00 |
$100.00 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,461.60 |
$3,461.60 |
$3,461.60 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$281.60 |
$281.60 |
$281.60 |
$249.60
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$248.80 |
$248.80 |
$248.80 |
$204.54
|
|
Cardiolipin antibody iga
|
$96.00 |
$96.00 |
$96.00 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,760.80 |
$1,760.80 |
$1,760.80 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$129.60 |
$129.60 |
$129.60 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$64.80 |
$64.80 |
$64.80 |
$51.52
|
|
Carfilzomib 10 mg intravenous solution
|
$2,939.29 |
$2,939.29 |
$2,939.29 |
$6,306.47
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$1,024.32
|
|
Cath ablt clsfast 7fx100cmx
|
$1,481.60 |
$1,481.60 |
$1,481.60 |
$2,808.00
|
|
Cath cv dl inj 7fx16cm
|
$572.00 |
$572.00 |
$572.00 |
$4,488.99
|
|
Cath groshong MRI 8fr plstc port
|
$615.20 |
$615.20 |
$615.20 |
$1,690.71
|
|
Cath malecot 28fr 4-wing ltx
|
$237.60 |
$237.60 |
$237.60 |
$2,549.50
|
|
Cath uret open tp 6fx70cm
|
$44.80 |
$44.80 |
$44.80 |
$573.88
|
|
Cauterization chemical granulation tissue
|
$464.80 |
$464.80 |
$464.80 |
$340.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$98.67 |
$98.67 |
$98.67 |
$39.52
|
|
Cefoxitin 1 gram intravenous solution
|
$62.92 |
$62.92 |
$62.92 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$64.36 |
$64.36 |
$64.36 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$126.21 |
$126.21 |
$126.21 |
$83.39
|
|
Cell count body fluid
|
$206.40 |
$206.40 |
$206.40 |
$63.52
|
|
Cell count w differential body fluid
|
$152.80 |
$152.80 |
$152.80 |
$92.56
|
|
Chest 2 vws w oblique
|
$556.00 |
$556.00 |
$556.00 |
$375.60
|
|
Chest apical lordotic proj
|
$410.40 |
$410.40 |
$410.40 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,167.20 |
$3,167.20 |
$3,167.20 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,176.80 |
$2,176.80 |
$2,176.80 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$213.60 |
$213.60 |
$213.60 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$164.00 |
$164.00 |
$164.00 |
$134.50
|
|
Chest Ultrasound
|
$588.80 |
$588.80 |
$588.80 |
$463.88
|
|
Chest X-ray
|
$392.80 |
$392.80 |
$392.80 |
$294.06
|
|
Chest X-ray (single view)
|
$314.40 |
$314.40 |
$314.40 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$224.00 |
$224.00 |
$224.00 |
$150.40
|
|
Chlamydia culture
|
$226.40 |
$226.40 |
$226.40 |
$91.00
|
|
Chloride
|
$76.00 |
$76.00 |
$76.00 |
$42.63
|
|
Chloride 24 hour urine
|
$109.60 |
$109.60 |
$109.60 |
$50.88
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$69.73 |
$69.73 |
$69.73 |
$79.74
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$893.60 |
$893.60 |
$893.60 |
$602.40
|
|
Cholesterol
|
$85.60 |
$85.60 |
$85.60 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$145.60 |
$145.60 |
$145.60 |
$115.80
|
|
Cholinesterase
|
$38.40 |
$38.40 |
$38.40 |
$39.48
|
|
Chrom analysis
|
$84.80 |
$84.80 |
$84.80 |
$156.00
|
|
Chromatography
|
$47.20 |
$47.20 |
$47.20 |
$84.60
|
|
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
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$70.95 |
$70.95 |
$70.95 |
$35.65
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$95.60 |
$95.60 |
$95.60 |
$55.20
|
|
Cllr miami j sm
|
$212.00 |
$212.00 |
$212.00 |
$536.64
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$454.40 |
$454.40 |
$454.40 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,116.80 |
$1,116.80 |
$1,116.80 |
$1,806.01
|
|
Closed tx humerus fx without manip 23600
|
$453.60 |
$453.60 |
$453.60 |
$498.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$432.80 |
$432.80 |
$432.80 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,562.40 |
$2,562.40 |
$2,562.40 |
$2,569.28
|
|
Closed tx sesamoid fx 28530
|
$348.00 |
$348.00 |
$348.00 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$400.80 |
$400.80 |
$400.80 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$480.80 |
$480.80 |
$480.80 |
$472.50
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$630.40 |
$630.40 |
$630.40 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$450.40 |
$450.40 |
$450.40 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$476.80 |
$476.80 |
$476.80 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$1,568.00 |
$1,568.00 |
$1,568.00 |
$1,980.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,502.40 |
$1,502.40 |
$1,502.40 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$380.00 |
$380.00 |
$380.00 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$384.00 |
$384.00 |
$384.00 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$844.00 |
$844.00 |
$844.00 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$601.60 |
$601.60 |
$601.60 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,394.40 |
$2,394.40 |
$2,394.40 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$404.00 |
$404.00 |
$404.00 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$336.80 |
$336.80 |
$336.80 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$547.20 |
$547.20 |
$547.20 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$456.00 |
$456.00 |
$456.00 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,484.80 |
$1,484.80 |
$1,484.80 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$2,017.60 |
$2,017.60 |
$2,017.60 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$380.80 |
$380.80 |
$380.80 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$630.40 |
$630.40 |
$630.40 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$508.00 |
$508.00 |
$508.00 |
$577.20
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$966.40 |
$966.40 |
$966.40 |
$883.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$436.00 |
$436.00 |
$436.00 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$403.20 |
$403.20 |
$403.20 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$573.60 |
$573.60 |
$573.60 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$658.40 |
$658.40 |
$658.40 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$371.20 |
$371.20 |
$371.20 |
$429.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,327.20 |
$1,327.20 |
$1,327.20 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$544.00 |
$544.00 |
$544.00 |
$573.52
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$414.40 |
$414.40 |
$414.40 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$416.80 |
$416.80 |
$416.80 |
$466.14
|
|
Clsd tx/scapular fx without manip 23570
|
$370.40 |
$370.40 |
$370.40 |
$452.40
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,832.80 |
$1,832.80 |
$1,832.80 |
$2,331.50
|
