|
Calcium 24 hour urine
|
$38.88 |
$38.88 |
$38.88 |
$52.80
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$64.08 |
$64.08 |
$64.08 |
$66.16
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$30.06 |
$30.06 |
$30.06 |
$92.91
|
|
Calcium ionized
|
$84.96 |
$84.96 |
$84.96 |
$88.40
|
|
Calcium total
|
$38.88 |
$38.88 |
$38.88 |
$50.00
|
|
Calprotectin fecal
|
$162.48 |
$162.48 |
$162.48 |
$169.20
|
|
Candida dna
|
$36.48 |
$36.48 |
$36.48 |
$63.00
|
|
Cannabinoids synthetic 4-6
|
$69.60 |
$69.60 |
$69.60 |
$18.40
|
|
Canthotomy 67715
|
$1,583.28 |
$1,583.28 |
$1,583.28 |
$2,956.50
|
|
Capecitabine, oral, 50 mg
|
$9.75 |
$9.75 |
$9.75 |
$50.86
|
|
Carbamazepine free
|
$41.28 |
$41.28 |
$41.28 |
$50.88
|
|
Carbamazepine free -sendout
|
$18.48 |
$18.48 |
$18.48 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$65.28 |
$65.28 |
$65.28 |
$117.74
|
|
Carbon dioxide
|
$38.88 |
$38.88 |
$38.88 |
$45.65
|
|
Carboplatin 10 mg/ml desensitization
|
$150.24 |
$150.24 |
$150.24 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$76.32 |
$76.32 |
$76.32 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$97.44 |
$97.44 |
$97.44 |
$142.80
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,391.04 |
$1,391.04 |
$1,391.04 |
$2,692.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$165.84 |
$165.84 |
$165.84 |
$249.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$165.84 |
$165.84 |
$165.84 |
$196.50
|
|
Cardiolipin antibody iga
|
$126.00 |
$126.00 |
$126.00 |
$106.30
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$455.04 |
$455.04 |
$455.04 |
$1,458.05
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$37.44 |
$37.44 |
$37.44 |
$114.45
|
|
Caregiver training strategies&tq ea addl 15 min
|
$18.72 |
$18.72 |
$18.72 |
$53.90
|
|
Carmustine 100 mg intravenous powder for solution
|
$499.56 |
$499.56 |
$499.56 |
$1,596.90
|
|
Carotene
|
$89.28 |
$89.28 |
$89.28 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$389.04 |
$389.04 |
$389.04 |
$1,037.60
|
|
Casiri and imdev repeat
|
$378.96 |
$378.96 |
$378.96 |
$540.00
|
|
Caspofungin acetate
|
$409.45 |
$409.45 |
$409.45 |
$757.91
|
|
Cath cv dl inj 7fx16cm
|
$236.64 |
$236.64 |
$236.64 |
$4,839.05
|
|
Cathj umbilical vein dx/ther nb
|
$205.20 |
$205.20 |
$205.20 |
$254.80
|
|
Cath malecot 28fr 4-wing ltx
|
$288.96 |
$288.96 |
$288.96 |
$2,502.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$1,170.72 |
$1,170.72 |
$1,170.72 |
$483.00
|
|
Cath uret open tp 6fx70cm
|
$156.48 |
$156.48 |
$156.48 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$117.36 |
$117.36 |
$117.36 |
$347.85
|
|
Cdna analysis for variants
|
$116.88 |
$116.88 |
$116.88 |
$547.95
|
|
Cebpa gene full sequence
|
$163.20 |
$163.20 |
$163.20 |
$484.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$52.53 |
$52.53 |
$52.53 |
$40.39
|
|
Cefepime 1 gram solution for injection
|
$16.65 |
$16.65 |
$16.65 |
$45.47
|
|
Cefotaxime sodium injection
|
$20.94 |
$20.94 |
$20.94 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$83.55 |
$83.55 |
$83.55 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$18.32 |
$18.32 |
$18.32 |
$66.86
|
|
Ceftriaxone 1 gram solution for injection
|
$169.38 |
$169.38 |
$169.38 |
$95.94
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$58.55 |
$58.55 |
$58.55 |
$27.18
|
|
Cell count w differential body fluid
|
$48.00 |
$48.00 |
$48.00 |
$93.23
|
|
Cell function assay w/stim
|
$210.00 |
$210.00 |
$210.00 |
$314.25
|
|
Cell marker study
|
$42.48 |
$42.48 |
$42.48 |
$239.85
|
|
#cf-97variants
|
$324.96 |
$324.96 |
$324.96 |
$612.26
|
|
Cftr gene dup/delet variants
|
$352.08 |
$352.08 |
$352.08 |
$849.00
|
|
Change cystostomy tube simple
|
$99.84 |
$99.84 |
$99.84 |
$473.00
|
|
Change g-tube to g-j perc
|
$686.88 |
$686.88 |
$686.88 |
$2,206.00
|
|
Chemo adm cns w/lmbr punct
|
$245.28 |
$245.28 |
$245.28 |
$696.95
|
|
Chemo intralesional over 7
|
$242.88 |
$242.88 |
$242.88 |
$320.23
|
|
Chemo intralesional up to 7 96405
|
$69.84 |
$69.84 |
$69.84 |
$163.80
|
|
Chemotherapy injection 96542
|
$190.08 |
$190.08 |
$190.08 |
$426.40
|
|
Chest 2 vws w oblique
|
$123.36 |
$123.36 |
$123.36 |
$385.71
|
|
Chest CT scan (with and without contrast)
|
$962.40 |
$962.40 |
$962.40 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$934.32 |
$934.32 |
$934.32 |
$1,698.32
|
|
Chest CT scan (without contrast)
|
$909.36 |
$909.36 |
$909.36 |
$1,372.50
|
|
Chest X-ray
|
$110.64 |
$110.64 |
$110.64 |
$302.90
|
|
Chest X-ray (single view)
|
$96.00 |
$96.00 |
$96.00 |
$247.00
|
|
Chg pr pul rehab for copd patients
|
$56.16 |
$56.16 |
$56.16 |
$149.80
|
|
Chlamydia culture
|
$166.32 |
$166.32 |
$166.32 |
$93.90
|
|
Chlamydia type
|
$23.28 |
$23.28 |
$23.28 |
$33.00
|
|
Chloramphenicol sodium injec
|
$64.84 |
$64.84 |
$64.84 |
$113.85
|
|
Chloride
|
$38.88 |
$38.88 |
$38.88 |
$39.96
|
|
Chloride 24 hour urine
|
$38.16 |
$38.16 |
$38.16 |
$46.75
|
|
Chloroprocaine hcl injection
|
$33.55 |
$33.55 |
$33.55 |
$58.28
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$105.03 |
$105.03 |
$105.03 |
$358.20
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$47.56 |
$47.56 |
$47.56 |
$78.43
|
|
Chmotx admn plrl cav thrcnts
|
$138.72 |
$138.72 |
$138.72 |
$454.19
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$139.68 |
$139.68 |
$139.68 |
$602.40
|
|
Cholesterol
|
$38.88 |
$38.88 |
$38.88 |
$46.15
|
|
Cholesterol body fluid
|
$150.00 |
$150.00 |
$150.00 |
$75.00
|
|
Cholesterol (Lipid) Test
|
$192.00 |
$192.00 |
$192.00 |
$115.80
|
|
Cholinesterase
|
$25.44 |
$25.44 |
$25.44 |
$40.80
|
|
Chromatogram assay sugars
|
$22.56 |
$22.56 |
$22.56 |
$86.42
|
|
Chromatography
|
$80.16 |
$80.16 |
$80.16 |
$80.00
|
|
Chromo high res and frag x - sendout
|
$206.88 |
$206.88 |
$206.88 |
$245.70
|
|
Chromosome analysis 15-20 cell count
|
$773.76 |
$773.76 |
$773.76 |
$479.38
|
|
Chromosome karyotype study
|
$181.68 |
$181.68 |
$181.68 |
$112.89
|
|
Chromosome study additional
|
$49.92 |
$49.92 |
$49.92 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$38.16 |
$38.16 |
$38.16 |
$123.20
|
|
Cidofovir injection
|
$487.97 |
$487.97 |
$487.97 |
$1,295.73
|
|
Cilastatin sodium injection
|
$35.28 |
$35.28 |
$35.28 |
$77.40
|
|
Cinacalcet 30 mg tablet
|
$19.04 |
$19.04 |
$19.04 |
$42.05
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$6.48 |
$6.48 |
$6.48 |
$37.00
|
|
Ciprofloxacin otic susp 6 mg
|
$2.28 |
$2.28 |
$2.28 |
$63.31
|
|
Circumcision (newborn)
|
$630.48 |
$630.48 |
$630.48 |
$1,422.04
|
|
Cisplatin 1 mg/ml desensitization
|
$333.04 |
$333.04 |
$333.04 |
$192.66
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$233.13 |
$233.13 |
$233.13 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$38.34 |
$38.34 |
$38.34 |
$55.20
|
|
Clofarabine 1 mg/ml intravenous solution
|
$1,687.03 |
$1,687.03 |
$1,687.03 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$69.97 |
$69.97 |
$69.97 |
$80.66
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$75.36 |
$75.36 |
$75.36 |
$535.76
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$750.24 |
$750.24 |
$750.24 |
$1,815.75
|
|
Closed tx/acetabululm without manip 27220
|
$68.88 |
$68.88 |
$68.88 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$600.96 |
$600.96 |
$600.96 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$75.36 |
$75.36 |
$75.36 |
$494.15
|
|
Closed tx humerus fx w/manip 24505
|
$439.68 |
$439.68 |
$439.68 |
$1,549.52
|
