|
Cath left heart/lv gram
|
$2,619.20 |
$3,162.27 |
$3,437.25 |
|
|
Cath left heart transseptal punc
|
$1,361.80 |
$1,361.80 |
$1,566.07 |
|
|
Cath lt/rt pulm art
|
$208.25 |
$300.00 |
$976.58 |
|
|
Cath malecot 28fr 4-wing ltx
|
$288.96 |
$296.50 |
$423.40 |
|
|
Cath place 1st order venous 36011
|
$190.50 |
$315.00 |
$344.77 |
|
|
Cath place cardio brachytx
|
$2,726.20 |
$2,726.20 |
$3,135.13 |
|
|
Cath plc art ang/grft lt/rt hr
|
$3,670.80 |
$3,957.38 |
$4,818.00 |
|
|
Cath plc art/angio/rt hrt cath
|
$3,624.20 |
$4,376.44 |
$4,757.00 |
|
|
Cath plc art/grft/angio right hrt
|
$3,941.80 |
$4,759.62 |
$5,173.50 |
|
|
Cath right heart w/o2 sat & card
|
$3,235.00 |
$3,576.50 |
$3,673.50 |
|
|
Cath right hrt mnpul art
|
$202.63 |
$230.50 |
$315.20 |
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$975.60 |
$1,069.04 |
$1,219.50 |
|
|
Cath segmntl pulm art
|
$247.75 |
$247.75 |
$318.40 |
|
|
Cath stripping venous s&i
|
$138.60 |
$138.60 |
$159.39 |
|
|
Cath uret open tp 6fx70cm
|
$156.48 |
$156.48 |
$156.48 |
|
|
Cauterization chemical granulation tissue
|
$97.80 |
$154.50 |
$288.00 |
|
|
Cdna analysis for variants
|
$116.88 |
$128.80 |
$327.00 |
|
|
Cebpa gene full sequence
|
$156.40 |
$163.20 |
$227.50 |
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$43.77 |
$50.34 |
$54.71 |
|
|
Cefepime 1 gram solution for injection
|
$13.88 |
$15.96 |
$17.35 |
|
|
Cefotaxime sodium injection
|
$17.45 |
$20.06 |
$21.81 |
|
|
Cefoxitin 1 gram intravenous solution
|
$69.63 |
$80.07 |
$87.03 |
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$15.26 |
$17.55 |
$19.08 |
|
|
Ceftriaxone 1 gram solution for injection
|
$141.15 |
$162.32 |
$176.44 |
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$48.79 |
$56.11 |
$60.99 |
|
|
#celiac hla-dq8
|
$81.88 |
$81.88 |
$85.00 |
|
|
Cell count body fluid
|
$2.20 |
$2.75 |
$45.90 |
|
|
Cell count w differential body fluid
|
$46.46 |
$48.00 |
$84.15 |
|
|
Cell enumeration & id
|
$353.01 |
$353.01 |
$387.45 |
|
|
Cell function assay w/stim
|
$120.98 |
$210.00 |
$309.80 |
|
|
Cell marker study
|
$35.40 |
$42.48 |
$79.65 |
|
|
#cf-97variants
|
$218.04 |
$324.96 |
$898.00 |
|
|
Cftr gene dup/delet variants
|
$293.40 |
$352.08 |
$660.15 |
|
|
Change cystostomy tube; complex 51710
|
$230.50 |
$230.50 |
$230.50 |
|
|
Change cystostomy tube simple
|
$78.50 |
$99.84 |
$187.20 |
|
|
Change g-tube to g-j perc
|
$572.40 |
$686.88 |
$1,287.90 |
|
|
Change nephroureteral cath
|
$870.40 |
$1,000.96 |
$1,088.00 |
|
|
Change of ureter tube/stent
|
$710.80 |
$710.80 |
$832.50 |
|
|
Change of windpipe airway 31502
|
$60.72 |
$68.00 |
$198.90 |
|
|
Change ureter stent percut
|
$1,230.20 |
$1,392.42 |
$1,465.00 |
|
|
Chemo adm cns w/lmbr punct
|
$204.40 |
$235.06 |
$255.50 |
|
|
Chemo ia push tecnique
|
$130.20 |
$130.20 |
$138.25 |
|
|
Chemo intralesional over 7
|
$242.88 |
$242.88 |
$242.88 |
|
|
Chemo intralesional up to 7 96405
|
$24.80 |
$24.80 |
$69.84 |
|
|
Chemotherapy injection 96542
|
$158.40 |
$182.16 |
$198.00 |
|
|
Chest 2 vws w oblique
|
$102.80 |
$118.22 |
$142.20 |
|
|
Chest apical lordotic proj
|
$94.80 |
$116.38 |
$213.30 |
|
|
Chest CT scan (with and without contrast)
|
$820.41 |
$900.45 |
$1,194.75 |
|
|
Chest CT scan (with contrast)
|
$731.80 |
$934.32 |
$1,110.00 |
|
|
Chest CT scan (without contrast)
|
$613.20 |
$773.49 |
$909.36 |
|
|
Chest X-ray
|
$91.60 |
$110.64 |
$127.35 |
|
|
Chest X-ray (single view)
|
$80.00 |
$88.09 |
$106.20 |
|
|
Chg pr pul rehab for copd patients
|
$55.00 |
$55.00 |
$63.25 |
|
|
Chimerism anal w/cell select
|
$202.20 |
$202.20 |
$202.20 |
|
|
Chlamydia culture
|
$24.00 |
$76.59 |
$166.32 |
|
|
Chlamydia trachomatis ag if
|
$50.50 |
$77.40 |
$84.87 |
|
|
Chlamydia type
|
$15.20 |
$23.28 |
$26.50 |
|
|
Chloramphenicol sodium injec
|
$54.03 |
$62.13 |
$67.54 |
|
|
Chloride
|
$21.32 |
$24.80 |
$44.39 |
|
|
Chloride 24 hour urine
|
$22.96 |
$31.80 |
$50.00 |
|
|
Chloroprocaine hcl injection
|
$27.96 |
$33.55 |
$62.91 |
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$87.53 |
$100.66 |
$109.41 |
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$39.63 |
$45.57 |
$49.54 |
|
|
Chmotx admn plrl cav thrcnts
|
$138.72 |
$138.72 |
$138.72 |
|
|
Cholangiogram percutaneous compl
|
$980.80 |
$1,127.92 |
$1,226.00 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$116.80 |
$139.68 |
$204.50 |
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,283.20 |
$2,757.01 |
$2,996.75 |
|
|
Cholesterol
|
$36.34 |
$40.50 |
$46.80 |
|
|
Cholesterol body fluid
|
$76.67 |
$150.00 |
$616.50 |
|
|
Cholesterol (Lipid) Test
|
$66.80 |
$74.70 |
$192.00 |
|
|
Cholinesterase
|
$9.84 |
$25.44 |
$80.50 |
|
|
Chrom analysis
|
$48.60 |
$48.60 |
$55.89 |
|
|
Chromatogram assay sugars
|
$22.56 |
$22.56 |
$22.56 |
|
|
Chromatography
|
$6.40 |
$80.16 |
$109.35 |
|
|
Chromo high res and frag x - sendout
|
$172.40 |
$198.26 |
$215.50 |
|
|
Chromosome analysis 15-20 cell count
|
$344.40 |
$396.98 |
$806.00 |
|
|
Chromosome analysis 45
|
$109.80 |
$109.80 |
$109.80 |
|
|
Chromosome analysis 5
|
$152.95 |
$152.95 |
$152.95 |
|
|
Chromosome count additional
|
$12.80 |
$12.80 |
$14.72 |
|
|
Chromosome karyotype study
|
$100.04 |
$151.40 |
$189.25 |
|
|
Chromosome study additional
|
$41.60 |
$47.84 |
$52.00 |
|
|
Chylomicron screen, bf - sendout
|
$38.16 |
$49.60 |
$51.06 |
|
|
Cidofovir injection
|
$406.64 |
$487.97 |
$914.94 |
|
|
Cilastatin sodium injection
|
$29.40 |
$33.81 |
$36.75 |
|
|
Cinacalcet 30 mg tablet
|
$15.87 |
$19.04 |
$35.70 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$5.40 |
$6.21 |
$6.75 |
|
|
Ciprofloxacin otic susp 6 mg
|
$1.90 |
$2.28 |
$4.27 |
|
|
Circumcise/surg/28 days or < 54160
|
$78.75 |
$78.75 |
$78.75 |
|
|
Circumcision (newborn)
|
$65.80 |
$630.48 |
$1,182.15 |
|
|
Cisplatin 1 mg/ml desensitization
|
$277.53 |
$319.16 |
$346.91 |
|
|
C-kit mutation liquid tumor - sendout
|
$130.25 |
$213.61 |
$234.45 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$194.27 |
$233.13 |
$437.12 |
|
|
Clearance of airways
|
$81.59 |
$112.80 |
$141.00 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$31.95 |
$38.34 |
$71.89 |
|
|
Clip ligating vesolock lg
|
$95.00 |
$95.00 |
$168.13 |
|
|
Clofarabine 1 mg/ml intravenous solution
|
$1,405.86 |
$1,687.03 |
$3,163.19 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$58.30 |
$67.05 |
$72.88 |
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$62.80 |
$75.36 |
$135.90 |
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$402.60 |
$478.25 |
$871.20 |
|
|
Closed tx/acetabululm without manip 27220
|
$63.00 |
$71.07 |
$509.40 |
|
