|
Chg radiologic exam esophagus double contrast
|
$541.82 |
$599.97 |
$755.90 |
|
|
Chimerism anal no cell selec
|
$302.78 |
$302.78 |
$302.78 |
|
|
Chimerism anal w/cell select
|
$169.74 |
$187.96 |
$236.81 |
|
|
Chlamydia culture
|
$36.90 |
$37.70 |
$51.48 |
|
|
Chlamydia trachomatis ag if
|
$12.92 |
$14.31 |
$18.02 |
|
|
Chlamydia type
|
$25.63 |
$28.38 |
$35.75 |
|
|
Chlnggrphy intraop addl s&i
|
$252.99 |
$252.99 |
$252.99 |
|
|
Chloramphenicol sodium injec
|
$7.38 |
$7.38 |
$8.18 |
|
|
Chloride
|
$17.83 |
$31.57 |
$44.05 |
|
|
Chloride 24 hour urine
|
$8.68 |
$51.05 |
$71.22 |
|
|
Chloroprocaine hcl injection
|
$23.58 |
$23.58 |
$26.11 |
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$329.03 |
$329.03 |
$364.34 |
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$21.32 |
$28.15 |
$29.75 |
|
|
Cholangiogram percutaneous compl
|
$1,591.83 |
$1,762.66 |
$2,220.79 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$286.76 |
$744.77 |
$1,039.04 |
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,847.05 |
$1,867.30 |
$2,045.27 |
|
|
Cholesterol
|
$26.99 |
$66.83 |
$93.24 |
|
|
Cholesterol body fluid
|
$17.02 |
$18.85 |
$32.78 |
|
|
Cholesterol (Lipid) Test
|
$49.16 |
$114.80 |
$160.16 |
|
|
Cholinesterase
|
$16.61 |
$18.39 |
$29.40 |
|
|
Cholinesterase challenge
|
$58.43 |
$58.43 |
$58.43 |
|
|
Chrom analysis
|
$72.36 |
$84.87 |
$118.41 |
|
|
Chromatography
|
$26.51 |
$29.32 |
$40.90 |
|
|
Chromo high res and frag x - sendout
|
$41.00 |
$45.40 |
$83.59 |
|
|
Chromosome analys amniotic
|
$72.57 |
$80.36 |
$112.54 |
|
|
Chromosome analysis 15-20 cell count
|
$114.91 |
$143.09 |
$199.63 |
|
|
Chromosome analys placenta
|
$120.54 |
$133.48 |
$168.17 |
|
|
Chromosome count additional
|
$17.50 |
$17.50 |
$17.50 |
|
|
Chromosome karyotype study
|
$17.22 |
$19.07 |
$24.03 |
|
|
Chromosome study additional
|
$17.63 |
$19.53 |
$24.60 |
|
|
Chronic urticaria - sendout
|
$36.86 |
$36.86 |
$36.86 |
|
|
Chylomicron screen, bf - sendout
|
$65.81 |
$72.87 |
$91.81 |
|
|
Cidofovir injection
|
$817.54 |
$817.54 |
$905.28 |
|
|
Cilastatin sodium injection
|
$36.08 |
$36.08 |
$39.96 |
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$11.07 |
$11.07 |
$12.26 |
|
|
Circumcision (newborn)
|
$159.65 |
$159.65 |
$159.65 |
|
|
Cisplatin 1 mg/ml desensitization
|
$12.92 |
$12.92 |
$14.31 |
|
|
C-kit mutation liquid tumor - sendout
|
$219.76 |
$243.35 |
$480.65 |
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$480.52 |
$480.52 |
$532.09 |
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,553.44 |
$6,711.28 |
$7,256.74 |
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$14.56 |
$16.12 |
$20.31 |
|
|
Clip ligating vesolock lg
|
$1,042.63 |
$1,154.53 |
$12,594.80 |
|
|
Cllr miami j sm
|
$658.38 |
$800.32 |
$886.21 |
|
|
Clofarabine 1 mg/ml intravenous solution
|
$1,083.02 |
$1,083.02 |
$1,199.25 |
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$74.42 |
$74.42 |
$82.41 |
|
|
Closure paravalvlr leak pq
|
$413.14 |
$413.14 |
$3,831.66 |
|
|
Clot factor xii hageman
|
$36.63 |
$36.63 |
$36.63 |
|
|
Clot factor xiii fibrin scrn
|
$13.50 |
$17.22 |
$24.03 |
|
|
Clot factor xiii fibrin stab
|
$19.68 |
$21.80 |
$47.24 |
|
|
Clotting assay whole blood
|
$78.93 |
$87.40 |
$110.11 |
|
|
#cms hgb-sulfhemoglobin
|
$29.52 |
$32.69 |
$41.19 |
|
|
#cmvcul-virus inoculation shell
|
$33.98 |
$39.57 |
$55.20 |
|
|
Cmv pcr-sendout
|
$33.62 |
$37.23 |
$56.29 |
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$1,859.35 |
$1,859.35 |
$2,058.89 |
|
|
Coagulation time activated teg
|
$93.69 |
$103.74 |
$130.71 |
|
|
Cocaine 4 % nasal solution
|
$270.81 |
$270.81 |
$299.87 |
|
|
Coil axium 3d 14mmx40cm qc
|
$286.90 |
$286.90 |
$286.90 |
|
|
Cold agglutinin screen (arc)
|
$14.40 |
$45.31 |
$63.21 |
|
|
Cold agglutinin titer
|
$33.41 |
$86.51 |
$120.70 |
|
|
Colistimethate sodium inj
|
$30.96 |
$30.96 |
$34.28 |
|
|
Collagen imp urinary 2.5 ml
|
$11,587.40 |
$11,587.40 |
$11,587.40 |
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$212.79 |
$387.86 |
$541.12 |
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$54.94 |
$60.84 |
$76.65 |
|
|
Collar cerv ascend 172 reg
|
$213.82 |
$236.77 |
$298.30 |
|
|
Collar cerv patriot adlt
|
$12.71 |
$14.08 |
$17.74 |
|
|
Collar extrication adult univ
|
$800.32 |
$886.21 |
$1,116.55 |
|
|
Collection blood specimen from completely implantable venous access device
|
$67.86 |
$94.67 |
$97.78 |
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$67.86 |
$94.67 |
$99.72 |
|
|
Compatibility test each unit antiglobulin technique
|
$75.44 |
$83.54 |
$276.30 |
|
|
Compatibility test each unit electronic
|
$86.72 |
$96.03 |
$276.30 |
|
|
Compatibility test each unit immediate spin technique
|
$135.10 |
$149.60 |
$276.30 |
|
|
Complement antigen each component c3
|
$157.24 |
$168.19 |
$219.37 |
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$890.52 |
$986.09 |
$1,242.39 |
|
|
Concentration infection agents any type
|
$67.97 |
$123.00 |
$171.60 |
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$1,356.08 |
$1,356.08 |
$1,501.61 |
|
|
Conivaptan hcl
|
$834.91 |
$834.91 |
$834.91 |
|
|
Conjugated estrogens 25 mg solution for injection
|
$344.40 |
$344.40 |
$381.36 |
|
|
Connect omega .5mm
|
$800.32 |
$800.32 |
$886.21 |
|
|
Connector tis 2x10mm
|
$2,293.13 |
$2,293.13 |
$2,539.23 |
|
|
Consultation pathology during surgery cytological exam initial site
|
$60.27 |
$66.74 |
$84.09 |
|
|
Consultation pathology during surgery frozen section each additional block
|
$47.56 |
$52.67 |
$66.36 |
|
|
Consultation pathology during surgery frozen section first tissue block
|
$28.70 |
$31.78 |
$40.04 |
|
|
Contrast baths charges
|
$29.32 |
$34.66 |
$40.90 |
|
|
Contrast exam abdominl aorta 75625-26
|
$2,777.14 |
$2,777.14 |
$3,075.17 |
|
|
Contrast exam thoracic aorta
|
$1,468.83 |
$1,468.83 |
$1,468.83 |
|
|
Contrast exam thoracic aorta 75605-26
|
$1,261.57 |
$1,261.57 |
$1,396.96 |
|
|
Contrast x-ray gallbladder
|
$233.16 |
$261.38 |
$364.65 |
|
|
Contrast x-ray of ankle
|
$446.57 |
$446.57 |
$446.57 |
|
|
Contrast x-ray of elbow
|
$452.82 |
$452.82 |
$452.82 |
|
|
Contrast x-ray of hip
|
$428.39 |
$542.53 |
$978.47 |
|
|
Contrast x-ray of knee joint
|
$401.11 |
$556.37 |
$776.21 |
|
|
Contrast x-ray of wrist
|
$193.17 |
$777.57 |
$1,084.80 |
|
|
Controller infinity pt dbs
|
$1,891.89 |
$7,989.62 |
$29,043.97 |
|
|
Conversion ext bil drg cath
|
$1,652.30 |
$1,829.62 |
$2,305.16 |
|
|
Convert nephrostomy catheter
|
$2,784.52 |
$2,784.52 |
$3,083.35 |
|
|
Coombs direct
|
$72.78 |
$73.15 |
$101.53 |
|
|
Coombs indirect titer reference
|
$112.96 |
$125.08 |
$210.24 |
|
|
Core ndl bx lng/med perq
|
$1,067.52 |
$1,488.10 |
$2,076.08 |
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,347.80 |
$9,347.80 |
$10,350.98 |
|
|
Coronary angio/lv gram/lt heart
|
$8,498.07 |
$8,498.07 |
$9,410.06 |
|
