|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$59.12 |
$106.10 |
$106.10 |
|
|
Ceftazidime and avibactam
|
$1,019.28 |
$1,019.28 |
$1,019.28 |
|
|
Ceftriaxone 1 gram solution for injection
|
$69.35 |
$262.00 |
$262.00 |
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$27.18 |
$27.18 |
$27.18 |
|
|
#celiac hla-dq2
|
$226.00 |
$255.55 |
$255.55 |
|
|
#celiac hla-dq8
|
$246.88 |
$246.88 |
$261.50 |
|
|
Cell count body fluid
|
$74.97 |
$94.73 |
$94.73 |
|
|
Cell count w differential body fluid
|
$56.00 |
$111.58 |
$435.54 |
|
|
Cell function assay w/stim
|
$214.10 |
$214.10 |
$1,113.00 |
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$21,238.53 |
$21,238.53 |
$52,029.84 |
|
|
Cerebrospinal fld flw imag
|
$754.68 |
$754.68 |
$796.50 |
|
|
Cer post col occ/man sup adj
|
$289.80 |
$289.80 |
$289.80 |
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$32,804.70 |
$32,804.70 |
$32,804.70 |
|
|
Cerv collar supp adj cerv ba
|
$376.74 |
$376.74 |
$376.74 |
|
|
Cervical collar molded to pt
|
$382.44 |
$382.44 |
$382.44 |
|
|
Cervical or vaginal cancer screening g0101
|
$124.00 |
$124.00 |
$660.00 |
|
|
Cesarean section delivery only 59514
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$1,757.83 |
$3,028.20 |
$3,259.01 |
|
|
#cf-97variants
|
$667.60 |
$667.60 |
$4,491.00 |
|
|
Cftr gene dup/delet variants
|
$1,094.40 |
$1,094.40 |
$1,094.40 |
|
|
Change cystostomy tube; complex 51710
|
$1,155.00 |
$2,767.15 |
$4,600.00 |
|
|
Change cystostomy tube simple
|
$264.25 |
$264.25 |
$1,425.38 |
|
|
Change g-tube to g-j perc
|
$1,544.50 |
$1,908.38 |
$1,908.38 |
|
|
Change nephroureteral cath
|
$615.95 |
$615.95 |
$2,648.50 |
|
|
Change of ureter tube/stent
|
$1,756.50 |
$2,513.80 |
$2,513.80 |
|
|
Change of windpipe airway 31502
|
$212.00 |
$355.25 |
$847.46 |
|
|
Change stent via transureth
|
$3,036.00 |
$3,036.00 |
$3,036.00 |
|
|
Change ureter stent percut
|
$1,654.30 |
$1,654.30 |
$2,648.50 |
|
|
Chemo adm cns w/lmbr punct
|
$424.50 |
$803.38 |
$803.38 |
|
|
Chemodener muscle larynx emg
|
$661.80 |
$661.80 |
$661.80 |
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$480.00 |
$658.38 |
$1,067.00 |
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$480.00 |
$987.55 |
$987.55 |
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$987.55 |
$987.55 |
$3,800.00 |
|
|
Chemodenerv 1 extremity 1-4 64642
|
$658.38 |
$658.38 |
$3,445.00 |
|
|
Chemodenervation anal musc
|
$2,359.53 |
$2,359.53 |
$2,359.53 |
|
|
Chemodenervation/face muscl/unilat 64612
|
$263.00 |
$701.03 |
$759.78 |
|
|
Chemodenerv eccrine glands
|
$379.38 |
$379.38 |
$379.38 |
|
|
Chemodenerv eccrine glands 64650
|
$1,176.38 |
$1,176.38 |
$1,176.38 |
|
|
Chemodenerv musc migraine 64615
|
$425.00 |
$1,402.05 |
$2,031.00 |
|
|
Chemodenerv musc neck dyston 64616
|
$382.00 |
$661.80 |
$1,699.00 |
|
|
Chemodenerv saliv glands bilat 64611
|
$107.60 |
$107.60 |
$397.00 |
|
|
Chemodenerv trunk musc 1-5 64646
|
$823.08 |
$823.08 |
$1,242.36 |
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,178.50 |
$1,234.53 |
$3,845.00 |
|
|
Chemo extend IV infus w/pump
|
$1,462.00 |
$1,462.00 |
$1,462.00 |
|
|
Chemo ia infusion up to 1 hr
|
$875.60 |
$875.60 |
$875.60 |
|
|
Chemo ia push tecnique
|
$412.00 |
$589.90 |
$589.90 |
|
|
Chemo intralesional over 7
|
$589.90 |
$589.90 |
$589.90 |
|
|
Chemo intralesional up to 7 96405
|
$108.50 |
$270.20 |
$270.20 |
|
|
Chemotherapy injection 96542
|
$589.90 |
$589.90 |
$589.90 |
|
|
Chemotx admn pertl cav impl
|
$732.35 |
$732.35 |
$732.35 |
|
|
Chest 2 vws w oblique
|
$255.33 |
$255.33 |
$529.20 |
|
|
Chest apical lordotic proj
|
$193.95 |
$193.95 |
$491.00 |
|
|
Chest CT scan (with and without contrast)
|
$1,846.00 |
$2,105.40 |
$5,430.00 |
|
|
Chest CT scan (with contrast)
|
$1,608.98 |
$1,608.98 |
$4,327.00 |
|
|
Chest CT scan (without contrast)
|
$1,090.50 |
$1,350.03 |
$2,855.00 |
|
|
Chest Physiotherapy (first session)
|
$69.00 |
$105.25 |
$300.00 |
|
|
Chest Physiotherapy (follow-up session)
|
$65.50 |
$86.88 |
$287.49 |
|
|
Chest Ultrasound
|
$299.80 |
$299.80 |
$1,053.05 |
|
|
Chest X-ray
|
$232.30 |
$232.30 |
$462.00 |
|
|
Chest X-ray (single view)
|
$186.83 |
$186.83 |
$348.39 |
|
|
Chg pr pul rehab for copd patients
|
$79.00 |
$125.58 |
$276.00 |
|
|
Chg radiologic exam esophagus double contrast
|
$272.50 |
$272.50 |
$272.50 |
|
|
Chimerism anal no cell selec
|
$670.35 |
$670.35 |
$670.35 |
|
|
Chimerism anal w/cell select
|
$331.45 |
$331.45 |
$331.45 |
|
|
Chiropractic manj 5 regions
|
$118.00 |
$118.00 |
$118.00 |
|
|
Chiropract manj 1-2 regions
|
$57.00 |
$57.00 |
$57.00 |
|
|
Chiropract manj 3-4 regions
|
$69.50 |
$69.50 |
$69.50 |
|
|
Chlamydia culture
|
$57.00 |
$160.83 |
$185.00 |
|
|
Chlamydia trachomatis ag if
|
$68.50 |
$68.50 |
$68.50 |
|
|
Chlamydia type
|
$27.50 |
$39.15 |
$107.00 |
|
|
Chlnggrphy intraop addl s&i
|
$607.00 |
$607.00 |
$607.00 |
|
|
Chloramphenicol sodium injec
|
$120.48 |
$120.48 |
$120.48 |
|
|
Chloride
|
$36.00 |
$37.48 |
$57.00 |
|
|
Chloride 24 hour urine
|
$36.00 |
$46.13 |
$155.30 |
|
|
Chloroprocaine (clorotekal)
|
$42.63 |
$42.63 |
$42.63 |
|
|
Chloroprocaine hcl injection
|
$36.86 |
$55.88 |
$55.88 |
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$60.61 |
$1,017.18 |
$1,017.18 |
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$74.38 |
$74.38 |
$204.95 |
|
|
Cholangiogram percutaneous compl
|
$1,732.13 |
$1,732.13 |
$4,865.00 |
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$486.83 |
$486.83 |
$1,103.45 |
|
|
Cholecystostomy complete w/supervision & interpretation
|
$712.88 |
$712.88 |
$4,223.50 |
|
|
Cholesterol
|
$34.00 |
$46.15 |
$76.02 |
|
|
Cholesterol body fluid
|
$53.75 |
$53.75 |
$89.50 |
|
|
Cholesterol (Lipid) Test
|
$88.50 |
$187.73 |
$187.73 |
|
|
Cholinesterase
|
$76.50 |
$92.75 |
$101.00 |
|
|
Chorion biopsy
|
$160.88 |
$160.88 |
$160.88 |
|
|
Chorionic gonadotropin/1000u
|
$531.68 |
$531.68 |
$531.68 |
|
|
Chrom analysis
|
$142.00 |
$387.83 |
$387.83 |
|
|
Chromatography
|
$79.00 |
$173.13 |
$173.13 |
|
|
Chromogenic substrate assay
|
$191.03 |
$191.03 |
$191.03 |
|
|
Chromo high res and frag x - sendout
|
$221.00 |
$318.73 |
$318.73 |
|
|
Chromosome analys amniotic
|
$450.00 |
$450.00 |
$721.50 |
|
|
Chromosome analysis 100
|
$184.00 |
$292.43 |
$292.43 |
|
|
Chromosome analysis 15-20 cell count
|
$558.25 |
$558.25 |
$1,726.00 |
|
|
Chromosome analysis 5
|
$719.23 |
$719.23 |
$1,387.79 |
|
|
Chromosome analysis 50-100
|
$179.50 |
$179.50 |
$179.50 |
|
|
Chromosome analys placenta
|
$132.50 |
$802.88 |
$802.88 |
|
|
Chromosome count additional
|
$83.00 |
$222.13 |
$222.13 |
|
|
Chromosome karyotype study
|
$149.00 |
$168.38 |
$209.50 |
|
|
Chromosome study additional
|
$110.00 |
$110.00 |
$110.00 |
|